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CITY OF ATLANTC BEACH
APPLICATION FOR FL BIND PERMIT
PERMIT NO. Date :
LOCATION Str6et
LOT NO . BLOCK NO, S/D ctV ney
OWNER
MASTER PLUMBER
Bldg.
BUILDER OR CONTRACTOR PermitwDlo,,�
r
TYPE OF BUILDING
LAVATORY % BATH TUB URINALS o2 CLOSETS
FLOOR DRAIN: SHOWERS / WATER HEATERS DI SHIASHERS
DISPOSALS OTHER --
TOTAL FIXTURES g x{1 ,00
NO WORK MUST BE DONE UNTIL A PEMTIT HAS BEEN PROCURED
PLANS AND SPECIFICATIONS must show a plan and description of the
size .aiid location of all the soil and vent pipes, and the number and
location of all fixtures , (in accordance with Ordinance no. 188 of
the City of Atlantic Beach, Flurid ) must be shown on back of appli-
cation and be approved by the Plumbing Inspector.
DRA9 PLAN AND SIECIFICATION OF ABOVE PLUMBING ON BACK.
hpprove by
Plumbing Inspector
Date
(FOR OFFICE US ONLY )
ROUGH-IN INSPECTED5 _ Z- REVARYS��
FINAL INSPECTIQhT:_ /�--11' ' CERTIFICATE ISSUED:
E
k..
FOR OFFICE USE ONLY
Date-----/?7cU.-..--..7......19 7�
• o0
Permit #..�-`I-.:3.----Fee$.... ``......._.__
CITY OF ATLANTIC BEACHi cod,
Valuation $..............� ............................
.Sr9 o
FLORIDA House *..............�/6
........... ........... ..............
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statemeni 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 o 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 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 verified.
/ Date./�.._ . -- ...... ;i?..................... 19271
Owner lli.. � ,/ .149------------•----... Addr 1.�� C/1r.__ `yL✓fTelephone No 'f /�S` �
Architect.------•--••-- ------------------------------------------------ -•------•---- Address...........................................................Telephone No.............................
Contractor Build ----------- ..-__. _ b2XtAddress. ._...Pk�..��._,l'�rt�-!`Telephone NoX����`~�'
�/ f�
Lot No. !' -Bloc oar --lLt..----Sub Divi ia� !' .�} Zone
��=z --..,r� Street _..- Side Between and _ Sts.
Valuation $ -------------..............For what purpose will building be used..-- �ype of
COO
-
Dimensions of Building----------------------------------------Dimensions of Lot-----------------------..............................:Size of Footings.------------------.--_---..........
Size of Piers------------------------------------Size of Sills-.-----..__..------------------Greates Sill 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........_..._............................. Greatest Span............................................ It
Size of Floor Joists---------------------------------•--------- Distance on Centers......... .------------------------------, Greatest Span-------------------------------------------- of
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
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. W W
2. When steel is in place and ready to pour columns and/or lintel. Z Z
3. When steel is in place and ready to pour beam.
4. When framing is completed. �7
5. When rough plumbing is completed,and ready to cover up. W W
6. When septic tank drain field or sewer is laid but before it is co ered. q A
7. Electrical inspection by City of Jacksonville. `n
& Final inspection. I
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, which are a part hereof, and in accordance with the building
regulations of the City of AjAgpitic ch. / //
�% ....... . ....... .... ddress-----. ! ......-�".� ....
Signature of Builder...�n ..
:........_ ..
Signature of Owner.--- �... .. �ddress...... 16---.• <. 1-..E f ...j..
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