30 Saratoga Cir (vault) D AT Z'
PRE-SERVICE DIVISION
JACKSONVIT LC:' ELECTRIC AUTHORITY
�3'3' WEST DUVAL STREET
JACKSONVILLE, FLORIDA 3`220-2
THE FOLLOWING FINAL INSPECTTONiZ ) HAVE 3EEN MADE ANL_
SATISFACTORY :
------ -- --- ----------------
/6-35'S 1�o 0
------ --------- ---- --------- -------------------
-------------------
--------------
------------ -------------------
----------- -------------------
1-6-3 6 9-
_�n4 the blue copiez:�
1.'5 clor�ed are 1 * S of t e permits.
15 3 'el � &(9
SINCERELY,
BUILDING INSPECTION DIVISION
cc : FILE
TRAN I SFORME,RS: UNDER 600 V. OVER60OV.
NO. KVA 11.11NO. �� IKVA
NO.NEON TRAhSF. VA. AOTORSIZE SWITC FLASHER
EACH SIGN
FORWARDED
$
TOTAL FEE!j
P-SR-1
DEPARTMENT OF I WILDING
CITY OF ATLANTIC BEACH
PERMIT IN?0A"TlQN` LOCATION INPQRMAT'10ji
'rmi t Nuir6er Ad r egs - 30 SARATOOA C tRCLE NORTH
Permit Type,.RE- ROOF ATLANTIC BZACH, �PLORIDA, 3223�
NEW L 0 AL DESCRIPTION
ass ot Wotk*
lConstr. Type:WOO ) PRA14E Lot :
1'0-�k T
Oroppsed uo� et SIN ME, FAMILY
ecti�)n : Subd:.-�
tVel lin"' ubdivi'sio' n.
A
Ett . Valuet _ 0�,o 0,
-Oq
ov. ost � 2`$,300�.
Tot p
i-el ck� w, n4l 0,
06
+A -1-
P
FFI 'A PLI CATION:
PIMMIT
1.00
A�dr ZLE-1 NORTH
01
Up �v
A
A
b,
t(A ORXATIO*�
x0ii,i7l�i'44111, ,CR-
Ji
L 32211
. 1c
ZAP '
f
OT4CEp-ALL,,.",,] AV 9 fORMSAND FOOTINGS
MUST BE IN4PECT60 IlEFQRE"0OuRI
4,
" 'PERMIT VOID SIX MONTHS A iSsut
FIER DATE OF
--SUiLDiNo.,MATEAIAL,RUSSISHANDDEORIS FROM THISWORKIVUST NOT,.8E PLACED IN Pus0c.spAcE,AND Mlistse
CLEARED UP AND HAULEDAWAY BY EITHER CONTRACTOR OR C WN' EA
sv
1FAILURETO'COVIPLY WITH THE MECH NICS' LIEN LA,W- CAN,�AEtULT IN ,
PROP rY C`WNlEA-,''P' A' YI.NG TWICE OR BUILDING IMPOOVEM
10SUEDAtCOADING TO,A&PROVEP PLA S WHICH ARE PART
N OF THIS PERMIT AND SUBJfoT TO REVOCATIO 4 FOR-
ION OF�APPLtCABLf PROVISIO_NS OF LAW.
1:4
ATLANTIC E�FEAC+1,90 no
LOING kRTMENT
DEPARTMENT OF 0 JILDING
CITY'6,F AtL 'NTtC PEACH
PERMIT INFO�"ATION LOCATION ' INFORMATION
�1 -6
?,�,rmit-Numb,*r ' '3612 Addrosst 30 SARAT00A �f.IRCLE NORTH
ATLANTIC BEAIZH, FLORIDA 3 2 Z3
Ty e',RE-f 0OF
01;As� Wo;,-k:NEW LZAL DESCRIPTIQN '---- '
16nat r-e Tv e*WOOI �rRAMZ I lock: lot T*p:
subd.- R
50ozed Uie. SINOM PAMILY rection-:',
Dwe 11 inis,
E-5 t va 1,4e: 0 0 0
mp "o-st:
i5oo:�0,0
Total Fe 2$ .,00
25.00
7,
"FNI--- APPLICATIOW�,PZES
PBRMIT , -�
NORTH
A:Adr CLL
s C -PLOR I DA
rz
c A R, ZION
R
'A AC
I; NOT 000,
Af�d,r
CE
A 8 N L 32211
CK
21c
Vk
ift
&
COIN
s
Spa go,SEFOf lv�pw 414
140TIlipt", ALL C RET SANDFOOTING V)ST09.1". 1 CT
is
PEAWTV0,1D SIX MONTHS AFER DATE 0 JS' UE
-WST
1AL,RUBB SH A DbEBRIS FROM THIS WOR,K IV U,,
%JILDINGMATER N;, a NOT OLA -,ED.IN PUBLIC SPACE,AND M at
C14EARED,UP AND HAULED,kWAYLB "El"tHER CONTRACTOR OR C VVNER
N""",R]Esutl
"WITH THE M
1�-URE TO'C PLY ECHI W CSO UE,
N
0 0 LOC
1C ,
PROPOTY :i "WRA , MG'Irw iE i, k
A PAY
,U ADNG TO AF NS WHICH,ARE PART F: 'AN susi,
-,,EP 4CO10 'PROVIIEP PLA.. THIS PERMiT EPT,
TjQN_0
F.,APPLJCASLE PROVISIONS OF LAW.
7"
A*NTI0 BEACH 01JILDING,(� TMENT, ,
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
owner(s) :
Address: ZZ)6/9 Phone:
Lot #_, Block or Unit # Subdivision:
Contractor: ARLINGTON BEACHES RQQF �NG, INC.
Address: 1441 CESERY TERRACE
City, State and Zip JACKSONVILLEj 'L. 32211 Phone 744-8888
State License # RC0023962
Describe work to be performed: RE-ROW: 4�2' ,so
Valuation of Proposed Construction:
Materials to be used:
)i,
Signature of owner;
t
Signature ' of Contractor:
Liability insurance Supplied
W,qrkers Compensation Insurance Supplied
License Information
1A� Notice of CoMMWWAWA--p�,�".k._
To VWWM it may Concern:
Ile undersigned hereby informs al.1 �oncerneid that improvements will be made to certain real
in property, and in accordance with Section 713.13 of the Florida Statutes, the following information is
V) stated In the NanCE OF COMMMCHMMM.
co
C6 Description of property . . . . . . . . 30. sARATQGA .CIRC1jR X. . . . . . . . . . . . . . . . . . . . .
V4 . . . . . . . . . . . . . . . . . . . . . . .ATLANTJLC .BEACH, - FL0R1DA . . . . . . . . . . . . . . . . . . . . . . . . . .
1:0
10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RE-ROOF 22 SQ. SH
Generd description of inVorovemOnts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
owner V1U4FF. FARIA . . . . . . . . . . . . . . . . . . . . . . . . .pie.. .8581 . . . . . . . . . . . . . . . .
Pg. 555
'Address 3 Q
# 97067461
i.,;E?a*&*Reido"rb L-8
04/01/97
Owner-*interest in site of improvement . . . . . . . . . . . . . . . . . . . . . . j4:26LIL A-M. . . . . . . . . . . . . . .
HENRY W. COOK
CLERK CIRCUIT COURT
ree simple title holder(if other than owner): DUVAL COUNTY, FL
REC. $ 6.00
Nam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .
1AfzT_jXqTCP AIPWUPP. jRPPUqq, INC.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
"ROontrs""or - - . . .
Address PASARXJ"V�i7. .32211 . . . . . . . . . . . . . . . . . . .
Surely (if any) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .Amount of bond$ . . . . . . . . . . . . . .
Any Person make j; a losin for the construction of the impirovements-
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adchm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Person within the State of Florida designated by owner upon whom notices or other docurnwits nzy be served-
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
In addition to himself, owner desipates the foHowing person to receive a copy of the Uenor's Notice as provides in Section
713.13(t)(h). Florida statutues. (Fill In at Owner's option).
Name . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
-4�_,_
C-_" —el�l
Thh nace for x . . . . . . . . . . . . . . . . .
recorder's tm only (Own")
Swom and subscribed before me this.... day of
FTATE OF FMNOA
DUVAL COUNI,,
1. THE UNDERSIGNED r'irk of the CItcuit Court, Duval COU110y,
Florida,DO HEREBY CLRnFY the within and foregoing is a true . . . . . . . . . . . . . . . . .
and correct copy of tne onrinal as it appears on record and tile (No KIMAKRILY 5 HARSIGH
in the office of the Clerk of Circuit Court of Duval County,Florida. my corniviiiiii C035MM
WITNESS my hand arij seat of C;erk of �ircuit Court at '12"
Jacksonville, Florida, this th, I day cf.jj42&aA,D_ 19_�_7 g0rWW by HAI
HENRY W. COOK !oo 1100-422-16"
Clerk, Circuit and County Courts
By
Dep-uTy-Clerk
DEPARTMENT OF BUILDING 4377
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 5119/80 19--
Valuation 34X3Z=9, 7 510-00 Fee $ 12.24
This permit not valid until above fee has been paid to City Treasurer, an[ is
subject to revocation for violation of applicable provisions of law.
This is to certify that WilMer F_qylS
has permission to build aa Sax-an d in pGxch ace-ording to plaus 2"W"I"Od
Classification Residential Zono i
Owned by WilMer Envlc
Lot Block— S/D
House No 30 Saratoga Circle North
According to approved plans which are part of this permi�
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
.4 0-01 4-10. 0 Building material, rubbish and debris
Zfrom this work must not be placed in
public space, and must be cleared up
and haxiled away by eithel�"actr
or owner. 6
Bill 1�, avis
Building Official I LiUJ I
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
Date._
Permit i...Y.322-yee
CITY OF ATLANTIC BEACH -Z410-
valuation ..........
6
FLORIDA Iffouse
APPLICATION FOR BUILDING PE IT
Application is hereby made for the *pproval of the detailed stal ement 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 F16rida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Bomb, shall be compiled with, whether
herein xpecifled or not.
The Contractor or Owner-Builder who has been Issued a BuMinir Pern-dt is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed In the City of Atlanfic Beach,Florida. To prevent delay or embarratment regut-
Ing intermediate or find Inspections It In suggested that a list of xub-contractors be submitted to this office so that licanses can
be veribed.
19 80
Wilmer Earls 30 Saratoga Circle�orth
Owner..........................................................................I........................Ad(ress......................................................Telephone Xo_24b.-7..1.91-_
Arch.ltect...............................................................................................A&ress,
Contractor Builder.........A911mex...Ear-la--------------------------------------Ad(ress........30 Saratoj(za Circle -7191
.........................................14ri4jobeas No.?A6
LotNO...................................................Block No................................Su Division..............................................................................zone...............
............................................................Streert..........................si( .4 ....................................................and........................... .........Sue.
Valuation $....6.00--00-------------For what purpose will building creened Inloy
be u6d._�......................... ....... Jps Of construction...!o.od/.s cr.een
.................
Dimensions of Building___10..x..55----------------Dimensions of Lot........ ..................................._.Size of Footings.................................
Size of Plers.... ......................Size of SIN................................Grmtefft SIU Span in ft------------------------Type Root...........................
How will Building be Heated?...............................................................Will Building be on Solid or Filled Ground?.........................---
Size of Calling Mats........................................... Distance on Centers............................................ Great� W
Size of Floor Joists............................................... Distance on Cente .......................................... Greatest SpwL............................
Size of Rafters......................................................0 Distance on Cente .......................................... GrGMAMt ............
This rectangis Is to represent the lot.
Locate the building or buildings in the
Zri ht position. Give distance in foot from
lot-lines and existing building&
REAR L40T UNE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
I. When steel Is in place and ready to pour footing.
t When steel is in place and ready to pour columma&Wor lintel.
S. When steel Is in place and ready to pour beanL
4. When framing 12 complete&
S. When rough plumbing Is completed,and ready to cover up.
6. When septic tank drain field or sewer Is laid but before it I i coveied.
7. Electrical inspection by City of Jacksonville.
L Final Inspection.
Note: In case of any rejection,re-Inspection c for
corrections are--A* MUSTbe alledfo"Mr
In consideration of permit given for doing the no as desc ribed in the FRONT OF LOT
work in accordance with the attached above statement, we busby agree to perform said
plans and specificationi, Wbich an & part hereof, and in &ccord&=s_wfth the building
regulations of the City of Agaptic Besch.
Signature of Builder- Address-.-.......................................................................................
Signature of kress...............................................................................
-------------------- A4
00 Le lc) oFeA �t
6,e w,,,,
cam
(c vat I
I kA 70o
APPROVED
BEACH
CITY OF TL N TIC
P U,I i- OFFICE
919 yo F- V-5 C)"f
F
—Tv
T7-j
cp
APPROVED
'R7 -----
CITY OF ATLANTIC BEACH tA
BUIL NO OFFICE
ri
,—l !
SA(l
Me,
ef
1DEPAOTMEN7.
Ciry OFArLANTIC
BEACH,pL.R'D
PER
THIS PERA4/1w1'r To BUILC� PERM
TM1JSTBLcpOSTED No. 5557
valuation$ r Date ON JOB
P 19
This ree$
subjec not Valid until abo., 60
t to r"oca fee has bee
tion f.. i.lati 11 Paid to
This is to Cer�.f On Of apPlicabl, ter,and is
I ns
tha t C P law OUCA
A
has L
Permissiol] to low
lassificatio P vrenj
S 2
Own'd by LY
Lot
ne
Housc No. -310
Accolding to appro Bl-,k
ed plan, h,i:h 11 D
-,e Part of this Pe"n t
C)TICE_'4LL COIV
A)
SP C FOOTIAfGS CRETE FOR S
TED BEpop MUST BE Al
PERMIT v '13 POUP
AFTEp O'D SIX M'jIvG' IN-
0 Bui.d- , DATE ONTjjS
z Ing mat - OF ISSUE
f Iron th- erial, rubbish
in JS Worl, jrn 'St and
Pi blic U debris
up a. 'Pace not be
"It' - ' !d hall1d' and znust be Placed
'aWC r or 8waY b cleared
ner Y either c
on-
use
FOR 0 'C
ONLye PERM
IT
NUMBER
PLUMBING DA-re Buildin 0
ELEC7-R'CAL CONrRAC7-OR
SEWER
WAIrER
-"VOR. 61prier. V60, MY
Date
vti
�Cl* DUCH
OF),
Permit Fee
rMit Valuation "ILA
House
avid,
S,0t1r4r,2& 190a'd
to
(state repoiri, *It,eri ;,add to or move, building, erect awnings
r-o ei' ne etc.
9
ing Blk No. Div.
Sub
ti
_ZZ KW1
or"s
04
Building Use ReWentiAl or Business d=zaawr"A� 1
rt Plumbing, wok�.�,to b6l*ne�_��,,,W. 4_r _1 -,4, -4
lit of Present 814g,* size I�f xktAhbion
t size .410 mat6tial f Roof
f
-e
- , of st�o*ie after allted
Mat
t 0*4101efat Building terial of Zxtens4on—a4-10.2"
erial of
SUMI
T I M_ , I Aim
tljoffi, WS MI
j
SIrNS
ze
Classification
-,(state vihether ground, roof, wall, projecting
banner)
Material of Const
-0 ation
Illuminated? Type, � ill;min '
(Stat whether lamps :or
Xill sign be over��public property?
SUBMIT :D-RhWING
SWWING, CONSTRUCTION 0 SIGN AND MLITHOD 'Or RANGING
J
DDITIONAL IM, TION, aftow
(For ..0, nvas.,.#wnings , provide dimehai '*d- liavit", on reserytsid
Azg
WPORTANT TXCj3,:
In -consideration of permit -given for doing the worlt as described
in the� abo stat�ment, we hereb� agree -to perform said worit in
accordance With ttt
ao�!he4 and ciftea s,, Wh i cb are a
plans tion
;rt hereof, and�� n, accordance wliek the , ilding regulations of the
tylof -Atlantic:� ach. *Southern At nda d il tO Code)
Signature o� Builas W,
Afdress Phone Z?
340 44
17,177012"
ly
or Polk Opp
19
CITY Or 4p VWRZDA Date
Permit # PF
$
at valuation $
AV
'plic #
foT Misc A: teir se
Hou
and
-7
T *,-
Za it/
ESCRI
V, 1
to ot movebuilding, ex�Oct awningal
state *0
or sign etc.),
uilding On L41 Bik So.
valuation �jjjjj=460
A 1 11: -u $�L
, ddress �417
er's Name
BUILDINGS
'se a
Building U 'i, ness
'k-t_ b1d: do"he?
bat p luml ing wcr 6
i�lsize of P3,00ent of R*tens
""Lot size� �wi_VI 1 -1 fu+�erj;al of 1koof
�,�,,No. of a after
k4, r 1 0 f ftte
rl no on
,,Material of present 'Bu, -14ing ,
g"W.S g s#MI=ED 'H!8EMT_R
SIGNS
k
Classification
(,state vhetber g ro wall, ptoJeicting
rouggnwr):
b
Material f Con$Itructibb
Illuminated? illuminAtim"
e Sr oi, ne6rj)�
r Amp
sign�,be 0#4 1:,public pr40-rtP----A—
SUBMITI� DIMWX)KI; SHOWING dbN6VRtYCTI0# OF 83:0S AND, METHOD,PF HUGIM
MUTE, ADDITIONAL INK MATION, BELOW
4 d
(Pori" wi�nioqs, provide dimew ione rawing on r*serve s ide)
IMPORTANT1 IC
In co:n�%e ation of permit given doing the work 4jv-described
re to perform said wo* in
in the above st �qment# we, hereby agre
�,�,aL' CCordando the attached plans and sj�recifitations whi4�h�are a
with
of
regUlatio the
in accordance: with th building
rt hereof,
ee $
tE
C# - 0outh Stanc a ' Bvxi n
of all 3. Beach g Code)
j
r� Own
turt of SU d4
or
hone
r es
CITY OF ATLANTIC BEACH
APPLICATION FOR PLLMBING PERMIT
OWNER'S NAME
LOCATION
i ZY
MASTER PLUMBER
STATE/COUNTY OCCUPATIONAL LICENSE NO.
CERTIFICATE NO.
CONTRACTOR
TYPE OF BUILDING
SINKS ISHOWERS
/ WATER HEATERS
LAVATORY
BATH TUBS -----DISHWASHERS
URINALS DISPOSALS
-CLOSETS _WASHING MACHINE
FLOOR DRAINS --OTHER
TOTAL FIXTURE OUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT
EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
APPRO '"' ED
I _1C '��EACN
CiTY Orr ��i';-,N ,
F U I L 1)1 N G C,IF 7 i C c
993
A 2 10
C i It'y C
.4,
Office oi Building Official
REQUEST FOR INSPEClFIO
Date Per it No.
Time A.M
Received P.M.
r—,r C
Job Address Locality
owner s
Name
raclor -ITI-c-c
BUILDING CONCRETE E L E CT R I Ca'-'s PLUMBING MECHANICAL
Framing Footing Rough Wiring I Rough Air Cond. &
Re Roofing Slab Temp Pole Top Out Heating
Insulation Lintel Final Sewer Fire Place
Pre Fab
READY FOR INSPECTION 6�
Mon. Tues Wed Thurs. Friday
Inspection 17- A M.
P. �
Insp,clor F n Inspection
x
C ')cate of Occupancy
Dea I
FLORIDA
CITY OF ATLANTIC BEACK
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE*-�-
IMPORTANT NOTICE: R DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
IN CONSIDERATION OF PERMIT GIVEN FOI IFICATIONS,
WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPEC
HEREBY AGREE TO PERFORM SAID NCE WITH THE ELI CTRICAL REGULATIONS, CODES AND CITY OF
WHICH ARE A PART HEREOF, AND IN'ACCORDA
ATLANTIC BEACH ORDINANCES.
Jouanymm
ELECTRICAL FIRM: MASTER F:LFCTRICIA-1 ATURE
So 6/1(�' �J' RFD-BOX-
ADDRESS:--�
NAME-----
BETNEEN:
BLDG.SIZE APT. COMM.( PUBLIC I INDUS. NEW ( OLD REW. I
RES.(* SQ. FT.
ADDITION ( TRAILER ( I TEMP. SIGNS I FEE
SERVICE: NEW( I INCREASE t/)� REPAIR (
CONDUCTOR SIZE AMPS ZO(D COPP R ALUM.
OR BREAKER AMPS PH W d,0VOLT RACEWAY
EXIST.SERV.SIZE AMPS pti W 24-�� VOLT RACEWAY
FEEDERS NO. - SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED CPEN TOTAL
CONCEALED OPEN TOTAL
RECEPTACLES 0.30 AMPS. a .100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMP5. OVER BELL TRANSF.
APPLIANCES
AIR H.P.RATING H.P.RATING Tl KW"-
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEA
0.1 )VER PHS
PHS No. H.P. VOLTAGE
MOTORS H.P. VOLTAGE
SCELIANEOUS T?
MI! ..........................................
C. -iu— Zoo
TRANSFORMERS: UNDER 600 OVER 600 V.
7—
KVA NO. lKVA
SWITCH FLASHER
NO.NEON TRANSF. VA. MA. MOTOR SIZE
EACH SIGN
FORWARDED
$ �',� -61)
TOTAL FEES
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
owner(s) :--. M&E-L, EALLS
Rddress:--,1-) (-S��QzL64 AJ, Phone:—
Lot #-, Block or Unit -Subdivision:
Contractor: ART.TNr. R FINQ- TMr-
Address: 1441 CESERY TERRACE
City, State and Zip JACKSONVILLE, FL. 32211 Phone 744-8888
State License # RC0023962
Describe work to be performed: RE-ROCF:
Valuation of Proposed Construction:_ -2,3
Materials to be used:
Signature of owner;
Signature ' of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
4cense Information