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CITY OF'
tq&4a& Be=A-194%A&
of f ice of Building Of f 10 11
REOUEST FOR INSPEld[TION
Date mit No.
Time 1J., A.M. 'bil itrict No..
Received
Locality
owner's Job Address
Name L�Lz — — tor
BUILDING CONCRETE 7-1�jC!!T�RICAL PLUMBING MECHANICAL
RoughWiring 0 Rough 0 Air.Cond.& 0
Framing 0 Footing
Fie Roofing 0 Slab Temp Pole L1, Top Out 0 Heating
Fire Place
Lintel Pre Fab
READY FOR INSP"� A.M.
Mon. Tues. Wed. T Friday—P-M-
Inspection 7e��
Made
Inspector Final Inspection 0
Certificate of Occupancy
n"CDate
CITY OF
office of Building Officilill
ii
REQUEST FOR INSPEC i TION
Date PO mit No.
Time A.M. Dilitrict No.
Received P.M.
J- 5— y-e-, &��7W
Job Address i Locality
Owner's Contractor
Name MECHANICAL
BUILDING ONCRETE ELECTRICAL PLUMBING
Framing 1-1 Footing RoughWiring E] 1! Rough 0 Air.Cond.& 0
0 Heating
Re Roofing E) Slab Temp Pole D. Top Out Fire Place 0
Lintel El Pre Fab
#00f"I "1 R DY FOR INSPECTI�)N AbL
Mon. T Wed.. 144, Thur Friday
A.M.
P.M.
Inspection Made
Final Inspection 0
Inspector-
Certificate of Occupancy
Date
9TY OF.
AeacA-A'M4
OffIc8 Of Building officis
Date REOLIEST FOR INSPEC-ION
T I Pero!It No..
Racal Dlst�: No.
Job Address ------
Owner's
Name
L
C NCRETE
ti g
B --T (3
UILDING CONCRETE ELECTRICAL PLUMBING
oo
Framing F ting
Re Roofing ED 1 0 Rough Wiring MECHANICAL
Slab 3ough 0 Air.Cond.&
Lintel 0 le�m a 0 op out 0 Heating
Fire place
Mon. READY FOR INSPEC pre Fab
"ll-ADY TION
Tuas��'�
Tues. Wed. Thu Fri A.M.
Ar Frid
inspection Made V�ay_
2, A.,VI P.M.
p
inspector
�l.........P—lion
ertif icate of occupancy
IN" )ate
FOR OFFICE USE ONLy
Date---//---,.;LC)
... .......19
s3e-),et
CITY OF ATLANTIC BEACH Permit ....Fee$... ...............
Valuation $...
FLORIDA -------
House
APPLICATION FOR BUILDING PERM�!T ............................................................................
............................................................................
............................................................................
Application is hereby made for the -approval of the detailed statemei t 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 i)f the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of Oe City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Buildinj Permit is automatically responsible to ascertain that all sub-
contractors engaged by him'�are duly licensed in the City of Atlande Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of stb-contractors be submitted to this office so that licenses can
be verified.
Date.....................&_—.26............................. 19...20
Owner------D-c)N---,F
4.se>/Y ---------------------Address'!.2/.q,7----OAD----KIM<---RO.-Telephone No-2..V–
.... ........... I
Architect.----4zcu 1Rr-a_4h.v
--Addres&l - -----&_P,0---------.--Telephone
F---- -------_A400k,&---Telephone No--------..........
Contractor Builder I.-/�----------------_----Address.'---
Lot No------------------------/_7------------------Block No------- ---------------Sub Divi #---Z....Zone......I--------
Valuation $--- -----Street_-----SDW-7YISide Between...A t 4.1-1--A-947-- AD-----------an d.. 4_Ff_11.q.....P4..........Sts.
_&Z10---------For what Purpose will building be used-_1?-Z:!;Y-0,C11&F._..Type of construction.._C4zYCt-_A4/4-
Dimensions of Building-----ak- -----Dimensions of Lot--.-. I
---------------_----Size of Footings......... --------
Size of Piers..----..........----------_------Size of Sllls�-----------------------------Greatesi I Sill Span in ft--_-----_--------------Type Roof.5" 6.4,E-----A.15_
How will Building be Heated1_---&.14---_/
.4r,6
_7........................Will Building be on Solid or Filled Ground?............................
Size of Ceiling Joists-_7_Av__5�5r.,.5-------
Size of Floor Joists---------- Distance on Centers.............. .............. Greatest Span............................................
Size of Rafters--.-.--- --------_--------------., Distance on Centers........ ----------- .................., Greatest Span...........................................
---------------------....... 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.
Two copies of plans and specifications shall REAR LOT LINE
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. PQ
2. When steel is in place and ready to pour columns and/or lintel. N
Z Z
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 cov�i red.
7. Electrical inspection by City of Jacksonville. M
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, w1+h are a part hereof, and in accordance with the building
regulations of the City 0��tlantic Beach.
Signature of Builder..AL1.04-----i�....... A�dress.....2��V,7 'or;
Signature of Owner..........
.................---------------- A4 dress....................................
50 4
DEPARTMONT OF 9 JILVii4a
CITY OF ATLANTIC 315ACH
ERMIT INFORMATION ------ -- -----
1,0CATION INFORMATION
wit Nuotbor: 5094 Adcr
east 55 SARATOGA CIRCLE
mi CT*XICAL ATLANTXP SEACH, FLORIDA 3223
3
*0-b Work: NF, LEGAL DESCRIPTION
tl�,, tYpv; �CO CRETE
Lott Sectiont
d U*e t, R19, igi*xONAL
Pone
Tovosbipt Rmst 1)
od
in Sut d,i
vision I
TiAst4d :Val Ue-1
�*0.00
_T,
pr
�00.00
Total
*35.00
Alsou
*a5"60
�d 14M
_Q
;Tk"
V
ATI A PPL I CAT I ON FEE
ON
PERMIT
GA CIRCLE W
A IMPA FERO" *0_0
FAR
Ro- FLORI
A
'546
so.
R. S., 0
RADON GAS
RADON GAS, - 5%
'Name; URT
=TRTt4__ W
ATER; TIAP-1.'.
'SEWER TAP *0.o
4LE; FL 32241 IC SHARE
HYDRAUL, $0.
0 i
XT FEE
SM it IMPACT FE ..
0 HER
FOOT'I t
NOTi'd FqR*SAN0 4GS Utt, a T
"t COA
�T E INS09C, '9 BF.0
0-
ORO POURI[Ne
PtRri0TV0'p w moNTHS,AFTE A DATE 0F1SSUE`:'
'BUILDING ATERIAL,AUI§0J,SHM6b
46AJS,FR0M,TH1S,1W, 0RK ML ST NOT BE P1.A0fDJNPU6LIC-SF`ACfi AND MUST BE
tL AgED UP AND:HAULE-D A� Y SY,EITNER'CONTRACTOR OR OViNER.
LIEKA N:,RE-SUL IN
,T� AW:CA
Y'W'TH,THE ME ' IC,
Na
THE,
F
9a
ACCOR To Af 46 -0
PP V!Eb. ,L4N6VHICH ARE,PART OF THIS PERMIT.Ak
UBJ
A' N
OFAppLi a k,
OF LAW
c
c
&
G DE PART
WENT,
CITY OF ATLANTIC E EACH, FLORIDA
^pprowd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING Tf E WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE NITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICI'AN�IGNATURE JOURNEYMAN
NAME. ADDRESS: c (a-,
RFD-BOX_
i
I
BLDG.SIZE IIETWEEN:
1 1 i
RES-jr)' , APT.( COMM.I I PUBLIC I INDUl
( ) NEW( OLD( I REW.
ADDITION TRAILER TEMP. SIGNS f I SO. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS IER ALUM.
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED loPEN I TOTAL
RECEPTACLES CONCEALED PEN TOTAL
SWITCHES 30 AMPS. 11-100 AMfSd
INCANDESCENT
FLUORESCENT M.V.
FIXED . 0.100 AMPS.r PYAR
IANCES
APPL BELL TRANSF.
AIR H.P. RATING H.P.RATING
CONDITIONING COMP.M07 AOTOARSA PS CEIL HEAT: KW-HEAT
0-1 VER
MOTORS H.P. I VOLTAGE PHS No. H.P. VOLTAGE PHS
MISCELLANEOUS '�2
TRANSFORMERS: UNDER 600 V. OVO 1 R 600 V.
NO. KVA -NO. lKVA
NO.NEON TRANSF.- [No. MOTOR SIZE f SWITCH FOLASHER
EACH SIGN
FORWARDED
TOTAL FEES
BOUNDARY SU11W MAP SHOWING
'y 0 F LOT 17, BLOCK 3, ACCORDING TO pLkT OF ATLANTIC BEACII VILLA UNIT NO. 2, AS
Ild"CORD11111) Iti J)LAT BOOK' 31 , PAGE, 13 OF TllE CORRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
C'ERTIFIE1.) TO: NAPLENI" J. TUCrER, AMERICAN 110ME FUNDING ND PROFESSIONAL LAND TITLE SERVICES, INC.
(A
3
IA*l
z-
'y
N esE��I
Xt
kj .4 1//
-------------
X
fv_
�v
Is.
k
4z 05a
X
N
l2r
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0. 'Bt
MAR 31992
'gl
*uilding and Zoni
WAVERLY J. RAY ASSOC. INC. LEGEND
PROFESsiONAL LAND SURVEYORS SEA RINGS BASED ON �2--
47
38 EAST 17th STREET PRO'JERTY SHOWN HEREON LIES WITHIN
FLOX)D ZONE
P- 0. BOX 3280 FLO�)D MAPS _AS PER F.E.M.A.
XOMMUNITY PA
JACKSONVILLE, FLA. 32206 0 ET IRON PIN OR P D A T E D N!�IAui MDER
A T41
4 04-3 5 3-647 6 UND IRON PIN OR PIPE
0 ET CONCRETE MONUMENT
RE13Y CERTIFY THE INFORMATION DEPICTED HEREON TO BE 0 F UND CONCRETE MONUMENT
0 E
U
T
N
IR
D
0
0 1 f
N
1 0-P I-
NN OR
P IN 0 F
0 E T Co NC R E T E M 0
a F U ND C 0 N CR r T E I
H I N .
6 9 T WOOD HUB ak TACK
OMPLIANCE WITH FLORIDA STATUTES, CHAPTER 472, AND X 0
MEET, OR EXCEED, THE MINIMUM TECHNICAL STANDARDS x CROSS E CUT OR DRILL HOLE IN CONCRETE
L;;ri u SU VE Y I N G, F Lofil DA STATUj-C�,'�� N C E
LAND SU VEYING, FLORIDA STATUTES, CHAPTER 21HH-6, FENCE
1) / e
JOB No. /-/7elc I
D A
TI tT
DA CER FI NO
�ORIDA CERTIFIC T ...
HARLI A E NO. 3 7 71 D', 3 M AN
MAR
OATCHER
NOT VALID UNLESS SURVEYOR'S OFF S�EkL IS- EMBOSSED HEREON
I C
I) co u -1) -11
rri 0 --1 J (D
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0
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iaxwnk
46 t
A I
.........
LIP;;
Pill
Ji
3/13"110�3
WIN
Deep
NTO
YA N IT'S
MAO
0 PLA.4
Ivelp
Swimming Pool
Ouilt fur
rjN
141�
NOTICE OF COMMENCEMENT Sem1nole Forrd,409
FLA. 1977 LAWS - FS713.13
Return to: (enCIOS6 3elf-addressed stamped envelops)
NM
Aftus:
ThI3 In3trument Prepared by'.
Addrus:
Property Appralser3 Parcel Identification (Follo) Number(s):
SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA
Nottficle
w4om: tt mall concern: (PREPARE IN UPLICATE)
The undersigned hereby informs all concerned that provements will be made to certain real property, and
in accordance with section 713.13 of the Florida Statute the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal'Description of property (include Street Address, if avallat�i le) Q54,1e,4776 6A 61 R'c I ':�...............
........... ......
-7 (9oc_&__,3.
.. ..........
............
.. .................... ... ....... ... ............. . . ..... ..
...........I........
General description of Improvements 1Ajq
............ ............
...........
Owner 7-0 c-kefE�<,�
X�
Address
t 21,�a...... ....
Owner's interest In Site of the Improvemen
Fee Simple Title holder (it other than owner)
Name ...... ......
Address . .... ... . . ....
Contractor /4�. L.-5 .......
Address :3. ........ .............. ...
Surety (if any)..... ...... .......
Address Amount of bond $ .......... .....................
Any person melding a loan for the construction of the Improvo i ments:
Name ........ ..... ......................... . ... .. .... ...........
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name .......
Address ........ ... ... ... ...............................
In addition to himself, owner designates the following p�i rson to receive a copy of the Lienor's Notice as provided
in Section 713.13 (1) (h), Florida Statutes. (Fill in ot Owner's option).
Name .........
Address
Scott Elliott Raineb
g�IIE �Ni FLORIDA (,e
My �Expwvq3 Wwner
80
DED av C�,K–
Sworn to and subscribed before me this d of —19
Notary Public
DEPART49114T OF 91 11LAING,
A14TIC 1 leACH
CITY OF ATL
'LOCATION I NPORN
ftill"`INFORMATION ------
WA I Lk",
44 dd ream s
Peroit� Numbs A
04 itk BEA 01 "PLO DA 2��3
ATLAO
In , POOL
_Per*Lt Ty;o:
busc IPTI
class of
N STE Lot 17 '4
Tyf CO
P-roposeid, U#ei Sl FAM'ILY
Sutdivioio
F.07"o4ted V luel
oat: *0,00
$30.00
$30.00
5/9
2
WINNING POOL PER f'LARS
ro,
ILICATIOX,*ZE,
wo
MATIC irl v I i;
PERMIT:— :*30.0
WATER iMp
'Add"
3
Ph ?4,�A
RA W
RAD N,,'044
1ATION
VATER :T
Mae I
v*P_
00.
jACK, LE FL, 32216
t
Type: 0
40
SEC. H �IKPACT_�PIWW
-P
LL FORM$AND FOOTINGS M LIST BE INS,F
NOTICE A
TE OF iSSUe-
PERMIT VOID SIX MONTHS AF rERDA
AND DEEIRIS FROM TH IS WO
RK f IUST NOT Se PL�
'A *y BY,,,EjTHER CON
14 , LOA*'
u
TRA00R,OR OWNER
Ocs Us,N-�J� WWI
MPLYNITH THEVECPAI
El TO, C_01
P ER"UtR PAYING TWICE FOR out
AP -D-,PL N W
R "'Tol,"i PROVE A S HICHARE PART :)F THIS PERMIf,"AND,
ION$OF LAW.
000VIS,
Z R
L
A AA
."M
EPA
By
z!�F- 3 5
Afy
CITY OF ATLANTIC BEACH
APPLICATION FOR PDOL PERMIT
Job Address �3�,4 7Z) �pl le C,L
Lot # Block # -Subdivision
Owner 710C_(e�5_4'�
Address Ar/Le�77 C_
Contractor A0 L-'-)
Address z
License Number 79 Z i
Valuation $ Gal lons
SITE PLAN
front
En
(D (D
rear li
Signature Date
Owner
3N
Signature Contractor Date- 3
Sr.ott Mott R0'f%G$
TE OF FLORIDA
cam ExPWV93,.
BoNDED MAR 31992
Building and Zoning
DIIEPARTIVIENT OF SU LDI NG
TIC
CITY OF ATLANTIC
Awl
Lac
Orm"IT 110'OkOATION"
37 ddr 1: 55 S
A *T`O�GA CIRCL R
r ATLART11'C'
m,�.t Typep s
LEG", DESCR PT=!l
Wo�rkll: ALts*Altlou
Lbt t sloo t
Cdi-totr- typi- R/A.,
flll*t 'iookl , I P4
90-
Pr
SUbC JVJVJ
c4ok
0 ' 102
Txo
f avel 140LOR
40'00
C4 16t I
40c", it
00' ' Add
Tot*
40
*2 00 ATUOT,1,C SE
A.
Pt�6ne: 4904
ov"
*6-rk 0
L
Ll Tici*--p
AIR
ATLA V, i A
WAT R 1 IN ct
SEW R T
al
RAD 9 GAS
rfig -
A
' WAT R TAP, ,
iZ
SEW R ,TAP
jcw
..........
IIYD Av
Q
ftE- "SPECT FEE
""I
No NERRING
Ab litsn
S
ow
NOTES:
Po
RETE FORMS AND FOOTINGS Ml JST BE INSPECTED:0�FpR t!PJN�'�'
Nonce ALL
PERM VOID SIX MONTHS A 'ER DATE OF IS I-
F SU
�OQ6,QO SPAC
�FROM THIS WORK N U.ST NOT
EBRIS BE PLACED IN ,
R IAL,RUSB,�Sri'AND'D
.,BUILDING MATE
CLEARED UP AND HAULED a`YgITHELR CONTRACTOR OR C WNER. -
Aa a
IT NICS9
OJ'C' LIS LAW�
H, THE IMEC
P"'V'! ''N":
�04
N TWICE, OR SUI
'FOR ,
op
E6 THIS PERM-I'T.AND,SU `R"ATIC
!RoV -p
ISSU pp,�
ML n A$PNS OF LAW. 'C'70
LAN$WHICH ARE PART )F
OV
S T
'N
000175
DEPARTMENT OF BUILDING
CITY OF ATLANTIC E EACH
N R 0 Al''O"I m LOCATfON tfiFORMATION
�1,3ARAI'CO3A CIPCI-A' NOPTH
t 1'�, M A 141(..'-A 1, ATLANTIC PEACII, PLOF11101:-
LAGA.L L�F.`!-3CRTVTlC)N
0,;t le ALI F'RAT DAN
FAMILY P
.1 v�i
OWNE;k INPOH"ATTON
MAR'LLNE' TUCELE'ff
T 2 fJ jo A 0 1 SidiAll)GA CIRC�LE NO,�P-rk
A 'VTLANTIC SLACH,
*J, tj
pAid 1 , 12 A9
7, 7
ikPPLtCATION
AUA�,4if 8t-ATl,,tR0 t AtR f T i�120. OV4,
W AT E R t tl P A(-"r P'L $0. O�V
F,W,ER I fif`�AC-f PhIlE A.0
W ATV 4 M 1,�`T FR
PA14"IN P,
RAOUVA 0 A�3 '-t!'? 00
w AT C 1`� 'I Ap GO, 00
I-,'W f-',ff T A F.,
f 1Y P V.A U L t C '�J I A R E' 0()
NOTES:
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR O"NER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.951-�
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIO4 FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLA-N TIC BEACH BUILDING DEPARTMENT
By:
10
BUILDING AND ZONING INSPECTION DIVISION ?i
CITY OF ATLANT1 BEACH
ATLANTIC BEACH, FELORI 32233
APPLICATION FOR MEC ANICAL PERMIT CKLL-IN WJMBEA
IMPORTANT Applicant to complete al items in sections 1, 11, 111, and IV.
Street',Address:- 70�6?'0 0140 .
LOCATION
OF Infersii!ciing Streets* Between And—
BUILDING
Sub-di0s an
11. IDENTIF'ICAT ION — To be completed by all applicants ,
In consideration of permit given for doing the work as described in the abo e statement we hereby agree to perform said work in accoidance
with the attac4d plans and specifications which are a part hereof and in 4ccordence with the City of Jacksonvifle ordinances and stalrdards
of good,.practice listed therein
Name of Mechanical Cc 1fractors
Contractor (Print) MA$for
77t- *7
No
me of
Property Owner 4gle!te- 7le-A'a jZ
Signature of Owner ;i Sil nature of
at Aothoriad Agent Ar,hitoct or Engineer
1111111. 094MAL IN*MATIOW
A, Type!!.,,4&fing B.
IS OTHER CONSTRUCTION WHO DONE ON
THIS BUILDING OR SITE
[3 Ges-0 LF1 0 Natural C3 Central Utility
IF YES, GIVE NUMBER Of CONSTRUCTION
0 on i I I I
PERMIT
13 0##W Speciff
WOA,',
IV. MW*4ANICAL @�UlFkWff TO U INSTALLM NATURE OF k
Compiete lio of components on beck of this fariin) 0&, Residential or Commercial
Meet E3 Space 0 Reamed A�C4AftW 0 PAW Now Building
92!�,Existing Building
fi"r Comillifiminw E3 ROOM 13 Confrof
EX Replacement of existing system
C3 " System: U411041 Thicknem—
Now Installation(No system previously Installed)
1 Meelmum capacity
r
0 Extension or add-on to existing system
0
C1 Other — Specify
Cooling lewor�l Capacity
C] Fire *AnM*n:l Number cill'
0 Elevator 13� Monliff V &"late (numb-or)
THIS SPAM klift 011110= US Of&Y
G000lino purn —(number)
(3. —11number)
n. vo conw jnumbar)
Uot"d prosoure volm
Parini* Appmviod by
C3 Boom
O"W — Specify Permit he
7
PST ALL ZQOPMENTi
AJlR CONDITION*G AND REFRIGERATION, EQUWMENT
C*md%Y AnnrdW
Number VOU D"aivuelft, Modd Number Itemdactulfer (Tow-
#?E&, 076 R A.
IF
MATING - FURNACES, BOILERS, FIREPLACES
C8VO4ft A
Number Un* Duefua= 31011"Number w4wiftetom Mmil'
TANKS
SW K"Y T"M Ll"" Nan I Cc
0ontal"d WanvA stow No.
CITY OF,
Be4CA
OffIC8 Of Building Off clal
Date REQUEST FOR INSPECTION
Time
Received A.M. �ermlt No.
P.M. istrict No.
JOD Address
Owner's
Name Local!"
BUILDING Contractor J1
Framing CONCRETE ELECTRICAL
Re Roofing 0 Footing El PLUMBING
0 Rough Wiring D MECHANICAL
Slab El Rough
Lintel TeMP Pole 0 0 Air.Cond.&o%A&00'-
El Top out 0 Heating V-17
Fi place
re
Mon. /Tues. READY FOR INSPECTIQ;N Pre Fab
Wed.
ur
inspection Macte -Jlo 1�� Friday
A.M.
inspector P.M.
Final inspection o
Certificate of Occupancy
Date
4.
APPLICATION FOR 14ATE CUT-I14
TO THE CITY OF ATLANTIC BEACH:
Application is hereby made for 11,6'�,,2_ water cut-in
its
at the following address for uni
Cut-In charge of 0
Street No. C19:5zlle,_L�i4ez_,�,
Block subdivision
Lot Z2
Ordered by:
OWNER
Mailing Address:
DATE
ACCOUNT NO. jyl�r�
METER 110. DATE, INSTALLED:
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CITY OF ATLANTIC F3ACH
APPLICATION FOR SEWER CONNECTION
PERMIT
NO. DATE
LOCATION 2-4
1:2-�--"",TREET
LOrT No. :
LOCK NO. 3-
SUF.-DIVI�ION
OWNER
TYPE OF PUILDING
NST
--W�m�S T
NS
ry
INSPECTER� __���7-- Y
U-ILLED
ACCOUNT
00
FOR OFFIC� Ur ONLY
Date------41-a4w- _3----19 ......
X_K�v
Permit #-_--------------------Fee$...IJ--)..:7?!n
CITY OF ATLANTIC BEACH Valuation $..� -a----4.3.0..4�)----------------------------
FLORIDA House #.... ... .........(�"�
............................................................................
APPLICATION FOR BUILDING PERMIT ............................................................................
............................................................................
ed for the
Application is hereby made for the -approval of the detailed statemer t of the plans and specifications herewith submitt
building or other structure described. This application is made ir 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 t1 e City of Atlantic Beach, shall be complied with, whether
herein specified or not. atically responsible to ascertain that all sub-
The Contractor or Owner-Builder who has been issued a Buildinj Permit is autom
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verihed. Date-----------_--te_...—------- ---------------------------
..... ------
-------------------------Addres -----Telephone No.1Z711 v#o
Owner-------- ER------I---------------
---------------------Address.--------------------------/--/�---------------------.--Telephone No---------(.-f...............
Architect-------------_----------------) .....................---------- ..........................Address-------- _--------- ------------------------Telephone No---------I...-------------
Contractor Builder---------------------------------------------------
Lot No_----- --------------------------Block No..........3--------_------Sub Division..,4-;U, ---zone-_---------_--
......Street-------------- ---------�Side Between----------------------------------------------------and------_--------------------------------------------Sts.
used-_155))SV411F�Type of construction...,qd.-S-a-,.,(/..4'10--
Valuation $---/Ir-A-00---0......For what purpose will building be e /
//3-- — -------Size of Footings------
Dimensions of Building---- 174------Dimensions of Lot-----
Size of Piers.---------------------------------Siz lis..------------ -----GreatE st Sill Span in ft.............. .......Type Roof-----ZT- 4.5-SFOr
------------Will Building be on Solid or Filled Ground?........
How will Building be Heated?--------- 10
Size of Ceiling joists----------------------------------------- Distance on Centers........... ___.........................., Greatest Span--------------------------------------------
Size of Floor Joists---------------------------------------------.Distance on Centers... ..... ............................... Greatest Span.------------------------------------------
Size of Rafters----------------__------------------------- 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 -73—
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. 4
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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 overed.
7. Electrical inspection by City of Jacksonville.
8. Mal inspection.
Note: In case of any rejection,re-inspection MUST be called for aftw to
corrections are made. 5 A-RA r,7'R'�,
FRONT OF LO
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach. �4
lop
Signature of Builder......... :Z�'.... Address--------_--
Signatureof Owner----_----_------------__---------------------------------------------------- Address---------------------------------------------------------------------------------------------------