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1979 Selva Marina Dr (vault) gal 1' 21.0 .3113g In N N 1ti,05' Cot'-0" I(-1.047' 19 5 / 19,t PFITiO Iq.S Ia.S I STORY RESIDENCE PLAN No 52.10 FF 20.0 NSSUrIE.P 3'CONG ✓✓✓ t..`H!ALK ---- 19.4 2 -- GAr2AC,I= r-F In,S gig,3 19.3 CITY 1Fif ° V 3 Bu1L�AN� NTIC BE C a w tc 0 OCT 111984 ,� B y 8.0 010.I I r 16.'0 PLOT PLAN SCALE: c = 20.- 04 BUILDER / OWNER HENRY KL-L.LEK SUB-DIVISION SEL.V N)ORTt LOT 3 BLOCK CITY I3IAl/1C.. CDUN'r( STATE FWRU /6\ ED SIMS ' DESIGN SERVICES SUITE 117 VILLAGE GREEN 1536 KINGSLEY AVENUE ORANGE PARK , FLORIDA 32073 4 f 4 it a CITY OF ATLANTIC BEACH ,i i 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 W0 INSPECTION PHONE LINE 247-5826 Application Number 03-00026823 Date 9/09/03 Property Address 1979 SELVA MARINA DR Tenant nbr, name RE-ROOF 30YR ART GAF SHIN Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 8840 Owner Contractor DARSTATER, DAVID SHORE ROOFING 1979 SELVA MARINA DR. 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-8842 Permit ROOF PERMIT Additional desc . Permit Fee . . . 113 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 8840 Fee summary Charged Paid Credited Due Permit Fee Total 113 . 00 113 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 113 . 00 113 . 00 . 00 . 00 I t 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. BUILDING OFFICIAL Cc: syit,, . CITY OF ATLANTIC BEACH Vitz,` J': BUILDING / ZONING DEPARTMENT Higgins 4 800 Seminole Road S. Doerr 1 Atlantic Beach,Florida 32233 (904)247-5800 '"4 S-..-- (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 03- Zen &1 Property Address: Ic1 7c) c`-3,e1 tic' aYlur1nci_ •7Y Applicant: c -'t) ire RCi7) C, n ny �nC Project: r''t?-roc F This permit application has been: Approved ❑ Reviewed and the following items need attention: • Please re-submit your application when these items have been completed. Reviewed By: U4} Date: (I , c ' C' - • CITY OF ATLANTIC BEACH PERMIT , CALCULATION SRFET • . •:Address 14 } c 9 J EW4 M{ ALA,,'1- OZ Date q , *. -( 3 . Heated Square Footage @ $ Per sc f t .._ $ • . •Garage/Shed 4,k(-- ner .sc ft = $ Carport/Parch @ $(cle�. per sq ft .= $ • Deck �� @ $ Per sq ft = $ Patio @ $ Per s: ft = S TOTAL VALUATION: S �t-i 0 t 37 . .$ 3a. . .Total Valuation - 1st $ i.e a �, . -$40 . $ •Flo. Remaining Value . $S per thousand • :'or :portion thereof . c. i. • TOTAL BUILDING FEE $ . • • + 1/2 Filing , Fee . • . $ 3� • -'(:. ). F.ir.epla.ces .@ . $15 .00. . $, ::.BUILDING PERMIT FEE $ ( ( S* : . ' .,,.. WATER IMPACT .FEE $ •• - SEWER HIMPACT.;.FEE • ..$ _ ` ...:.WATER-METER/TAP. $ • CAPITAL IMPROVEMENT $ ' - .SEWER .TAP. • • . . > $ - ( ) •RADON . (HRS) .0050 $ - .- SECTION H PAVING ( . ) $ . . . HYDRAULIC SHARES • • $ . CROSS CONNECTION • $ • . • . • ...:( . ) SURCHARGE .0050 .. $ .• 'OTHER ' • . .$ - - CU ., • .GRAND TOTAL DUE . • . . +•$ 1 I3. . .. . • . ADDITIONAL PERMITS OR •FEES : :Mechanical • Plumbing • Electric/New Electric/Temp ; SwimmingPaol • Septic Tank ; Well ; Sign - Finish Floor Elevation : Survey Other CALCULATIONS and/or NOTES : A 0 - CITY OF ATLANTIC BEACH ° ; ROOFING PERMIT APPLICATION or )' Cec roC Date: q -g-O3 Job Address: \9 l )Q ■)A rn f)-(:-1 -.).pc V)C Owner of Property: ij%a C A - c -e ms Address: 1 C -e'A 30.Pr W\ 1 Pc Telephone: (944C1 — (C) 3 Contractor: 51(16c (`,Cei► �'t ---1÷-)Q. State License Number: e_Ce_05 4 R ) 1 Contractor's Address: -I,t 1 - R-tre s Telephone: y 1- 9 c e_L)(2ZL X(541 Fax: 41 - `+-3 Scope of Work: Re_ Po-r 30 pD(,f.6 z /i-- 30 ye c►/' Art. 6 Ai- 'i/'•-,f/i-f " ,n GAG �/r l /d1.%ukcJ Deck Slope: 5 ( Z Greater than 2:12 ✓ Less than 2:12 Valuation of work: </ T/ '6 Product Name(Example:Timberline): `7`►i,1-1/,.. i' Ii^-4- Manufacturer(Example: GAF): 64 F ASTM Designation(s): 0 31 G I Required Inspections: Sheathi 1 and F . iiiir Signature of OwniwA_IS///i /'//,,di , Date: 3 , Signature of Contractor: Date: Y6`1/4)3 AS TO OWNER: Sworn to and subscribed before me this g day of 3'.� 'n \a- , ,200? . State of Florida,County of Duval — — — — — — — — jotary's Signature: I ,,.at.,. HOLLY OZBURN ' Notary Public-State of Fluids ` Personally known '; '_ Myorn Commission Irs�Aw 2145 Produced identification ( � ._ Commisslon t DD/42145 � � is 3:'.. Bonded By National Notary Assn. ( Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of •.Jam ►v\i ,20 03. State 9 f lo i• • - , HOLLY OZBURN Notary's Signature: <...i: Mats d Florida �jpl104013,2� Personally known i;.- i fftif11N1011 • 00142145 y :-':-7-I.. try Man. ] Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.cLatlantic-beach.fl.us Page 1 Revised 2/21/03 5 MIN. RETURN Book. 11341 Page 2362 • PHONE # a`4 1' (--1 Docft 2003295863 Book: 11341 Page: 2362 Filed & Recorded 09/08/2003 01:31:31 PM JIM FULLER ERK Permit number ,._ Tax Folio number - CLERL CCIRCUIT COURT RECORDING $ 5.00 TRUST FUND $ 1.00 NOTICE OF COMMENCENIEN f STATE OF FLORIDA COUNTY OF i)I►VAL .111E UNUFRSIUFU hereby, gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. I Description of j;Al 6:g _ S~o99- 3e1 U -General description of im rovements: C /loci — 3. Owner information: a. Name and A dress'', 1 T SO vn RI .,,,,,, pr h. Interest in property: c. Name and address of fee simple titleholder(other than owner): 4 Contractor's�rr�rn,k. address: � _—__ qpi- 1-- - auc. a. Phone number: a`4 gya -__-- h. Fax number (99i- 88413 5. Surety information: a. Name and address: h. Phone nunrher: c. Fax number: ----.—__-__. d. Amount of bond: _ —_-- e;. Lender's name and address: T a. Phone number: h. Fax number: Person within the State of Florida designed by owner upon v horn notices or other documents maybe served as provided by 713 12(1 )(a), Florida Statues. Name and Address: a. Phone number: h. Fax number: ----._ - ---------,-------__-- In addition to Iriniself`hers.elf, owner designates __ .___ of to receive a copy of the Lienor's Notice as provided in Section 71 3.12(1 )(h), Florida Statutes 0. Expiration date of Notice of ('onrmencement (the exploit. n date is one ( I) year from the date of Recording unless a difrAf t d r is s eci • I). Signature of Ow mer._1 //• 1! PAGE 1V 8:06:37 INSPECTION TICKET DATE 9/10/03 PREPARED 9/10/03, INSPECTOR: LARRY J HIGGINS CITY OF ATLANTIC BEACH ADDRESS : 1979 SELVA MARINA DR SUBDIV: TENANT, NBR: RE-ROOF 30YR ART GAF SHIN PHONE (904) 241 8842 CONTRACTOR SHORE ROOFING PHONE OWNER • . : DARSTATER, DAVID PARCEL . . : 169506-1006- - APPL NUMBER: 03-00026823 ROOF PERMIT: ROOF 00 ROOF PERMIT DESCRIPTION REQUESTED INSP TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 17 01 9 10/03 LJ BD SHEATHING IME: 08:00 ,ID EARLIEST AM-D CKING-JAMES 226 2962 COM TS AND NOTES PAUL CITY LA TIC 8:13 :50 INSPECTION TICKET DATE 9/16/03 INSPECTOR: LARRY J HIGGIN CITY OF ATLANTIC BEACH--------- --------------------- ------------ ------------- SUBDIV: ADDRESS . : 1979 SELVA MARINA DR TENANT, NBR: RE-ROOF 30YR ART GAF SHIN PHONE (904) 241 8842 CONTRACTOR SHORE ROOFING PHONE OWNER • . : DARSTATER, DAVID PARCEL • . • 169506-1006- - APPL NUMBER: 03-00026823 ROOF - - ------------------ --------------- PERMIT: ROOF 00 ROOF PERMIT DESCRIPTION REQUESTED RESULT RESULTS/COMMENTS ------- TYP/SQ COMPLETED --------------------- ------------------- ------------------- TIME: 08:00 17 01 9/10/03 LJH BD SHEATHING 9/15/03 AP E LIEST AM-DECKING-JAMES 226 2962 LJH B FINAL TIME: 17 :00 16 01 9/16/03 OR PM 226-2962 ____ ____ ___4___ COMMENTS AND NOTES ---- DEPARTMENT OF BUILDING 7969 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. �+ PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 8-95-86 19 0.00 TL 10. 00 1 Valuation$ Fee$ 10.40CKTO 906 IA B/22/86 This permit not valid until above fee has been paid to City Treasurer,and is 7969 •00CACn subject to revocation for violation of applicable provisions of law. 9G6 I A �/21 136 William 1000 This is to certify that A. E:c�r? 1979 Selva Marina Dr. has permission to build Fence Permit Classification Zone Owned by .ciat5lP Lot Block S/D House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 1■ O Building material, rubbish and debris -I from this work must not be placed in public space, and must be cleared up hauled away . either con- trac or r owner iuilding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER . . ., .. . . ._, .. . _ . ,.. .. .. . • MAP SHOWING SURVEY OF ' .• - '', , . LOT 3 , SELVA NORTE' UNIT ONE AS RECORDED IN PLAT BOOK 39 , PAGES 94 , 94A AND • 94B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. - . . . . • . . • . , Y . ' ' .. . V O (') . ‘k ,( qo.tq. ..,. S. 1111.1111. 7-6.* reavo 'We a ci fn C e V f i.% $'■ . it/Raj 0.6' , 530 ./ .. , (pz.s-0.339g) •.• . .. . . , . • . . 7----7 •.• 1----L er ,,..4. , 7.- N co,......• . .C. . . . V. ••. ... •• • . . c\ ft, '14 •••• . , • • C\I• /496 2.4' N • . • • . , Coo-IC. •" N , tt oN 4(6, •,/strea, . . . ....• •. • , i. .ki . • 1 ' r‘,4,1 . . . . 7/ . N N -..-,7• 5 , , ' jk:z1 1 . • c; t. to A 6. A4,450A/4Y , FR.4A4E _..I V (n . . k . . NS • 0 ; (.4•1 IA 0 ' . • 0 %‘• 7: N " . N 0 IOU . , ,„„ 0.:::, ,/0.4.x z 5i \ ........rw ........k ■.9 i 1 ' V )1 C:, ' ' .: .• ' .c.,c;,•,;c A.r. ii-..;-." ::7 11:. -4' girrocz,z-45"---: -''''- .• -0 -- ''i . . .." .2- -■...- . .. . • VA . in . 'i,. 0 ‹r - • .PAvve'• ' : • •• % (3.4.4.414E N . '‘., -..;, _ • . . • , .,, • , t‘i N . • , • alt, . • . , • • .• . , ..... • •-• • . - •• • , .. tri) 'N, A .. ' .N . .. •,. - IZi •• . -'9'›.-C-0..\— N Frw,44.40 . . . • , , • 4-/Ra"1 , 43, 3c., kv c,,,44. :•:0• •//. CZa'263/41. 7"L• :171964% 0 Ai: 06". ••• • . • 4:4/ 257 0/' I,; ,:• • ..-- ' 4--Aeo•A; '' '/J .0/'50°3 - AR '- • . , •. sELVA iS. MAR/A-44 OR/ . . ... 0 fc:::::'04w;14.ir/tliEull..0:14N',"'6''1.131:,...:). '.44:1 •'7A//5" /5 A Z.AIM? 5-4.6•Z VEY:" •,4,0 45 1...//t 0/A/G Au's-rAr/c 7-/o/-/' c/Are-AY A1/447.- . SA/a", ...-7.4./..04 ,..14.- -.ar 0 ttiwy• . -.■\J, •"c-,400.0 2-0,,,,M" -.4 is 6,-/ 7-Az 4.4"E4 OF 77,14 /oo ye-4,4? A-coact A-c000 roA/t- ..8- /5 ..5e 7-w.e.f..../ rdwe /a 0 .4■vc, so., YEAR FcOoD A.1i'e,4 S. ' • . • e cev.47--/cws-- swor,./A../ 7-,c/c/s..OA zz) .4 A.40 .4.•eA-.‘4• ro ' . 3 ifT3 A./.47-/cev.4c '5E00 4-7-7C ye-AFT/C-4C ,p,7 7-47.4.1 .. AM . . , • . . I hereby certify tb eets the • • minimum technical standards as set forth by .• .-•• ' ., the Florida Board Of Land Surveyors, pursuant.••• • •• -• . , . • • H . . . . ________26vIetsied,„__________• . - . , to Section 472.07 Florida Statutes. A DU , . . & ASSOCIATES INC. . IM41111111-Nttl ouvivavoot Pt01.44?"'FlA• • LAND , . . . - - SURVEYORS . . IS .... . SIGNED OC 7 irt.5 i r kW - ...--2 Post Office Box 50670 . 830 Beach Boulevard /'''.20. Jacksonville Beach,Florida 32260 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. /3 32.30 - /SOO e . .• • . . • FEE $10.00 APPLICATION FOR FENCE PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER Name: //9./ Am C Day Phone,2 4/1- 700 V Address: /fyf .S'/' ' Agov,L/?a 07 Zip Code 9.2.z9 3 APPLICANT, IF OTHER THAN OWNER Name: Day Phone Address: Zip Code JOB INFORMATION Address or Location: /7A, v e N i Lot Block , Subdivision APPLICATION MUST INCLUDE SITE PLAN SHOWING PLACEMENT OF FENCE REGULATIONS CITY OF ATLANTIC BEACH, FLORIDA No owner , occupant or other person shall erect, keep or maintain in existance any fence, wall or structure between the front property line and the front building setback line exceeding four feet in height. In the area between the front building setback line and the rear property line, no fence or wall shall exceed six feet in height. (Front yards of corner lots are not determined by address . The exterior lot line of the narrowest side of the lot abutting the street is considered the front yard. The exterior lot line of the longest side of the lot abutting the street is considered a side yard. ) No owner, occupant or other person shall erect, keep or maintain in existance any fence , wall or structure exceeding four feet in height , nor plant keep or maintain any hedge bush or shrubbery exceeding three feet in height upon real property within a distance of 25 feet from the point where the right of way of any road or street intersects the right of way of another road or street . 1i 1J •,-1 E v v U • <ll • v. I I Q) I 0 b,0 rl 4 — —►I 1l .b I' h—I � d I rl C.) I•r-1 Q) 4J I E I Q) 11-I Cr) y I Q) I �+ ' 0 I }I IW H cn --j (1) I W I I� I H 1J r1 •r1 0 CU (1) v v a) 4 I o U •1-1 (-I--1 Q) 0 o W • @Uri llzadozd apTS 4 •X m I� 0 cd •r1 IHRILLS U Q) W (1) Q) 0 1-I 1J 1J () c!) 1.1 b0 H O P; DEPARTMENT OF BUILDING t_) 1,1, PERMIT NO T. . CITY OF ATLANTIC BEACH,FLORIDA s K t PERMIT TO BUILD '' e 1 " 1 /10/`1 onuic THIS PERMIT MUST BE POSTED ON JOB 61 ./18 4623 14 Date 10-12 19 84 Valuation$ MECHANICAL Fee$ 46,00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. - This is to certify that BILL WILLIAMS HEATING 4, • - - " I i41 has permission toild INSTALL HEAT & AIR CONDITIONING Classification RESIDENTIAL Zone RS1 Owned by HENRY W. KEELER Lot 3 Block s/DSelva Norte House No. 1 979 SET,VA MARINA DRIVE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE 49 0 Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tratt f ryry owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER is 48 4" 1 rt, i v w 0 W a n fi - ---.--7 s CP____P`v 5 6O Z3'4 j tNl ar 3, .. waa_ ;' , Ii T I II MINI "I. I�. � ,h4' e Z!X." ✓ I.BEM I MENEM 1E1=111 I I 111 _ Init N EMI _ I' 1 I wi '6 � rI �O' I - --I ,I y,9.. \ l' '1\4 , tbit = tip � 1 11 ii 1 _ G N tic S\i 1. _ 73 Vul /0, 0 0 �` r1 y v, In D:›`7 0. C N Uh $ -€1 . 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No further inspections will be made until the survey is on file. No Final Inspection will be made and No Certificate of Occupancy will be issued unless the Minimum Elevation Requirement is met. Building Department Representative - DEPARTMENT OF BUILDING PERMIT NO. `� 0 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD I THIS PERMIT MUST BE POSTED ON JOB O 24 ctober 12 , 19 Date 312.75 1 �� � 7 5 31".75CKI o 5 QH(1 7(Q__Fee$ s^ Valuation$ 997il 1 p 10/1���' 6190 •/1]Car This permit not valid until above fee has been applicable provisions ovisions of law.and is ' subject to revocation for violation of app P 7,1 This is to certify that HENRY W. KEELER 1901 N. first Street A504 Jacksonville Bea h Si • - T .u • ••ti - has permission to build Submitted Zone Classification Owned by Block— � \,S/DSelva Norte Lot House No. 197 SELVA MARINA Mr' T According to approved plans which are part of this per NOTICE—ALL CONCRETE FORMS i Z AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT AFTER SIX ISSUE �♦ O Building material,rubbish and debris ��i -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- sac , owner. -41iiimsav Building Official. CO.TRACTOR FOR OFFICE PERMIT DATE USE ONLY NUMBER PLUMBING I ELECTRICAL 111.11111111111.......P11111 SEWER 11111.111111111.0.....11111111111111111 \ I WATER 1111111111111111111 \ 1 MECHANICAL PERM1T# ADDRESS PLUMBING PERMIT If ELECTRIC PERMIT # BUILDING PERMIT WORKSHEET , p TEMPORARY ELECT . # Heated Square Footage /D @ S s:2r per sq ft = $ 1 7 of", Sa i Garage/Shed i @ $ /e "-- per sq ft = $ S. Sf.• Carport @ $ per sq ft = $ Porches A 6- @ $ 8.QC per sq ft = $ o2;?-- ` Deck @ $ per sq ft = $ t/ 2 @ $ �� per sq ft = $ o?/ /7654 tr- Patio 9� 76 TOTAL VALUATION $ 05 366 . _ c" 360 . 70 / 6..,� $ /v�,G . 50 ' p' D DDd , Total Valuation Data 1st $ ,53-340. 7° 7a ° ° $ 7e,. Remainder Valuation @ $02 0 U P er thousand or portion thereof TOTAL BUILDING FEE $ / 91. + 2 FILING FEE $ 9'7 FIREPLACE @15 . 00 $ „As/5•--_, TOTAL BUILDING PERMIT $ 545?. YJ PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ / • 7`S TOTAL WATER METER CHARGE $ ,f5� TOTAL SEWER IMPACT FEES $ /D 3 • 4;/ APPROVED TIBEACH TOTAL WATER CONNECTION CHARGE $ '.S U Chi ' O1NG OFFICE MISCELLANEOUS CHARGES $ ar 1 11 I 6(02 . PS GRAND TOTAL DUE : $ r /v, + • CITY OF ATLANTIC BEACH • APPLICATION FOR BUILDING PERMIT , o X��� / .Phone �/f/- 477 Owner lei/ h \ W• 1. ,e ) `e/-Address/9 J S `t Architect / Address Phone Contractor //eA/7 K/..)` .eiek Address •—�-- ss �� ,' ' Phone�/ff- u0'77 License Number D00 f gs-f Expiration Date �/U4/e ?6 - lYg, Lot # Block # Subdivision St bin, Ai-7 Zoning Street ,S,---e /y,g1149 ki,vy y.,Between /94. and a1 s-7--side " /, Valuation $ ,/fQ 000 , / Purpose of Building Type Const.,&}„1 . Dimensions : Building h21 0 Lot Q",r 2r Sz .Footings //j /.12.0/' Sz.Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists_4itykkaaPistance on Centers 2,/,/, Greatest Span ;241 Sz.Floor Joists caNc. Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Heating /, .14o r Solid-Filled Ground ,r S Roof in, Sj.vjJes Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this 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/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, rough plumbing and fire place is completed and ready to cover up. 5 . Rough electrical. 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement , t we hereby agree to perform said work in M accordance with the attached plans and w m specifications , which are a part hereof, and a I bz in accordance with the building regulations r r o of the City of Atli t Tit., n �Fi• /I) 0 rt FUII_DING OFFICE ' r �`'7 r, H. H. illrf .^n CD 0 Y CD � CD c,„ r____ . a,../:/4/44,-)., iv --._ Signature OWNE'/' FIr ,f/s W. l' Signature BUILDER / iii l A Front Lot Line • 4 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equal to or above the base flood elevation • established for that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : I understand that the issuance of this • permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date C, / , /o /9g Applicant' s Signature .421rt--) W Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative