339 Skate Rd (vault) 001942
ti
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
lermit Numberi 1942 Addressi 339 SKATE ROAD
Permit Type: BUILDING ATLANTIC REACH, FLORIDA 32233
lass of Work: REPAIR LEGAL DESCRIPTION
Constr. Type: WOOD FRAME L'ot . Bluck- section:
Proposed Use: SINGLE FAMILY Township; 8140- 0
:#wellingsT 0 Code- 0 Subdivisioni SECTION H
,'utimated Value- 9696. 00
Improv. costs $0. 00
Total Fees; $10. 00
Amount Pai cf $10. 00
Dat_. 1/19/90
ADD TTr,0t4 I i,L A N S
OWNER INFORMATION _ APPLICATION FEES
�`IRCPDIF HICKS PERMIT $10. 00
jd& lsa J1_&9 SKATE ROAD WATER IMPACT FEE $0. 00
ATL AfIT1C BEACH, FLORIDA -:i- SEWER IMPACT FEE $0. 00
P f I,:�A Ill*'4 ) 2.1 1 - 7''"5() WATER METER $0. 00
RADON C A`3 -H. F. 4�10.100
4_.(.'NTkACTC1R lNFORMATION RADON GAS 5% $0. 00
Namc-: PI?OPERTY OWNER WATER TAP $0.00
id,-c
SEWER TAP $0.0-0
HYDRAULIC SHARE $0. 00
icense. Type. 1 RE-INSPECT FEE $0. 00
ENGINEERING $07 . 00
OTHER 1440. 0(i
NOTES:
nr,
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 OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING D7EARTMENT
By:
�r
Address
lleated Square Footage @ $ per sq ft - $
Garage/Shed @ $ per sq ft - $
Carport/Porch @ $ per sq ft - $
Pe-ek goo e7/ @ $ -C C3 per sq ft - $ c1 .007
Patio @ $ per aq ft >_ $
DOTAL VALUATION c
lbtal Valuatro—n 1st $
Remainder Valuation per diousana or
portion thereof oQ
--------------------------------------------
Total Building Fee $ '
ADDITIONAL PEI�II'IS and/or MES REQgBJM _ + k Filing Fee $ ��
Mechanical
Fireplaces @ 15.00 $
Plunbin BUILDING iPERMIT m • ,
g i
Electric/No-i
Electric/TeiI) oB
Septic Tat*
PERMIT
Well .
WATER M, Ei R. C11ARGE $
Stghmiing Pool SEWE R IMPACT FEE $
Sigh WATER IMPACT FEE
$
I-later Connection MISG'ELi,l1NE0US $
Sewer Commection $
Water deter $
Iacv;iti.on CcrtificaLe, t9�
GRAND TOTAL DUE
------------------------ -----------------------------------------------------------------------
CALCULATIONS and/or NUITS.
i
1
A P P L I C A T I O N F O R B U I L D I N G P E R H I T
CITY OF
REQUIRED SUBMITTALS 1*i' aece FCad - 7�J
(47CC(Q
Each application for building 716 OCEAN BOULEVARD
permit will be accompanied b F•O•BOX26
two complete sets of , y g ATL ANTICBFNE(904I249-23 32233
Plans, including TELEPIIUNE�904�249-2396
a detailed site plan indicating location
of utilities, parking, size of yards and
other pertinent data; one set of Florida Energy
Efficiency Code sheets; recent survey (on new construction)
SC)1EDULE OF I1ISPECTION
Requests for inspections will be accepte
4s30 PM. d from 8100 AM until
All inspections will be made the following working day.
1. Footing
2. Rough Plumbing/Sewer
3. Slab CALL IN WITH PERMIT
NUMBER FOR EACH
4. Frarnir,y, Rough Electric, TRADE
Mechanical, Top Out Plumbing
=. Insulatiar,
5. Final Inspection/Issuance of Certificate of Occupancy
------------------------------
BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE
Pour no concrete or cover any work until
building card is SIGNED by 'the inspector. You
will be required to uncover any work that has not
been inspected.
•Y
$10 fee is required for all re-inspections.
1
PROPERTY DESCRIPTION L f UI'
' �-t'l'a�rt'iC �cacl - ialozci�ct
Lot N #-.2-q
716 OCEAN IIUULF,VARO
__�____Block //_� /_-_Section ! 1'.U.IIUX 2fi
ATLANTIC BEACH,FLORIDA 32233
Subdivision: TELFNIONE(904)249-2395
�- ----------------
Street flame_331 31 �k �
DESCRIPTION OF WORK
or Addresss _ - 'a
--------------
If in a FLOOD HAZARD
Flood Zones _area complete page 3. Brief
------------- ��•• __G
Description:
o� 1Y-�6,�,
Class of Work: j�FY►'IE
(New/Remodel/Addition)
--------------
ZONING INFORMATION
Type of
Construction:
Zoning Proposed
Districts---------Use: _-----_. -_-_ Estimated Value 8
----- -�- ---------------
Exceptions or Materials:
Varinncrrn Oresntnd: --------------------------
Solid or
------------------------------------------- Filled
Ground:-------------Roof
s .
OWNER INFORIIATIOt(
-----------
Method of Itcating:__________________
Property Owner:_ CG -
Mailing 2U _ -I- ------- ------- Phone ne:-----—- ---
Addressd!/1_/ ...k..'C�_.. .............
ARrLt`_'__��`c' 51�---------=---------------- Zips 32.233
CONTRACTOR INFORMATION
Contractor: _ Phones
Mailing ------------------------- ----___----- --------------
Address:
------------------------------------------------ Zip= -- ----------
Expiration
License Number: Dates
1 IIEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KIIOW TIIE SAME TO Inc TRUE
AND CORRECT. ALL PROVISIONS OF THE LAMS AND ORDINANCES OOVERHING TIIIS TYPE OF MORK WILL BE
COMPLIED MITI:, WHETHER SPECIFIED HEREIN OR NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME. TO
DIVE AUTIIORITY TO VIOLATE On CANCEL THE PROVISIONS OF ANY FEDERAL, STATEOR LOCAL RULES,
RF.OULATIOH3, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNIIIO OF COIISTRUCTION OR THE
«. PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE I55UANCE OF TIIIS PERMIT IS
%-_1"�� ppI�'J.+•>>., CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING
DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
it r'
r. Owner SignatureDate
-------------------------------- --
----------
ti ,`.;� Contractor Signature----------------------------Date
____________
FLOODPLAIII DEVELOPMENT INFORMATION
Type of Development :
--------------------------------------------
Flood Zone:
-----------------------
Required Lowest Floor Elevation:
---------------
If building is located within a flood hazard zone, 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.
fao 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 affecting the proposed development.
Date--------------Applicant's Signature
--------------------------
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
-----------------
As Built Lowest Floor Elevation
Survey Filed Filed with Building Department
---------------------- ------------
Building Department Representative
page 3 �� ,
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t.
J
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h- I • 14-0-
C" Rt O�E D
a Anu
JAN 1 9 1989
/ r e f -- --
1 41 ens�j
---- ---------
OWH ER BUILDER PERMIT AFFIDAVIT
State of Florida )
City of Atlantic Beach )
BEFORE ME, the undersigned authority, personally appeared
--------------------------------, who upon first being_ duly
sworn, depose and sa
I. c _ _ _ __-- - _--------_, and the legal
owner o the following roperty:
Subdivision ` Qt
---= --------- ------ - -- ---
Block Lot
---------- ---- --------------
AKA `L_ - - ---------------
I am applying for a building permit pursuant to the Owner
Builder exemption set forth in Florida Statute, Section 480. 103.
Florida law requires that I have been provided with the following
DISCLOSURE STATEMENT-
DISCLOSURE
TATEMENT- DISCLOSURE STATEMENT
State law requires construction to be done by licensed
contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as
the owner of your property, to act as your own
contractor even though you do not have a license. You
must supervise the construction yourself. 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 'V25, 000. 00 or less.
The building must be for your use and occupancy. It
may not be built for sale or lease. If you sell or
lease more than one 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 a violation of this exemption. Your
construction must be done according to building codes
and zoning regulations. It is your responsibility to
make sure that people employed by you have licenses
required by state law and by county or municipal
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that I comply with all the requirements for the
issuance of an Owner-Builder permit.
Further, affiant sayeth not.
Q
Property Owner
Sworn to and subscribed
*efore me this _1 t day
0.1992
-44,d�V _
NOTARY PUBLIC 2
My Commission Expires:
CITY OF
i
Office of Building Official
RET FOR INSPECTION
Date Permit No.
Time A.M.
Recei p District o.
Job A ress Locality
Owner's / /►_A .rS�
Name �( Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing O Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
on. Tues. Wed. Thurs. Friday-P.M.
i 2S- Is A.M.
Inspection Made
Inspector Final lnspection❑
Certificate of Occupancy
Date
CITY OF l-f
4&tic Bwc4-i9&uda
Office of Building Official
rREQUEST FOR INSPECTION
(/c J
Date ��-��� Permit No.
Time A.M.
Received Pis3rict No.
Q --
Job Address Locality
Owner's
Name Contractor
i
BUILDING CONCRETE 'ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing El Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating
Lintel Fire Place Cl
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. ' Thurs. Friday P.M.
�
A.M.
Inspection Made P.M.
l /
Inspector Final Inspection�
Certificate of Occupancy
Vic Date
f ,
L
\ CITY OF
Office of Building Official
REQUEST FOR INSPECTION ��'
Date
Permit No.
Time A.M.
Received P.M. District No.
;ddLJob Aess Locality
Owner's ���� Contractor
Name
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....❑ Wire ...........11 Rough Wiring . ( Rough ....
....❑ Rough ........❑
Chimney ......❑ Finish Wiring . Final .........❑ Final ❑
Lath h .......❑
Framing Scratch .......❑ Fixtures .......❑ Sewers ........❑ Water Heater ..❑
Final ........iJ Brown ........❑ Motors .......❑ Gas .. ❑
Footing ...... .❑ Finish ......❑ Temp-Pole .....C1 Cesspool ......❑
Slab ..........❑
Wallboard .....❑ Final Inspection.❑ Top-out .......❑
Lintel Beam .. .❑ Water ........❑
READY FOR INSPE� A.M.
Man. Tues. Wed.
urs. Fri. P.M.
A.M.
Inspection Made P.M.
Inspector
CITY OF
4&aa& Seac,4-99&Uda
Office of Building Official
R QUEST FOR INSPECTION
Date V Permit No.
Time A.M. District No.
Received
3 C Locality
Job dd ess• ,
Owner's � L—
Contrac
Name tnr�
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing `f Rough Wiring ❑ Rough ❑ Heating
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑
Fire Place ❑
Lintel ❑ Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed.
Thurl. Friday P.M.
A.M.
Inspection Maae P.M.
Final Inspection❑
Inspector
Certificate of Occupancy
Date
i72PARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 6 1
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 12-24 19 84 33.00 T
33*10DCKT
Valuation$ 91 -471 00 Fee$ 3 OCL— 2745 IA 12/24/8
6531 .00CAC
This permit not valid until above fee has been paid to City Treasurer,and is 2745 1 A 127/24/8
subject to revocation for violation of applicable provisions of law.
This is to certify that FREDDIE DICKS
339 SKATE ROAD
has permission to build ENCLOSE EXISTING CARPORT AR PER PT ANS
IN ACCORDA14CE WITH THE PARKING REQUIRERENTS
Classification RESIDENTIAL Zone
I
Owned by FREDDIE HICKS �
Lot Block SSD
House No. 3339 SKATE
i
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
t AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
,I AFTER DATE OF ISSUE
�--te r— 10, 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 either con-
to ner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF
716 OCEAN BOULEVARD
P.O.BOX 25
-�- ATLANTIC BEACH,FWRIDA 32233
TELEPHONE(904)249-2396
I, Freddie Hicks ,certify
that our/my residence at 339 SKATE ROAD
will have two paved parking spaces behind the
required building setback line, as required by
Section III , H. 9 . of the Land Development Code
of the City of Atlantic Beach, after the
existing carport/garage is enclosed.
Witnesses ,
Date Nc. yt
DEPARTMENT OF BUILDING
City of Atlantic Beach, Florida
Application for Permit for Permit No . B E Office
Miscellaneous Alterations ; -- — lise
and Repairs M P Only
Contractor , i Address Phone
Owner FL4-- l J�� Ilk , Address 3Y� Sk4+C, K1. Phone 2 y 9- 0') T1s"
The undersigned hereby applies for a permit to
Building on J39 6k-,Jc g�. part of Lot No . Block ZY Subd.
At side of
between and Streets .
Valuation $ Present use for building
If residential, what type dwelling (single-family, duplex. . )
How many families accomodated now? When altered?
If business , what type?
Will food be prepared for sale on premises?
I-That plumbing/mechanical work to be done? �)pKX
Size of present building Size of extension
Size of lot
Number of stories now When altered
Material of existing building Extension
-------------------------------------------------------------------------
NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH
In consideration of permit given for doing the work 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.
Signature Contractor Date
Signature Owner Date
AISIRE,SS! MECHANICAL PERMIT#
PLUMBING PERMIT #
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT #
TEMPORARY ELECT. #
Heated Square Footage � '�• �d�$ =S per sq ft = $
T 11C,47-4-4
Garage/S e.d5r0 $ ____per sq ft = $
Carport / @ � per sq ft = $
Porches @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION $
$
Total Valuation Data 1st $Q-00 t?
Remainder Valuation @ $ per thousand
or p rJon thereof
TOTAL BUILDING FEE $ 2- --cyb
+ k FILING FEE $ ( 1 6 O
FIREPLACE @15 . 00 $
TOTAL BUILDING PERMIT $
----------------------------------------------------------------------------------
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 $
TOTAL WATER METER CHARGE $
TOTAL SEWER IMPACT FEES $
TOTAL WATER CONNECTION CHARGE $
P P R OT EgEACH MISCELLANEOUS CHARGES $
CITY
BUILDING OFFICE
10,53 GRAND TOTAL DUE: $
By
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f c l C7
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FT�
0
14
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Z80I: 9170 (b06)
££ZZ£ 1� V38 OIlNV11V
aVON VIINOG 008
JNI'1340W3b NMOMe VIO-13
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRI AL FIRM MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
-15
NAME..1 rte 'o fir/ ADDRESS: 5- 2.g" u, RFD-BOX-
BLDG.
FD BOXBLDG.SIZE BETWEEN:
RES. (W APT. ( 1 COMM. ( 1 PUBLIC l 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1
ADDITION (W TRAILER 1 1 TEMP. ( 1 SIGNS ( ) SO. FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( ) FEE
CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 D.
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE j AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL D
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES O
INCANDESCENT -
FLUORESCENT&M.V.
FIXED 0-100 AMPS. j0VAPPLIANCES BELL TRANSF.
AIR H.P. RATINGH.P. RATING
CONDITIONING COMP.MOTOROTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA _
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES -lJl
i
I
DEPARTMENT OF BUILDING 3850
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 9/18/78 19
Valuation E PLUMBING Fee $ 2.00
This permit not valid until above fee has been paid to City Treasurer, and is
aabject to revocation for violation of applicable provisions of law.
This is to certify that ROtO Rooter Plumbing
has permission to build to replace 4" sewer –
E Classification residential 7nne
Owned by Mrs. Hicks
E Lot Block S/D
G
House No 339 Skate
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
-n AFTER DATE OF ISSUE
O Building material, rubbish and debris
j ♦--� z from this work must not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
F
Bill I,,. Davixiltl
Building o�f.1t,Cu
FOR OFFICE PERMIT DATE CONT$lIF7fDR •1.IGCACG
USE ONLY NUMBER
PLUMBING 4 Goo
ELECTRICAL
SEWER
WATER
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0`27 Y O Vi4T.AT STJC M 'eVu*��
tq+.rq•I
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FLFl2� � LAWr t:f �av'f?f.,w�........,...�,�'LC..aa....ti. aa......,.,...A,�e..•...�-b....»,.�..,....a...,.,..,.a��-.n�... -.,,
�t� t.�" �:�+►.°€�3U�t ;�,„,v , �`-�L,,,,;.t�..8� �ilms�,.w4 „a,<...-..,.a.,.,...<G.m..w,�„a,,..,.,....,e.,.o.,.n.��,�.d,,...,,.,.�..,a..,.:�..,.a.�..a<�,...a...
.,..,..,.».<b�..�..,...<...,.,..,�.<.,._.,.,.-,w,,.,a«..�_»....� a..a..-.,...,�,..�m,..n,.....�..».a:�...,,.,,e....er.,.�...r.,�:,,..�..,...,.,�..,.,>,.�.,.,..:.,,,...�....�.�...r,.a,,,,...,,,�aa...�,n..�..�..��
.a> aOSALS
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<.....�.w...�.e....w�w..+a..r,vae.m.m.w..r....ne..�,,.mv.,:.w-.r....e.r�..c.c....-.....�..a....�,rr,.,.....,m..a....,..w-�sw.�...s-w�.c.r..,..,...,.,.:.9n+.�-.wc...re..c,w.e+.n...,...,.�...
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DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH, FLORI A Date 19
----------- Permit # Fee $ -
Application for Permit Valuation $ ,�l<
for isc. Alterations 'House #
nd Repairs
DESCRIB :- Co d 5 6L 1-9-2
(state if to repair, alter, add to or move building, erect awnings
or signs, etc. )
Building on. .got "?o. Blk No. -;� 3 Sub.Div.TA 9,
Address '3/57- V luation $ /
Owner' s Name �Ar '
BUILDINGS & OCCUPANCY
Bui?diva Use - Residential or Business �� cl& r/a
What Plumbing work to be done?
Sipe of Present Bldg44, ?c,6(. Size of Extension 1.7-Y x
Lot size y y� . ,S � Material of Roof
No. of stories now / gf;teylteredMaterial of Present Building , Material of Extension/ wv
PLANS MUST BE SUBMITTED HEREWITH
SIGNS
Size ,v21 r Classification
(state whether ground, roof, wall, projecting
banner)
Mate4 al of Construction jRl!/ZA?-0Q pl
Illuminated? Type of illumination _
(State whether lamps or neon)
Will sign be over public property?
SUBiIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANDING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reserve side)
IMPORTANT NOTICE.-
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. (3outherd r ilding Code)
Signature of Builder or Owner
Address Phone
a I
MAP SHOWING SURVEY OF
LOT 149 BLOCK 239 REPEAT OF PART OF ROYAL PALMS UNIT 2A AS RECORDED--IN PLAT B06K 31,
PAGES 16, 16A9 16B, 16C, 16D OF THE CURMT-PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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,�nvND ��,Z 'iRO�✓ \ F e/iv0 /12 /it'vvV'
5'6 "5 93
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I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CArrION
AND THERE ARE NO ENCROACHMENTS. H. A. DURDEN i ASSOCIATES, INC.
928 - 7TH AVE. SOUTH
��
JACKSONVILLE BEACH. FLA.
SIGNED �/� Y�Z I9-Z3,
"ALK* Q . 2L
REGISTERED SURVEYOR NO.RefIFLA.
11 WIN
ORDER NO
i