Permit 1728 Park Terrace W (vault) 26 5� So .SQ ' 2G•S'.'
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DEPARTMENT OF BUILDING 9 7 6 8
PERMIT NO.._:___------
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 00CAC
T„wsy 19_..$43-
Date 1 fl!lll
Valuation$ Fee �C
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that ANTHONY S. GONZALEZ
1728 Park Terrace Nest
has permission to b44 Remove one tree taus'
Zone
Classification
I Owned by Antli
Block_-----Sro
Lot
House No.
According to approved plans which are part of this permitNOTICE ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
-n AFTER DATE OF ISSUE
O Building material, rubbish and debris
--� from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
* tractor"90 1 owner.
,90
Building Q tial.
1
PERMIT DATE CONTRACTOR
FOR OFFICE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
i
SEWER
WATER
i s
CITY OF
Aaa�- Fcad - 9&UW4
716 OCEAN BOULEVARD
— P.O.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
APPLICATION FOR TREE REMOVAL PERMIT
DATE
Applicant
NAME A N'fNnN v S. 6002A U-2-
ADDRESS
.1sZ•ADDRESS 17)L- r PAAk- -T-,�WJAP-L w+EST
Owner
NAME SA-y",t /ks A4oj i-
ADDRESS
Location of tree if different from owner ' s address :
Reason for Removal : 6A% TIzEL A4S Lhga Nv, NjAA -mp , L�MBs
4+"61146— 0 V L — Qo o 1- DAN" Of- —r9 tL "L t„/N G 0A ►+v a5L
Rear Lot Line
indicate -
possition of
tree on
lot a°
a
Q)
,4
U) U)
Front At Line
Building Offi ial
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permif Number: 21371 Address: 1728 PARK TERRACE WEST
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: SELVA MARINA
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 2/01/2001 Name: TONY GONZALES
Total Fees: 57.00 Address: 1728 PARK TERRACE WEST
Amount Paid: 57.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 2/01/2001 Phone: (904)249-7508
Work Desc: INSTALL PLUMBING -
CONT . {'SRS %"% P ;ONFEES
LARRY TEAGUE AND SONS PERMIT 57.00
k`
Inspections Re jko
FINAL --- -
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
r
157.8914
ATLANTIC BEACH BUILDING DEPT. Date: 2/81/81 el Receipt: 883 9
CHECKS 82771 1858
---
CITY OF ATf ILWT1C BEACH
APPLMATION FOR PLUMBING Pe�.IT
,CB LCCAT ION:���� ��lL�•�_ v���.�-�
OWNER OF PROPERTY:_A,0 LY � ,pPFt40-_TELE- PEC-NE NO. .Srn
PL MZ TN:3 CrJN-.P-ZkCTOR LARRY TEAGUE PLUMBING _
CONTRACTOR' S ADDR-ESS:
v
1
STATE LICENSE �'L�>3ER: FC0S677b TELT PHOidE:1�f�����
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY _ WATER HEA'.=R5
EAT' _U?S DISHWASHERS
..RINALS DTSPOSAT S
CLOSETS WAS:IIANG t•`-n-THINE
FLOOR DRAINS SHOWER PTL\S
SEWER WATER
_REPTPE OT7En l�����7'E.✓&,�
TOTAL FIXTURES:�o� x $3. 50
MINIMUM PERIMIT FEE - $25. 00
SIGNATURE OF OWNER:
SIGNATURE OF ZCNTRA
INSTALLP_mIONI OF PLT20ING AND FIXTURES MUST BE IN ACCCRDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDA.RD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (9041 24"7-5526
SEWER CONNECTIONS M7ST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904; 247-5834
+ DEPARTMENT OF BUILDING
�+8$8
1
i CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO._
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date June 30. 19 88
Valuation$ Fee$ N;G
This permit not valid until above fee has been paid to City Treasurer,and is oo
subject to revocation for violation of applicable provisions of law. 1 I A 61301F
uulj
This is to certify that Matt Tnno Tree Senr;ce
i
I
has permission to*Mid imemove efie dead 1 i Oak Trc
i
Classification Zone
Owned by Ur- Uop,723_06 -
4 Lot Block S/D
House No. 1728 Park Terrace West
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
--per 0 Building material, rubbish and debris
z from this work must not be placed
in public space, and must be cleared
= up and hauled away by either con-
tractor or owner.
VA-
BuiJdi officia.
I }
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
I
PLUMBING
ELECTRICAL
I
SEWER
WATER
CITY OF
Q-44-tet
Office of Building Official
/ REQUEST FOR INSPECTION
r 2g� �f
Permit No.213 7 /
Date
Time PM
Received W.
a/ i/
'ic r/'•r c e �/V
Locality
Job Address
q/iq,� j'og
Owner's �C h �r G Contractor e
Name ����MECHANICAL
BUILDING CONCRETE ELECTRICAL
❑ Rough Wiring ❑ Rough ❑ Air ting & ❑
Framing ❑ Footing Pole ❑ Top Out ❑ Heating
❑ Slab ❑ Temp ❑ Fire Place ❑
Re Roofing ❑ Final ❑ Sewer
Insulation ❑ Lintel Pre Fab
READY FOR INSPECTION
Mon. Tue .
Wed. Thurs. Friday
�• P.M.
Inspection Made Final Inspection ❑
Inspector Certificate of Occupancy ❑
/QDate .3
e »SPe c -�
CITY OF � , �_
01,10 R�I Official �c
7 Office of Build t4SPEcv10N
REQUEST FO 3
Permit No.
A.'A
Date P. '
cality
Time
Received
"CS OT M NICAL
fob Ad cess 2,14�" Contractor O
Air Cond. &
is ELE�RICAL Heating
/ NFire Nace
ame CD ETE Rough Wiring 0 Top out pre Fab
ly BUILDING' Temp pole Sew
Footing Final ,�
Framin9. g Slab G CTIO
Be Booting
READY FOR Friday
� Lintel INV Thurs.
Insulation
Wed. A.M.
Tues. P.M.
-tion
Final Inspe
Mon. Occupancy
Certificate of
ection Made
Insp pate
as
JOe ApOR Inspector
THIS JC C OATF
ollowl�9 ad NOT e
he f
ditin.,I _ BEFAI ,._ 'A —,.el)
i
FOR OFFICY USF�ONLY
Date.----_. 19 ------
Permit #. . .......Fee 4_40..aL
CITY OF ATLANTIC BEACH Valuation $...T q.
411)00........................
FLORIDA House #..')...7..'.4.x..-. d.�...4d,
............................................................................
APPLICATION FOR BUILDING PERMIT
XJ ,
.............**........**.................................*.........
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
�0 X Date............. -le-1.............................................
a -
Owner_.... 7.......... --- -- ... -------------Address... .. ............ 4Vi�/elephone No. ...
Architect.......... .................... -- ------ ---------------------------_--Addres&..........................................................Telephone No-----------------------------
��Iel I n- �!5 -- - ---- elephone No...z
Contractor Builder_J>.I.n--- ............Addrest��_. .,e.
--------------------------- ........ ----Zone.............
Lot No--------------47.. Block No.--- _/ .................Sub Division...'l ....
............. 41— -----------Side Between.........)...... ...... ........7..........and-----------------------------------------------------Ste.
/ZV_4.� ---Street.............. ... ..
-For what purpose will building be -------Type of constructio1&Z;.-V/X1e_1-
Valuation &M.7-f used..X�� -------
/-- -- --- ---- /
Dimensions of Building-IS2.-K---4,10...6......_Dimensions of Lot---/. .................:Size of Footings._.__..........__.......
Size of Piers__-..__'.-.......................Size of Sills.-...._-..---- ._.----.-.Greatest Sill Span in ft....... .............Type Roof--------------------------------------
'JI. Cl
How will Building be Heated?._ -le-I. . .....i.............Will Building be on Solid or Filled Ground?_... ..........
1-4t ....../..................... Greatest Span--------0 ;E 1001 it
Size of Ceiling Joists....._.._ Distance on Centers.......... ...............................
Size of Floor Joists.......................................... Distance on Centers......_-................................ Greatest Span__..__-_._.__-_.........__...................
X
Greatest Span.... 0
Size of Rafters--_----------- ...�(_,
Distance on Centers.......97. .................. ...........................
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans ane specifications shall
be submitted with application. "41
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
E,
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. rn
8. Final inspection.
Note: In case of any rejection,re-mspection MUST be called for after
corrections are made. 4-
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the att%ched�pll ec' 'cations, which are a part hereof, and in accordance with the building
n
Beach.e
tic Bea
regulations of the City of A each.
..... ..... ............. Address................................................ ...............................
Signature of Builder---------pl :�Of
Signatureof Owner�.�..'�. ........ .. ......�_; Address---_----.----_..........1-...................................................................
t
DEPARTMENT OF BUILDING 3280
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
t Date 1 19
Valuation$ Fee $ ^'�}
This permit not valid until above fee has been paid to City Treasurer, and is
stabject to revocation for violation of applicable provisions of law.
This is to certify that A. S. GOnza l a2
has permission to build a Bance
Classification 7nne
Owned by A. S. Gonia i ez
Lot 14 Block 10 S/D SM
House No. 1728 Park Terrace W.
According to approved plans which are part of this permit
r � NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
,I AFTER DATE OF ISSUE
4 �– ► O Building material, rubbish and debris
iz from this work must not be placedin
public space, and must be cleared
np
and hauled away by either contractor
or owner.
R. C. Vogel
Building official.
tr
FOR OFFICE PERMIT DATE CONTRACTOR
I USE ONLY NUMBER
Ij
PLUMBING .x. r i' &�. -.. !ZV V J,t�.IJ
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
PERMIT NO. ,2 Date :
LOCATION Street
LOT NO . /,�I BLOCK NO. JP —S/D 5:/--4V—
OWN ER
:/--4V_OWNER .4 leg
MASTER PLUMBER /%/.h.d049
BUILDER OR CONTRACTOR Bldg.
17e�� F �o�iR/�osd _,_Permit__ to,..
TYPE OF BUILDING /#/
...
SINKS oZ LAVATORY—/_BATH TUBS URINALS v2 CLOSETS
FLOOR DRAIN S__Z_SHOWERS___L WATER HEATERSDISHvIASHERS
_DISPOSALS I . OTHER &s :Y&r ,yam --
TOTAL FIXTURES : 1 .00 °y
NO M ORK MUST BE DONE UNTIL A PERMIT HAS BEEN FROCURED
PLANS AND SPECIFICATIONS must show a plan and description of the
size -.and location of all the soil and vent pipes, and the number and
location of all fixtures, (in accordance with Ordinance no. 188 of
the City of Atlantic Beach, Florida) must be shown on baok of appli-
cation and be approved by the Plumbing Inspector.
DRAT PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK.
Approved by
Plumbing Inspector
Date
(FOR OFFICE USE ONLY)
ROUGH-IN INSPECTED -2 j �7„� REVARKS
FINAL INSPECTION:_ CERTIFICATE ISSUED:
4-
r
FOR OFFICE USE ONLY
Date---/__ -.../.......197 7
CITY OF ATLANTIC BEA Permit #------------------------Fee v.. ......
CH Valuation $.... �
FLORIDA House #_. ._f --• e•-•�-�v✓
...............•-•---
APPLICATION FOR BUILDING PERMIT
0'
- --- -. ---------------------
Application is hereby made for the approval of the detailed statement of the plans and specifications kerewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date....................!... 3 .................................. 19...7.._7
Owner LA15._� .. ---Telephone
Address-_�-�L� W 2 7 Z?
Architect..........N.. N ...............-------------------------------------------------Address...........................................................Telephone No-----------------------------
Contractor Builder----- ....-:-_ �-----_---•-----•-----_---Address............................................................Telephone No.............................
Lot No.-------••---I-'7�---------------•--••----------Block No.......... --- ------------Sub Division....S6-L VA_...M.&S_,N.A-•---v ----Zone.................
............................................................Street-----------------_-. Side Between--.....-•----------...------------..---•• ---.._..and---•--------•-•----------------.-------••-------.-----Sts.
t-44\J Lk
Valuation $._ �.0�_d. __--_.For what purpose will building be used---.pQK-!.51 .� / TRI
i.. 1E.......__._.Type of construction-t_.!�._Wi
UJ o oA star ------
Dimensions of Building-------------_-------.----------------Dimensions of Lot..........._...:-----------------------------------------Size of Footings--------------------------------------
Size of Piers-.-------------------------.......Size of Sill's................................Greatest Sill Span in ft.--.........----------••---Type Roof......................................
How will Building be Heated?--------------------------------------------------------------Will Building be on Solid or Filled Ground?.......................................
Size of Ceiling Joists------------------•---------•---•----•---, Distance on Centers.................................... ----., Greatest Span..........--................................ It
Size of Floor Joists---............................................ Distance on Centers.......... -_...__.--.---__-_____.._....... Greatest Span............................................
"
Size of Rafters- -- ----------------------------------------------.-, Distance on Centers.. ..... .................................. Greatest Span--------------•---.------------------------
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. W
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam. 'a a
4. When framing is completed. FO' F
5. When rough plumbing is completed,and ready to cover up. a S
6. When septic tank drain field or sewer is laid but before it is covered. q W
A
7. Electrical inspection by City of Jacksonville. W
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attac ed plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City Atlantic ach.
Signature of Builder.__.. . l_-7_.1--
.----•-.......--•---....-. Address
Signature of Owner = ::._: .....................•--•— Address---1 7�.Y.......1_! K_.._j ..
o
FENS
trtkp woop
sy
i
xl Q
o
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R
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NOTE TO BUILDER: 2x6 RIDGE
A. 1/2" PLYWOOD DECKING
WHERE CEILING JOIST FRAME AT RIGHT ANGLES TO COMP. SHINGLES
RAFTERS PROVIDE 2X4 TIES 48" O.C. FOR FOUR 1s"aCAFTERS c. 13 WFELT
JOIST BAYS. PROVIDE SOLID BRIDGING UNDER.
B.
WHEN TRUSS DET. IS ATTACHED, DELETE INFORMATION — —_
RELATING TO CONVENTIONAL ROOF FRAMING. ROOF BRACING
C MAX._C. 48
5
SECURE 1 *4 0 EACH CELL FROM FOOTING THRU PLATE
AND FILL CELL WITH CONCRETE.
INSULATION C. J. 16' C.
-7 1GLOOR PL4N
c
IINT. HEADERS a X 8
2X6 RAFTERS UNLESS NOTED
16" C. OTHERWISE ON PLANS,
STORM ANCHOR
INSULATION EA, RAFTER
2X6 C.J.
16" C.
2-2X4 DOUBLE PLATE WITH
4 X 10 HEADER
MET DRIP
APPROVED SCR. VENT
It c ontr, Committee FLASHING: PER
M.P.S. 902-3.
............................. .... .........
INT FINISH
2X4 STUDS 16" C.
• DATE%..:.. � _ __I_
V2` INSL. BD,
I"AtR SPACE
4" BRICK
1/2' BOLTS 72' C.
2X4 STUDS 16" C. THRU 2X4 P.T. SHOE WALL TIE
16' VERT. C.
kEXT: WOOD SIDING 32"HORIZ. C.
1/2"BOLTS 72" C. 4" CONC. SLAB
THRU 2X4 P.T. SHOE 410 6 X6 W. M.
7�
ON VAP. BAR,MIN. - HEADER
ARTH
CLEAN SAND FILL +��
8X20 CONC. FTG. y f
2*4 CONT. ;
o- o
\ UNDISTURBED SOIL
SECTION: FLOOR SLABS,FOE
FRAME WALLC.' UTILITY RM. _
VAP. BAR.
8 X IS CONC. FTG.
UNDISTURBED SOIL 2*4 ' CONT.
2 x a sruos 16' C. _ EXT. WD. SIDING BRICK VENEER WALL SECTION
.INT. FINISH +" Ns WITH RIDGE SECTION BEARING FOOTING
MET. FLASHING ! J
CALKING
it- BRICK Rd OLI[
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000112
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION -- -
.rfftit, Number : 112 .1dresis: 1728 PARK TERRACE WESI
Permit Type: BUILDING ATLANTIC BEACH, FLORIDA _S2'.r_.'3-3
pass of Work: REPAIR LEGAL DESCRIPTION
.onaLr. Type; N/A Itt Block: Section:
'roposed Use: SINGLE FAMILY Plat Buoict Page.
0 Codei 0 ibdiviBion: SELVA MARINA
�timated Value: $0. 00 OWNER INFORMATTON
Improv. Cost: $3493. 09 Name: TONY GONZALES
Tota1 Feee; fdress: 1728 PARK TERRACE WEST
Amount Pafdi ATLANTIC BEACH, FLORIDA '322
Da Le P Phone: (904)249 7506
`3HINULES
APPLICATION FEES 7
;RMIT -
$7.50
,.TER IMPACT FEE 00
,:WER IMPACT FEE Or
-TER METER $010C,
DON GAS-14* R. S. $0.00
,DON GAS - 5% $0. 00
TER TAP $0. 00
VER TAP $0. 00
DRAULIC .13 H A R E $0. 00
-INSPECT FEE $0. 00
HER so. oo
$0.
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.19
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
DESCRIPTION
716 OCEAN BOULEVARD
L..ot # Blocl; # Section #----...- I'.0.13OX25
ATLANTIC I E'ACII,0.1)2.19-239596
FLORIDA 32239
9
Subdivision: ----_------------------
Street }IameDESCRIPTION OF WORK
or A d d r e s s: /r/ --PA�k_?PK-kkc�--W=----
-
If in a FLOOD HAZARD
Flood Zone: _ area complete page 3. Brief
- Description.__42'£R�1` W �,5_JEA-R
/= ►3rRc3Lq SS
S'1�►n/G�,E S
Class of Work:
(New/Remodel/Addition)
--------------
Z011ING INFORMATION
Type of
Construction:
-----------------------
Zoning Proposed
District: Use:
Estimated Value $__.3yYq ---E-______
Exceptions or Materials:____
----------------------
Variances Granted:
-------------------------
Solid or
----------------------------------------------
Filled
Ground: Roof:
OWNER INf"ORMATION
Method of Heating:__________________
PropertyOr rler: ZOn1 Cop�ZQ�g�--------------------- Phone:
------- - ------- ----
Mailing
Address--l� _ F t__ Lj_.
--------------------
-------------------------------------------------- Zip:__3_$,� -------
CONTRACTOR INFORMATION
Phone: .LF17 oa91?
--------------
Mailing
Addrecc:_ 2(+5�0__L1-��f�✓_�- -g-----
---------------------
- - �rJ lIPCA�✓/1_t_GLs-------------------------- Zip:-3�1.'l ------
Expiration/
License ;iurnbez-:----[�_�_�g�3l�.S�.........................
Date:__-�.J
In consideration of permit given for doing Lhc? wor:,, as described
the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications which are
\r;';' ! ' •' - a part hereof, and in- accordance with all rules and regulation--
of
egulationsof the City of Atlantic Beach.
Owner Signature --------------------------------Date------------
Cc;r[.:tact:.r icXr.ature-- ----- __ -- ---Date-
Jam/ 7i1 _0�
h'LOODPLAIN DEVELOPMENT INFORMATION
Type of Development : _ New Building
Alterations to Existing Building
Flood Zone
Required Floor Elevation
Actual (as built)Lowest Floor Elevation
If located within a flood hazard zone ..(zone A) a survey must be
made after the slab has been poured, certifying that the ''lowest
floor e evation is equal to or above the base flood elevation
es to is—ie—for that zone .
No Final Inspection will be made and No Certificate of Occupancy
will be issued until the survey is on file with the Building Department .
COMMENTS
Applicant acknowledgement : I understand that the issuance of this
permit is contingent upon the above information be�i ]IP corrcci: ;111(1
that Lhe plaits alit[ supporting data have been or shall be provided
as required. I agree to comply with all applicable provisions of
Ordinance No . 25-7-11 and all other laws or ordinances effecting
the proposed developemnt .
Date
Applicant 1s Signature
----------------------
Department Use
Survey filed with the Building Department on
Certified Lowest Floor Elevation
Required Lowest Floor Elevation
Building Department Representative