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Permit Demolition 445 W 1st 2011 r CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD J °r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 F`. Application Number . . . . . 11- 00001851 Date 3/29/11 Property Address 445 W 1ST ST Application type description DEMOLITION Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc DEMO ONLY Owner Contractor GREENWOOD & SON CONTRACTING 36738 CR 452 GRAND ISLAND FL 32735 (352) 483 -0099 Permit DEMOLITION PERMIT Additional desc . Permit Fee . . . 100.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/25/11 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. 05/24/1999 02:09 7167731183 GREENWOOD & SON CONR PAGE 01 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: i C '� , e,nnit Number: Legal Description ' . . reah ,,lorC B ' • � # Valuation of work.. i P W ork h '� e) n - Nested/ J Clam of *ark (circle one): New Addition Alteration Repair Move • oliti • 0 pool/spa window /door Use o �rooased strnetare( (circle one): COMMercial , Uan a cturn+, is a Are sprianer system installed? (Circle one). o N /A Florida Product Approval # For aruhiple product, use pry . approval term Describe in detail the type of work to be performed: ' 7 " . O/c r jro owner Do or: C � e: 4+� •? Mao A Address: / I 7 _ State Zip - (3 Phone ! r• ,. E-Mail or Fax # (Optieowl) Contractor GNarrm Company e:C`7e inti 6/ !.1'X 11%Z41 Qualifying Agent: / C tyC R.q z.I ,/_t State , Zip 347 ? £ Office Phone - t' • - Job site Contact Number - ' _ Fax # �35� 3 evor State Certification/Registration ation # h' . ! r 9 - r ' ' e c e. "Ay % Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a to the work and tnattallations as indicated. 1 enlf that no work or fy it��Ni�1 o�prior to Aft of a r7 and that all rat i b t p or rred to merit the standards of all laws ring 1* this ra permit become* Nrdj ark w nat �ra = t w ( nntlss ar #c arratrtrcti d f W °r. �. f� varied glair ar �y ramts add C � wry � s1 be ascin�d ar Work, S' wrti err , �, s:,� 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 FINANCING CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YObR NOTICE OF COMMENCEMENT. I hereby cert0 that ! w and correct. All pr have with expmined this katton and brow the same to be trove ;movie , laws and ordinances th Jh etthheerr spec' ed herein or not r . gra of a permit does not preswri to ' out ty to violate � op of work will be co provisions ofanry other federal, , :, , or law regviatbIg cons ,Q , the perfo rntanec of c dig . of �► le d S s l �� Owner Signature of Contractor 1 „ /r Print N M , ...._,. L © IZ 1/ . ._.__ .._._ �e� ® G a r Print Name .e 60%1,14,06 ... syffit to and subscribed before me Otis Day of . 20 i 1 t hi s i�R` �.-• ~% JENNIFER CRESWELE z -, J • � Notary Public - State of Florida My Comm. Expires Jan 31, 2015 !revised Ol.26,10 ,�o� „ ;. Commission * EE 60113 05/24/1999 02:09 7167731183 GREENWOOD & SON CONR PAGE 02 ATLANTIC BEACH BUILDING DEPT. ,. DEMOLITION - PROPERTY OWNER ti r RELEASE FORM t Date: fipbeishi a / , pa To Whom It May Concern: I / We the current property owners of: Lot _ C, j Block Reg i $' 3 : _ - - sec, .Y Wei 1 - ' • Of P(MO, 4 rAmir V AKA `f y s'" W / ,C /r i— ie:Whave contracted with to have (Address Krsr ) (RE4A1 .'€x4 CA to remove the , S/% 1 - 4 7 X* (Company Moms) (Simple Famly. OupI , Gomm.rrJ.l,.Ic ) Prior to the construction of : / ' i OF ' Z . As a condition of issuing the permit we agree to the following: 1. All utilities are to be located and clearly marked. 2. Once house is removed, lot is to be graded and leveled. V 3. All construction debris is to be removed from the property. i i 4. Affected area is to have grans or seed in place. V 5. Erosion control devices will be put in place and will remain in place until grass has covered affected a or new structure is completed and landscaping is in -11 • // .... //CD - 6 ply ` -�` ti's`' — JENNIFER CRESWELE F . , / C rt . Notary Public - State of Florida � %a . My Comm. Expires Jan 31, 2015 ., �� ,,,.' Commission a EE 60113 THIS SPACE FOR RECORDER' U$E O LY OWNER Signet 4P C we Date: 3 la 3 I11 Before me day of m h+rcA -1 is the Casing anneal, Sum Of Florida, has personally appeared Notary public at Large, SIM. of Florida, o ll p My cammissioa expires: Palatially Known: or Produced Identification: ? chi ,L' 4. /9-i- W-.r `S li co..sr- .