Permit Demo eastside of house 2109 Beach 2011 CITY OF ATLANTIC BEACH
°; . ° 1 1 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 11- 00001963 Date 4/21/11
Property Address 2109 BEACH AVE
Application type description DEMOLITION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
demo east side of house due to water damage
Owner Contractor
BLOCKER SHAYCORE ENTERPRISES INC
P.O.BOX 330249 10169 GENI HILL CIR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
Permit DEMOLITION PERMIT
Additional desc .
Permit Fee 100.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/18/11
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.
S f
' r ".:1 DEMOLITION — PROPERTY OWNER
„ ,.
RELEASE FORM
' ' OR19r
Date: 0 - Z) /
To Whom It May Concern:
I / We the current property owners of: Lot
Block
Legal Description of Property
AKA 2 fa� 3Gt 6k �qd¢ have contracted with to have
(Address of Property)
1 '‘ YCOCG ►=n.}-. irocr. to remove the Iv/Pc-
(Comparly Name) (Single Family, Duplex, Commercial, etc.)
Prior to the construction of : Qc ‘z , 1,F- ex: S i; n °l
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.
Signature
Signature
THIS SPACE FOR RECORDER'S USE ONLY
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Signe' /7/8.......46C10-4-../ Date: 1– 01/ //
Y
Before i this da in the County of Duval, State
Of Flo I a, has personally appeared
• • ' • . • • • - t. if •rida, ,u ty • r! I.
comm�EC • ,,- m r ail. / �
►' � a iDnai#$'(1591C3 r � �,.,..�l �-f�.�... or • 4 . .- :• uctl Rtf if: • • N ell fff Lam% e t 4o, Bonded Thru Notary public U .:.''"
APR-21-2011 12:13 FROM: CLERK OF COURTS 904 270 1512 TO: 92475845 P : 1/2
NOTICE OF COMMENCEMENT
Stato of Floc C ordit Tax Folio No. .
County ef w iStAnp,i
To Whom it May Cc.mearn:
The imdersigned hereby informs you that improvements will be made to certain real property, and in. accordance with Section 713 of
the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
Address of property being improved: 2 idi th fq Oe-
aeuerai description of improvements: keRst ;4- #o ex i's.i. ti <A, ,..,1--u, a _
owirter: clo ( -51.64 i %lock& r Address: 2.,f <P 6c1". 64
Owner's interest in site of the improvement:
cgm # 20110M:3:V, (A( e" 15579 Page 56:3,
F� Simple Titleholder (if other than owner): Number Pages: 1
Recorded 04/21,2011 at 12:22 PM,
Nam: JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
COOtraCtOr: 61,46u/coca V,,-..4 ..• rm.. RECORDING $10.00
Address: 1 -1z3.3 #46 to ct.. o 4 svorK/ c-f
V Te VA lephone No.: ' 237 - 5'
16 3
41.)
Fax No: WI tii/ - /td) _ _ •
Surety (if any)
Address: Amount of Bond $
Telephone No: Fax No: .
Name and address of any person making a loan for the consiruction of the improvements
'Name:
A.41d.ress: .
Phone No: Fax No:
. Name of person within the State of Florida, other than himself, designated by owner upon wham notices or other documems may be
served: Name:
Address:
Telephone No: Fax No:
In addition, to hthaself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.96(2)(b), Florida Statues- (Fill in at Ownees option)
Name: -
Address:
Telepbone No: Fax No:
Expiration date of Notice of Commencement (um expiration date is ono (1) year from the date of recm unless a different date is
specified):
•
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TILLS SPACE FOR RECORDER'S USE ONLY 0 - , 0 .. .
SI.W ,....,—...,.." I' Date: 7
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