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353 5th St (vault) PREPARED 3/17/03, 16:27:56 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/18/03 ------------------------------------------------------------------------------------------------- ADDRESS . : 353 5TH ST SUBDIV: TENANT, XBR: INCREASE TO 200AMPS OVER CONTRACTOR BILL THOMPSON ELECTRIC CO, INC PHONE (904) 249-5601 OWNER FLOYD, JR., E.H. PHONE PARCEL 169868-0000- APPL NUMBER: 03-00025576 ELECTRIC ONLY --------------------------------------------------------- ------------------------- ?Vffill: ILIC 00 ILIMIM PRINIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------ 23 01 3/18/03 LJH EL FINAL TIME: 13:00 ---------- -------- TONI 249-5601 -------------------------------------- COMMENTS AND NOTES -------------------------------------- I SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025576 Date 2/24/03 Property Address . . . . . . 353 5TH ST Tenant nbr, name . . . . . . INCREASE TO 200AMPS OVER Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------ ------ ------------------------ FLOYD, JR. , E.H. BILL THOMPSON ELECTRIC CO, INC 353 5TH STREET P.O. BOX 330150 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ----------------------- ----------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 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 T14E CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS V49CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLOREDA APPLICATION FOR ELECTRICAL PERMIT JO THE CHIEF ELECTRICAL INSPECTOR: DATE: 200-�> IMTORTANT NOTICE: IN CONSIDERATION OF PERMIT'GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWlNG, 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 ELECTRJCAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDrNANCES. ELECTRICAL FIRM: BILL THOMPSON ELECTRIC CO., INC. MASTER ELECTRICIAN SIGNATURE: P. 0. BOX 330150 ATLANTIC BEACH,FL 32233-0150 OWNERS NAME: ._4,_ tow A ADDRESS: �LDG. SIZE BETWEEN: P,ESY,)- APT.( COMM.( PUBLIQ INDUS.( NEW( OLDP< REW.( ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) __SQ. FT. SERVICE: NgW( INCREAS�j,� REPAIR( CONDUCTOR SIZE 1�� ANIPS: 2-VO COPPER( ALUM.(�<t /FEE '7 SWITCH OR BREAKER LT 2-Cr AMPS PH W PACFW EXIST. SERV. SIZE �-'A M-P S PH W )(OLT R(All,`C2 E A Y FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN ]-TOTA L RECEPTACLES CONCEALED OPEN TOTAL ��,OAMPS -31.100 IIIS --]- SWITCHES INCANDESCENT FLOURESCENT M.V. FIXED 0.100 AM I'S. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CEIL. KW-HEAT �ONDITIONING COMP. MOTOR OTHER MOTORS AMPS HEAT 0"I OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS A) <7 TRANSFORMERS: UNDER 600V OVER 600V NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ".61 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033625 Date 8/08/06 Property Address . . . . . . 353 5TH ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------------- --------- ------------------------ FLOYD, JR. , E.H. NORTHEAST FLORIDA RESIDENTIAL 353 5TH STREET 10607 SCOTT MILL RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 962-5876 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/04/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERWT IS APPROVEDONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERAIIT CALCULATION S11EET Address Date &L�Zc& Heated Square Footage' persqft= S Garage Shed per sq ft Carport Porch -.persqft= S ' Deck. per sq ft Patio @ S persqft= S ..TOTAL VALUATION: -5-q 10 C) Total Valuation Remaining Value SS per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE ZONING' + 1/2 Filing Fee 77) FLOOD ZONE: )Fireplaces@ $35.00 DvTERVIOUS SURFACE: BUILjDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE" $ WATER N=PJTAP S CAPITAL IMPROVEMENT'$ SEWER TAP $ c RADON m5o s SECTION H PAVING S HYDRAULIC SHARES S CROSS CONNECTION S ST( ' SURCHARGE S OTHER GRAND TOTAL DUE: . ..... CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to: -SJ ski Building Department Public Works&Public Utilities Departments L. HlggT�_) 800 Serninole Road 1200 Sandpiper Lane S–oo—err- Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R.Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW CONMENTS Permit Application# Property Address: TU Applicant: Project: This permit application has been: ER""Approved as noted by the 6ED(-? Department. Final application approval must come from the Building Department. E:1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: _kAili CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. 35-5 s+1->4, Job Address: Owner of Property: yJ Address: S, 1<-44 n,�- 7,-* er, S:-;z%,-e,5 Telephone: Contractor: State License Number: Ccr Contractor's Address: / ,,'7 cl C re -3: Telephone: '76 1/-7 04)-?�O% Fax: 0 Scope of Work: ek- )E7��-F Deck Slope: f,: Greater than 2:12 Less than 2:12 Valuation of work: trD, Product Name(Example: Timberline): c,\j5 f z.--i Manufacturer(Example: GAF): 6 AF ASTM Designation(s): A--t"L, —-sq Ga Required Inspections: Sheathing and Final Signature of Owner: L Date: AS TO OWNER: V Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ow Ryan Wilson My Commission DD220414 ljj�r Personally known J00�i Expires June 08,2007 F� Produced identification Type of identification produced Signature of Contractor: Date: IqlZ1.1066, AS TO CONTRACTOR: Sworn to and subscribed be fore me this day of A 0( 20 State of Florida,County of Duval Notary's Signature: Ryan Wkon My Commission DD220414 ersonally known Produced identification OF VU ExPtres June 06,200T 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 I Revised 2/21/03 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 0 0 0 0 State of-_- VL 0/L 1 '06 County of VW To whom it may concern: The underaklined hereby Informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF C011111111104CEMENT. Legal description of property being improved: /-)V- J-0_r -41 lbl­k -7 ,GKS a�V-1-/953 2 Address of property Wng improved: _�_S 3 571 4,F AT I-- -h 05e-,c_k TL 32-Z,'3-3 General description of improvements:__&�-"Coof Owner dnl L,,,,d AJ- _F",yz). Address a!s 3 _-,n,.- &�-' A-t� L 3 Owner's interest in site of the improvement Fee Simple Titleholder(9 other than owner) Name Address Contractor NL &41DA RE31DFNT[Al 1,FRVI(-;F0, INC, Address L'V'D Phone No. 10 _590 Fax No. 0 Surety(ff any) Address —Amount of bond Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or othar�J documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Liencles Notice as provided in Section 713.06(2)(b),FIoWa Statutes.(Fill in at Ownes option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDEWS USE ONLY OMER or AGENT Pov"Afterney-Agency LMW RaWked) Signed: _P'L' - —Date: 7-31- io 0- Before me 11 "day.V jj� in the Do,#2ooe269W7,OR BK 13432 Page 255, . InX R_ Number Pages:I County of Duval,State of Florida,�as personally appeared Filed&Recorded 08WrAW a'03:05 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Etu_.'� of —herein by RECORDING$10-00 hingselil herself V!;Fkma that all statements are in*and accurate. et�_� 41 Notsy%MctLarge.St9eof t=fL— County of MYcOmmissiGnexPIF": 2�,3�'7 Personally Known—or Produced Identification 3k-1 Rion Wilson *yComri*WwDD22004 10.VE)q*m Am 08.2WF ILDIN, NOTICE OF ADDITIONS or CORRECTIONS DO NOT REMOVE F;JOB ADDRESS DATE 3.,5'-_2 1-� S—I 3 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted. F8M (A.D lAev, !e, t44 e- Wes—t 75tcrz 0�r-- 006Q (f (2 P A& n , . TV now A11r, n [P-$35-00 REINSPECTFEE E:] NO—CHARGE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover to cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have BLDG been made contact the Building Dept. ELEC at 247-5826 for an inspection. Office MECH hours are Monday through Friday PLMG 8:00 a.m.to 5:00 p.m. low '*04)396 3652 A*W- C) 0 0 > C) 0 --i C/) 0 0 m m T 0 m z G) z CD m > m i 0 r— m z cn > m 0 q -0 m 0 0 U) m F5 Cl) C) m z > CA z 0 A Cl) > --I q x 73 0 0 K - m m m m 0 -0 z o -q o z m 0 CD r 47 to q 0 w 0 a Q C I-n 47 m ty)m t- -q o ZO -v Q z H M tyj tv M Zro 0 (A 0 L) mz > N 0 tj -q x EJ F) Co Z m v Z M C/) 'a '0 0 m m Mc w > 0 M 0 z Z> T 0 m m m 0 T C) CO 0 < M r- m c m m 0 > m -V C/) K co m 0 Cl) — C/) 0 --q M -n --q 0 * -< C: 0 '0 C/) m m m X m v c fn M m C) 4 M m X OW 0002394 - DEPARTMENT OF SUILPING CITY OP ATLANTIC BEACH PERHIT IffFOjtffA,TXON LOCATION INFOOffATION -------- -- Peryolt Number% 'J Address: 353 FIFTH STRVOT� Perivit Type,4,' PLUO 1, 111 NO ATLANTIC #EACH, FLORIDA 32233 Z1660 ,01 Wo It I tp� ft r ft I , ---------- LEGAL DESCRIPTION Cons � . Ty' pef IVA, Ott ii,, Block: Section: Prop ed Us&% 91904C, FApfILY Township, RHO Dveili 992 0 1 'Codes" subdIvisloni A vatime ed V*lu*3 40.00 Tmpcov. Coats 00.00 T>tal 020. A *200'00 4 7j t 17�-4j inRUCE W "i TION, APPLICATIOfj FEES "N" 4 111"11�P VRKIT v 40 $20.00 Addr WATER-XMPACT FC9 pom- *0 00 al 9 T OCT OF 0�,22*!� W �4,,7,4p.Go C I'll ' 'I 'll I ,i j, Ft A A ,ph 1111,13 '41-T,, - , RADON GAS-H.,.R.,S. $0.00 C6110"OtA A TJ, RADON GA5 5% *0.00 t6b live, Co. 11xm WATEtt TAP 00.00 T Af- JACK, �,DA 122`50 'HjrD*AULIC SHARi -:00.60 e,,^ A "* - 66 r 1`4 7, 77 j V,: -4, v 01, 44 G CREIT. W4LL CO- I NOTIC M A46*00 Nli�*7 d, "A 41, ok 7 7 m IqS AF' DATE OFJSSUE I A 1, 1 BRIS FROMTHt RK, 6 F�tA�Edfi UJOLIC S! AC� ANDMUST PE," fTH'Ef*;C0NTRkCT0k40R u, A00 `dk, CHA !g';, H I ru 41 7 1WS ova ATLA TI H E3UILD N EP (,j'I'Y oF WrLAUTIC B8ACIC" FOR 1PLU1113114(3-" APpI,1CA'rioa ------------- UICATIO11 --------- N, ri k L,U111311ILi con ri-,m;- ----------- ICENSE -——————————————————— --——---———————— MIIER ------------------- WILDINU --------- - BUILD3.111 I-YPIL or I!� "N I I U W E I IS W ATE I t HEATERS 310. L.AVATWzy 1511WASWERr BATH LISPOSALS u rz 1'. 'A I-S 14(5 IIACII11177 --————————— t it G L CIS I ---------- jJR. "t.it t, Ij ixTU119;i1cou TOTAL". -------- -- vi----------- ---------------------- TE JIUST J 11 CORDA (TURtS VU1103j.1403 Atli) FT) ! . �! 111:�-I-ALLAT1011 PLU11HBINWC 'vIIE SoUTHERI'l STARDARD, k. Ill. Iq EVITICH fit l-,il AI IVA , P10) UA I V J,, �j f i olp� P i 0141, 1 '41t 1 44 FOR OFFICE USE ONLY Date............//.—_1F.7....19 CITY OF ATLANTIC BEACH Permit ....Fee 14 Valuation $..........ko... .................. t� 3 — 'yX/ 2T FLORIDA - House ...............................ealp, 4 .... ............. ............................................................................ APPLICATION FOR BUILDING PERMIT ............................................................................ *......*....*............*­......*"*"*--------------*.......".......*...­I Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-BuiIder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlaniie Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date......... �9-7....................................... 192.1... Owner------4��p--------/--4- ---Y-4>----------------------------------------------------Address--ly.3............)_ ....Telephone No-----_--------------....... Architect-...080."1 y------ '4r-*—7------------------------------------Address,45U.I.Amec........4;�X__/-__eS*__Telephone No............------------_- Contractor Builder._/'K4�7;FOr- ------------A ddres s -------65�Vg�Fll) -Telephone No.��k(,r.­J.Fee$.',---- W Lot No.W_e -------Block No------7_ ------S&tlion. —/f.0 ,C>A- _o4�t--------- 1— .... ......Zone----------------- ---------------------------------------------------------Street.-------------- ------.-Side Between.......--------...............----------­-------and..............---------------------------------------Sts. �--------- -pose will building be used PJF:r">'fAv'x...-----Type of construction--- ------ Valuation For what pui ---*-------------------------- Dimensions of Building----- ----------Dimensions of Lot-------7J7.Z.14-0 -------------------------*-----Size of Footings......P) _...(Z................ Size of Plers..JFA16n�qg;------.--Size of Sills-AfOO-4 4 C---_Greatest Sill Span in ft.29XnrjCe!q5;:_.Type Roof--- How will Building be Heated? ------- ----------------------Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists------------------------ ------ Distance on Centers.-----.... ­-------I---------------------. Greatest Span-.---------------.......................... ly Size of Floor Joists----------------------- ----------------- Distance on Centers......... _.......___------_-------, Greatest Span.---------................................. sp Size of Rafters................------------------------ Distance on Centers........ ......................... Greatest Span............................................ of 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. A 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. 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 covered. 7. Electrical inspection by City of Jacksonville. Ae., 8. Final inspection. — — 1912. 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 Cityo�A *c.Beach. Signature of Builde . ..... -------------_-- Signature of Owner.-..#O. ----­---------------------1-......... -------- ...... Address......�fCt evl�%- 1.0 ------- FOR OFFICE USE ONLY Date-----4.7/( Q---------- Permit *.sffA6A0"...Fee CITY OF ATLANTIC BEACH Valuation ......................4....................... FLORIDA House J-/. ......... .......................................................................... 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 Atlaniic Beach,Florida. To prevent delay or embarrasment regard- r 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.................../---- --------------*111-0 19--- Owner...... ........ ------ ---------- -----------------­-­-----­-Address_= -------------------- .......Telephone No----------------------------- ------------ Architect------ ress­.......SA�3......�r 42( Telephone No­4�..-��."71V ------------ -------------­----Add Contractor Builder... .. ... ----------- --- -<Z�.....--------Address.----------------------------------------------------------Telephone No........ ------- Lot No­-P�./V.------ --------- Block No------7---------- ---Sub Division-------------------------------------------------------------------.......-.Zone , h I---------- .........457-t----- -----.'---.Street...--------------------..Side Between------ ............----------------------------and----------------------------------------------- ....Sts. Valuation what purpose will building be used....1"474.1----­­--------Type of construction... Dimens;ions of Building-------------------------------------Dimensions of Lot-.... /-3-0..............Size of Footings....... Size of Piers.--------­­-­--------------------Size of Sills-----------------­----------Greatest Sill Span in ft------­­­--------------Type How will Building be Heated?- 014a;,r..... ­-­Will Building be on Solid or FilledGround?----- .............. Size of Ceiling Joists­YX111.........-------------­, Distance on Centers........./16---------------------------- Greatest Span------------------------------------------- Size of Floor Joists....97----?��-----------------------.,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 be submitted with application. Inspectlons required. 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 4. When framing is completed. ITS E-4 -and ready to cover up. 3 5. When rough plumbing is completed, 14M 6. When septic tank drain field or sewer is laid but before it is covered. 7. Elect;�rical inspection by City of Jacksonville. M 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after c�rrections 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 Atl ' B ch a cB 4 A A�,Z�..c. ................. Address..... Signat#e of Builder.... ........................... ---------------- ........ Signatureof Owner......­......------­----------------------------------------------------- Address...............................................................­­...........­­.................. V DEPARTMM,, OF BUILDING U ONLY 1=r — I TOWN OF ATLANTIC BEACH, FLORIDA permit 3 Valuation "I n for Permit for House-W, Miscellaneous, Alterations, ------------ and Repairs Z TO the Supervisor of Auddb2r. The mdersigned ;,&f7j3ermit._A4_ opr6y A4 (State a to"repair,a a or tnove,bufldint;erect&wntng, 0M. etc., Instan better,olvvatot�*to.) Buildij is on--- __6j_A&.vn_ lock No. —sub. 1xv. MA4 fm Ajoh —0 At _2* St. Betwom and' sts. v M on BUILDINGS AND OCCUPANCY What i present use of building—Residential or Business?--- If r*4 SnUal,what 4TO—Dwelling�Garage Apartment, Apartments or Rooming,Hou"t HOW y families now?— —_How many When vateredf if what *-V*?— —.WM food be prepaed ior M", �rismjsss? Wbat work to be ................................ ... ,size I'll, pv�rWe"Mmt Ing size of me of lot NUMN r of stories now...... ................After altered,....... of x Rt*ri a Of present --material Of NZ=SA" 'PUNS IN DUPUCATETO BE SUBMrrrED 'HERZWrrH'1 OIL,BUM=OR GASOLINE MUMOUT, Nam of Oil Sumer or,Gasoline Pump....................................... a I r Name md Address of Alamulacturer--, In con wtion herewithtwliestion is also made to inxtall:__ _.�gallon ospatity tank (a) Mow -any) made 17 --guage metal ground (Under or above) —of buUdbig. 1rdr___. (Inadde or outstdo) of i Purchi"ry FURMSHORAVMG SROWM0 ENTMR LAYOUTION REVESSE $W*A*,TM=ANX SIGNS size— (State whether ground. root,wall,proj"Ung,banner,x0adva,*to.) Weigh ---material of construction— Illumb iated? Type illumination (iWt;7WhW1�8;:Lamp.,or mon) WW a Kn be over.,puW�prvpqrtV?___ 1 URMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN,AND'METROD OF RANGING VVRITE ADDITIONAL INFOWTION BELOW (For ca4vas S e Pens W on Mier"side) DIPOILTANT XQUOR: In consideration of permit f dol -the work as described in the abo, ere y -agree to n r ve statement, we h b said wDrk in accordance with lKe atiZhed' ffans and specifi cations, which are a part heved, and,in accordance building regulations of ;2�To" of Atlantic teach. I A�'ilc 01( Signawre of BuijA&v,__ Phone NO. Signature of 1�ner_ Address--- Phone No-