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640 Sailfish Dr (vault) s, CI OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-0032467 Date 3/10/06 Property Address . . . . . . 640 , SAILFISH DR Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO E UPDATED Application valuation . . . . 4700 Owner Contractor LOMAN K & D ROOFING & CONSTRUCTION 640 SAILFISH DRIVE 2124 PEBBLE CREEK LANE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32003 --------------------- ------------------ --------- - -- ------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4700 r Fee summary Charged Paid Credited Due ----------------- -- -------- --- ------ ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY O ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. lk . BUILD ' CIA , d �1 CITY OF ATLANTIC BEACH PE T CALCULATION SHEET Address (, Q Date 3• '� • O Heated Square Footage @ $ per sq ftvia = $ Garage/Shed $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck. @$ per sq ft_ $ Patio @ $ per sq ft= $ TOTAL VALUATIO $ Total Valuation 1St 3 qV6 Remaining Value $ ._Per thousand or portion thereof CONSTRUCTION TYPE: TOT BUILDING FEE $ S ZONING: _ + %Z F ling Fee $ FLOOD ZONE: O Fir places @ $35.00 $ IMPERVIOUS SURFACE: BUIL ING PERMIT FEE $ 6l WATE R IMPACT FEE $ SEWE Z IMPACT FEE $ WATER METER/TAP $ CAPI IMPROVEMENT.$ SEWER TAP $ C ( RADON .0050 $ SECTI DN H PAVING ( ) $ HYDRAULIC SHARES $ CROS CONNECTION $ ST( ) SURCHARGE $ OTHE $ 00 GRAND TOTAL DIM: CITY OF ATLANTIC BEACH Cc: BUILDING /ZONING DEPARTMENT J V� 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 f F31�' (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: ' Project: k-e(DO-f- This permit application has been: Approved F7 Reviewed and the following items need attention: Please re-submit your application when these iteir s have been completed. Reviewed By: (At Date: -6('g[0-6 Date Contractor Notified: CITY OF ATLANTIC BEACH 19,11 ROOFING PERMIT APPLICATION Date: Job Address: L{ U L 14 Owner of Property: 401 /-� Address: Telephone: 4:/: �� Contractor: -r State License Number: Contractor's Address: (� l �'G �� �e ^� ,C _ /t,1� Telephone: Z2(5j Fax: _JJ Scope of Work: LC - 1—mo /)t - e Deck Slope: • Greater than 2:12 Less than 2:12 Valuation of work• U� Product Name(Example: Timberline): 12 ` Manufacturer(Example: GAF): ASTM Designation(s): Required Inspections: Sheathing and Final Signature of Owner: r 410 Date: —1 � AS TO OWNER: Sworn to and subscribed before me this �� day of 4n-1-C 20 O State of Florida,County of Duval - Notary's Signator . rq ` Nowr�A KE -[�Personally own I,y C �a NM El Produced i entification •$„t.` C "E*kft Feb 10,b 20 Type of id ntification produced Signature of Contractor: Date: —� AS TO CONTRACTOR: goy} .`u Sworn to and subscribed before me this day f ,20 O(o State of Florida,County of Duval Notary's Signa e: "'E' ” JEANNE M.SHAW ❑ Personally ovk MY COMMISSION#DD 435986 r EXPIRES:May 31,2009 [Produced i entification a: k Bonded Thru Notary Public Unde carders Type of idt ntification produced F L'Pr�✓ .CAc 800 Seminole Road •Atlantic Bea h,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 2/21/03 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio I lo. 5-0-aaa State of�"� County of. Ocazrw-4 To whom it may concern: The undersigned hereby Informs you that improvements I be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the folio ing information is stated in this NOTICE OF COMMENCEMENT. Legal being improved: "re 7— A res of r ng improved: l9 Lt O �,4.z t. ' to 1{T-i.4,j?,C ( c 4C FL- ption improvements: 7- Owner C Address - " 3.2-233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Address Phone No. �l=/� �� Fax Surety(if any) Address Amount of bond 3 Phone No. Fax Name and address of any person making a loan for the construct on of the improvements. Name Address Phone No. Fax Name of person within the State of Florida,other than himself,do signaled by owner upon whom notices or other documents may be served: Name Address Phone No. Fax N . In addition to himself,owner designates the following person to n ceive a copy of the Lk=r's Notice as provided in Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date s one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER r AGENT A mt,Power of or Agency L Required) Before mathis of In the county Duval ram of Fg ly appeared 5:,7;, herein by Winsaw affirms that all statements are true and aoauate. Notary Pudic at State of County of ";` Number Pages: Doc#2006080232 OR BK 13114 Page 1219, My cor miaaion 1 Filed 11 Recorded03/06/2006 at 09:59 AM, Personary JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00a y CITY OF ATLANTIC Y EACH DEPARTMENT OF I WILDING 600 SEMINOLE ROAD-ATLANTIC BEACH,FL 3223,-TEL: 247-5628-FAX: 247-5877 PERMIT . FORM TION N INFORMATION,` Permit Number: 21921 Address: 640 SAILFISH DRIV Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot( ): Block: Section:0 Square Feet: Su ivision: ROYAL PALMS Est. Value: Par ei Number: Improv. Cost: 1,500.00 Date Issued: 5/08/2001 N me: ELOISE LOMAN Total Fees: 30.00 Ad ess: 640 SAILFISH DRIVE Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/08/2001 Phone: (000)000-0000 Work Desc: REPAIR RO EN WOOD C NTItA+ T I ATION FEES PROPERTY OWNER = �;,,P R IT 30.00 12 0 0 IF `w6,p. a. FINAL r NOTICE + NSPECT160 T BE REQUESTED"AT ST 24 HOURS PRt . . TO INSP ECTION BUILDING MATERIALA-,,DEBRIS FROM THIS WO MUST NOT BE CED IN P)IBLIC SPACE,AND MUST BE CLEARED UP_ ND HAULS AWAY BY EITHER CONT CTOR OR O ER "FAILURE TO COMPLY"TH T - TRUCTION IE DAN RES T IN THE PROPERTY OWNER PAYING�E OR�tI�'5NMI Nt S" 1 ISSUED ACCORDING TO APPROVEb 14&,v H H Elf ffl tT P T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVI 0�1 " PA Ito f QY 9 0001 ol�,gV�n� 330.8814 ATLXN/IC BH BUILDING DEPT. '3a�ch. 5/09/01 01 Receipt: 0056020 CHECKS 1184 r �I! CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address S L / f lfi .PQ It-) od Date S" / Heated Square Footage @ $ per sq ft = $ Garage/Shed --� �, @ $ per sq ft = $ `U Carport/Porch @ $ per sq ft = $ Deck i@ $ per sq ft = $ �S Patio @ $ per sq ft = $ uG TOTAL VALUATION: $ �� �0 f-f6 S $ r Total Valuation 1st $ / _ s oo $ Remaining Value $ (�"C. thousand off` portion hereof TOTAL BUILDING FEE $ 2 + 1/2 Filing Fee $ / O ( ) Fireplaces @ $15 . 00 $ BUILDING PEMIT FEE $ 3 WATER IMPAC FEE $ SEWER IMPAC FEE $ WATER METER TAP $ CAPITAL IMP OVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNE TION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ sn' 0 ADDITIONAL PERMITS OR FEES : Mechani al Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: l CITY OF ATLANTIG BEACH Drc V E D t PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERA Nk MOVING, DEMOLITIONS MA y 4 2001 Owner(s) h Job Address 40 ` r i J Phone Lot# Block or Unit# 3ubdivision Contractor State License# Address Ii+C.� 7 c Phone City ,J �^,t C �� Statel— Zip s 3 Describe work to be done t'e- / 4 Present use of building Valuation of Proposed Construction O a Proposed use Is this an addition? If yes,what are thedimensions of the added space: ft. x ft. Will the added area be heated and cooled? ruv New lectrical (or increase) le New plumbing fixtures? AL<D New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT IF OWNER IS CON RACTO . Signature of OWNER Date:_,: .�- /Y T Signature of CONTRACTOR Date STATE OF FLOR A COUNTY OF WaQLL Sworn to (or affirmed)and subscribed before me this - day of 200/ AS TO OWNER: Notary's Signatur ❑ ersonally known LAURIE D.scoff Produced Identification ;, My Comm Exp.3/24105 No.W 006676 M_ T pe of identification produced I`�f 7)4- Sworn to(or affirmed)and subscribed before me this day of , 200 AS TO CONTRACTOR: N otary's Signature Personally known Produced Identification pe of identification produced a CITY 4F r��i!aactic �►'+..ate - '�lo�ida 800 SENENOLE ROAD ATLADT 1C BEACTL FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES. PART i 'CONSTRUCTIO CONTRACTING" REOUIRES OWNER/BUILDER To ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7). FLORII A STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY U CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, J S THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOL MUST SUPERVISE ON UCT70t4 Ya Rse 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 ims. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU 5 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 AN umLicamsep PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILO 4G CODES AND TONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE P OY BY NS IR Y A W AND COUNTY OR MUtlICIPAL UCCNSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR C WN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE.AND UKEWDSE REGUIIa ALL WORK(EXCEPT MAINTENANCE UNCE r $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MA PHYSICALLY DO WORK THEMSELVES: OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DJRI CT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLJCZNSA 0 TRADES PEOPLE.' THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY Be UABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THC MEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND 3 iGULA ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON I H93R IMPROVEMENT TRADES. UN ED CONTRACTORS 0Y U AN . OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTC N4, 4SS-228(!). AN 'QCCUPATIONAla 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 CO R. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY Acmow.EDGE THAT I HAVE READ THE ABOVE D RE STA-IEMENT AND THAT 1 COMPLY WITH ALL THE REOUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER Pic qmrr. S C/ PROPERTY OWNER/BUILDER ADDRESS 'TELEPHONE SWORN TO AND SUBSCRIBED BEFORE'ME THISD OF OTARY LIC NOTE: PHRASES UNDERLINED ABOVE MY COMM9 4EXptwwp ARE EMPHASIZED BY THE BUILDING L My Comm Exp.5/244 DEPARTMENT. No.Im 006676 t 11 hlstalwMY Nnmwl W6M L0. =L �1�.c. .4450- ,0&- w-�U-P-40 CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 SPECTION PHONE LINE 247-5826 SPECTION EMAIL REQUEST: DIM�, ui1ding--d_epj@coab.us Application Number . . 07-0( 001204 Date 8/23/07 Property Address . . . . . . 640 11cAILFISH DR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED -----Application-valuation . . . . 0 -------------- �i ----------------------------------- Application desc INSTALL 1 CU, AHU & HS ' ---------------------------------------- ----------------------------------- 1 Owner , Contractor ------------------------ ------------------------ LOMAN, SIDNEY E. SNYDER HEATING & AIR 640 SAILFISH DRIVE P.O. BOX 16826 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 641-0600 ---------------------------------------- ----------------------------------- Permit . . . . . . MECHANICAL PE IT Additional desc . . Permit Fee . . . . 89.00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/19/08 ---------------------------------------- ----------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 89. 00 89. 00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 89 .00 89 . 00 . 00 .00 ai ii al �I a. PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 'd MAP SHOWING SURVEY OF r AS RECORDED IN PLAT BOOK PAGEI; OF PU: LIC RECORDS OF DUVAL Co., FOR -�' v nV GOT C 'V ,te�\ + o I� u v 39.0 29S FN 3 3 I � N h I 0 GCTY ORA TIC BEACH BUILDWGOFFICE 1 1 MAY n of f)nn4 9 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233 TEL: 247-5826-FAX: 247-5877 I R �' � AT— Addr ss: 640 CARL HOWARD Permit Number: 21636 ATLANTIC BEACH, FL 32233 permit Type: BUILDINGTow ship: Range: Book: Class of Work: ALTERATION Lot( ): Block: Section: Proposed Use- SINGLE FAMILY Sub ivision: Square Feet: Par 1 Number: Est.Value: . ;ON Improv. Cost: N' me: CARL HOWARD p 4/27/2001 I Date Issued: Address: 640 SAILFISH DRIVE 30.00 Total Fees: 30.00 ATLANTIC BEACH, FL 32233 Amount Paid: �? one: _(904)§P4 §267 Date Paid: 4/27/2001 Work Desc: SIDtNG FOR HOUSE N.P�S TAG`Ir' � 30.00 � t PROPERTY O�RR ial FINAL _— f- --� F -BE RtUESTEf7 A L`EAT.:24,HOURS P RTO INS. CTION NOTICE"j1S_PECTI ' BUILDING MATERIAL, UBB ISH A ;DEBRIS FROM THIS W RK MUST NOT B NERGED IN BLIC SPACE,AND MUST BE CLEARED UP�D HAULEbwkAY BY ElTtriER C TRAGTOR O TIO RE LT IN THE i "FAILURE TO COMPLY ITH O LC N 1 PROPERTY OWNER PAY IT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVED S F P F M FOR VIOLATION OF APPLICABLE PROVISIO PAI r� -7 p4r ,� APR { i / evyA � t AT NTIC BEACH BUIL ING DEPT. -- M f r : i : CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET 3, S' Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = S Carport/Porch @ $ per sq ft = $ Deck =,@ $ per sq ft = $ Patio ® @ $ per sq ft = $ TOTAL VALUATION : $ Total Valuation 1st $ $ Remaining Value $S•'. per thousand or portion hereof TOTAL BUILD NG FEE $ 2 Q + 1/2 Filing Fee $ P_ L ( ) Firepla es @ $15 . 00 $ BUILDING PERMIT FEE $ 4 WATER IMPAC FEE $ SEWER IMPAC FEE $ WATER METER TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H P VING ( ) $ HYDRAULIC S ARES $ CROSS CONNE TION $ ( ) SURCH RGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : I CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, AD (TIONS, OR ALTERATIONS, MOVING, DEMOLITIONS Owner(s) Job Address Phone Lot# 30 Block or Unit# ubdivision ROM, &IM5 Lam"-j OAA�F Contractor tate License# Address hone City,� Aitn'lt_ Z�f �Y. State EL Zip 32,-Z 3 3 Describe work to be done49LA 1-17 " �-f G Present use of building yz>-yn C G14Z 2LCLA�*L- f— Valuation of Proposed Construction Proposed use RnQ ¢ - Is this an addition? AM If yes,what re the dimen ions of the added space: ft. x ft. Will the added area be heated and cooled? ` i New electrical (or increase) !6 New plumbing fixtures? A) New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) C MPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE DF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTO . Signature of OWNER r Date: — a�4 / Signature of CONTRACTOR Date STATE OF FLORIDA COUNTY OF Du v/9 Sworn to (or affirmed)and subscribed before me this day of1200 / AS TO OWNER: Notary's Signature ❑ Personally known MAUIIONG Produced Identification ation Notay Pubic-StOtO f adT peof identification produced Commission Bwkw Ma3t,202 Commsston#CC7781 o— gFo0,,;tC - d� Sworn to(or affirmed)and subscribed before me this day of , 200 AS TO CONTRA�� � �� N tary's Signature ❑ Personally known APR 2 5 2001 ❑; Produced Identification City of Atlantic Beach T pe of identification produced Building and Zoning CITY OF >'���urc�cC '6'eal-li - �Gvatda 800 SEMIlVOLu ROAD ATLANIZC BEACH,FLORIDA 32233-5945 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489. FLORIDA STATUTES, PART 1 'CONSTRUCTION CONTRACTING' REQUIRES OWNER/BUILDER To ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 4a9. 103(7). FLoRick STATUTES: SPATE LAW REQUIRES CONSTRUCTION TO BE DONE BY UCENS CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE E%EMPTION ALLOWS YOU, THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELP. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCEOR 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 SM L OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE L W WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASL, WHICH Is IN VIOLATION OF THIS EXEMPTION. You MAY morr HIRE AN NS PIERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE MUILD3I 40 CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU IC N8 R UIR Y A LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES, ORDINANCES AL.SO ALLOW.AN OWNER TO IMPROVE 77,1E1R 4 YN PROPERTY WHEN /T IS POR PERSONAL OR FAMILY USE,AND LIKEWISE ReQU/RE ALL WORK (Except•NWNTENANCE uNceF $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. T)iE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY MIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'O/RE SUPERVISION OF THE OWNER, WF/0 MUST BE ON THE JOB AT ALL TIMES WHILE WORK 13 IN PROGRESS BY UNUCENS TRADES PEOPLe. TFIrs 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 MF-OWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND si.6ULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON EIR IMPROVEMENT TRADES. UN C N ED CONTRACTORS OYED UNDAR ANY CIRCUMSTANCES. OWNERS BEING SUBJECT .0 $5,000 PENALTY UNDER FLORIDA STATUTE No, 455-228(l). Am 'QcruPATAYAI I*ICENSE' IS NOT ADEQUATE. THE OWNER SHOW.D PHYSICALLY SEL THE COUNTY 'CERTIFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CO R. TELEPHONE THE BUILDING DEPARTMENT(247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE TWIT I HAVE READ THE ABOVE D LOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OP AN OWNER"BUILLER PEP virr. ST74-7� D/= GLoRr�19 "c-wry PROPERLY WN u E 0 o -1/0- �o41c.yrs H DR a-C-f/6-4NO2 ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE'ME THIS DAY OF L p NOTA LIC NOTE. PHRASES UNDERLINED ABOVE MY COMMI44MION EXPIRES: MAUREEN rJNG ARE EMPHASIZED BY THE BUILDING lWR&pubk-State of FIOd13e DEPARTMENT. ARV Commission e0res Mcr 31,20M Commission#CC720781 k � P Zed, \G G ` F 1 1 Vol ?Q e�iDf -201 a ( . �. | � --���. | � � � } . � ( ( : � � | � | � . � � � � . . | � � � � . � . � � ' . . ! | � . . ( | � ( , � . ( � � � ! � . . : \ . b } � � . U� � . . � � . � |. �? } � � � } i � � � � � � ! } >\ ! � , } � ! � . i . � . � : ; f : . . . � ������ , � . � � � | I s s r MAP SHOWHf G SURVEY OF COT 30 AS RECORDED IN PLAT BOOjQ::PAGED FOR -- OF Piz: LIC RECORDS OF DUVAL CO.. Fl ��L — < v ti I , o i o _�. -5- W a o ioo� J Q 3 Q Zl� , IW � `N q \Ff k� \ 3 13' I N 10 N h I s a 4 V x,07 3/ h MAP SHOWING SURVEY OF d T 30 i i N; AS RECORDED IN PLAT BOOK PAGE!o OF P' ; LIC RECORDS OF DUVAL CO.. F[ FOR M GOT o Fo o o ; 0 3�� v I O 13 I3 z Le9 o v _ 1 CITY OF ATLANTIC 4EACH DEPARTMENT OF OUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 L- `Permit Number: 21835 Add ss: 640 CARL HOWARD Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot( ): Block: Section: Square Feet: Sub ivision: Est. Value: Par I Number: Improv. Cost: t11FJRi#IIATION Date Issued: 4/27/2001 N me: CARL HOWARD Total Fees: 30.00 Add tress: 640 ATLANTICSH DRIVE BEACH, FL 32233 Amount Paid: 30.00 Date Paid: 4/27/2001 Phne. (904)50.4-6267 Work Desc: SIDING FOR HOUSE CONTRJ�CflFtf S} CATION FEI=S _-! PROPERTY OWNER N „Y.. F' T =: 30.00 FINAL M ems., b, k r�n�1 �� *�4 : � �' '•"i" "y, ` r a. _ NOTICE-#1SPECTIO $' BE REQUESTED AT AST 24 HOURS P RTO INS CT10N — , T -o - N BUILDING MATERIAL, UBBISH AII7EBRIS FROM THIS WO MUST NOT B LRCED INPL BLIC SPACE,AND MUST BE CLEARED P AND UHAULEC?" WAY BY EITHER CONT CTOR OR E FAILURE TO COMPLY T �• TIO kN RELT IN THE PROPERTY OWNER PAYI C O L[ N P ISSUED ACCORDING TO APPROVED RJP F i MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO i i i 'f $30.0014 AT NTIC EACH BUIL ING DEPT. —_Dates: 4/27/61 K Receipt: 0053069 –J -- � 80100003221008 I r I S i BUILDING AND ZONING INSPECTION DIVISION CITY Of ATLANTIC REACH ATI.ANVIC •aACN. RWIt10A Bass APPLICATION FOR MECW NICAL PERMIT CAIt.IN NUMBER IMPORTANT — /applicant to complete all i ems in sections 1, 11, 111, and IV, I. f+raet A4040 46 ret»: ' LOCATION .--- .....` \ OF Iater"40i" iMoatr: 116iweett �rb�i.biM 11. IDENTIFICATION --- To be completed by all applicants. 1. ce.r:daratisa of pertait Tire IM dotaq tho wstk es described in the above baterrient we hetoby apuo to patform raid work in accordance ..ft the 6046Opd pleas aad specilicetioa► which aro a part hvvel and fe ac tdence with the City o1 JacksonviHo ordinaacos ead rter-drrdt d/ 66940 pract-to Ailed rAarr•a. Na.+ of ►IacAaa!et c-. S 1 `t �" 1C W06CostfNc -1 � Gwwaotiw (Niel bis G� Memo of ►w Mehr O..aer — v�`a-C_ `. r�•-.v`-- 5�l fd OwMr ><I�ae N of .!7"=ioad Atoar Mshlt al or Easlt►eer Ill. epoiPA . MIMORMATM A. 1 bsotiry fwl: �t OTNpl mus"WeTION KING WHIZ ON liMn•:e TIB WILDING on 41ya t �� tl O Naivwd 0 CeaW VW* I p ri/, a1Vt NIIIMOrh 0/C"bTspiCTION 4 Ot 0 BIIMIIT p 066P — fo.e* V. 600MOOUCAL r0V00111 TO M MwAU& a of 1110" t —.006 r�* oe MSI icels*w WWI Asswential or fj Commercial 't d :Mss 0 O tenev lmsond CeMw1 O' Ar G•ML.Ler D sft slbM ro Q p.4, lrrtMarn: rbinisL.`. ��.�.. MPlaeetMKt of 49161inp sytNon moose"4dp6ov. Now NNldfatwo ps system prwlouoy Instsll0. Vol ty c• . %WW- C"O t► e,e,,MtK` aPs�coot" 0 it;re �rLYtrei trMt�M a♦ Wim• i�w�wrrrnwtr.rww'r 13 1MeeM Q WON Q f"W" "a VAN "k Go"= UN ci my Q Ciurfwe ttw�N�.�—{att�tt�s►1 , t�t�l ewers,■�.r�.wrr,i•iw... Ln�.i"�.w�rrrll fti Q usarod pnoMr WMW 13 wr�..r•.+w. WT A" sem' AS COND"WI MNO AM 1111W R1t7aIIIATN" c�1vt>Msi>rr >"�tttsr..vtrNa >aiw.l�UaNt W"d xW"W waalteo,r t'!�)" 1 r >Ktir.Ia,..v.w >a...�ew. �w 1+tsliAls. �ltarrMArlsrar '! �"� CITY OF ATLANTIf, BEACH MECHANICAL �ERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32 33-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION J Permit Number: 18508 Address: 640 SAILFISH DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range. 0 Book: Proposed Use: Lc t(s): Block: Section: 0 Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: _- Improv. Cost: -__ _ -__OWNER INFORMATION Date Issued: 7/15/1999 Name: ELOISE LOMAN Total Fees: 27.00 A dress: 640 SAILFISH DRIVE Amount Paid: 27.00 ATLANTIC BEACH, FLORIDA 32233 _ Date Paid: 7/15/1999 hone: (000)000-0000 _ Work Desc: REPLACE AIR HANDLER CONTRACTORS) APPLICATION FEES SNYDER HEATING &AIR COND. CO. PE MIT 27.00 II � III Inspections,Re- wired --- ---- -- ------- __ i 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. i i 07.00 14 6I Date: 7/15/99 01 Receipt: 0072025 - — CHECKS 1523 ATLANTI B CH BU ING DEPT. 00100083221000 t - 4&0"420 /C�ITYOF /� Office of Bui ding Official REQUEST FOR INSPECTION Permit No. --- Date A.M. Time P.M. c- �) Received f Locality Job Address _Contractor MECHANI Owner's UMBING Name ELECTRICAL _ - it ^J� CONCRETE Wiring Rough Hea m BUILDING ❑ Temp Top Out Fire Place ❑ El Footing Tem pole - ❑ Framing ❑ Slab ❑ Sewer Pre Fab Re Roofing ❑ Final ❑ Lintel A.M. Insulation R INSPECTION READY F Friday--------'— Thurs. We Tues. A.M. Mon. Q P.M. Final InspectiKn Inspection Made Certificate of Inspect Date psi 11587 DEPARTMENT CSFSt ILDING ' •CI'TY OE ATLANTIC EACH ' -,.....- FERmI ' Imromh" IOH "� �,._�., .._ _ ._ � LOCATION INFORMATION' ........ Permit ,NuM or 11 587 Address; 640 ' SAILFISH DRIVE Perrrat Type= MECHANICAL ATLANTIC BEACH, FLORID 32233 Cof Wolk: ALTERATION LEGAL DESCRIPTION�, --- Block: ► t T ► WOOD ,FRAME Lei Bl ak w a sa'rz� t posed Ute: SINOLZ P-AM LY Township: RNG: ' el 1 iza 1 Code: 0 Subdivision: ROYAL PALMS timat d Value $0.00 Improv Cost : $0.00 Total $27 .00 A ► s 2l 00 ATIAN �" .. . ... APPLICATION FEE$ ' . PERM PERMIT dress FISH D.RI TZ FEE s0 . 0 ' T CH, FLC3R I � F A AP RATION GAS,.B.R. [� .00 C3 NFQ QN -.>- - RADON CAB Iii S0 .00 Name Ste' HE IN3 ' + IT . C . .:, iie III.P0-1 S�1'ER QAC ILLE. LCRII~fA 322 5 CROSS CONNECTION 50 .010` Type. 3.: SEC H 'IMPACT FEE r0 CONST.SURCHARGE $'0 . '0 It 3 NO S` NOTIGE=:-ALL CONCRETE FORMS AND FOOTINGS M St BE INSPECTED.BEFORE POURING f , PERMIT VOID SIX MONTHS A ER DATE OF ISSUE ILDING MATERIAL;RUBBISH AND DEBRIS FROM THIS WORK M ST NOT 13E PLACED IN PUBLIC SPACE AND MULT BE Mn C, ARED UP AND HAULED AWAY BY EITHER CONTRACTOR DR NER `4 ,ALLURE COMPLYITH THE MECH NIC' LIEN LAW44CAN RESU fi 'IN E PR PgWY OWNER PAYING T RTHE Bl ILDING I PROVEME TW *�� UED ACCORDING TO APPROVED PIANS WHICH ARE PART F THIS PERMIT AND SUBJECT TO REVOCA�Q NT ION OF APPLICABLE PROVISIONS OF LAW. Utes 3/13/% 01 kOt• 0041166 WIW03221000 AT�,ANTIC BEACH BUILDING DEPARTMENT f + t IT A-111t t ., AY # e'_ ;r:;. ,.,..,`,,, ei," ur:` tl'» :Y,,.€i.arraw. 0-x:5.3 A BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTI BEACH ATLANTIC aUCM. "Buie APPLICATION FOR M HANICAL PERMIT CALL-IN NUMBER IMPORTANT --- Applicant to complete all items in sectio s I, H, III, end IV. 1, r LOCATION Street Address: OF Infe"066eg Streets: 161ween Aed WILDING Svh•di.isien II. IDENTIFICATION -- To be completed by all applicants. In cons;derotion of permit 9666 la doing the work e► descriked in the a ova statement we here`y.ogre. to perform "W work in accordance .iM the attached plans and specifications which are o part hereof and i accordance with the City of JacksonviNe ordinances and standards of good practice listed therein. Name of Mechanical aeteea (wetrasNl I hint) L arMe of Nene of hgerfy owner V40--r, r Sigeatere of Owner fore el WAv"isad Agent hitesf M bsgineet 111. 94HERAL INFORMATWN A. 1"a of heating W. • li OTNtR CONSTIIHCTION KIIN pOMt On �dectric THIS 1111111111.0"ON SITE I a Q 6w—O t! O Netrrel O C«ttnl U ft II rpr e1Vt rime"01 CONSTA11CT1pN CI Chi PtIM11T O 0,1144, — slt»cib Iv. MBCM4M" I*U1tNMT To M UWALLID w►AnMIOF WOW I pr W'40 e.rglN.Sd of eemspaeate.a Mak d"&well ,C] awwenual or o Fowanmw 0'**-"t O Spee. O Reee/aed �Gotwl o Nne ❑ Now eta Wq O�Air CmmdAie�.iagt Q Reow �Cetlfrel C3�E>dstolti wlwfno O Ded srewn,: ka...ssl ��of aft**MM+� meaimtwn uMeN1► s 1.14. ❑ NOw MMMldbn 1No olMaa Nvwiowll►Mtst&" O dor—eo•alb O �� low*,- Capacity w�► Q Fire griaMo e: Nemsbr of L—A- _.. ... ... O Swesot O Of lift O «MI TIM WAX/AOR OM=IIIc a y O Qa"A" IM rI M Q T� r Merl It«twlb Q LPG eembioeiL., Is>w►ier� Q Uofwd pre«ae v"" O 6941 a Fwa* Appe b " COIL � Q 0114.. — SPK*f PIN"an LINT ALL ZQVIFMZNT AM OO WMONM AM RZFRICtUTWH 1IdT 1r111@1fQ'Vete >ill�Mt>~111St11M � j ��� CITY OF , ' Office of Building Official �- REQUEST FOR INSPECTION / i Permit No. 06/ Date Time A.M. District No. Received —PM. ®Djai Job Address 1 E:�- A Locality Owner's Cc itractor Name ! CONCRETE ELECTRICAL PLUMBING MECHANICAL BUILDING ❑ Air.Cond.& El Framing Footing ❑ Rough ol ring 11 Rough Heating Re Roofing El Slab ❑ Temp Pole ❑` Top Out ❑ Lintel El Final Sewer ❑ Fire Place ❑ Pre Fab R Y FOR INSPECTION A.M. Mon. Tues. Wed Tours. Friday P.M. /7J A.M. P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date DEPARTMENT OF BUIL1NG 10006 CITY OF ATLANTIC BEt{CH,FL IDA PERMIT NO. PERMIT TO BUi LD THIS PERMIT MUST BE POSTED ON JOB fDate 8/10 —19-821-- Valuation 9-$.S_Valuation$ Fee$ 40.00 I This permit not valid until above fee has been paid to City Treasurer,and is 1x i,0r3CX subject to revocation for violation of applicable p ovisions of law. 4167 1 1 Irl 11l8 This is to certify that N & L Heating and air ' has permission to UtritctX install het and air Classification Residential Zone Owned by Ilan Lot Block SAD jHouse No. According to approved plans which are pait of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS I „ AFTER DATE OF ISSUE ► O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared = up and hauled away by gither con- tractor or owner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER i DCO, BUILDING -AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORI A 32233 APPLICATION FOR MEC 1ANICAL PERMIT CALL-IN NUMBER IMPORTANT Applicant to complete all items in sections 1, II, 111, and IV. LOCATION S+ne+ Address: Of Intersecting Streets: Between And BOILDING Sub-division- IDENTIFICATION To be completed by all applicants In consideration, of permit given for doing the work as described in the ab we statement we hereby agree to perform said work in accdrdance with the attached plans and specifications which are a part hereofandin accordance with the City of Jacksonville ordinances and standards of good-practicelisted therein. Nome of Mechanical "tractors C Nfractor (Print) A114 IV aster7 4cwNahao of party Ownerofure of Owner S nature ofAuthor:id Agent chitect or Engineer 11f. GENERAL INFORMATION A' Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q on PERMIT Q Other — Specify 11! MIICHANICAL BWWMINT TO SE INSTALLER NATURE OF WORK (Provide complete list of components on back of this fore) � Residential or ❑ Commercial IT Heat ❑ Space ❑ Recessed O 'Contml O Floor ❑ New Building Q Air Conditioning: 13 Room W"Contral Existing Building �r ®''Duct System: Material)-e,_.._ A��`�l Replacement of existing system ' Maximum capacity cf.m. El Now installation(No system previously Installed), ❑ Extension or add-on to existing system Q Refrigeration ❑ Other- Specify [} Cooling fovwr: Capocity g*•m• Q Fire sprinklers: Number of — CQ 'Elevator C) MonNft ❑ Escalator (number) THIS SPACE POR oFFiCE YSE ONLY Q Gasoline pum;• -(number) ( ) 13, TsekL (number) Remarks Q LPG conteinors (number) Q Unfired prossure vesm Penis Approved by DeN ❑ beam Q ot11er -- Specify Permit Fee r I l"'SQUIPMENT � AIR CONDITIONING AND REFRIGERATION EQUIPMENT Nfsts<sbstr Vidfi Daacslptbtt Model Number Manufacture (Ton j� � CITY OF ATLANTIC B ACM, FLORIDA Aao.owa by APPLICATION FOR EL E TRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: U l 19 g8 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH WORK AS DESCRIBED IN THE FOLLOWING t WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE ITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF JTLA�NTIC BEACH ORDINANCES. 2-5? ILL HOMPSON ELECTRIC CO., INC. P. 0. BOX 50398 JACKSONVILLE BEAGH,. FL 82240.0398 ELECTRICAL FIRM: M TE R E L ECTR2(CI AN NATURE JQURNEYMAN NAME_ O(�1+4ti1 ADDRESS: '4O (�311 (,S-6I � 21U� RFD BOX BLDG.SIZE ETWEEN: 1IES.t4l, AFT.1 ) COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( ) OLD( ) REW. ( I ADDITION ( 1 TRAILER( ► TEMP.( 1 SIGNS 1 )' SO. FT. SERVICE: NEW( 1 INCREASE (-I' REPAIR( 1 FEE CONDUCTOR SIZE O AMPS 260 C PPER f ALUM. a SWITCH OR BREAKER AMPS / PH- 3w VOLT RACEWAY 4a EXIST.SERV.SIZE / 00 AMPS / PH -3 W 20 VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL 11 RECEPTACLES CONCEALED OPEN ITOTAL O-SO AMPS. 91.100 AMPS. SWITCHES ENCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS, I OVER APPUANCEs BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT` 6f/ 0•i OVER MOTORS H.P. I VOLTAGE PHS NO. 1-H.P. VOLTAGE PHS MI ELLANEOUS FOR OFFICE USE ONLY DEPARTMENT OF BUILDING Date ,? 9 19,r. CITY OF ATLANTIC BEACH, F A t� Permit # 31 Fee 8 3 Application for Permit for valuation $ d Miscellaneous Alterations, HOUSE # and Repairs '-7/ y DESCRIBE ., cP 41 (State if to repair, alter, add to oc move building, erect avvings, signs, etc. ) � Bu' ldin o Blk No. S Sub.Div. Address V luation $ ZOO, 014.� w . Owner 's Name C A Ai BUILEINGS OCCUPANCY Building Use - Residential; or nessWhat Plumbing work to be done? Size of Present Bldg. Size o xtensioli Lot Size No. of stories n wafter altered ,Material of roof Material of Pre§ent Building ateral of Bxtehsion �,_ Ng CESSAPW p S TO SU TT' HE WITH OILURrrER OR G LINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address' of Manufacturer In connection herewith, application is also made to installs gal. capacity tank(s) made' by of gagge met 1 ground. (Name ofManufacturer) iUrc+•a* or Above) Under or Above) of building. F r jInside or Outside) (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF a THIS BLAM SIGNS Size Classification (State whether ground, roof, wall, projecting er) Material of Construction Illuminated? Type of illuminatio (State whether Lamps or eon Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCT ON OF SIGN AND METHOD OF HANGING r WRITE ADDITIONAL INFORMATION BELOW ,- (For canvas awnings provide dimensioned drawing on revers �ide) j a 119 11 IMPORTANT NOTICE: In consideration of permit given for doing the work as descril ' in the above statement, we hereby. agr a to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with tl,e building regulations of the City of Atlantic Beach. (Southern Standard Building Code) . Signature of -BlAi lder or Owner Address -5r-zou. Phone No• „ 's"' - "":tt9r'