Loading...
Permit 695 Ocean Blvd (vault) Y 40, CITY OF ATLANTIC SEACH POJMT ION ( C T tOK 1 "IMI eft : ►ori 80 00 6 95 OC�al ., B UL�V iRL' +erM t Typo BUlLDINO i ' C B"Ct 1`Lt?R I L3A 32233 ' *VO4 ,�XM}� yy n�� D PRwRUlt y} Lot: � " **"�#�RQ��: �� �"r"@Ctt d�3j:{ 1 V TMS - U s 2 S L idL.1 ��li lly "l�C3W1'k7�iRINC`d i {'� Code: '. Subdi'vf.ei'6a«; ATLAN 'I BEACH } vt:edVal ue4Ctg1n► 'cyst,: 0.00 T�qtl" X25 R r�4 I 425.0,0 { t° n 7 ' w... +�.. q 4/i'i 4 y`',` '.w" s � "R P44�v��rATIO C F F ►C3RL . XP k RA $0.V� .R r i7 a 1 ir14F s'00, .,. �.. STI �-- RADON SCAB "�5% �}.'0 0 CAnTA $ZW,11R TAP "00 i :. " ' ' Tj HYDRAULIC MIAR $0.00 P y CRC)S C©NNECTC)Ai " ,ikS rl Y+'0.+g4n ropd:n YB�:t'b'�'ac1+ 5190._�,`ft 1 1 4ACT IWf 41+i L3' LtG*BGIw, { F Obirt,�",� �.LCONCRIE E FOAMS'MS AND FfIU iNQS;MUST;BE�#MSPIEC'TIED*j*,04jF x PERMIT VOID SIX MONTHS AFTER DATE OF jSSUE I u plr c AT RIAI:,RUSSISH AND DEBRIS FROM THIS WC)RIC MIiST;NOT�E PLACED iN PUgI IC SPACE,A�fQ AAUST 6E i CLlEAI UP i4NC)t ULE AWAY SY I HER CONTRACTOR.OR OWNER l � ► E T C 1 RL.Y ` T# THE 1111ECHA[�IC ' LIEN CAN . ULT 4 1A/N`�" PAY!'1 V T M FOR 8t11 .© N 'i iC�V ENT .�3 fi ' Et ,T© APt�F Op 6 PLANS WHICH ARE PART OF THIS �F3MIT S PA#�IC��`St�B«1 C CSP`A> A8LRQWt6lI+t 'OF Law. y 3 �i t IACiH S�LDIa PA ANT x City of Attatric , CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : h. #' A&3 -.L-L, AlaJ w Address: 4K OPOAaJ Shot( LAN )L Phone: Lot # S Block or Unit # Ito._ Subdivision: k'C Contractor • �ibMCJ 0,0440 ) Address : 1Qg2 K.0 // C0&4F 'G._F/,, Phone No: (fof!> 7$"G-LGd�S Describe work to be done: ©tic-- lA..,e itcw.�t •c Present use of building: &110/4-IC 1L"eS"';e1r.uCG d Valuation of Proposed Construction: -5'c. Proposed use: 7�P o4lC Is this an addition? wo If yes, what are the dimensions of the added space: ti`�A ft . X --= ft. Will the added area be heated and cooled? &1,4 New electrical (or increase)? !! �4 New plumbing fixtures?.#V A New fireplace?, New Heat/AC? w SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACT O Date: iotiee of Commencement (PRCPARK IN ourLICATR) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. —Description Qf property ----------------------- -------------------------- General description of improvements -------�c77 ?'G___ '_ ----------------------------------------------------------------------------------------------------------- `J ah r��-�� -----C n _ Owner ------------ - -- - - -- ----- --------------�--------�--------------------------------- --• Address Lel ---oz_-eaI''l___,�Jl + l%f _ 1--- [rY1� _ZZ 3 f Owner's interest in site of the improvement ____.___-__-____________________________________________________- Fee Simple Title holder (if other than owner) ___' f - - Name ------------------------------------ Address ------------------------------------- -- ---------- Contractor __u�' c3____ �'?O_`J___ -e1Z-f' Address --- --jJ-- -�----- =�y-ol/ -C��C---------`�-1^ Sd.�J Surety (if any) ----- ---------------------------------- --------------------------------------------- Address -----------------------------------------------------------------Amount of bond $--------------- t'Name and address of any person making a loan for the construction of the improvements. Name ----T'- ----------------------------------- -- Address ----------------------------------------•------------------•------------------ Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: /�- Name _ ,L= ___ Address ------------------------------------------------------------------------------------------------ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2) [b], Florida Statutes. (Fill in at Owner's option). Name - -A ------------------------------------------------------------------------------------------ Address -------------------------------------------�- THIS SPACE FOR RECORDER'S USE ONLY / N ----------------------------- Owner Sw.�oor�rnaa to and subscribed before me this -------------- _-- day of ------ Q�t -------------.------- 19-Ir -- ------------------------------- Notary Public