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770 Triton Rd (vault) CITY OF ATLANTIC BEACH r s 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 „r Application Number . . . . . 06-00033858 Date 9/15/06 Property Address . . . . . . 770 TRITON RD Application type description ROOF Property Zoning . . . . . TO BE UPDATED Application valuati n . . . . 1500 ------------------ ------ ------- --------------- - ---------------------------- Application desc REROOF ----------------- ------- -------- --- - - --- - - --- - - ---- -- ---------------------- Owner Contractor ROCKWOOD OWNER 770 TRITON ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------- --- - - - -- - --------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 120 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 3/14/07 ---------------------------------------------------- ------------------------ Fee summary Charged Paid Credited Due ------------- ---- ---------- ----- - ---- ---- ------ ---------- Permit Fee Total 120 . 00 120 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 120 . 00 120 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 4 �� l2 tai b�J Date Q .(C( , o cp Heated Square Footage @ $ per sq ft= $ Garage/ Shed $ per sq ft= $ Carport/Porch $ � per sq ft= $ @ Deck. @s per sq ft= S Patio @ $ per sq ft= $ -TOTAL VALUATION: $ Total Valuation 1 sc $ 4,p0y Remaining Valueper thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ �O ZONING: _ + !2 Filing Fee $ , FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL RviPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 S SECTION H PAVING( ) S HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ o� GRAND TOTAL DUE: S (� CITY OF ATLANTIC BEACH PLAN REVIEW SHEET49 . Building Department Public Works&Public Utilities Departments L. Higgins 800 Seminole Road 1200 Sandpiper Lane S. Doerr 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 COMMENTSp Permit Application# U – 3 Property Address: / 7 Applicant: :20 P-40 d U l Ltd-1 f e Project: This permit application has been: Approved as noted by the Q7 Department. Final application approval must come from the Building Department. El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: U�k Date: `� I I L, 1 o Date Contractor Notified: • DSO - 33��� '3 S� CITY OF ATLANTIC BEACH ' _ ROOFING PERMIT APPLICATION Date: PLEASE SUBMIT(2)COMPLETE STSO PLANS WITH APPLICATION. Job Address: Z- Owner of Property: v4y o S Address: —7 7 c) c) Telephone: 904 Contractor: Q Lj L-.-e v- State License Number: Contractor's Address: Telephone: Fax: Scope of Work: -e- 20 e Shr-cltS Deck Slope: Z Greater than 2:12 Less than 2:12 Valuation of work: S cro , -- rr Product Name(Example: Timberline): Manufacturer(Example: GAF): �r (- ASTM Designation(s): Required Inspections: Sheathing and Final Signature of Owner Date: E/ 2- 31 O AS TO OWNER: Sworn to and subscribed before me this fi day of �T '20 v� State of Florida,County of Duval Notary's Signature: Owl& GUADALUPECOMLEY —1!5—Personally known �_j l MY COMMISSION#DD 235147 ❑ Produced identification EXPIRES:July 28,2007 Type of identification produced �nFyd• BmW 7tuu Notary Pu*ui&.rAers J. Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ 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 M I A M I-DA EE MIAMI-DADE COUNTY,FLORIDA _ METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) GAF Materials Corporation 1361 Alps Road. Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Royal Sovereign Shingle LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use, and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 3. The submitted documentation was reviewed by Frank Zuloaga,RRC NOA No.:03-0219.04 © � Expiration Date:04/22/08 Approval Date:04/03/03 Page i of 3 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category: 07310 Asphalt Shingles Materials 3-Tab Deck Type: Wood 1. SCOPE This renews GAF Royal Sovereign Shingle as manufactured by GAF Materials Corp described in Section 2 of this Notice of Acceptance. 2. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications GAF Royal Sovereign 12"x 36" PA 110 Fiberglas reinforced heavy weight asphalt roof shingle,with a 3-Tab profile 3. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering PA 100 02/23/94 Underwriters Laboratories,Inc. PA 107 Modifed ASTM D 3161 04/13/94 Underwriters Laboratories,Inc. ASTM 3462 ASTM D3462 03/26/94 Center for Applied Engineering 257966 ASTM D3462 03/21/97 4. LIMITATIONS 4.1 Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 4.2 Shall not be installed on roof mean heights in excess of 33 ft. 5. INSTALLATION 5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 5.2 Flashing shall be in accordance with Roofing Application Standard RAS 115 5.3 The manufacturer shall provide clearly written application instructions. 5.4 Exposure and course layout shall be in compliance with Detail 'A',attached. 5.5 Nailing shall be in compliance with Detail B',attached. 6. LABELING 6.1 Shingles shall be labeled with the Miami-Dade Logo or the wording"Miami-Dade County Product Control Approved". 7. BUILDING PERMIT REQUIREMENTS 7.1 Application for building permit shall be accompanied by copies of the following: 7.1.1 This Notice of Acceptance. 7.1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.:03-0219.04 Expiration Date:04/22/08 Approval Date:04/03/03 Page 2 of 3 DETAIL A 1st Course of Shingles 2nd Course of Shingles 3rd Course of Shingles 7" 5„ Drip Edge DETAIL B 36" M. I. . M bo LLO LO END OF THIS ACCEPTANCE NOA No.:03-0219.04 Expiration Date:04/22/08 Approval Date:04/03/03 Page 3 of 3 ROOFING APPLICATION STANDARD (RAS) No. 115 STANDARD PROCEDURES FOR ASPHALTIC SHINGLE INSTALLATION 1. Scope 4. Underlayment 1.1 This roofing application standard has 4.1 Minimum prescriptive underlayments been developed to provide a responsive shall be one of the following,unless oth- method of complying with the require- erwise specifically noted in roofing as- ments of Chapters 15 and 16 (High-Ve- sembly Product Approval: locity Hurricane Zones) of the Florida Building Code, Building while providing • A double layer of an ASTM D 226, a prescriptive method of installing asphal- Type I,with a 19-inch headlap;or tic shingles. • A single layer of an ASTM D 226, type II with a 4-inch headlap;or • A single layer of an ASTM D 2626 2. Definitions coated base sheet with a 4-inch headlap. • All endlaps shall be a minimum of 6 2.1 For definitions of terms used in this appli- inches. cation standard, refer to ASTM D 1079 • All valleys shall be woven. and the Florida Building Code,Building. 4.2 All underlayments shall be fastened with 3. General minimum 12 gage by 11/4 in.corrosion-re- sistant annular rink4hank roofing nails fas- tened trough minimum 32 gage by 15/8 in. 3.1 Asphaltic shingles shall not be installed diameter tin caps:Maximum fastener spac- on roof mean heights greater than 33 feet, ing shall be 6 in.o.c.at the laps with two ad- unless specifically specified in the roof ditional rows in the field'at a maximum I I assemblies Product Approval.Roof slope spacing of 12 in.o.c.Nails shall be of suffi- criteria shall be in accordance with Table cient length to penetrate through the sheath- 1515.2. ing or wood plank a minimum of 3/16 in.or penetrate 1 inch(25 mm)or greater thick- ness of lumber a minimum of 1 in.,except 3.2 Where asphaltic shingles are to be in- where architectural appearance is to be pre- stalled over insulated roof deck,a suitable served,in which case a minimum of 3/4 in. nailable substrate, in accordance with nail may be used. Section 1520.5.7 must be installed over the insulation prior to the installation of approved underlayment and shingles. 4.3 If the underlayment is a self-adhering membrane, the membrane shall be ap- plied over a mechanically attached an- 3.3 Asphaltic shingles shall be installed in com- chor/base sheet attached in compliance I I pliance with the Product Approval installa- with this section above. tion drawings,but in no case with less than six approved roofing nails(12 ga.by 11/4 in. corrosion-resistant annular ring shank roof- 5. Metal Accessories ing nails) or approved fastening devices which penetrate through the sheathing or 5.1 All metal accessories shall be in compli- wood plank a minimum of /16 in.or pene- trate a 1 in.or greater thickness of lumber a ance with Section 1517.6 of the Florida Building Code, Building and RAS 111. minimum of 1 in. except where architec- rural appearance is to be preserved,in which case a minimum of 3/4 in.nail may be used. 5.2 Eave and gable drip metal vertical face shall be a minimum of 11/2 inches and shall ex- tend down not less than 1/2 inch below the sheathing or other member immediately FLORIDA BUILDING CODE-TEST PROTOCOLS HVHZ (RAS)115.1 (RAS)No.115 with the top of the cutouts in the course below. Install no-cutout shingles and those with variable butt lines according to the manufacturer's directions to obtain PROPERLY DRIVEN IMPROPERLY DRIVEN correct exposure. UNDERDRN N OV RDRN NcROD— __ASPHALT SHINGLES NOTE: Follow manufacturer's instruc- —LINDERLAYMENT tions concerning shingle align- ment. See "Exposure, Course I I Layout,and Fastening Detail"in shingle manufacturer's Product Approval. DETAIL A 7. Fastening 7.1 Use six approved nails per shingle.Place 8.2 Open valley: Snap two chalk lines,one on the fasteners in strict compliance with each side of the valley centerline over the I I shingle manufacturers Product Approval full length of the valley flashing.Locate the course layout,fastening details. upper ends of the chalk lines 6 in. apart in the center of valley at the ridge(i.e.,three inches to either side of the valley center- 7.2 Align the shingles properly to avoid ex- line).The lower ends should diverge from posing fasteners in the course below. each other a minimum of /g in. per linear Drive the fasteners straight and do not foot of valley length,(i.e.,for an eight foot break the shingle surface with the fastener long valley the chalk lines shall be 7 inches head. Do not drive fasteners into knot apart at the eaves). holes or cracks in the roof deck. Repair I faulty fastening immediately. If fastener As shingles are applied toward the valley, is improperly driven or exposed, remove trim the last shingle in each course to fit the fastener and repair the hole in the shin- on the chalk line. Never use a shingle gle with approved flashing cement or re- trimmed to less than 12 inches in length to place the entire shingle. finish a course running into a valley. If necessary,trim a tab off the adjacent shin- gle in the same course to allow a longer 7.3 Do not nail into or above factory-applied portion to be used,trim 1 inch on a 45-de- adhesives.Ensure no cutout or end joint is gree angle from the upper corner to direct less than 2 inches from a nail in an under- water into the valley and prevent it from lying course. Start nailing from the end penetrating between the courses.Finally, nearest the shingle just laid and proceed to form a tight seal,cement the shingle to across.Do not attempt to realign a shingle the valley lining with a minimum by shifting the free end after two nails are eight-inch width of asphalt flashing ce- in place. Drive nails straight so that the ment. There should be no exposed nails edge of the nail head does not cut into the along the valley flashing. shingle.Nail heads should be driven flush with the shingle surface. Fasteners shall not be improperly driven(see Detail A). 8.3 Closed cut valley: With valley flashings already in place,apply the first course of shingles along the eaves of one of the in- tersecting roof planes and across the val- 8. Valleys ley. For proper flow of water over the trimmed shingle, always start applying the shingles on the roof plane that has the 8.1 Valleys may be applied in open,closed or lower slope or lesser height. Extend the woven fashion. Valley metal shall be in end shingle at least twelve inches onto the I compliance with Section 5.4. adjoining roof.Do not make a joint in the valley. If a shingle falls short, add in one or two tab sections so that joint occurs FLORIDA BUILDING CODE—TEST PROTOCOLS HVHZ (RAS)115.3 (RAS)No.115 FLASHING PLACED UPSLOPE FROM EXPOSED EDGE OF SHINGLE EXTENDING 4 INCHES OVER UNDERLYING SHINGLE AND 4 INCHES UP VERTICAL WALL MINIMUM 2-INCH HEADLAP _—UNDERLAYMENTTURNED UP VERTICAL WALLS MINIMUM 4 INCHES .� a` 1 '.....:: .::.':'K .':.. - ............ .............................. ...................... DETAIL C first course of shingles up to the wall. Po- nail the strip to the wall. Apply an addi- sition the second step flashing strip over tional row of shingles over the metal the end shingle in the first course 5 inches flashing strip,trimmed to the width of the up from the butt so that the tab of the end strip.Bring siding down over the vertical shingle in the second course covers it flashing to serve as cap flashing. Wall completely. Fasten the horizontal arm to treatment or cap flashing shall terminate a the roof. The second course of shingles minimum of 1 in. above the roofline.Do follows, the end is flashed as in the pre- not nail siding into the vertical flashing.If ceding courses and so on to the top of the the vertical front wall meets a side wall,as intersection. Bring siding or other wall in dormer construction cut flashing so that treatment down over the vertical sections it extends at least 7 inches around the cor- of the step flashing to serve as cap flash- ner. Continue up the side wall with step ing. Wall treatment or cap flashing shall flashing as detailed above. terminate a minimum of 1 in. above the roofline. All metal counter flashing shall be installed in accordance with RAS 111. 10. Soil Stacks and Vent Pipes 9.4 Head/apron flashing at all vertical end walls: Apply shingles up the roof until a course must be trimmed to fit at the base 10.1 Apply shingles up to the vent pipe.Cut a of the vertical wall. Adjust the exposure hole in a shingle to go over the pipe and set slightly in the previous two courses so that the shingle in ASTM D 4586 flashing ce- the last course is at least 8 inches wide. ment. A preformed flashing flange that Apply a continuous piece of metal flash- fits snugly over the pipe is then placed ing over the last course of shingles by em- over the shingle and vent pipe and set in bedding it in approved flashing cement approved flashing cement. Place the and nailing it to the roof.The metal flash- flange over the pipe to lay flat on the shin- ing strip shall be bent to extend at least 5 gle below. After the flashing is in place, inches up the vertical wall and at least 4 resume shingle application. Cut shingles inches onto the last shingle course.Do not in successive courses to fit around the FLORIDA BUILDING CODE—TEST PROTOCOLS HVHZ (RAS)115.5 -4 O o CL Jb- �--. h1 N N O , a,,. 001 O 0 Q 00 N N O N I O Q. r�. t i is 00 q N N O N ,d CITY OF 1*aa4'e Ve4d - 9&Ud4 800 SEMINOLE ROAD _.._— ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 April 18, 1995 Mr . Richey Jerome 770 Triton Road Atlantic Beach, FL 32233 Dear Mr . Jerome: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 770 Triton Road a/k/a Lot 15, Block 14, Royal Palms 2A RE#171333-0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of Section 12-1-3 of the Code of Atlantic Beach (high weeds and grass) . You are hereby notified that unless the condition above described is remedied within fifteen ( 15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30) days after receipt of billing , the invoice amount plus advertising costs , will be posted as a lien on the property . Within fifteen (15) days from the date hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body , for the purpose of showing that the above listed condition does not constitute a public nuisance . Sincerely , Karl W . Grunewald Code Enforcement Officer KWG/pah cc : City Manager VIA CUTIFIRID 14AIL RETURN RECEIPT REQUESTED /, CITY OF / 1r�ic Seac� - �f vada 800 SEMINOLE ROAD ------ ------- ----- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 April 18, 1995 Mr. Richey Jerome 770 Triton Road Atlantic Beach, FL 32233 Dear Mr . Jerome: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 770 Triton Road a/k/a Lot 15, Block 14, Royal Palms 2A RE#171333-0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of Section 12-1-3 of the Code of Atlantic Beach (high weeds and grass) . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30) days after receipt of billing, the invoice amount plus advertising costs , will be posted as a lien on the property . Within fifteen (15) days from the date hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body , for the purpose of showing that the above listed condition does not constitute a public nuisance. Sincerely , Karl W . Grunewald Code Enforcement Officer KWG/pah cc: City Manager VIA CIRTUP11915 MAIL RETURN RECEIPT REQUESTED FOR OFFICE //USE ONLY / Date- - - !p_ �-------19461 Permit CITY OF ATLANTIC BEACH Valuation _________________ FLORIDA House �#_ �l---f• /r' •y-_/�,.� 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-contraptors be submitted to this office so that licenses can be verified. Date.. o? Owner... .4'it� �_.5. �tL�s----- '............Address-----------------------------------------------------------Telephone No.-------------------•-----•-- Architect---_----------------- Address-----_----------------------------------------------------Telephone No------------------------ Contractor Builder---- Address---------------•---•--••------------------------------------Telephone No---------_------------- Lot No.------y----- .............................Block No-------1-X---------_---- Sub DivisionXd.yM/._4 Z�---Z/'-"z'f.........Zone----------------- .-"� -----Street--------------- ---------Side Between----------------------------------------------------and------------------------------------------------------Sts. Valuation ________________/For what purpose will building be useedpd----------------------------------------Type of construction------------------._.._..._--__--____- Dimensions of Building_�I=__oK_,Y_3_,g-__Dimensions of Lot---L_--2 .......)( ______---Size of Footings.__,7;7d2zi_ _____________ Size of Piers-.---------_------------------------Size of Sills---------__---- _._.Greatest Sill Span in ft-------..______-_-__-_-_Type Roof_ - - - ----------- How will Building be heated? ___ ___________ �cc�.�_ ,A/Will Building be on Solid or Filled Ground?__: Size of Ceiling Joists.------------------------------------------ Distance on Centers----------- ------------------------------- Greatest Span-----_----_--------------------------•-•- „ Size of Floor Joists.---------------------------------------------- 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. 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. "� 'i 4. When framing is completed. O 5. When rough plumbing is completed,and ready to cover up. r7 6. When septic tank drain field or sewer is laid but before it is covered. q q 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 Atlantic each. Signature of Buildez - � 1 Address----- -• - - - Signatureof Owner--------------------------------------•--------•---------------•----•----------- Address------------------------------------------------------------------------------------------_--- AA11'' /3/ACITY OF fY&4x& wcA-0;4m-& Office of Building Official REQUEST FOR INSPECTION Date (v t Permit No. Time A.M. Received PM. Job Address Locality Owner's < � Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made PM Inspector Final Inspection ❑ Certificate of Occupancy❑ Date CITY OF Office of Building Official Ott— f\ ?��/ REQUEST FOR INSPECTI Date `? Time VPermit����1111eeee,,,, Received A.M. -,-k q, 8 'l � P.M. 1 T►�-I'�r) Job Address Owner's Locality Contra or BUILDI CONCRETE LECTRIC LUMBI MECHANICAL FootiRe Roofing ❑ Slab ng ❑ ough g ❑ / ❑ Air Cond. & ❑ Insulation ❑ Lintel C❑l F nal ole ❑% Top Out ❑ Heating REhg��1��(( ,p C� Sewer ❑ Fire Place ❑ btl I S ECTI Pre Fab Mon. Tues. Wed%�� A.M. Thurs. Friday Inspection Made 7i21 A.M. pM P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date