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Permit Siding 1974 Beach 2011 .. r , J:r v ` CITY OF ATLANTIC BEACH r ,k 800 SEMINOLE ROAD t: .. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002033 Date 5/04/11 Property Address 1974 BEACH AVE Application type description SIDING PERMIT Property Zoning TO BE UPDATED Application valuation . . . 2000 Application desc SIDING REPLACEMENT Owner Contractor DEWEY D.L. DAVIS CONSTRUCTION CO. 1974 BEACH AVENUE 1301 PENMAN ROAD ATLANTIC BEACH FL 32233 STE D FL 32250 JAX BEACH (904) 237 -2222 Permit SIDING PERMIT Additional desc . 27.50 Permit Fee . . . 55.00 Plan Check Fee . . Issue Date . . . • Valuation . . . . 0 Expiration Date . . 10/31/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total 27.50 27.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 86.50 86.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: Pi ."-- ) L- 1 I � e AU Permit Number: Legal Description Parcel # c.' Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ Z-- 0 Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition Alteration epair Move Demolition pool/spa window /door Use of existing/proposed structure(s) (circle one): Commercial esident If an existing structure, is a fire sprinkler system installed? (Circle one): ' . - Yes &) N /A Florida Product Approval # For multiple products use product approval orm Describe in detail the type of work to be performed: t )( P -- ) 9 -XS' S (i\ U30 O S k c: wn 1J Property Owner Information: Name: b+Q -)-9-- Address: ( � c �k A J City Aft Pt.8.1- " g c 1A - Stater 1 -Zip 3'2Zzx Phone `709 - 2-4'/ - 524, - 7 E - Mail or Fax # (Optional) Contractor Information: Company Name: D. L . -006{ S Cs� ► - 1s -Ltr , -i L Qualifying Agent: e u)s , 1 . ��U Address: (30 t Ptt Pc 5,, -et, .0 City - �c . act... State Zip 12 Office Phone 9a V -G3-)- 1:?-7-- Job Site/ Contact Number 4 ©Y- Z 7-Z,7 Z7 Fax # 9bq. Z.YI-v 3 State Certification/Registration # C (3 c..,,D S G 6`/ 6 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 permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six f6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters, Tanks and Air Conditioners, etc. 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Owner 4 iA� „/ Signature of Contractor ,..---% -% fl � Print Name Print Name �2- 0/ / 5 Swo, j o a• : . bscri r - _:.: - - -- _- > -• -,fn4 1 Swoi to and subs h, • re me (/ this -ow ay o L � '', MIggit A f this r.:- - 20 l C � lit r .. Es Fehruar' 14, 2014 I / ' DE; 0 ,Alir i - i ti 8 �..�. +,:uu "- °-•— -- Nota i, Ol t. EXP S: M a, 2 2 NOt - 1 1C al .— � . ___,, Bond P ublk Un Notary t rz.,d01.26.10