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388 11th St DWAY24-0005 Application .,)„, _ BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach Building Department PERMIT# 1)0iPvt-12(4- 000' \, , jJ 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process -c-` Phone: (904) 247-5826 Email: Buildin Dept coab.us �1 Job Address ” 1 1 1{4• 3Jy 7 pJ 'RE# ' J' a _ XO X Legal Description '/--�9 ( _P S_ e 1� Valuation of Work(Replacement Cost)51 I I O. ObO Heated/Cooled SF Non-Heated/Cooled SF — •Class of Work: ❑ New ❑Addition ®Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial OResidential • If existing structure, is a fire sprinkler system installed?:❑Yes❑No •Will tree(s)be removed in association with proposed project? ®Yes (Must submit separate Tree Removal Permit) ❑ No Describe in detail the type of work to be performed: L /°RI_0t t /110th+<4_77eh - /a- ,(scaj.0-2 p2e.- -iif- AIM beG/7 ,5 06/74/Hr, `1mG ,e/iii.-rd 17' ,? (e,novu-l. /ltwa1 ,i,�rf,e 04 vpdth evHi, 4_0_,/x✓reY st51e /0a vz-vS,W ; eC,s'i,. ' t'7 1 �7i ' ref(254 "4- •e y fic-i -� a -efai) �A-- lA w a /z �d-, re-61 tell.7y U -f • Florida Product Approval# (For multiple products use Product Approval_Information Sheet) Property Owner Information Name ‘--e 1 ori 6)L-e4,.._ Phone 'f SZG 144o3 3 qq__ 3 -2- Address ?�� I 1Th 5+" City A=1-1G �r`�vtate � Zip Email 3,SF11530 9 vn 01 i]'Ca*, Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company -1 61,) Phone Address City State Zip Qualifying Agent State Certification/Registration# Email Job Site Contact Number Worker's Compensation Insurer OR Exempt ❑ Expiration Date Architect's Name .>e r-DG51 6 .---- Email o(art le_1I4 ite,0_06$.e..ef 1[ Phone clog ST 321), A.eriSrts. <dih Engineer's Name Email Phone Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this city/county, and there may be additional permits required from other governmental entities such as water management districts,state agencies, or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. **WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN i. ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) L (Signature .. ontractor) Signe: - d sworn to(or affirmed) before me this �J' ' .day of Signed and sworn to .r affir.• •d)be • • me is 1511 day of !�\___‘.c.AC .\, `-\ by Gfe a, , (Cl ?<1 -1 ' •---' ad.abalk by Signature of Notary }� m Signat e of • ary f , / _ personally Known OR [ ] Produced Identification [ ] '• sonally Known OR , •roduced Ide 'ficati• Type of Identification: Type .f Identi 1_-tion: 7..7----.....,..." Y. '' KASANDRACONNATSER =.. ...�F''J4�441 • ._ KASANND s ATSER4,! • MY COMMISSION#HH 407100 MYCOMMIS'ON#HH407100/�� ' EXPIRES:JUI 4,2027 EOFF,o`: PIR' :JUIy 4,2027 jYIII. 1 1 Hifi _ ife s D y f x �T z ;H 17:1 G Ufil cP. 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CE 1 g£ n $ Y 1 o O 1 0 g i 9 • gg ego O o �; � Ry;,su ��O G11W D n 1ln o 2 to s • X7.0 g mg“Z o ¢ 8p5 w g& m T_., g 1 o a 6i ? /3311SHIL L p5 s s g r F 4S '> bn L c xr.m...�or+w.RC 1��3 �A�'l ,'>C,�� iou,w+.+r.n am> w E � ° .. _ COHEN RESIDENCE Semi Avenue 4 `yy5d(;�I! s•�D^' Qiri & : ^ ' 'n- 388 I 1 TH STREET m,ero•• vMwa+vw<om �L�YQ ��Ltitl 6n�'r'�r' ?I ATLANTIC BEACH.FL Ebrtblo�CZM'DeWnArvinss L�F L!q�3! '��� N O C NH n-E g5 �f7m CO 1 1la D g ', z .. 1 `: I� z : E 11 IH 11 II 1 { 11111111' LI f€ ' 512 . ! f 38 A 1 € 3 $ E LR1 x 1 i ¢ R 11$11€ 1$ i 1 ! /8' E" i I 1 g IN �R ,44 e:+# Foart -1 . � rn 5 CSI .-`__` z 1'� z i-4,`��'i: R m v Ira iii igil 11111 1144 §£1I1! • 11al, iH d$ iRSSSSSd 7R= 9111 ,I 8 i f "S Ed E RCF¢ 1 " 3 i$cA 3 3$1 11 1 111 Y 1 1 .gA A Y it • cc z 1 R $�ig 1 $gSfli$23iFdE$a�A$ xe.sE@5 5 ixg$3 -4i�41e_....... E. S.. ._ . .3 F, ilp f i$aEESEEEaEEEE EE gg 4 iP 11 y i$ 1113' Ifl; f4. I�AF; 41; I ; 1 I t 1?" og; 1ii1€U'1UU1I1 lii #i li F.▪if Rix m QaA .F i C gill }1$1}111}11111 it 1i 1 i� I1l1lI Fg1i �- ii 1 d� o to 1 1 , a. . , 1 1S 3 i 1 R � � E ili! € i d• 1 3 W ' - - E = A? ?_ 9 vD COHEN RESIDENCE 50)80.BendAverue 3111 7LLC i4��1'lE�tli I:�1--+ 0 ' g m 388 11TH STREET tel w,cle,.neu,v.mdonws.<cm 14 19f;1{ IR n 1-' —1 I >= ATLANTIC BEACH,FL Fwnmlmacc..L.we�w,F,ss OFF t%�.1, It