Loading...
429 Skate Rd (vault) BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. `� 7-& o LOCATION Street Address: /� OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attaclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Nameof Mechanical Contractors ` Contractor (Print) Masser Name of 1 Property Owner Yohr .' Signature of Ownert, Si nature of or Authorised Agent `_ �� Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: B' IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE? P Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV, MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) ❑ Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed O Control O Floor ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Control ❑ Existing Building ❑ Duct System: Material Thickness ❑ Replacement of existing system Maximum capacity c.f.m, ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-P.M. (3 Fire sprinklers: Number of heads ❑ Elevator ❑ Monliff ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump - (number) (Ree«vedI ❑ Tanks (number) Remarks ❑ LPG confaine (number) ❑ Unfired pressure vessel Permit /approved by Dete ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approvint Number Un1tw Description Model Number Manufacturer ( ) 11ReacY HEATING - FURNACES, BOILERS, FIREPLACES C4pacity A)7Pravfi Number Units Description Model Number Manufacturer (9m) AiOM7 w g 7 -p 25'i TANKS Now Many Nominal Capacity Type Liquid Name of �� APPro"us6 and Dimeoatoos Contained Manufacturw No. Agency DEPARTMENT OF BUILDING Q 0 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. O PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Pd ,,Tp_ Thar 15 19-1)— EC.NICAL 20.00 Valuation$ Fee$ This permit not valid until above fee has been paid to City Treasurer,and is 20900 T subject to revocation for violation of applicable provisions of law. r71390O ,'K'T ; This is to certify that 11MM IFAM G & AIR CO DITIVRE 1A 11 /15/ } L has permission permission to biAik Ii3SM LL IMAT " Classification PWIMUTAL Zone Owned by— Lot y Lot Block S/D House No. 429 SIAM, RDAD According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS 2 AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS _n AFTER DATE OF ISSUE --� O Building material, rubbish and debris zi from this work must not be placed i�-tea is space, and must be cleared = up a hauled a ay by either con- It or or own Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF 4&404.c Be4,10A-I&W- 42 Office of Building Official - REGIUEST FOR INSPECTION Date / 9_4E � Permit No. Time A.M. Received P.M. District No. y2 . <' /-�) Job Address , 9Locality Owner's Name ©©z r d'C` Contractor /2 BUILDING CONCRETE ELECTRICAL PLUMBING Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ =ting Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made P. Inspector �- Final Inspection❑ Certificate of Occupancy Date 5528 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION --- Permit Number: 5528 Address: 429 SKATE ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 3223. Class of Work: ADDITION ---------- LEGAL DESCRIPTION ----- Constr. Type: WOOD FRAME Lot: Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: O Dwellings: 1 Code: O qubdivision: Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $17. 50 Amount Pold 817. 50 Worl N'fkAL HEAT A' AIR OWNER INFORMATION ----- APPLICATION FEES ---- Na e: F'HI`I°H PERMIT $17. 50 Address: 4 '.9 SKATE ROAD WATER IMPACT FEE: $0. 00 ATLtNT IC: BEACH, FLORIDA SEWER IMPACT FEE 80. 00 Pt,o)r, .: : (904 )` :'7-73 5 WA TER METER $0. 00 RADON GAS--H- R- S. $0. 00 -- ----- COFdTPACTOR INFORMATION RADON GAS - 5% 80. 00 Name: RlCHARD GRAVES ELECTRIC WATER TAP 80. 00 Address: P. O. BOX 17083 SEWER TAP $0. 00 JAGI.SOrxV I LLE, FL HYDRAULIC SHARE $0. 00 License: E.Rp005820 Type: RE-INSPECT FEE SO. 00 SEC. H IMPACT FEE - $0. 00 OTHER 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 OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." VCT TIME: Q8.3E i5 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUZ ECT TO REVOGWTION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENIERED $17.50 CHAW 00.- RECEIPT NUMBER: 059277 ATLANTIC BEACH BUILDING DEPARTMENT 9 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DAT 9 19 IMPORTANT NOTICE: 4 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 NTIt BEACH ORDINANCES. LECTRICAL FIRM: 7MXiTER ELECTRICI 1 AUG NAME ADDRESS: Z�ZZ�� /� RFD BOX BLDG.SIZE BETWEEN: RES. APT.( I comm. ( 1 PUBLIC( ) INDUS.( I NEW 1 ! OLD I I REW. ( 1 ADDITION ( ) TRAILER ( I TEMP.( ) SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE( ) REPAIR ( I FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE O AMPS PH � W -' VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL =AMPS. 91-f00 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.,RATING CONDITIONING COMP.MOTOR OTHER MOTORS1312 AMPS CEIL HEAT: KW-;HEAT I I 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. IKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 47-- 71 DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date 19, Permit #f�;?G Fee $3- Valuation S .F0 U'Z> Application for Permit for HOUSE Miscellaneous Alterations, and Repairs DESCRIBF,: (State if to repair, alter, add to or move building, erect ar..n*ings, signs, etc } Building on: Lot No. Blk No. J Sub.Div. AndreasZy Skq� — Valuation '- �Owner 's Name 9 F. G-, —k BUILDINGS AND OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot Size No. of stories now after altered Material of -oof Material of Present Building Material of E.xten_ i..on —____ NECESSARY PLANS TO BE SUBMITTED HEPEWITi-, OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer In connection herewith, application is also made -co i:-istall: gal. capacity tank (s) made by of gag qe metal ground. (Name of Manufacturer) i'Un --r or Above) (Under or Above) of building. For (Inside or utsi e (Name of Purchaser FURNISH DRAWING SHOWING ENTIRE LAYOUT ON PEVERSE SID_s :)T THIS BLANK SIGNS Size Classification (State whether ground, roof, wall., projecting, anner) Material of Construction Illuminated? Type of illumination tate whether Lamps or Neon Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND hIET'HO1 OT F:Z1ITGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing o3 Yevia-se sicZe) IMPORTANT NOTICE: DAM-U-9 3 197f In consideration of permit given for doing the w r_k a-:, described in the alcove statement, we hereby agree to perform s�,.id 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. (Southern Standard Building Signature of Builder or Owner A,-L . Address S"ZG F l�I�.ST Phone No. 5515 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Yl.iit°t.t i LNFORMATION --- ------- LOCATION INFORMATION - Permit. Number: 5515 rfHress: 429 SKATE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 3223. ,lass of Work: REPAIR ---•------- LEGAL DESCRIPTION ---- Constr. Type: WOOD FRAME Lot : Block : Section . Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: O ;tabdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $37. 00 Amount $37. 00 natec ,t-r !92 .:;TING CEN`iRAL - OWNER INFORMATION -------- - ---- APPLICATION FEES ----- Att:a e: UkRALD FFITH PERMIT '`'x37. 00 � r' .: : 429 SKATE ROAD WATER IMPACT FEE $0. 00 ATLANTi.r_: BEACH, FLORIDA SEWER IMPACT FEE $1 Phont : (`04 ) 1-IE-897`1 WATh:R METER $0. RADON GAS-H. R. S. $0. CONTt ACTf'R I'NFORMATTr'N RADON GAS - 5% $0. 00 Name: B&G SERV I+C'FS WATER. TAP $0. 00 Address: 54- WES:' NINTH STREET SEWER TAP $0. 00 ATLA.4TIG BEACH, FL HYDRAULIC SHARE $0. 00 License: CACO:3558b Type: '' RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $' 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 OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP,OV�JDAT A IT 17,92 1P.57 DN $37.00 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE d%EVOCATIOt4.TUM BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32213 APPLICATION FOR MECHANICAL- PERMIT .- CA .... NUMBER IMPORTANT —Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Address: / OF Intersecting Sfreeh: Between Cc/ And BUILDING J Sub•c(ivision II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the ebcve statement we hereby agree to pe•fc,m sa;d .o•i: a:: with the ettac�Led plans and specifications which are a part hereof and in accordance with the Gty of JacksonvTe ordinances e•z. s'eloe•as of good practice listed therein. Name of Mechanical Contractors Corltract-.r (hint) T Mester Nerve of Property O.ner Signature of O.ner Signature of or Authorized Agent Architect or Engineer III. GMB AL INFORMATION A, Type Of hosting fuel: I3• IS OTHER CONSTRUCTION BEING DONE ON (7 Eioctric THIS YUILQING OR SITE? 1 ❑ Gee—❑ LP ❑ Natural ❑ Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Otlse► — Specify IV. MICH/WICAL EQUIPMWT TO RE INSTALLED NATURE OF WORK (Provide complete lift of components on bock of this form) 0 Residential or ( ) Commercial ❑ Heat ❑ Space ❑ Recessed O Cantrell O floof U NN Building E3 Air Condrtioning: [IRoom ❑ Central L7 EXI3ting Building ❑ Duct System: Material Thicke.w Replacement of existing system Maximum capacity cfm ❑ New Installation(No system previously installed) ❑ Extension or add-on to existing system 1 ❑ Refrigarstion — L7 Other — Specify C] Cooling lower: Capacity p.p.m. i ❑ Fire sprinklort: Number of h" ❑ Eievetor ❑ Monlift ❑ Escalator (number) THIS 91ACE FOR OFFICE USdI ONLY ❑ Gasoline pumps (number) (Reeefve�) ❑ Tani- (number) Remarks ❑ LING containa+x (number) r ❑ Unfired peessure vesaa Permit Approved by Date ❑ $*ads ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT CapaUY A � // IrD Number Unit■ Description Moder Number Manufacturer �mcr r HEATING = FURNACES, BOILERS, FIREPLACES f:ayaelty app ravkns Number Unita Dew:c:tption Model Number f[aaufaeturer (BTU) ASIMCy rC TANKS I HOW M"y Noarin sI Capacity 'Type Liquid Name of Scrial App roving � LM Dtmaeulotrs Contained Manufacturer No. Agency J 3Q, FOR OFFICE USE ONLY Date...f.1-�_.�_ ............19 ...... Permit #124q_1-......Fee$.- -:D-O•- CITY OF ATLANTIC BEACH Valuation $...lr�l..s��---' ....... FLORIDA House #_._. ...... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement 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 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. �j/�� p/ Date. --------------�--------------------•--------------------....., 19 Owner�!�?�1 --" �G� � -----------Address_!z���p �'✓t ����T Telephone No.3, �gff�y Architect-----------------------------•------------ -----------_----------------------------...Address_---........................................................Telephone No.--------_----------------- Contractor Builder.-4- � Address �!-. Telephone No------. Lot No.---- ------------- Block No. ----.........._Sub Divisio .�`. --------------------- -----------------------Zone---------------- 5 ' � Street__445 T-------Side Between--- ---and-A_t----------------------•---------Sts. ----------------------------------------- -- �y B00 For what purpose will building be used ----- Type of construction_.. . Valuation $ �� ---------------For q ----- Dimensions of Building__�r__4_x _5_t--_-_---Dimensions of Lot-...,f 5-------------------------------Size of Footings �X---------'X-d--.-- Size of Piers.----=— --------------------Size of Sills---- - - ---Greatest Sill Span in ft.......-------------------Type Roof, -. - How will Building be Heated?__L ----------------___-------------...........Will Building be on Solid or Filled Ground?---------------------------------------- �i / 3 Size of Ceiling Joists__._ .x_h------------------------ Distance on Centers------!._------_---.__.___.._...._______, Greatest Span------1_�---____-_-_.--_.-_-_---..-_-- " Size of Floor Joists._..__.__ _-___________________._____., Distance on Centers...... __-.__._.._.._.__-, Greatest Span.._......- of Size of Rafters -- -------d2-- X--`----------- -------------- Distance on Centers ---------- ----- - Greatest Span__.J-'t--, It 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. V 1. When steel is in place and ready to pour footing. 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. a a 4. When framing is completed. - m O p 5. When rough plumbing is completed,and ready to cover up. �� a ��1 S Pq 6. When septic tank drain field or sewer is laid but before it is covered. Q A 7. Electrical inspection by City of Jacksonville. 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, which are a part hereof, and in accordance with the building regulations of the City of A�tl ntic ga Signature of Builderf =-- --- --------- - ------ ------.. -• � / Address - - - Signatureof Owner. .-- -- --- --- ------- ---------------- --............................... Address-------------------------------------------_._----------.-.-------•---._------------------------•-- Z;F-/f- K L OT -P L A, - ' J 5GALie DoT OF: THF. PUle.4L %C k QH S goy . 29�$ 1 O 57L�OP 0 ELy-Q � a 0 ✓cA-i+Te /'7aAp DEPARTMENT OF BUILDING � • T CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 142,0 OCKT PERMIT TO BUILD 28ta6 IPA I/Q2/U THIS PERMIT MUST BE POSTED ON JOB 6543 *DUCAL 84 2656 IA i/U2/8 Date panaary 2 , 19 111;10 Valuation$ 7 , 612. 50 Fee$ 42.00 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 BERNICE GOODYEAR 429 SKATE ROAD has permission to INW ENCLOSE CARPORT in accordance of the parking requirements Classification R e g J (i Pn t i ^ Zone Owned by BERNICE GOODYEAR Lot Block S/D House No. 429 KATTE ROAD 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 110 O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared up and auled away by either con- * t ovner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER ,WHO Date DEPARTMENT OF BUILDING City of Atlantic Beach, Florida Application for Permit for Permit No .B E OfficeUse Miscellaneous Alterations ; M p Only and Repairs Contracto Address hone Owner d Address / i Phones, Thee undersigned here applies for a perm' to Building on part of Lot No . Block Subd. At side of between and Streets . Valuation $ Present use for building au If residential, what type dwelling (single-family, duplex. . ) How many families accomodated now? When altered? 0 APPROVED CRY QF ATLANTIC BEACH If business , what type? BUILDING OFFICE Will food be prepared for sale on premises? n What plumbing/mechanical work to be done? � /► t! Size of present building Size of exte,yllion Size of lot Number of stories now C,, �/ When altered v 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. 4in___ea_1t�ure Contractor Date / S 'Jnature Owner Date 1 i le i - — r u. 1 L I N FFI CE r V - MECHANICAL PERMIT# ADDRESS PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT. # Heated quare Footage $ :So S�per sq ft = $ Garage/Shed @ $ 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 $ $ I Remainder Valuation @ $ - �`�� per thousand or portion thereof TOTAL BUILDING FEE $ 4:2z ,y + 2 FILING FEE $ f q' FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ ,� F ---------------------------------------------------------------------------------- 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 $ APPROVED TOTAL WATER CONNECTION CHARGE $ CITY OF ATLANTIC BEACH BUILDING OFFICE MISCELLANEOUS CHARGES $ 2 GRAND TOTAL DUE : $ B CITY OF 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 January 2 , 1985 I, Bernice Goodyear ,certify that /my residence at 429 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. t Witnesses : /� 4-