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CITY OF ATLANT�1(,'
PERMIT APPLICATIO4 ROOFING
Owner( s
Address:
Lot # Block or Unit # Subdivision
Contractor:—�&�ll��
Address:_________.__
State License No._6m 02W
Describe work to be done: le /-L�
Materials to be used:
Signature OWNER:
L
Date:
Signature CONTRAir,
C OR:
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OUILI)II-Nia.MATEI IJALAUSSISHAND I)ESM&FROM THIS WORK 14UST-NOT j3E PLACED IN PLJB�lq ANatV PST Ole,
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CXTY OF ATLAN�TC BEACH
PERMIT APPLXCATXON REMODEL, �DDXTX0XS OR ALTERATXONS
DE740LXTXoNS
Owner(s) : kmi6_�hD
Address:--,-// zl-qsj__ P ione:
_j z/9, 0,1-:2,
Lot # _3 Block or unit # /0 Subdivi ion:_avW &2101-Cl DA�� j �:X�
Contractor: cK,-viz-�
State License #
Address: _Phone No:
Describe work to be done:_-�z
Present use of building:
Valuation of Proposed Cons t ruct ion:-A.�_ ��c oun,c C
Proposed use: RCv ,Tj?
1,41Y A,CCM
Is this an addition? if yes, what are the dimensions of the added
space: ft. X /0 ft. Will the added area be heated and
cooled? k)0 New electrical (or increase) ?
&Z44tv,
New plumbing fixtures?/10 New f ireplace?AC)New Heat/AC ./J
SUB141T TBREE (C0100RCIAL) TWO (RESIDENTIAL) C014PLETE SE,
SITE PLAN, -SURVEy, EXERGY CODE FORNW, NOTICE C.
ONNERlcommacwxt A.F71DAVIT, IF 0 Comm ZACTOR. 4
Signature OWNER: Date:
Signature CONTRACTOR: Date: ......
License Supplied:
Liability Insurance:
Worker's Compensation Insurance:- JUN 4 1997
City of Atlantic BeaCh'
Building and Zoning
CITY OF
800 SENIINOLE ROAD
ATLANTIC BEACH, FLO RIDA:3223;1-5445
TELEPHONE (904) 217-5800
FAX(904)247-580.5
SUNCOM 852-)Sf)0
CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTICN CONTRACTING' REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 103(7), FLOR DA STATUTES:
STATE: LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE: APPLIED FOR A PERMIT
UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, To ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU 00 NOT HAVE A LICENSE. YO J MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE: A ONE - OR TWO FAMILY RESIDENCE: OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU S r_LL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HI RE AN UNLICENSED PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILE ING CODES AND ZONING REGULATIONS. IT IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOL HAVE LICENSES REQUIRED BY STATE LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER 7-0 IMPROVE TI-fEIR �)WN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS
ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MA�' PHYSICALLY 00 WORK THEMSELVES; OR MAY HIR
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE 0
THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON --HEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE E:MPLOYer) UNCER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
To $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(l). AN "�CCUPATIONAL LICENSE" IS NOT ADEQUATE.
THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-
5826) IF IN DOUBT.
HEREBY ACKNOWLEDGE THAT I HAVE READ THE A50VE DISCLOSURE STATEM A D T AT I COMPLY WITH ALL
r
THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
ROPEIRTY OWNER/BLJILNDER \_j
v
ADDRESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME THIS C`7
'714
A
T—C
NOTE: PHRASES UNDERLINED ABOVE My COMMISSION EXPIRES: Pefflcia Amoneft
h1v n-
ARE EMPHASIZED BY THE BUILDING SSION#CC&r,,Wl EXPIREs
DEPARTMENT. ftM 27,2=
DW 7110Y INN WARPAW,INC.
NORTH FLORIDA SHIPYARD INC.
FAX COMMODORES POINT-,NDMINISTRATIVE OFFICE PHONE
904/353-2665 P.0.BC X 3255 904/354/3278
JACKSONVILLE,FLORIDA 32206
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NORTH FLORIDA, SHIPYARD, INC.
FIX COMMODORES POINT- WMINISTRATIVE OFFICE PHONE
904/353-2665 P.0.BC X 3255 904/354/3278
JACKSONVILLE,FLORIDA 32206
env 11400 kyt(2(41�
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NORTH FLORIDA SHIPYARD INC.
JN. F FAX -2665 COMMODORES POINT-ADMINISTRATIVE OFFICE PHONE
904/353 P.0.BOX 3255 904/354/3278
JACKSONVILLE, FLORIDA 32206
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NORTH FLORID� SHIPYARDs INC.
FAX COMMODORES POI!ff—�ADMINWRATIVE OFFICE PHONE
904/353-2665 P 0.—DX 32S5 904M.54/3278
JACKSONVILLE,FLORIDA 32206
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NORTH FLORIDA!. SHIPYARD, INC.
-lit 904/35413278
FAX COMMODORES POINT ADMINISTRATIVE OFFICE PHONE
904/3S3-2665 P.0.13OX 3255
JACKSONVILLE,FLORIDA 32206
avace" s4FI" HzfW�f
Ado /2y 4-q ;to 1401X
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oc
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-( 0000674 Date 5/23/08
Property Address . . . . . . 418 SAILFISH DR
Application type description RES''DENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8200
-----------------------------------------------------------------------------
Application desc
close in carport
---------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
KITCHEL, BRYAN FUTURISTIC HOMES, INC.
418 SAILFISH DRIVE 13694 BETT DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 221-0612
--------------------- Structure InformEtion 000 000 ----------------------
Construction Type . . . . . TYPE E -A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE �
---------------------------------------- ------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 8200
Expiration Date . . 11/19/08
---------------------------------------- ------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*SUBMIT "CERTIFICATE OF COMPLIANCE " BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIREE
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Grand Total 112 . 50 112 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A YLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building,Department PERMITAPPLICATION NUMBER
(To be assigned by.the Building Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us
City web-site: http://www.coab.us Date routed:
BUILDING PERMIT REVIEW A D TRACKING FORM
Property Address: —Depadment review re Yes No
Building .2
Applicant: Planning &Zoning
Public Works
Project: i Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required ReN iew or Receipt Date
— of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation -EI—Strict
St.Johns River Water Management
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: -74
APPLICATION STATU
Reviewing Department First Review: FlApproved. Deni
(Circle one.) Comments:
�Le- P�7eeC4�S f )o P J1
at�10 P
QaD I�NG
PLANNING &ZONING A B RE IS
PUBLIC WORKS 19 Reviewed b�: Date:_S--1q_0k_
PUBLIC UTILITIES Second Review: Approved as revised. ElDenied.
PUBLIC SAFETY Comments:
FIRE SERVICES
Reviewed by:4PLIQ60�1"_ Date:
I a-
Third Review: ElApproved as revised. 7Denied.
Comments:
Reviewed by Date:
.......... ........
Now CITY OF ATLANTIC BEACH
08-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NOJ 904)247-5845
BUILDING-DE T@COA US
BUILDING PERMI' APLICATION DUVAL COUNTY
1WNPEI'.AQqRpS- N
At4�ahntic Beach, FL 32233 06
LOT BLOCK SUB DIVISION 13 NEW I!UILDING 13 DEMOL TI 0 RESIDENTIAL
11 ADDII ON 13 CONVERTING USE 13 COMMERCIAL
i'MURii ALTE ION OACCESSORY
BLDG.
0 REPA R 0 POOL/SPA 0 YES 0 NIA
7113 MOVE OOTHER JR NO
X= MMMOWWNERRWI~11W"O�*WMVI CPKTRMTQfZ4 -,ARCHnW9NrqINEEfUWW, �,
9.NAME: 5.C07PANY NAME: 23.COMPANY NAME:
4"Fte,r, T. P&10,S 4S�10C,,
YA N k 'F , u 117-i'5T?c 'Df jk'
11:4 Mg sa'�(F;56, or, JE 16 NAME: 24.LICENSEE NAME:
'k 27/f, Bait , V/ r: �CAMO(!l 0 -FloyJ
10.ADDRESS: Z/,/B
17.STAT�OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
C 1-4, C r) �t/O'� �� , .
18.ADDRESS: e;-,;ry 26.ADDRESS:
P/,o 3 AY5, )4�1 136W -e , P14
061aA 4r�'Y,/Y74y -7-flx-Fl. 4119 JrAx - f S*07
11.OFFICE PHONE: 12.FAX NO.: 1,9OFFICE PH 20.FAX N D.: 27.OFFICE PHONE: 28.FAX NO.:
_(q_/ gNE: 5,4 )�n e '�7
A)f .2 q6-"I 9�-102
13._C PHONE: 21.CELL PHONE: 29.CELL PHONE:
.,�LL 479 -o
:5 () /I/ � I 1 00
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
A/Y9 koho '76
AM:
RIAWN iSMIRWOR, IF
NAME, 33.NAME: 35.NAME:
L. , -1-)14 lu
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
V-/J? Sh//f*/� ID�;y f�y-s�
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 performec to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced wi�hin 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, AJr Conditioners,etc.
OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate nd that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referencelbuilding or any part therof, until all inspections are finaled and
I ,
prior to obtaining a certificate of occupancy or completion issued by the buildin official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR P OPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POS ED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN F1 ANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING tLIR NOTICE OF COMMENCEMENT.
0 a an Es
4
Date�-�/3-CQ Signe�, Jd=41A-IV4 I , 4411
Before me this da;Of 2007 in the county of Before rr a this��dayk&f 200f�&'e c6un
Duval,State of Florida,hats personally appeide_0 Duval,S ate of Florida,has personally applared
5�' M 0 el
herin Whimself/herself and affirms that all statements and declarations are herin by iimself/herself and affirms that all stAtements and declarations
true and accurate. true and accurate.
A0 ZI
Notary Public at Large,State of County of Notary Pjblic at Large,State of FL- County OCID".1*2�
�W-Personally Known 13 Perso tally Known -
11 Produced Identification- OE- Produ ad Identification- Fl- L
Notary Signatu
r
101 FOR C
rIM7 [PLLO CE
'p".12W rACH ASKEYCK4WEftM
?le P NOWY Pdk-ftft of Fbft
COAB FORM BLTDG01 0F,,91RWd&*MR6"AW** nONS. my Cam '001 Emoom""me.201
Ry
*OFFV ExpiLls 112/1912011 CQMMWW S DO 733353
WR ADDn AL
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DATE 3
MAP SHOWING URVEY OF
I
Un 3, w= 10, MUC CW PMV (W AWAL PUM M A AS =MOM IN PLAT BOOK 31 MW
,16, 16A, 16B, 16C AM 16D OF TW 10=11Ht PUWC OF DUVAL COLIMS ROMA.
zz
SAILFISH DRIVE EAST
So R / W ( PAVED)
FOUND 1/2. 1 RON (FIELD 80.60') FOUND va,"tOm
PIPE, No Ap S.07*16'02"IE. 80.65' mm,*0 "p
14 0'
14.5e
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RES-NO. 419 0
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I PENCE DRAINA69 UTILITIES $-WOOD PENCE
frouND 1/2 INON ol
PIPE,NO CAP N. 07016'02" !Pl r.1 ex.,8
(FIELD SO.Sip, 4C"AIN L IN* MINCE
NOTES LOT 24 LOT 25
THIS IS A BOUNIUARY SURVEY.
BEARINGS BASED ON WESTERLY RIGHT-OF-WAY LINE OF
SAILFISH DRIVE EAST AS PER PLAT.
25, BUIr LOING RtSTRICTION LINE (S.R.L.) AS PER PLAT.
I WFdMY (7-RrIFY r4AT �ME PROPERTY SHOWN HEREON LIES IN F'LOOD ZCKE "X" (AIWA OUTSIDE 5W-
YE,V FLOOD' ?L..AT , ',\�S -;H(- ' FTjOOD HAZA" EOUNDAM MAP FOR ATLANTIC BEACH, FIDRIDA.
WN ON THE
KITCHEL, FIRST AI-VIICAN TITLE INSUR-ANM CU-IPANY, & BARNETT
RANK N_A_ THAT I HAVE SURVEYED THE LANDS AS SHOW IN THE ABOVE CAPTION
IS. 102.
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BPJBc Series
Woodburning Fireplac*e
MAJESTIC
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Homeowner's Installation
P.-
'�i-4
and Operating Manual
For Models:
1;��i V.,
BR36
BR42
BC36
31111
BC42
—1:Z
VIT"ALL
We r8bG tfnend that our woddbutning
F1 1E
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IN hOarth goductis.b*e installed gind 6erviced
by profel qiQrj�jq who are ceffifledirt the U.S.
UO L us by the,N itiorial Fireplaos Institute(NFI)as
NR Wd Lb " S986alists or-who are
Oft
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certili Canada by
For tme in U.&Marada
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Uhdemftft Laborawas C E @WF 11 ED y Te�hnfcal
Report No.MMeola
Tr*nihg
Sam
7412944 4/07' ReV.21
ZO *d 9Z-:Ct 800Z OL AeW SC68 0C1-v06:x8j S83zlqs
WILLIAM S.1140WELL R.C. VOGEL
Mayor-Commissioner CITY OF ATLANTIC BEACH City Manager
P. 0. DRAWE R 25
F.W. FOGG ATLANTIC BEACH, FLORIDA 32233 OLIVER C. BALL
Commissioner City Attorney
(904) 249-2 03
ROBERT R. ROSBOROUGH 11 MRS.JUNE KNIGHT
Commissioner City Clerk
MRS. EMMA M.STEPHENS
L.W.MINTON,JR.
City Troasurer-Comptrallor
Commissioner
ROBERT B.COOK,SR. CARL STUCKI
Commissioner June 24, 1975 Chief of Police
and Fire Department
RICHARD HILLIARD
Director of Public Works
Mr. Claude H. Meadow
418 Sailfish Drive
Atlantic Beach, Florida 32233
Dear Mr. Meadow:
The rustic wood fence that you have constructed in front of
your property is on City right of way and it will be necessary
that you remove the fence and r -install it on your property
line after you obtain a buildin permit.
Yo rs very truly,
C
R. C. Vogel
Cil y Manager
RCV/chh
or BUZU
FOR OPPICE,
us
CITY� )v Date 7
Permit
fort Milait
p1lditft P Valu
'r Miv�' House
and Repa;.X
BL
(state i to,
f reps; t" A ter, move building
add to
erect awning ,
or s ic"
jh 5; et
Building, Blk ko.
Sub Div
Address
uation
*&A
oviner,a
F!
BUILDINGS
.,',,,Building Ust Roltidtntial or, Business A%L
Vh
at Pi ing WOP.-k to, done? isms.
size of P "ent,
�Ildg. , fttension
size,
Zot size
HaterfAl of Roof
to alte:-90
No. of a riea_n�W
M, aterial of P eaJDAt 'suilding ..' Material of ftte I
n#
S
iisT 89 V.B_M_
SIONS
Size
Classification
' d
oun roo wall. , �voj i ctii
ng
banner)
Of Co, ttru, tiori
illuminatio6'
(Stato whether aMs or inton)
OVer
Will sign public,:Property?
SUB14IT DRAWING
SHOW
XG CONSTRUCTION CF SIGN AM 1-�Z=D 0,',P H; IjqO
BELOW,
WRIlik"ADDITTO'INAL INFOP 4ATION
(For canvas, wn.i, v rawihg on ressrve Side)'
is n1s, tovide dimensi zfted d
IMPORTANT
IC,F
on 0, it qi"n
I'll cor- mid
4 ing, the
wOrl� aw described
in the abot V i-
'o ,perform ,svaid w;
Acco o* n
OhOd 1 and a
p ans, a cificationis�, which are a
Part hereof
with, requila
h,, the ildin
q : tions of the
adi:toinc
Standa
of Atlantic bu
S, tur16 ;outhern.
gna of Bui r.-or Owner
'Waress, Phone,
FOR OFFICE USE ONLY
DEPARTMENT OF BUILDING
Date 7 197
CITY OF ATLANTIC BEACH, F X)RIDA
Permit #/S;29'Pee $ 3-1
Valuation $
plication for Permit ftr
Miscellaneous Alterations, HOUSE
and' Repairs 7—�2—
DESCR -0 7_10zo�,,h
(State if to repair, alter, add to or move building, �erect ajwit�qs
signs, etc.)
No. Blk No.
Building
on: Lot Sub.Div. :;7
Addres Valuation $ ff-2, C612
Ownfl; 'N 4
4,1(1
BUILDINGS OCCUPANCY
Building Use Residential or Busine a
OC
What Plumbiii4, work 'to be done? . no 6�__
Size of Presi�nt' Bldg.� Size 0 Extension Lot Size '
No. of 4tories now ered T' ' Ka
_,.�after alt terial, of roof
Material of P�resent Buildin rial of Extenai0h
Cl
KC
_ES&ARY PLANS TO BB, SEB_MI IiEgM, TH
OIL BURNER OR GkSOLINX BOUIPMENT
Name of 011 Burner, = Gasoline Pump _Type or ftde 1
Name and Address Of M
'anufacturer
In connection. herowithp application Ls il 6; ;;We- to
instal 1 z
gal. capacity tank,(s): made by Ta
of
-ground.
(Name of Manufacturer) WrFiA-r or Abo%e)
WveT of building. ?or
(Inalde or Putsl4e),
DRAWING SHOWING ZNTIR.3 LAYOUT 'ON REVERS
Z SIDE OF
THIS
SIGNS
Size Classification
(State whetE—er §Fpund.1600l, wall, projec ing,,J�anner)
Materi�l. of Construction
I lluxtinated?_�.Type. of illuminat1>n
(S t-aFe- Oether 8 or Ne
Will sign be Over pub116 property?
, SHOKING CONSTRUC!10lq OF SIGN AND ME
I I NPRD 0 F ING
WRITE ADDITIO INFORMATION BELOW
(For! canvas awnings dim in4 n reverse side)
provide dim
till
Inconsideration, of permit given for doing the work as describ I ad
in the Above statement, we hereby. adkee to perform sai& work in
accordance- with '.thle attached plans specifications, which are a�
part hereof and in accordance with e building regulations of the
City of� Atlantic Beach. . (Southern S andard Building Code) . i
e Ir
lder or Own
Signature of a X-r—SAL t C-/-/ al
AdAre 0 Phone No.
J" 17
21.07
Utilit.y ea; ment
��5-0
28-o 1
BE fjMOr�T
LLEV. 22.0
3-0
9
4'6-0
6T� 2 Bldix Line
Water
sewer
20.?� -E 1 20-.'175
80-7
C/L 3AIL FT-7h !)RIVE
Ele. 20.00
LOT '3 BL,,)�;K 10 1 �-)YAL PALMS UfiTT 2 A
PLAI, BOoK A]. 16 C
Seal 1" = 201
FOR OFFICE USE ONLY
Date...... 19 .....
---------------------
Permit ..............Fee$ ...................
CITY OF ATLANTIC BEACH Valuation
..........I..............................
FLORIDA House #...qlk... z. ..... .........
-------------------------------...........................................
APPLICATION FOR BUILDING PERM17
............................................................................
*-------------------1-1-1---------------*-------I—-------*...*1-----------
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 Atlanii�: Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of su contractors be submitted to this office so that licenses can
be verified.
Date............. ----------- .......I......................... 19............
17
Owner ... ---------
----------------------------------------------------Address... -------------- -
2r-- ........ ------Telephone No.�I-.'...........L...�.�...
Architeet-.......................I---------------------------------------------.......-----------Address,— Telephone No...............
------------------------------- ------------
Contractor Builder__'
------------------------------------------------------------------------:--Address---------------------------------.......................---�Telephone No.-2w.1-.......-------
Lot No.—--------------91--------------------------------Block No-:- - ----------------..Sub Divi on--- -----------
--------------------------- .............Zone............
....... 2------- Z---------------...Street--..------------------ ---Side Between................. ---------------------------and-------------------------------- --------------------Sts.
'Al
Valuation -----------For what purpose will building be used------------ ----------......Type of construction-!�'�'--,-�'
-- -------------
Dimensions of Building--..e
--------------
--------.'--Dimensions of Lot..... -------- ---------Size of Footings--J-`.....!-.-........
Size of Piers.---�L,-.111------------------Size of Sills----- S.
------------- -------.-Greatest 11 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------
1 -------------------------------- Greatest Span-----------------......I.................
Size of Floor Joists----/�
-------------------- Distance on Centers-,... -------I------ ----------------., Greatest Span-.........---------------------------------
Size of Raftersz, 0,� � �, ell 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.
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.
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
cove�ed.
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, whi�h are a part hereof, and in accordance with the building
regulations of the City
�,Z%2��................................................... Ad Iress—I......z
Signature of Builder
................................----------
4,
...........................
..............
Signature of Owner. Ad�ress------------------ ...................--------- ..................
.........