Permit 1500 Francis Ave CITY OF ATLANTIC BEACH //s-k-0
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
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Permit F4umber: 19394 Address: 1500 FRANCIS AVENUE
Permit Type: CONSTRUCTION TRAILER ATLANTIC BEACH, FL 32233
Class of Work: N/A Township: Range: Book:
Proposed Use: TRAILER Lot(s): Block: Section:
Square Feet: Subdivision:
Est.Value: Parcel Number:
Improv. Cost: OwNgR
Date Issued: 12/29/1999 Name: BEACHES HABITAT
Total Fees: 25.00 Address: P. 0. BOX 50939
Amount Paid: 25.00 JACKSONVILLE BEACH, FL 32240
Date Paid: 12/29/1999 Phone: (904)241-1222
Work Desc: CONSTRUCTION TRAILER
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JOHN WIELAND HOMES OF JAX, INC. PERMIT 25.00
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
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 CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS11
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.00 14
Date: 1/03/00 01 Receipt: 0023448
ATLANTIC BEAbH BVJILDIN CHECKS 1944
6*P-T. 00100003221000
CITY OF ATLANTIC BEACH
PZ=T APPLICATION PM10DEL, ADDITIONS, OR AZ=RATIONS
MOVING, DEMCLITIONS
Owner(s)
job Address: /,�*O ;31'-K 1*4W10 XPV'P�hone:
Lot 4 —3 3lock or Unit IT Subdi-vision: 5��LIU,
Contractor: State License
Phone NO:
Acdress :
C tv e Z c --c t e 3 7_7
n'-3 :
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Prese-Z '-�se �:f
Va-1 ,-azLcn �:f -:�rcccse,-J
is this an act-4 �--icn? :f ves, what are the di-Tnensions of the added
space: f Z. X -t. W-41-1 the added area be neated and
New e2.eczr-4ca-' 'or increase)
New fl.xtl-'res? New firecl--ce? New Heazl/�C'l
SUBMIT Z7:U= (COl-k=CZAL) TWO (RZSZDKYTZAZ) CC111FLETIT SZTS OF PL-21NS, ZNC-rCMl2VG
SITE pL", SURvEy, MqERGY CODE FoRbfS, NCTI= OF CCM���T, AND
OWNERICONTZRATOR AE71DAVZT, ZF CW= IS CONTRACTOR.
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Signature OWNER: Date:
Signature CONTRACTOR: Date:
AS TO OWNER:
Sworn to and subscribed before me this-J�IC3:Da y of 9
NOTARY PUBLIC
AS TO CONTRACTOR:
Sworn to and subscribed before me this— day of
W COMMSSION
August 27.20M
NOTARY PUBLIC AIN INSURANCE,INC.