Permit 600 Bonita Rd MENT OF BUILDING
PART
LANTIC 19EACH
-;ITY OF AT
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I-NyojQ*Tl0N
w"Tio's
�00 B,6nita Road
ADDRSSA,
Atlautic Boacho n 32233
2�ig
N
fAMLY
sm VA's"
. ......... $040
0040
$10000
PANDS
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LEGAL DES'P3:
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$10000
T TEES4
PERXI
5,67 $10.00�11
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NOTES.
BEFORE POURING
ETE FORMS AND FOOTINGS MUST BE INSPECTED
NOTICE—ALL CONCR
THS AFTER DATE OF ISSUE
PERMIT VOID SIX MON .
uST BE
H AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND M
BUILDING MATERIAL,RUBBIS BY EITHER CONTRACTOR OR OWNER.
CLEARED UP AND HAULED AWAY
ICS' LIEN LAW CAN RESULT IN
"FAILU I RE TO COMPLY WITH THE MECHAN INGIMPROVEM I ENTS-19�
ING TWICE FOR BUILD
ROPERTY OWNER PAY,
THE P
JECT TO RfWION FOR *16
PROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB
ISSUED ACCORDING TO AP S Of LAW.
71
i VIOLATION OF APPLICABLE PROVISION
,*NTIC BEACH BUILDING DEPARTMENT
By:
FIE, $10.00
APPLICATION FOR VUL PERUT
CITY OF ATLMrIC MACH
TROPERIY M-ER
Nam: U __Pay Phone_��_?7/
Addressc/?/O 0 �fa& __�ip-z2- 2_ :�
4.1
APPLICAUr, IF 0111ER THAN UZER
Name i ____Yay Phone-2
0
Address,,
JOB
Address or Location:.606
Legal Description: Z rs
Is well to be used for drinkin
.g purposes?
Any person, individual, corporation or other entity receiving a permit as
provided in Section 22-40 of the Atlantic Beach Code, and who plans to use
water from the permitted well for drinking purposes, must first obtain a
bac riolo ical te t re th Department,
t
gpott from the State of Florida Heal
if
t rus'010 it ified copy thereof to the building departnmt of the City of
-Ft VIL ls��! g ac e r M
Atlantic Beach, A certificate o
� will not be issued until said
report is an file wi —the uilding department.
DePartmimt Notes:
agree to cam. lY with regulations stated herein..
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