55 Sailfish Dr (vault) 3/411
$85.00
55 Sailfishjlaz4
200130
Rio (,/v o oo
FOR OFFICE USE ONLY
...19
Date..... .... v .... ----
DEPARTMENT OF BUILDING 4621
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO�_ 66
it $........................
..........
PERMIT TO BUILD 4tion $.. ...............................................
THIS PERMIT MUST BE POSTED ON JOB
I '_rrsm;rlem
Dt- 117 1981 Is *..........................................
.................................................................
Valuation$ SIGN 6.00
Fee
................. .....
............................. .......
This pennit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of &PPUc&blc Provisions Of law- .................................................................
ioN AD OF JACKSOWILLE
This is to certify that ications herewith submitted for the
ity with the Building Ordinance of
ordinances of the City of Atlantic
has permission to build ijigplay it nonje— linking sizatelectrical) shall be complied with, whether
for a period of 90 days. According to plans submitted.�[
s'bl to ascertain that all sub-
r:sp'on'I le
Classificati Commercial Zo e nt delay or embarrasment regard-
to this office so that licenses can
Ownedby—ArTION AD OF JACKSOMII.E.
Blo
T
.. ......... ....... 195::z
HouseNo 55 SAIL FISH DRIVE- . ......Telephone
According to approved plans which are part of this permit
....... elephone No..7p/7.5.�..Y//v
to this
NOTICE—ALL CONCRETE FORMS ...
AND FOOTINGS MUST BE IN- .....Telephone No.
SPECTED BEFORE POURING. .........Zone-----
..............
PERMIT voir) SIX MONTHS nd...................................... ------------
AFTER DATE OF ISSUE
X
4-1m- 0 Building material, rubbish and debris of construction----------_
Z from this work Inset not be placed in
public space, and must be cleared up ze of Footings----- --_-------
and haiiled away either contractor ......Type Roof.................................
or owner.
illed Ground? . ..................................
BI M. DAVZ test Span............................................ to
Bud
testSpan..................................
FOR OFFICE PERMIT DATE CO"P test Span.........__... .....__............
USE ONLY NUMBER _y;�TOR 7 1 rQ�I
rectangle Is to represent the lot.
the building or buildings in the
PLUMBING tion. Give distance in feet from
:nos and existing buildings.
ELECTRICAL_ REAR LOT LM
SEWER
W� ER
z PIS
6. When septlic tank drain field or sewer is laid but before it is covered.
7. Electrical Inspection by City of Jacksonville.
S. Final inspection.
Note: In case of any rejection,re-Inspection MUST be called for after '!g f-,Fkj A)
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described n the above statement, we hereby agree to perform said
work in accordance with the/attached plans an pecifications, whi h are a part hereof, and in accordance with the building
L
regulations of the City of ntic Bea
Signature of Builder_ - ------------------------------------ dre ------- --------- . .... .. .....
Ad ss.
D
............. .......... . ......
.)ignature of :j er. ........... A ress...............C'�
FOR OFFICr, USE ONLY
Date..... ............
DEPARTMENT OF BUILDING 4
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.—I T lermit .........
Tu
PERMIT TO BUILD 33b I j, A /,2-8/ 1 raluation $..S�r........................................
THIS PERMIT MUST BE POSTED ON JOB 4774 #WCACi ...........
3��,1 A 7/28/E I louse
Date JULY 28, 19 81 10011
..................................................................
Valuation$SIGN PERMIT Fee$ 6.00
........................................................................
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 A(=Ton An OF IAY TNC- iecifications herewith submitted for the
8914 NORMANDY BLVD, JACKSONVILLE FLORIDA 32205 ormity with the Building Ordinance of
all ordinances of the City of Atlantic
has permission to UAl DISPLAY A NONE—BLINKING SIGN NONE EL 1�MRICAL �each, shall be complied with, --hether
FOR A PERIOD OF 90 DAYS, ACCORDING TO PLANS SUBK=). Ily responsible to ascertain that all sub-
Classification COMIERCIAL ADVERTUMENT Zone CONMCIAL prevent delay or embarrasment regard-
Owned by JEAN ETC SHOP 55 SAILFISH DRIVE. ATLANTIC BEAV 11 FLA Litted to this office so that licenses can
Lot Block S/D r4.................... 19...H..
11 ........... ...........
House No. SS RATLVISH DRTVE- ATTANTTC RRACM F1,01ZTDA 12 31 ........Telephone No..4RY&.;Vy0
According to approved plans which ate part of this permit
..................Telephone No............... ............
NOTICE—ALL CONC*ETE FORMS elephone
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POVRING. ...........------------- . ......Zone...
PERMIT VOID SIX!UONTHS ......and.............................................. .....Sts.
"n AFTER DATE OF ISSUE
X pe of construction..... ----- -
0 Building material, rubb,ish and debris
zi from this work must not be placed Size of Footings----- ..... ...
in public space, and mIItst be cleared
up and hauled away b, either con- ... ......Type Roof...................
tractor or owner. i
or Filled Ground?.................................
N
A. WILLIAM M X
ISS reatest Span......................... .........
*ilding Official. I of
ireatest Span.......... .................................
eatest Span.........___....................... It
FOR OFFICE PERMIT DATE CONTRACTOR Ir
USE ONLY NUMBER
�his rectangle is to represent the lot.
te the building or buildings in the
PLUMBING
t position. Give distance in feet from
ot-lines and existing buildings.
ELECTRICAL
REAR LOT LINE
OF
00
SEWER
WATER
Z
to in
a. vvnen sepzic tanx curinn riew or sewer is mic Dut oerore it is coverfa.
7. Electrical Inspection by City of Ja4sonville.
8. Mal Inspection.
Note: In , i as 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, whic1i are a part hereof, and in accordance with the building
regulations of the City of A�Oanti Be
.. ... ..... ..
jde .................
C
Signature of Buildie ...... ...... ...................... ........... ...... Add ress......
Signature of Owner......... .. ....... ................
4*
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OrgpARTMENT 6F 6t jLDING
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:7
CITY OF ATLANTIC !,�EACH
APPLICATION FOR SIGN!PERMIT
NAME:
_j e
ADDRESS: 5_42�V - PHONE:
IV
TYPE OF SIGN: Pf)�_re _1,SIZE:
PROPOSED LOCATION:
WILL THE SIGN REQUIRE AN ELECTRICAL,PERMI
ELECTRICAL CONTRACTOR:
Signs over fifty (50) feet in area, and/or any sign which
is more than seventeen (17) feet above the ground, or any
sign weighing more than one thousand (1,000) pounds, must
be submitted with drawings - from a registered engineer.
Signs with a solid area greater t1an thirty (30) square
feet must be erected to withstand E i- wind pressure of at
least thirty-five (35) pounds per square foot. Drawings
must also show that weight of sign 1will be supported by
the roof or ground support on which it will be erected.
This application must be submitted along with the following:
1. A plot plan of the land, showing the position
of the sign in relation to buildings or structures.
1
2. A blueprint or ink drawing showi�g the plans and specif-
ications, and the construction sind/or attachment to the
building or in the ground.
3. Other information as may be required under Sec. 17-2(b) ,
Code of Ordinances, City of Atlantic Beach.
APPLICANT SIGNATUR95;L�I�Z� Date�
i7-
OWNER SIGNATURE: Date:
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Quadity Sign Coff paN
P.O. Box 19677 5160 Sunbeam Rd.
Jacksonville. FL 32245-9677
904-268-4681
Fax 904-268-4642
To all counties in the state of Florida
To whom it may concern:
Tlis letter will serve as an authorization fi�r Jim-Russell to secure all permits
for Quality Neon Sign Company, DBA Q#ality Sign Company, until further
notice.
L U563���
Ro ' A. Williams Charles L. Knight, Sr. V
9
Specialty License #ESOOOO 116 �pecialty License #ES0000058
Corporate Officers are:
Roger S. Williams, President
Charles L. Knight, Sr., Vice President
Sheila F. Williams, Secretary
The f strument wa4 gcknowledl ed before me this day
19-YY pe
of who are rsonally known to me and who
did not tike an oath.
UmZAOL
Notary Puiij�,�*ie of Florid
My Commission Expires OFFICIAL
SHER
NOTARY PUBLIC OF
COMMISSION N CC3VM
my COMMISSION EX SEPT 12,1"7
OTAft
Y SEAL
TOP
STAT
q N I
N F
.X 'r 1d2,1997
IISSUIE DATE (MMA)DNY)
PINS
. .... .....
A46FORM9 CEI.MI., R' A
0.1
2/ 7/1994
4:
...44
ARODUCER THIS CERTIFIC4TE IS ISSUED AS A MATTER OF INFORMA71ON ONLY AND
CONFERS No IGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
GREENE-HAZEL & ASSOCIATES INC DOES NOT AMOND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
1710 GULF LIFE TOWER POLICIES BEL(
JACKSONVILLE, FL 32207 7COMPANIES AFFORDING COVERAGE
(904) 396-0087 FAX(904) 396-7432
COMPA
UETTERNY A 7RANSCONTINENTAL INS CO (CNA)
COMPANY
LETTER B T RANSPORTATION INS CO (CNA)
QUALITY NEON SIGN CO. , INC. COMPANY
UETTER C
ETAL
P. 0. BOX 19677 COMPANY D
JACKSONVILLE, FL 32245 LETTER
COMPAN
LETrER E
OVERAGES
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUI 1)TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDIT10N OF ANY CONTR CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POU :IES DESCRIBED HEREIN IS SUEUECT TO ALL THE TERMS,
E)(CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN AEC JCED BY PAID CLAIMS.
POLICY OM POLICY VUMA'nON
TYPE OF INSURANCE POLICY NIIIIIIIIIISER DATE (MMIDD DA71E(MMIDONY) LAM
GENERAL LIABILITY
GENERAL AGGREGATE $1, 000, 000.
................... ..........................
X COMMERCIAL GENERAL LIABILITY Al 20638072 PRODUCTS-COMP�OP AGO. S1, 000, 000 .
CLAIMS MAX X I OCCUR. 01/01/94 01/01/95:: PERSONAL&ADV.INJURY 500, 000 .
...............................................
OWNER*S&CONTRACTOR*S PROT EACH OCCURRENCE S
500, 000 .
FIRE DAMAGE(Any ona fire) 3 50, 000 .
...................................................
MED.EXPENSE(Any one person):$ 5, 000 .
AVTONIOGILE IJASLrrY COMBINED SINGLE
LIMIT S 500, 000 .
X ANY AUTO All 20638M
ALL OWNED AUTOS 01/01/94 0 1 0 1 9 5.BODILY INJURY
SCHEDULEO AUTOS (Pal person) s
X HIRED AUTOS BODILY INJURY
X NONOWNED AUTOS (Par accident)
GARAGE LABLrTY
PROPERTY DAMAGE $
EXCESS LIAMALMY
:EACH OCCURRENCE $1, 000, 000.
X UMBRELLA FORNI Al 2"119 :0 1/01/94 0 1 0 1 9 5:AG'G*R*E*GA'T*E- S-1, 00.0, 000 .
OTHER TH�Ahl UMBRELLA FORM
..............................................................................................................
WORKERV COWPENSATION STATUTORY LIMITS
�x
AND WC 123748941 EACH ACCIDENT
12/30/9� 12/30/94; S.. .500, 000.
.............................................................
EMPLOYERS'LABILMY DISEASE-POLICY LIMIT S
500, 000.
........... ............ ........ ........ DISEASE-EACH EMPLOYEE $ 500, 000 .
.........................................................
OTHER
.......... ...... ............................. ........ ........ ..................................................... .......................
CAIPTION OF OPERAMNSU)CATIONSrMELESISPECIAL frEW
Imp"TE HOWER _A
U
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 3 0 DA IS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF AN'v KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORMO REPRFA ENTATra
),Lf
. ...........
.........
RPOIRATION IM
91-01,
6" 8'- 1,125"
6"
8"
-— --—--------- -------------
--------------
00
t
c�
--- -------------
----------
------------------
4L
Aj
DOUBLE FACE PYLON SIGN GRAPHIC ART:ALL VINYL TO BE APPLIED SECOND SURFACE.
METAL:EXISTING CABINET TO BE USED SUN:TRANSLUCENT SUNFLOWER YELLOW VINYL.
SADDLE FABRICATED FROM 4-X 6" SCRAP SQUARE STEEL TUBE TO STRIPE:TRANSLUCENT DARK BLUE VINYL,
SUPPORT AROUND CABINET WITH A 45%ANGLE, [DOTS:TRANSLUCENT SUNFLOWER YELLOW VINYL.,
CAP TOPS OF STEEL. 'SAILFISH':TRANSLUCENT BLACK VINYL.
SIGN TO BE INTERNALLY ILLUMINATED WITH D/HO FLOURESCENT LAMPING, �"PLAZA'.TO BE LEFT CLEAR FOR PAINT.
HORIZONTALLY LAMPED
PAINT:CABINEjI5,RETAINER,S PAINTED PMS 288 BLUE.
PLASTIC:MANUFACTURE 3/16-CLEAR PANNED ACRYLIC, WHITE SECOND SURFACE.(AFTER VINY LIE D)
rINSTAfTION ONE 8'SQUARE STEEL TUBE SET IN CONCRETE FOOTERS,
OOTER SIZE:37"WIDE X 7'DEEP
Quality Sign Company
PROSPECT: MR, BATEH
DATE: 10/26/93
ADDRESS:
DESIGNER: ANGEL
CITY/STATE: JACKSONVILLE, FLORIDA DESIGN NO: 0197-93-R3
LOC,�!T;ON. ATLANTIC BLVD, SCALE: 3/4" = 1'- 0111,
CONTACT: MR. BATEH REVISED DATE� 3/2/94
REP: JOANNE LLIAMS EST, NO:
7?12 1 III_-,
NI
91-o"
6" 8'- 1.125"
----------
----------
c�
ZO
----------
C)
5
DOUBLE FA::E PYLON SIGN GRAPHIC ART.-,�ALL VINYL TO BE APPLIED SECOND SURFAC I E,
METAL:EXISTING CABiNET TO BE USED, l�SUN:TRANSLUCENT SUNFI n\AMD Vrl I
SADDLE FABRICATED FROM 4'X 6� SCRAP',-)I JL 01:
ql
VA, I.Q
91-011
8 - 1.125"
-T-- ---------- ------------------
-----------
�0
c�
..........
................ ........... ...............
............... . .........
DOUBLE FACE PYLON SIGN
GRAPHIC ART:ALL VINYL TO BE APPLIED SECOND SURFACE.
METAL:EXISTING CABINET TO BE USED. SUN:TRANSLUCENT SUNFLOWER YELLOW VINYL,
SADDLE FABRICATED FROM 4-X 6- SCRAP SQUARE STEEL TUBE TO STRIPE:TRANSLUCENT DARK BLUE VINYL,
SUPPORT AROUND CABINETWITH A 45%ANGLE. DOTS:TRANSLUCENT SUNFLOWER YELLOW VINYL,
CAP TOPS OF STEEL, 'SAILFISH"TRANSLUCENT BLACK VINYL.
SIGN TO BE NTERNALLY ILLUMINATED WITH D/HO FLOURESCENT LAMPING 'PLAZ4'.TO BE LEFT CLEAR FOR PAINT.
HORIZONTALLY LAMPED,
PAINT:gABIN& E PAINTED PMS 288 BLUE.
PLASTIC:MANUFACTURE 3/16�CLEAR PANNED ACRYLIC, �TACE,B/, SPRAYED WHITE SECOND SURFACE (AFTER S BEEN APPLIED)
'-�INSTALLArtoN,6NE 8-SQUARE STEEL TUBE SET IN CONCRETE FOOTERS
OOTER SIZE:37"WIDE X 7-DEEP
Sign Company
4
PROSPECT: MR, BATEH DATE: 10/26/93
0 ADDRESS:
DESIGNER: ANGEL
CITY/STATE: JACKSONVILLE, FLORIDA DESIGN NO: 0197-93-R3
LOC,7ION: ATLANTIC BLVD. SCALE: 314" = l'- 0"
CONTACT: MR. BATEH REVISED DATE: 3/2/94
SALES REP: JOANNE WILLIAMS EST NO.
CITY
Off'" Of Building Official
REQUEST FOR INSPECTION
Date
Time
Received ermit No.
A.IV,
P.M.
Address
Own
Na ocality
BUILDING CONCR Contractor
Framing. ELECTRI
Re Ro Footing CAL PLUMBING
cling
insulation Slat Roug, ",j
Lintei Ternp Pole ring d Rough MEC NICAL
Fl Air Cond. &
Final Top out Heating
Sewer
DJV
�n
'I L DIN
",n
Mon. READY FOR INS ECTI N Fire Place
Tues Wed. Pre Fab
lr'sPectiorl Made (,,, Thurs. Friday
A M.
Fina Inspection
ficat6 Of Occupancy C,
Date
C[TY OF
Office of Building Official,
REQUEST FOR INSPECTI;PN
Date 6 9��
Time Permit No.
Received 'y A.M.
M.
----5-�5—
Job Address
Owner's oca fly
Name
Contractor
BUILDING
CONCRETE
Framing ELECTRICAL PLUMBING MECHeICAL
Re Roofing Footing Rough Wirin
Slab 9 11 Rough
insulation Ej Temlo Pole F-11 E- Air Cond. &
Lintel Final Top 0 t Heating
Sewor
Fire Place
Mon. READY FOR INSPECTION Pre Fab
x
Tues.
Wed.
Friday A.M.
M.
Inspection Made
1(C) -- A.M.
Inspector ;
PM,
Fin;lil Inspection
Cerlificate Of Occupancy
AL)
Dat(l
*,Igo
CITY OF
57&Ud4
$00 SEMINOLE POAD
ATLANTIC BEACH,FLORMA 32233-5U5
TELEPHONE(904)247-M
FAX("4)2474W
March�11., 1!99$
Mr. Johnny Jubran
Jimmy's Pawn Shop
55 Sailfish Drive
Atlantic Beach, FL 32233
Dear Sir:
Our records indicate that you are the owner I pf the following property In the City of
Atlantic Beach, Florida:
55 SaIMsh Drive
a/k/a B De Castro y Ferrer Grant
RE# 177602-0070
Investigation of this property discloses that I h,ve found and determined that you are
in violation of City of Atlantic Beach Ordinance Cha;ter 17, Section 17.2(5) - Pole Signs,
i.e., Sign (Jimmy's Pawn Shop) facing Atlantic Bc ulevard is not listed as having been
permitted and approved by the City of Atlantic Beact.
You are hereby notified that unless the conditior is above described are remedied within
ten (10) days from the date of your receipt hereof this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162.09, the Code Enforiperrient Board may impose fines of up
to $250.00 per day for a first violation and $500.00 pi i or day for a repeat violation.
Sincerely,
Karl W. Grt�newald
Code Enfoi�cement Officer
KWG/pah
cc: Mary J. Bateh
Public Safety Director
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Vx-
5901
. . DEPARTMENT OF BUILDING
CITY OF ATLANTIC I EACH
LOCATION INVOkWATION ---------
PERMIT ATI
-eon t
Numbiiii Add. 55: SAILF.TSH DRIVE
t :Ypo
T BUILD ATLANTIC HEACHt FLORIDA 32233
CIA** of work,: ALTESATIOIR ----------- Lk0'AL_DMR1PTION ----------
Co -Type% W006 FR ME Lot;, glt�okt Section4
'A
�PtOO*wvd Uiset Tovrie P, RNGg
Dwellings: ' 1 0' . Sub;livition t `RQVALPAL11S
EO+
ioated Value: *i5OOO.00
00.Oo
aprov. Cbett
Total 0127"50
Amou
/11/92
�SIDING WITH ST11000 t CHA*Qi',PER �OLANS
ATION APPLICATION� FEES
T PERMIT
VES
*127.5C
Adi H ,DRIVE WATER IMPACt FER, $0.0(
H, FLORIDA 3 St 1111PAC ME1,00",""Ov", $0.0c
7
DF
4 �9 r',"OVA
"T �c
'RA S,
*FO91fATX0R -------
RADON 6AS 5% $0.0
IeR
WATER ,TAP $0.0
y
$0.
stwea tij�l
Addr
HYDRAULIC, �S14ARE $0. 01
Typo's RE-INSLOECT FEE so.Gq
SEC. H' I PACT FEE�
$0
sx,
NOT'ES:
d
�NOTWE ALL CONCR9TVfORM$AN0 FOOTINGS MIJ11 IT 13E INSPgdT- gb BEFORE
POUIVING
'PERMIT VOID SIX MONTHS AFTE DATE OF'ISSUE
"SUILDINGMATERIA^L,RUBBISH AND DtI.3RIS FROM THIS WORK MU 5T NOT'SE� PLACED IN PUBLIG�SPACE,AND MUST BE
�,CLEARtQ UP AND HAULED AW Y�BY EITHER CONTRACTOR OR,OVV YER
WA
RILURETO COMPLY.,WITHTHE, MECH IC'S1 LISVLAW'CAN 'IN
A I
RESULT
E`PRI PER , �OW "d Jm M E N VS.
" TH; 0 TY, NEW PAYING TWICE F R SUILD117
P
A,=, RDINO TO AOPO
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T44 ACH BUILDW 0 ARTMEN.
77
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Heated Square Footage @ s r sq ft = $
Gara-e/Shed r
@ s
sq ft = $
Carport/Porch
@ $ er sq ft = $
Vv
Deck f
,A 1 er sq ft $
P
Patio A� l @ $ er sq ft $
TUL�L VALUATION: 00
Total Valuation lst $
Reminder Valuation $,S. per thousand or
portion thereof 1
-------------T-------------------------------I 'Total Btdlding Fee 1 $ c)
ADDITIONAL PERMITS and/or FEES REQUIRED
+ -k �iling Fee -4 2
C-) Fireplaces @ 15.00
.Rchanical
PluTbing �=mr.IPEDaT F-EE $ --2 7
Electric/New
7--------------7------------7----7----------
Electric/Temp I PUILDING PERMIT
Septic Tank $
We 11 4ATER MUM CHA�Z
M�M IWACr FEE $
9.AmTdng Pool
Sign . I aM IMPACr FEE $
Water Camection IISCELTANEOUS $
L ri-T% �) s
Sewer Connection.
Water Meter
Elevation Certificate
MW TOTAL DUE $
----------------------------------------------------------------------------------------------
CALCULATIONS and/or NUM
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CITY OF ATLAN11C 14EACH
PER111T APPLICATION REMODEL, AIIDDITJUNS-� CIR AL.TFRATIONS
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Address.*. D)e I ve- Phone
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zubd v I ul oll I
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Dencribe Vork to be done:
ROF
Preaent use of build1no:_,�rfW6
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valvotion q.Lrjqzqfe4 6,r)v
Proposed %Anei__64MC�
IS thin all addition?___ 1;f yes�o what Eci.e thL. Cliwc.nsiovE cof
the added spur-es Ayq y t- X
...... t. Will tht.,, addc-d nyva
be heated and cooled?-- New e (or incrc-aao)
Now plumbing flxtures7PR Ncew lirep ace?�PP-Ncw Hvut-/AC1
SUBMIT THREE COhPLETE SETS OF PLANS, INCLUDIN6 �iITF PLAN, Survry,
ENERGY CODE FoRms, NuTICE UF UUMMEN ;'�'EMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER 19 CONTRACTOR.
Signaturo 0WNE9t_ 9 , 17, 72-
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L11" 17 1992
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