Permit Partial Demo 795 Plaza 2011 -A1-/-
`'$ CITY OF ATLANTIC BEACH
1 ,-- __,, r. 1
1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
a INSPECTION PHONE LINE 247 -5826
4 J 31!) .
Application Number 11- 00001947 Date 4/18/11
Property Address 795 PLAZA
Application type description DEMOLITION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
DEMO
Owner Contractor
CORNER LOT PROPERTIRES SHAYCORE ENTERPRISES INC
10169 GENI HILL CIR
TEMPLE TERRACE FL 33617 JACKSONVILLE FL 32225
Permit DEMOLITION PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee .00
Issue Date Valuation . . 0
Expiration Date . . 10/15/11
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.
s A, , 1 ; , ATLANTIC BEACH BUILDING DEPT.
!J. , DEMOLITION — PROPERTY OWNER
;
-. , 5 RELEASE FORM
//' -- /
Date: 6
To Whom It May Concern:
/ We the current property owners of: Lot 26
qd Block 1
Legal Description of Property
AKA Plova have contracted with to have
(Address of Property)
Spa r 6 r<... to remove the VU/Pi
(Compaq Name) (Single Family, Duplex, Commercial, etc.)
Prior to the construction of : TEL 'R"Onr e) oQ ex ,s4..;, 1 e.
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
place.
76k
Signature
Signature
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed: r Date: (� Y/ gi l/
Before me this I $ day of y 4 ,�) 1 , n in th County of Duval, State
Of Florida, has personally appeared ' M'1 L e,-) 1 j Q( , V , C1Z.
.�®
021,1W ,[ - Notary Public at Large, State of �lorida, Cou of Duval.
ri My commission expires: 1 17ia�f
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MICHELLE KAY PRICE Personally Known: or
., 4 ,Y u pV" Comm# DD0807477 Produced Identification: IL 1 r L Li j p ,
s s Expires 11/7/2012
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. , f c Florida ida Notary Assn., Inc
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