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140 12TH ST (VAULT) r y - CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION:Ay9 JJ�T'S 7 OWNER OF PROPERTY: � 111"PZI TELEPHONE:: 06 CONTRACTOR: IVA "oopT7A'C CONTRACTOR'S ADDRESS: (�,SQr►r/,//P �-L . ZIP: STATE LICENSE NUMBER: C C aS7 TELEPHONE: 7a� 3 YG DESCRIBE WORK TO BE PERFORMED: ��CGI VALUATION OF PROPOSED CONSTRUCTION U MATERIALS TO BE USED: //��t t�t Sl`,41e-5 SIGNATURE OF OWNER: SIGNATURE OF CONTRACT R: SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 19997 Pabida Amonette AS TO OWNER: ss"#OGSwi EXPIRE! NOTARY PUBLIC = Aupuet 27,2000 •'�• Trov�1l�SIYIWIIX,q10. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY O 1 AS TO CONTRACTOR > NOTARY PUBLIC PatW Am01ettI SORES Liability Insurance Supplied MY comwsslw r c" o Tow moY FMN INSUPA",IM Workers Compensation Insurance Supplied „ Contractor License Information Supplied Occupational License Information Supplied °3 0 c, c,.0 1P 37 2 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FI 32233 - Tel. (904) 247-5826 ROOFING PERMIT :_P MIT INFORMATION -- �— -- LOCATION INFORMATION Permit Number: 19350 Address: 140 TWELFTH STREET Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 2,200.00 OWNER INFORMATION'-- _-AM111111111 Date Issued: 12/14/1999 Name: KATHY BUSHNELL Total Fees: 30.00 Address: 140 TWELFTH STREET Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/14/1999 - Phone: (904)249-5601 Work Desc: REROOF ONFTRACTOR S - APPLICATIOWFEE A1A ROOFING, INC. PERMIT 30.00 Inspections'Requi - { NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS'.'-- ISSUED MPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $38.88 14 Date: 12/14/99 81 Receipt: 8919146 CITY OF ATLANTI BEAC 88188883221888 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. Date : LOCATION / _ L� k ��, Street LOT NO .W yL �—1 to BLOCK NO. S/D OWNER MASTER PLIPMBER Bldg. BUILDER OR CONTRACTOR Perit_. o,.. TYPE OF BUILDING •.,,1 SINKS_.:Z_LAVATORY BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS WATER HEATERS DISH4ASHERS / DISPOSALS OTHER TOTAL FIXTURES /' �� n1 . 00 NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size-.and looation of all the soil and vent pipes, and the numbar and looation of all fixtures , (in acaorda.nae with Ord.ir_anae no. 188 of the City of Atlantic Beaoh, Florida ) must be shown on bank of appli- cation and be approved by the Plumbing Inspeotor. DRr'i'rd PLAN AND SF'ECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Flumbing Inspector Date (FOR OFFICE USE ONLY ) ROUGH-IN INSPECTED REMARKS FINAL INSPECTION: CERTIFICATE ISSUED : i n' BUILDING AND ZONING INSPECTION DIVISION c O CITY OF ATLANTIC BEACH, FLORIDA Z o N ELECTRICAL PERMIT a z Date 12?/75 Fee $ 2 - 00 Permit No. 1 A I tO LUJ m Location '-�treat Between and a This is to certify that `c ; _ W Ct (Electrical C tra tore baster lec rici V C has permission to install Electrical Construction as described herein in W a accordance with the provisions of the Electrical Code and regulations Z c I of the City of Jacksonville, and subject to the information shown on the = F application, drawings and specifications which are made a part of this 3 m permit. for n11ier an," ''^S3Y'43 W m a Type of work: Tq;gu:)Qgary Pole SERVICE: 3,16 PIW, S f ,c;"a fin amps M 3 � > LU W Feeders: :E O Outlets: V W Receptacles: m N Switches: = I Incandescent: ~ i Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: ElectrZur Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. [>r BUILDING AND ZONING INSPECTION DIVISION z O CITY OF ATLANTIC BEACH, FLORIDA r- 0 a. z ELECTRICAL PERMIT a Date 1 7 >t 7 Fee $ �r £= Permit No. f' 7 30 J W m � Location „ ,b . . . ._ Q Between and a This is to certify that y 1 I 't�i L?i7��..�.i`i W 91 ^. (E ectricol Contrac%tor) (Master E ectncian) o Lu a has permission to install Electrical Construction as described herein in W accordance with the provisions of the Electrical Code and regulations Z c of the City of Jacksonville, and subject to the information shown on the UJ 0 application, drawings and specifications which are made a part of this 3 permit. N for t` • ' ;vr & SODS u; m a p m Type of work: __ SERVICE: t'Ondx.Ctc,"r 3f 4/0 -41UMSt43to?> 2011 > m 3E. 230 o�ol. Cats1�! R�4r�or�� a u N W Feeders: p 27 u Outlets: W m Receptacles: w Switches: _ Incandescent: Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. -"Ave ... 4&4.,t& /- _ /CiP _O/F� Office of Building Official REQUEST FOR INSPECT N T ermit No. Date__ — --- -- 1 Time A.M. Received __ P.M. Job A ress ality Owner's Name Contractor — BUILDING CONCR TE ELECTRICAL MECHANICAL Framing Footing Rough Wiring Rough Air Cond. & Re Roofing Slab Temp Pole _ Top Out ❑ Heating Insulation C Lintel Final Sewer ❑ Fire Place Pre Fab ^ READY FOR INSPECTION �\ Mon. Tues Wed. Thurs. Friday J�� 9 A.M. Inspectior,Mads /l4ip --.P.M. /; Final Inspection C Inspector — Certificate of Occupancy Date ---- mak. 9, Yr t APPLICATION FOR WATER CUT-IF TO THL CITY OF ATLANTIC F3EACH: Application is hereby made for 3 water cut-in at the following address for -�t1z- units. Cut-In charge of Y5- Street No. � �y 1� fW ���1 Y Lot EyA� 'S 5/4 Block 93 SubdivisioRz� Ordered by: OWNER: Mailing Address ; kr- C4 .3 2233 DATE: ACCOU 1T P.10. 23� DIETER 110. DATE I'NSTALL70 FOR OFFICE�USP ONLY 7 -19 Date-_---_ I-I- ------ Permit ##............ ............Fee$..I .. /.. CITY OF ATLANTIC BEACH Valuation $--_.:$ao............ FLORIDA House ..........Ido L..n.............5? .................... .......... .............. 04— 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. Date------------- .............I.............. X '!� 7Al-p'&A 4 �;iphone --- Te e ..............................Address---- .......412 — ......................Address........................................................-Telephone No----------------------------- Ar�W(tect----------------------------------------------------- ,4tontractor Builder.----�er: .4.jr.).J........Telephone o 4 ...........Block No------- ................ •Sub Division...............................................................................Zone................. ._ Lot No --and------- ............... Street_. ....-Side Between... -------------_------------ .............. Valuation $..................o.............For what purpose will building be used.-...'. s--------------------•---Type of construction- ions of Lot.... :�........... --------------------Size of Footings---- ----------------- Dimensions of Building-------- ---- ---4 -----------Dimens --------------------Greatest Sill Span in ft... -----------Type Roof Size of Piers-------- -----------------"-------Size of Sills............ ------------- .... ......... 1., -,fl --_---------Z--------------------- How will Building be Heated?---- --------:.......... ...........Will Building be on Solid or Filled Ground?.. 0 ---------------------------- -i.......... Distance on Centers...... ................. Greatest Span_- ---- Size of Ceiling Joists----- --------- ... .......... Greatest Span------- .......................... ...... .. Size of Floor Joists........; -- ---------------------Distance on Centers_....1_4.............................. . .. ....•................. Greatest Span-----;:�._'_�..................... Size of Rafters.------- s---------------------Distance on Centers....L........... 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 ane specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z 2. When steel is in place and ready to pour columns and/or lintel. Z 0.41 t' ,f1h 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. 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 Beach. ' - Signature of Builder_. --------........ ............................... . Address ----1 `--f_n,----- I ........... ........ Signatureof Owner..- ---- ---------------------------------------------------------------------- Address_-------------------------- ................................................................... -�--- 17100 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION ---- LLt'(-ATION INFORMATION ---------. permit Number : 17100 . 'dress : 140 TWELFTH STREET MECHANICAL ATLANTIC BEACH ; FLORIDA 32223-13 Permit Type :MECHANICAL LEGAL DESCRIPTION - lass of Work:ALTERATION Block: Lot : Twp: 0 Constr. Type:WOOD FRAME 7ertion: fl Subd:O Rng: n Proposed Use- Subdivision: Dwellings : 1 Est . Value: 0 . 00 improv . Cost : 0 00 Total Fees : 33 .00 Amount Paid ` 33 .00 Date Paid: 9fv4r1.995 -REyF LACE Cr LADEN-SFR. AND AIR HANDLER. __-___._ __ _._..___._ ..._ APPLICATION FEES __ _. - ---- rt�tEF INFORMATION ERMIT 33 .00 ame; KATHY puSHNELL A.dr : 1411 TWELFTH STF>,EET ATLANTIC BEA"-'H , -FLORIDA 32233 =:hone: (. 904)249--5E- 1 CONTRACTOR ?NFOk.MATION lame: HUXHAM HEATTra ' & AIF. Adr: 1078 NINTH S'TF.FFT SOUTH,` JACKSONVILLE BEA—,C% . FL 322 Lir ` RA0024352 Exp: ype: 3 NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRISFROM ONT THIS WORK MUST WR OR OWNER NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER RESUL "FAILURE TO COMPLY WITH THE MECHANICS' LIEN MPAN COVEM NTS.T IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS de; ATLANTIC BEACH BUILDING DEPARTMENT By: �.� 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. LOCATION Street Address: t _ 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 above statement we hereby agree to perform said work in accordance with the attacFLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master Name of Property Owner Vgl�/l/�L! Signature of Owner 7TLC�iSignature of or Authorized Agent � � �j Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: B' IS OTHER CONSTRUCTION BEING DONE ON r Et*cmc THIS BUILDING OR SITE? L ❑ Gas—❑ LP ❑ Natural El Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ OilPERMIT ❑ Other — Specify IV. MICHANICAL EQUIPMENT TO RE INSTALLED NATU�iE OF WORK (provide complete list of components on back of this form) Residential or ❑ Commercial CI Heat ❑ Space ❑ Recessed B Central ❑ Flow ,,❑ New Building Q Air Conditioning: ❑ Room © Central KI/Existing Building ��Replacement of existing system ❑ Duct System: Materiel Thickness_ Maximum capacity c.f.m. ElNew installation(No system previously Installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-P.M. ❑ Fire sprinklers: Number of heads - ❑ Elevator ❑ Monliff ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (RK+ ) ❑ Tanks (number) Remarks ❑ LPG contain*r+ (number) ❑ Unfired pressure vessel Permit Approved by Dot•ss_ ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Unita Description Model Number Manufacturer Agency HEATING - FURNACES, BOILERS, FIREPLACES C&Padty A;V! Number Units Description Model Number Manufacturer (STU) +A"i="My TANKS Serial Approving How Many Nominal Capacity Type Liquid Name of and Dimensions Contained Manufacturer No. Agency CITY OF �ctic Ve4d - 9&va a 800 SEMINOLE ROAD �� ------- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 October 10, 1991 Kdthleen P. Bushnell 140 12th Street Atlantic Beach, F1 32233 Dear Ms. Bushnell: Thank you for your letter- of Octobe i 1, 1991. 'Please disregard our previous letters to you rugardirm the high weed2 and grass. The legal desc:ript:iunc: acid/or meal estate tax assessment numbers were quite oimilar to L11L property belonging to you. This letter is written to extend to you an apulclgy fur any inconvenience this matter has caused you. Si merely, Don C. Ford Code Enf orce-mL•nt 01 f ic-L•r DCF/pah cc,: City Manager I' I' CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5435 TELEPHONE(904)247-5800 FAX(904)247-5805 September `l.'l, 1991 Kathleen P. Bushnell 140 12th Street Atlantic Beach, FL 32233 Deal' M:::. Bushnell : Our records indicate that. you arcs the> uwnE•Y cr.f. the followinU property in the City of At.lani_ic Beach, Florid- E 1/2 Lots 5 ar,d b Atlantic. Beach KE#170278-0000 An investigation of this property ty di r:ulu:•�� ^> that I have found and determined that a public: r,u.ir-;ar,ce as t cxir;l r; Ll,f r e>on o cgrass axe e ur,ti„e,u Beach, and that on constitute a violation of Saeti•on 12. 1 of usl y present Code uj. Atlantic hicth weed the property. You are hereby noti-Eied that. ur►le. s Lite condi riot, above tion at_ a uuht L11 t1,e work plus a deaescribed is remedied withi�ndiver, (I ) ciaY.� -0 c'►° the ciatc• i,er Eot. the City will rem °dy t2,is c the cast c,1 ll►e WL11 1, charge equal to 100% of ti.,t�• t:ccltt W PI open ty administrative expenses, whica, will L� aid within ti,ir t-y (3C3) days after owner or occupant. If not P ad receipt of billing. the vex t.is:iny cor;ts' mninvoice aout Dated as a lierr on ti,e props=r ty• will be p `' make f, from thc> date t,c�r c•oi:, you may Within sever' (7) day o:t Atl.ar,t1 c nest to t1,e City Comn -:;. icer' of the (city written request before beat body, for tl,e� C,u, pa::e: of showing Beach for a hearing ublic that the above listed condition doe's 'lot e:ea►,stitutt• a nui sar,ce. Sir,ceree.ly, o C. Ford Cade L•:r,fOr cue mv,►t lltf ice r DCF/pa cc: City Manager , October 1 , 1991 Don C. Ford City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 Dear Mr. Ford: Once again I am in receipt of your letter finding me a "public nuisance ' . This is the second such letter I have received and I calledand spoke with you when I received the first. I think that you will find my property is not a problem but is being cited in error. Approximately one year ago I called and asked that the lot next to Mr. Hatcher on Ocean Blvd. , between 11th and 12th Street, be cleaned. The lot has not been cleaned for a very long time and the rear portion of the lot is overgrown and a rat haven. I called again about three months later but still no results. Prior to my receipt of the June letter I had taken a letter requesting that the property be cleaned directly to City Hall . That letter evident- ly prompted the complaints regarding my property. You told me in June that the letter had been sent in error. Hope- fully this is once again the case. I am also hopeful that the vacant lot will be cleaned soon. Thanks for your cooperation in this matter. If you have any quest - ions regarding my property, please don' t hesitate to call me at 249-2206 . Yours truly, . �W"tv_ Iathleen P. Bushnell CITY OF ATLANTIC BEACHI FLORIDA A..•••••w APPLICATION FOR BLKTRICAL #lIRMIT TO THE CHIEF ELECTRICAL INSPECTOR: OATEs.,._ IMPORTANT NOTICE: IN CONSIDERATION OF PEftff GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDAMCt WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IN ACCORtaANCt WITH THE ELECTRICAL. REGULATIONS.CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Et CTRL 1 Z)1- BLDG.SIZE BETWEEN:, RES.{� � APT.! 1 GDlllL{ 1 PNBLIC; 1 INOUL 1 NEW 1 1 OLD( 1 RAW.( ) ADDITION 1 1 TRAILER{ 1 TBMF.1 1 OHM ( 1 SQ FT. SERVICE: NEW 1 INCRun 1 REPAIR FEE 15 L) Size IN=OR lidma PH w EXIST. RV. FEEDERS MD. SIZE MO. SNZE NO. SIZE LKIHTWO OUMTS uD OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL o•ao ww�o. o SWITCHCS INCANDESCENT FLUORESCENT•M.V. Fsx190 APPLIANC99 BELL TRANSF. AIR M.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS H.P. VOLTAGE PHS NO. i M•R VOLTAGE MIS MISCEL AX OUS TRANSfO11MERSs UNDER S00 V• OVER am V NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHES EACH$IGN FORWAROED ."•`- � )Uzi TOTAL FEES • �l_l (117 6 (q S • G � ��-�ft��11.�.�� CJS-�r r) c� ����� �ti ma Ale 7�0 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING .PERMIT JOB LOCATION PLUMBING CONTRACTOR �� , �U� WQ261��p - LICENSE NUMBERS C.F c- OWNLR = BUILDING CONTRALTO TYPE OF BUILDING S1Yi \ SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLO5L:TS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT . INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. PSR-3--44 15426 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -_ -� PERMIT INFORMATION - ---- LOCATICN INFORMATION ---- _'ermit Number: 15426 Address : 140 TWELFTH STREET Permit Tvpe: PLUMBING ATLANTIC BEACH, FLORIDA 32233 .'lass of Work:ALTERATION __.______ LEGAL DESCRIPTION ------- Constr . Type:WOOD FRAME Block: Lot : Twp: C Proposed Use: Section: 0 Subd: O Rng : Dwellings : 1 Subdivision: Est . Value: 0 .00- improv . .00Improv . Cost : 0 .00 Total Fees : 25 . 00 Amount Paid.: 25 . 00 )WNER INFOR.MA.TTON --- -- --- APPLICATION FEES 'dame: KATHY BUSHNELL PERMIT Addr ' 140 TWELFTH STREET ATLANTIC BEA.-H . FLORIDA 322-- Phone: : 904 ' 249-5501 - - -- CONTRACTOR INFORMATION --- - "lame: LARRY TEAGUE AND SONS Addr: 3934 SCUTHSIDE BOULEVARD JACKSONVILLE , FL 32215 Lic: Cp,--05671E Exp: rn y r v_ NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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." 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 DEPARTMENT MY OF KT-ANTIC MACH ODL E VIOLATION FORM Date J- a At Address and/or Location of Violation COMPIAINr: Or0AkA7/NG- &,C T/ON 72//OS ii! Tl u�2S� GlJ� T�Du InkS• /j, t SH"V&7-4 ON .3/�2Lff 7f�7 .0,7�e Al qS / V1o"y-1 o Owner and/or Tenant of Property &(e f. /�. /✓�C.j'E1 NEL L.. ����"���7� SlGgATURB OF CO;VIAIIVANr �C t. Phone# cls" ADDRESS -------------------------------------------------------------------------------- Date of Investigation Investigator Conditions Found Action Taken RECOMMENDED APP -� Coupliance ��C7 7�) 5 112 X21 MY OF A'I7ANTI C IT:A(]i OOiJE VIOLATION FDRM Date J/2 Af Address and/or Location of Violation COMPLAINT: O�,�RAT/n�G �t.1iNESS' 1/AC'AT/anJ 7�i�.� T�u�2.s w/ 77�Ou 7— 04'L4u10A7-1O^M1- 1-/C FA116 �RS �G(SlfNE"LG U N .3/,2 ��' %/-147 J C- tugs /A/ Viou4Tivn/ 0-mer and/or Tenant of Property /'i•� /'{ 1,/a ? q/V&L L ��-A(, -7 s I(�3ATURE OF CA�'1F'IAINANT uihc�• Phare# - 39 ADDRESS ------------------------------------------------------------- ------------------ Date of Investigation Investigator Conditions Found Action Talum Coomliance C NOTES: