Permit Interior Demo 985 Atlantic 2012 _ -'- J
1. \ '' CITY OF ATLANTIC BEACH
sl 800 SEMINOLE ROAD
! ATLANTIC BEACH, FL 32233
' e "' INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000350 Date 3/28/12
Property Address 985 ATLANTIC BLVD
Application type description DEMOLITION
Property Zoning COM GENERAL DISTRICT
Application valuation . . . 0
Application desc
DEMO INTERIOR ONLY
Owner Contractor
EQUITY ONE ATLANTIC VILLAGE, SOUTHERN DEMOLITION &
16 NE MIAMI GARDENS DR SALVAGE INC
ATTN: TREASURY DEPT P 0 BOX 1137
MIAMI BEACH FL 33179 HILLIARD FL 32046
Permit DEMOLITION PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/24/12
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
J
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 1,49 4t4v ay(' / 4 a to grad( 301233 Permit Number: /Z - 2tp ,'
Legal Description Parcel #
Floor Area of Sq.Ft. yv, ono + Sq.Ft
Valuation of Work $ Proposed Work heated /cooled non - heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move .Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): ommercia Residential
If an existing structure, is a fire sprinkler system insta et . trc e one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: S cA e c. !- IA ,A; o,. rte-,,,t, 0 1:4. t a,n re. A ON/ 4 i 0
X;h 1,cs 1 S,Rb or o rA.at ° 41,1s is a. 'E , Cc-I
Property Owner Information:
Name: Li 1;4c4,s (?r.i./er - dooic 04Cice. Address: PO 8•x 5li7o
City Z-vi'i t Staten Zip 92 0 f Phone qyq -0/ 55 7a OD
E -Mail or Fax # (Optional) 92/9- a56- 7.428
4 ,,w
Contractor Information:
Company Name: S e - 1 -keor. Tana e I,k1.r f Salvo.e ,mac _ Qualifying Agent:
Address: P. 0.13 ox 1 \ 31 City ,'i I , a r d State t=1. Zip 3&'( e
Office Phone Ro y Sys 9-4,11 Job Site/ Contact Number 90 y 9, b 7) Fax # 90 y $'S'5' 9-. 4/
State Certification /Registration # 1 I - oZ 9/, S - 4 3 »'i' - -
Architect Name & Phone # 0 LLh a 4.1 '1 4-c.r if," ei0? 1e I t - 910 o
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address NM
Bonding Company Name and Address N/A -
Mortgage Lender Name and Address nt /A
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 a period of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical fVork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNI T,I OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEM ' T � • Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PR 2 P R' IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LE ► 4 1E II R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that 1 • e read a • , • ined thi = •. ication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be c•mplied wi' ther •.'ci zed herein or not. The granting of a permit does not presume to uthority to violate or cancel e
provisions of any other , ederal, st• c al aw regulating construction or the performance of construction.
' ° S 39tu')1C Signature of Contractor
'� � � C - 3 /
Signature of Owner
i
Print Name 013 .,I � ^} < CZ (;'ti-E Print Name S. 7ci ayfe Kr+aov
Sworn to and subscribed b : ore me Sworn,t subscribed before me
thisSVIDa of , c 20 11- 20/ -2. .._'
y this � -Day of /'��A
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„ , ANN L DYAL
MY COMMISSION # DD 865864
-•= Revised 01.26.10
.,,- .,,:; EXPIRES: May 6, 2013
I 4V AMANDA NEENAN 9,0 -A Bonded Thru Notary Public Undenwrlters
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=a ° j o: Notary Public State of Florida
u ty_Comm._.Expires Oct 12 2015 __
=��, $ Commission # EE 137684
•• °, ,"' Bonded Through National Notary Assn.