Permit 61 Ardella Interior Repair 2011 SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002270 Date 6/28/11
Property Address . . . . . . 61 ARDELLA RD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
interior repair
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Owner Contractor
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BOEREM SONSHINE CONSTRUCTION, INC.
61 ARDELLA ROAD 910A 3RD STREET
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 838-7563
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5000
Expiration Date . . 12/25/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC 13EACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: er A n4&I te, gets I So 0', Fl- to :3 z.-L336 Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel#.1 Sq M
Valuation of Work$ --ProposedWork heated/cooled 67t1pb non-heated/cooted
Class of Work(circle one): New Addition Alteratior(�jRepair Move Demolition pool/spa window/door
Use of existing/pro osed.structure(s) (circle one): Commercial sidenti �
If an existing structure,is a fire sprinkler system installed? (Circle one<)-:Z��esNo N/A
Florida Product Approval #
For multiple products use product approval Morin
Describe in detail,the type of work to be performed:
Property Owner Information:
Na
�S�tate 9�_Zip
in
C_ty
E Mail 4or4(Optional')
Contractor Information;
Company Name: ;�A4,/,vt Qualifying Agent:
Address: 1/10 t3_� <�7_ 1�aAlet /f- city 101�p 16e_A_ —State k- Zip
Office Phone '7d4-'ZV
177�_ Job Site/Contact Number Fax# �d 7-4,' /7�,&
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Pbone
Fee Simple Title Holder Name and Address
Bonding Company Narne and Address
Mortgage Lender Name and Address
A ere m de bana e n d h ork and a a ns a nd*cpd ertify that no work or installation has commenced prior to the
'c t, 11
la ng,construction in this jurisdiction. This permit becomes nu
c 'it to 0 t e w m " inst " 'io s f s �ud, or abandonedfor aWeriod of six(6)months at any time after
y p d o he tan ard 0 a aw e
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p k -s ot, en, d w hin ix 6 n It , , on ru n or
7 1 on- ' i s ) 0 it f I t s Pools, Furnaces, Boilers, Heaters,
e u, e"t , t at s par P 'm s u t s cur or ec r1ca ork Plumbing,Sikns, e
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and'od
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Tanks and Air Con itoners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
111work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,st e, or local law regulating construction or the performance of construction.
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