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510 Royal Palms Dr (vault) f , a 93` 911 i NTC ORPARTM IV. IF Ct 1f ATLANTIC l . PE"I < INFO TION" -. _ ..» . .LOC'ATION INFOIWATION, r i' Ari D ROYAL «BALMS,D IV .: of Ions a x . T +6-�i t 0 LOQ roposed 7" .ST F� > xbd s" Rr lq: + loge 1 I iih c 9 txb4 AL PALMS E st. etal . - crtaI 471.0-0 ,T TI �- «� .�. » AI►PLICAT IO'N 'Ors XR CK 47 .t} ,L ORIMA, �y 1 0. OC: ` a' / i' It um 11 FORE POU t PE �a six M THs"A T 'OF w� u y . MATEH� i 1 lSAN MIRI f +!THIS WORK MU "CEO 1N PUOLf AND MUS7 BE + REV'UP AND ;AULEb AY"8YITH i 0ONTRA7'OR OR OV WE,f4 R � � r . � , � ". ► 4 "auw " ► A� V#-11CH AF E PA1 T O THIS PERMIT' 1%wjvQ%"l LAIN e F Y 4 413 .A �um��*n.�..0 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 69ACH. FLORIDA $2833 APPLICATION FOR MECHANICAL PERMIT CALL-IN—NU M8ER IMPORTANT — Applicant to complete all items in sections I, II, III, and 1V. I. LOCATION street Address: D D cam. 7 latersectial Shears: tween WILDING And Sib-dir;lien II. IDENTIFICATION — To be completed by all applicants. ::4 In consideration of permit given for doing the wort at described in the above statement we hereby agree to perform said work in accordance oftha ffct,c d plass and specH;cat;On* which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good pracr;ce listed therein. Nave e/ htechaa;cel Ceetrectw (hint) Q_(i( {-" , contreaters Mamie of Master heperty Owaer S'seetire ofC'ser r _, ..-- signature of r A.tfi«riae1 Aom a Arehitecl Ser Engineer AL **OVMATION A. Ty" of 6eefi^9 twl. B. �Hect�it IS OTHER ❑[� 6ee— LttYity NETRU ION OONE ON Q LP Q CeekeTHIS WILOORi E1O Oi IR YEfr GIV Nman Co! CTION ❑ Ot~r — t, PERMIT V. hOCriNltt?Al PUPb W TO M NWTALLN NATURE Of WORK (�46 ws■�No a#sem�etteeta ee bed�tb leen) � Residential or ❑ Commercial Heat O Sty O ReewW A(Ceetwi O mew O New SWlding P�;'Gera;.**,: p Roan p C,e.a.l V ft'--K, �Existing dWlding °"' fy""": MOW—LY TI l o ` Riplooement of existing.ysten, M+rM.wr"p"ity_ (, (' aim New Mstatlatl)n(No system previously Installed). O Extension or add.*"to existing system O Co.tial sew Ce#rdly ❑ Other- Speolty ❑ An WAnllere: Numaw of t aala ❑ b eiretw O Moab Q 6s yip I�t�) ❑ G+e.Ca. I ie►I TM WALE P t0�IIC! Uri ONLY Q ❑ L%oeute ("amber) ROMA$ a "is" r ► spot* ,,.� a 016w — Pon* R.� LJWr ALL ZQUIr>wZM An CONDMONIM ANp 10LRA?ION [Qt»M• IT+asws valla n..e�ietsea ltetiel Nus>tler tZAT1IdG • FURhtACFj. UOILERS, FIREn.ACU >Myalervadl. r- __ 3-3 psfi- pL41 �NT OF 8 ,IL. NG I"C"Y OF ATLANTIS ,EAC14 I II I ` l TICS ; 'LOCATION INFORMATION P I? rm t Nul �r ., Ad $10 ROYAL, 44LMS DRIVE Feit Ty16STO A08 , sa"4 ATLANTLC; BRACR, FLORIDA 32233 tt6kt DESCRIPTION Class - of, Wo On'i r• Ty, :W0, 1PRA tR look: , List i �` �s � frogs+� I»f 1 LR P`� t�Y coon: . . , ubc R g: el ii ubdiv an�ROY&L P-ALMS . It Est. iia l `e# ( .&I�...�00 � c�tal � r 39 . 51 r w I»t .rl �-O X20' FROM HEAR LJ�N� INDUSTRIRB •....,. TION F �.. APPLI TI47R', RR:3 rrr Alrn R � IT 7 . 50 Add 1 ,IVZ1 Nine.- .PR, �F w I is -ALS» E I� tlil' ,ANCA FMINGSr M , I IMb C t BI I E U PERMIT VOID SIX MONTHS A EA DATE OF I�UE ? iILC1II MATEAI� LY t3LJB .- AND ..M,RIS PROM THI$WORK M ST NOT BE PLACED II�t PUBLIC SPA+CI~,AND MU TBE C�AFIED UP AI;iI 44AULED �8 HE i CONTRACTOROR ER SO R-THE I�k#I G ACCORDING TOA ECS Pt ANS'WHICH ARE PART THIS PERMIT AND � t V ATHC3N«F A P!ICAC E I OF LAW. maw #ii'AI , IC B . H, I ILo t.r CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : ,,--� � � LE -. Address : 1 c, tLl� I= Phone Lot # Block or Unit # Subdivision: --�- - __ ,ZjAj Contractor:__Lf C--� 1 State License # Address ;SJL4 � i k !z C Phone No: Describe work to be done:- ' :; ,.5'i Present use of building: Valuation of Proposed Construction:_ L� � � Proposed use:__�;'C =- Is this an addition? , If yes, what are the dimensions of the added space:_ ,I .; f t . X y f t . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures?-4-2L New fireplace? New Heat/AC? � SUBMIT MVAZ COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER � � � r��_ Date: Signature CONTRACTOR: rz License Supplied: Liability Insurance: Worker's Compensation Insurance: Building and 09 o w: o a x Ln- g W( I.- 1�a- m J w vs as X� X x N Na N N J •!•R ZO Q Mr+ w W N oin 3 XE V) tA- o= 12LL. o_ x Q9 �W o0 0 � 'C3 cr N N N O N N N to N .. Z W N Z . O_ x o z, o - �'o z o� Ocr a '• U5.-T m zo Q N M IL o ON U-to NO _ N , Z 1� WLn ` 77 H bW W LL �1=0 ~D 0 ~ x I O N 0 /d N � ' z O w J Q V CDZ W li O O c N 0 2 N W Q z VT' W J ¢ a c(1 J J Nm cr O W Q 0 _< U o � m O �i o W. r aa X �~!1 0�+1 8Q mJ waw \ X �F4- Q4, X5 le N X N N N N J •o Z w a. Fi Q O � IIw �D J Q X o— 3 LL. W p oN Z~ O Q = U-0 edw 00 o LL �•V N O N N O N N • O N N C9 Z_ C W LL �Z oll �� p ZZ O— Q .. Q '• Vim.Xf. •' • ^ [D i0 JQ N fbl oc O OLA-N W F- Np m O -� O 2 w N < Q :WW b C7 CC Z LL z tz cr O N —F- RT D: O \ /A N Z O CD v Z z N W c v O Z IA w AT �v j m z N., LL. c t /j Q J v a d a - c2 W w !t Xcr m p �a CU< Q =� U-11o m � p MAP SHOWING SURVEY OF LOT /9 - GOC K 17 _ PC AT OF P,4 QT OF ZQ� 34G M S UA,1 l T ITWO 4 AS RECORDED IN PLAT BOOK 3PAGES /&-/'&0 111014,61 F THE CURRENT PUBLIC RECORDS OF D'-'Val COUNTY, FLORIDA. CERTIFIED TO 641eN7- .4 and Z-JACOpA A. EPEC/-/ Bac 7-Y' u,v 7-66 6 ti1oR 4 4 G E co,p,o� �QGE .• 5. D7�/( '02 •�. �'j•C 5 Q6 6u✓ p 0 v © CONL'. W. N N 4 QEQ 44.o i3 a2 o Alo. .5/D 57b.P.GE -- Y-- 12.x• 44.0 N 70 -�Io'Es� Al 07° /0 '02 ".-4"\/ 80. l o T 5 C o 7- 0 r 7 Y 121,64 DEPARTMENT OF B LIV40 PERNITT INFO TION -GlY OF ATLANT LC?CATIC3N IN `CPSATICN zr t 'xY e:PL i . F.�`LANTIC' BEACH, FLORIDA � � Ci s cf W.o�,k:ALTE AVON _ - - LEGAL DESCRIPTION �._� a�---- - 0-ons yea's /�• y A6 OO ]3 D FRAM 9B ` iak: (yam}Lot fps♦{►y �t Tw Prop Uss ?w 11 int s bdivisf ow RO AL PALLS ov . 0 Tota I �. , mount .Pa" t .. t . r 6"1k' De � ICSAI'I LICA-------- FEES :A4 dr:" $ DRIVE PLR I LSA tri Addr;.` 1 JA P 2: TP ' IdC�Si � t Nara A"W FORMS AIM Ft3{�1'INGIS MU T EE MftCTEq$9l E PbuRING 1 PISRMIT VOIC1 SIX MONTHS A R DATE OF ISSUE Bt�+lPWING MATERI L,RUIN ANCA OEM,S FROM THIS WORK M T NOT 8E P�tI IN PUBLIC!SPACE,AND MU:'I BE CL AI E©UP AND- AULEI A AY I��"EI"3 F,k CONTRACTOR OR CJ CHER � f " AiLt�R � � `�►�''1 "SNE MECH ��� � � 2mi e v AICC3RIlt TC>+ REGI PLANS WHICH ARE PART O `THIS PER AhiC II+ III�! REVC3CAT FC3R TIS C3F LICAI C�VISIIS OF LAW. TH a ,ATLANTIC BEACH BALDING'DE Zel ks" ,,.,. ., t CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : , 00 AtC-fnk 0&4,,r,n1 OWNER OF PROPERTY: r" i / C 1 PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: STATE L I CENSE NUMBER: fi�' C) S i 3 TELEPHONE: .)J" 3 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS -. SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 .00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: --� ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 CITY OF Ak Office of Building Official REQUEST FOR INSPECTION Date Time —�--- - Permit No. v Received A ry r Job Addres Owner's ality ---- ---- Name /. - _Contractor BUILDING CONCRETE LECTRICA c T Framing Footing PLUMBING MECHANICAL Re Roofingr Slab ou firing C' Rough n Air Cond. & Insulation -' Temp Pale To Out - Lintel Final Sewer Fire Place READY FOR INSPECTION Pre Fab Tues, �. Wed A.M. Thurs. Friday_ PM Inspection Made — A.M. lnspector--._-- ___-_- Fina! Inspectio rtlficate ofccup ncy Date 1 DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORYt -------------------------------------------------- ------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY BIU LDIN INSPECTION DIVISION cc:FILE 1 lao �8 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN*ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ZIA, no ELECTRICAL FIRM: MASTER CT ICIAN SIGN L"(9 JOURNEYMAN NAME„d LLL e G -ADDRESS: FD BOX BLDG.SIZE BETWEEN: RES.( �'f APT.l 1 COMM.1 1 PUBLIC 1 1 INDUS.1 1 NEW( ! OLD ( 1 REW. ( ! ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW( 1 INCREASE(,r' REPAIR ( 1 FEE CONDUCTOR SIZE 40 AMPS COPPER ALUM. SWITCHORBREAKER AMPS PH ' WgtY6 VOLT R161,d RACEWAY EXIST.SERV,SIZE J00 AMPS PH ij W U VOLT S c��/ RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED APPLIANCES 0•100 AMPS. OVER BELL TRANSF: AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 w� Application Number . . . . . 08-00001350 Date 9/29/08 Property Address . . . . . . 510 ROYAL PALMS DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4500 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------- ----------------- SMITH, DORITA ROMANO ROOFING SERVICES 510 ROYAL PALMS DRIVE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 52 . 50 Plan Check Fee . 00 Issue Date . . . . Valuation 4500 Expiration Date . . 3/28/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 52 . 50 52 . 50 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �r(+e CITY OF ATLANTIC BEACH 08- i1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 1 s OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION(( DUVAL COUNTY i e Slo v / A, +,r, ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL l r ) [03ALTERAT]ON ❑ACCESSORY BLDG. REPAIR ❑POOL/SPA ❑YES ❑NIA !Av/ 1771 MOVE ❑OTHER 10NO i 9.NAME: -27_ /�� 15.COMPANY NAME: 23.COMPANY NAME: AWN 24.LICENSEE NAME: v "LICEE�,O 10.ADDRESS: 17.STATE OF FLORI _ 25.STATE OF FLORIDA LICENSE NO.: !ofice l v 6V h •f(A^T7 L ` `� ,/—c 18.ADDRESS: 4y 5� �( 'S 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19 OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 2 6 6 2 Cr-y S6 LIP 2 G 13.CELL PHONE: 21.CELS PHONE: 29.CELL PHONE: f �- fs SSS,,' 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ag . , . s, , a. .. ., 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. tet- WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. mmi , n d: -� Pate:� � � Signed; p Date. � a� Before me this�day of 2 j� 2007 in the county of Before me this ��day of se i f 2007 m the county of Duval,State of Florida,has personallyappeared Duval State Florida,has personally appeared p ti t k t^CCC ose p h .T 40••-.ez herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of L ,County of JD u u k r Nota ublic at Large,State of r C ,County of j0U✓C-( ❑Pally Known Personally Known M-Produced Identification- ^ ❑Produced Identification- Notary Signature: Notary Signature: #"""' CATHERINE k MEYE-R M MY COMMISSION#DD796337 EXPIRES:June 16,2012 I.M3.NOTARY FI.�DiscoMAs Co• , e CATHERINECOMMCOMMISSION #MEY�R COAG FORM BLDG01:REVISED: WVW MY COMMi$SION#QD791l337 '"i�B EXPIRES:June 16,2012 i400-3•NOTARY FI.Notary DiswuM Am=Ca NOTICE OF COMMENCEMENT State of Tax Folio No.' County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. . Legal Description of property being improved: Address of property being improved: 510 Ya C,J General description of improvements: 41C c.v ©� - ^S- /fir+-t1 a Owner: -&ESL[ &B—�— _ Address: 5 f to Owner's interest in site of the improvement: (db Gj Fee Simple Titleholder(if other than owner):} 1 Name: A��> d'� r t Contractor: Address: Q J74S 4� G✓� C � �� Telephone No.: )7-1Y2 l �s�G Fax No: Surety(if any) Address: Amount of Bond S Telephone No: Fax No: Doc#2008247822,OR BK 14651 Page 1821, Name and address of any person malting a loan for the construction of the improv Number Pages:1 Recorded 09/29/2008 at 09:35 AM, Name: JIM FULLER CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING$10.00 Phone No: Fax No: Name of person within the State of Florida,other.than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) 6 Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY O Sign :_� _ Date: e" Cf�t HERME A.MEY it Before me this_�_*of f 4- _ e I ty Duval,State j MY COMMISSION#DD"037 Of Florida,has personally aed ^ „F"o/ FIRES:Jmie I6,son Notary Public at Large,Statlorida, ounty f Duval. i eooaxormrFL r D My commission expires: "�`{'�"-� Personally Known: or Produced Identification '* I r -mei----.......-.,....__,,._..... .-�...<.._...._..._ _._,.. _.___..___..,.. _..._.....__._ ...._._ .._.. � ..._,....._....... _ .r... .. t w„ K f c 3 3rc'��R6E 0 rp 37 10 MAS. '�•=6: ,�;'.:a�::�a� .4 11,400 e. " xol' 41 CITY OF ATLANTIC BEACH APPLICATION FOR FLWBING PERMIT PERMIT NO. Flz� Date : S_ � - 7'2,- LOCATION ��C'� �3y �} y�,�}LM_S utreet LOT NO. f BLOCK NO. .f. S/T)� 1 .� - r owe ER .�S G MASTER PLUMBER AP, ���N� BUILvLR OR CONTRACTOR, ,L �j� cl, L p��S Bldg: TYPE OF BUILDING Sr SIi.FrS / LAVATORY�BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS_,/_WATER HEATERSy_DISHIASHERS DISPOSALS OTHER �►�i /iL/� /��J� /.�/, TOTAL FIXTURES f9 *:1 . 00 NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED 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, Flurida) must be shown on bac', o" app? cation and be approved by the Plumbing Inspectir. DRA'J PLAN AND SPECIFICATION OF ABOVE PLUMBING ON B:-_CK. &pproved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED - 7G 7 1- REVARYS eC � ^ _r lr<IAL INSPECTION:,S-'� r-7 CERTIFICATE ISSUED: FOR OFFICE USE ONLY Date-------- 71�19 ...... Permit $......�7�0 CITY OF ATLANTIC BEACH Valuation $Ji FLORIDA House #._s._a._.... - ----------------------------------------------------------................ APPLICATION FOR BUILDING PERMIT I........................................................................... ............................................................................ 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. Date-4: ....._;2_2ig. 2 --------------------- -7------ Owner.Z,,W/11:�O-------&A... -------------_-_----Addressf ,0 -Telephone ----- Architect---_-_--------------------------------•- - -------- -----_--------------Address,_ ---_------ ----------------------------------Telephone No.............. .•••Tel p one N 7? Contractor Builder- Addres /A%v 0 .... _ AG' ---------------------- p o -aAlIV, 2_4 Lot No.----------. --------------------------------Block No. Sub Division.. .-.....Zone--------- ......Side Between.- .. . ------------------.and..--•. �z• Sts. --------------- Valuation $------------------------------For what purpose will building be utsed-, . . ..... ype of construction_.__ .Q.._- d ...... ........ Dimensions onstruction---- Dimensions of Building._J#/._.(k4;t-._.----Dimensions of Lot--- I.... ........... ..............Size of Footings......49--- Size of Piers--------_---------------------Size of S41S-------I--- -------------------Greatest Sill Span in ft. --------------------Type Roof--- How will Building be Heated?.-_-- -----------------------•Will Building be on Solid or Filled Ground?_4:90� ---------- Size of Ceiling Joists--------------------- ........ Distance on Centers--_---------............................, Greatest Span---------------------------_------------- Size of Floor Joists---------V-------------------------------------Distance on Centers-- --..... ....... ------.......... Greatest Span------------------------ ------------- Size of Rafters....____ -) I ------------------------ 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. Pq W Z 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. A 4. When framing is completed. E- 13 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. 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City yotlanti.e each. Signature of Builder-- -_ ....... ... . ....... ---- Address._.7--- 3�4--- Signature of Owner._X4 --- Address _1�-----------------61(------------------- --- ------- .................. This plan approved subject to the following provisions being included in the buildings In hollow masonry unit construction, each unit cell shall be reinforced with at least one No. 5 bar at all corners; poured and tamped with concrete; such reinforcing shall be properly tied into the footing and spandrel beam. All wood truss rafters-- roof construction shall be securely fastened to the exterior walls with an hurricane anchors or clips. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one- story buildings and three 5/8" deformed reinfor- AP i ���►lnRO�- D am cing rods for two-story buildings. Reinforcing CITY of ATLAW11C BEACH rods shall be placed in the lower one-third of BUILDINC OFFICE the footings, properly placed and fastened on �-� metal saddles with wire. Footings shall be 20" Date....J__ _/. 7 2,- wide and 8" thick minimum. �, /