Permit Int. Demo 556 Beach 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002872 Date 11/10/11
Property Address . . . . . . 556 BEACH AVE
Application type description DEMOLITION (PARTIAL)
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
PARTIAL DEMO FOR INTERIOR REMODEL
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Owner Contractor
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BARRON OCEAN BOULEVARD CONST, INC
556 BEACH AVENUE 538 GOLDENROD LANE N
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-9593
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/08/12
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: hekollr,7- Permit Number:
A FT.499 zv*r3 f 4-, 13LV-1 IV MLA--`r(e_VAQV44 AS F-ez_Wr^t1
Legal Description Vy-C f`1;;9 Re 61-,l ot, Parcel#
Floor Area o Sq.Ft
Valuation of Work$ Proposed lrooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move( emolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial Residentia
If an existing structure,is a fire sprinMr system installed? (Circle one): Yes No N/A
Florida Product Approval 4
For multiple products use product approval form
Describe in detail the type of work to be performed: *V1 A11>0 A/ A94,Wl Alv�45 �-6292924AIZ- 47A/A�5
emr�
Property Owner Information:
Name: JOW j4.Awmj Address: lew moz r3equ i> wa*c>
City AVVWPA I LL,0 StateALZip 5 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Namevw�g�WOL80c" ualifying Agent: KA lirA4Aag:-a, AY_T1!9kJr&*zne
Address: fa-Iff!g% !+D Clty.1&2� OqZ4�f —State FL,. Zip ':57_Vjtt�
Office PhoneCJQt?,�He.!70*77 Job Site/Contact Number Fax# qd9j�7,4 . &
State Certification/R�gistiation
Architect Name&Phone 4 0ye*X__)
Engineer's Name&Phone# lo&-2,I 1A
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance qf 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 abandonedfor a period of sixp�)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, Wells, Pools, urnaces,Boilers, Heaters,
Tanks andAir 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 hereb certify that I have read and examined this' lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type cowork will be complied with whether speci fiZ herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local law regulating construction or the pe�formance of construction.
Signature of Owner Signature of Contractor/0�0*/----
Print Name it; WJ Print Name
.......... ................. ......
..0
....................... ... . ... . .................................................................. -A��Aqoffll....................................................
Sworn to and subscribed before me Sworn to and subscribe before in
this_2L Day of Nive"e_(' 20 11 th?4Q]�-Day of 20
Mo r
r^Aklh Z
Notary Public
2. 14
EXPIRES:FebruatY 12,
Bonded Thro Notary Public Underwriters evJd0l.26.10