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MAYPORT RD 1600 (3) CIT? OF ALANTIC SEACH ROOFING PERMIT APPLICATIOII Owners) V SS \ Address: C�" l_Ckr, -Phone:_2ti�- BILIS Lot , Block or Unit , Subdivision: �P�va V1'1�.•rc,,i Contractor:_ Address: City, State and Zip c.ck�o�.�.� �r�c � L 322Lt0 Phone_'Z-?0- \X17 State License Describe work to be performed: roo� Valuation of Proposed Construction: _ 4 ".'.©04 .00 Materials to be used: 5V'%v\\ s Signature of Owner; Signature of Contractor: Liability Insurance Supplied / Workers Compensation I "surance Supplied License Information i FOR OFFICE USE ONLY ----—---- ------ Date.. 195- Permit ee $......)600 TOWN OF ATLANTIC BEACH00 Valuation - e9 77 .1svoo-P, **- __ 0 FLORIDAHouse #--------------------------------/--------- ............... -I_XC �� ........... ...........---------- --------­---------­-- APPLICATION FOR BUILDING PERMIT ----------- t�444�------- - --------------------------------------------------------------------------- Applicationis 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town 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----------`--- --------------------- Owner-__­ -­-------------- --------------- -----------------------------------Address-------_` 19 Architect------------------__.... ---------------------------------------------•- ----------Address----- Telephone No.------------------------ Contractor Builder-_`-,------------------- -------- ------------------------ ......Address------------------------------ --------------------Telephone No._ _"- ---------- 2" -------- --------*�:-----------Zone.----------- ------------------- Lot No.____.`�1 ------------------------Block No.--------- -------------------..Sub Division---,-- -----­--------- ------___;--------Street--------------------------Side Between ----------------and__1,,_'_.z_/f,...,`!---------- ---------Sts. r. 0 0.4.r,_0 00 Valuation $_. For what purpose will building be used. -------- - - ------------ Type of construction---- ------1-11...... Apo* Dimensions of Building-.---'----'--'--' ­­-----------------Dimensions of Lot-.---------------------------------------------------.-Size of Footings ........---- I------------ Size of Piers..---------------__--------------Size of Sills------------------------------Greatest Sill Span in ft--------------------------Type Roof--., --."_--':.__-.___._____....- How --------------------- How will Building be Heated ----- ------------- --_--_-_-_Will Building be on Solid or Filled Ground?---- - ---------- ---------- Size of Ceiling Joists--- -------------------- Distance on Centers------------------42 ------------------------., 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. 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. 4. When framing is completed. Ft 5. When rough plumbing is completed,and ready to cover up. 4 W it F- 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 02 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. Y 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 theAttached plans�1 d specifications, which are a part-hereof, and in accordance with the building Be regulations of the Town 4-A ,Oange Be__,, Signature of Builders .ro. .................... ----------- ----------ter:- .--------------- ------ Signature of Owner-------------------- -------------------------------- --------------- Addrims--------------------------------- DEPARTMENT OF BUILDING 8351 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB •fIOCAC 715 1 n P/09/8 Date Feta Q 19Z i ? Valuation$ $ TSD fee 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 FrMSTM S TOUCH 631 Eleventh Avenue SOuth has permission to build Rancyve three nil trees and om bolly. Classification Residential Zone Owned by Russ Liner&:ohl Lot Block S/D House No. °r'A11 MUM C11IR TAM 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 0- O 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 con- tractor or,6 ner, soil � official. FOR OFFICE PERMIT DATE CONTRACTOR L USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER WATER