Permit Demo Garage Only 315 11th Street 2010 r :} µ`; CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J =' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
4'4 0 x'319
Application Number . . . . . 10- 00001358 Date 11/09/10
Property Address 315 11TH ST
Application type description DEMOLITION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
demo garage for new garage not yet approved
Owner Contractor
BURBRIDGE PHILLIPS BUILDERS LLC
315 11TH STREET 1250 SELVA MARINA CIRCLE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 349 -2999
Permit DEMOLITION PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/08/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 104.00 104.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION — PROPERTY OWNER
"' RELEASE FORM
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Date: /f` d , /o
To Whom It May Concern:
I / We the current property owners of: Lot
Block
Legal Description of Property
S
l .. 0 + A � + ' ft 2 ` 3 h a
Aw43 ve contracted with to have
(Address of Property)
4 PS I j /C.Q,P to remove the C w Y
(Company Name) (Single Famil , uplex, Commercial, etc.)
Prior to the construction of :
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked.
2. Once house is removed, lot is to be graded and leveled.
3. All construction debris is to be removed from the property.
4. Affected area is to have grass or seed in place.
5. Erosion control devices will be put in place and will remain in place until grass
has covered affected area or new structure is completed and landscaping is in
/ - 1 il place. `
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ign e
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THIS SPACE FOR RECORDER'S USE 0 ' Y
OWNE' __
N i \ 1 PPY .' SHIRLEY L GRAHAM
Signedti ., F v r• . _ . II : te:
Before me this It..t,; ,; +unty of Duval, .tate
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Of Florida, has perso` 1 „ ,a , 7, „1 y,, ' ' • �1 in
Notary Public at L . i o ' ' -
My o mission t :. + ,, � 2814 i r ites
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Personally Known. I i viii iti iiy'= ""�" " " - or
Produced Identificatio llW_:I/'r-�' MNl,'
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