Permit Interior Demo Beach Ave 2012 k A ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001389 Date 9/25/12
Property Address . . . . . . 227 BEACH AVE MAIN
Application type description DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
interior demo
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Owner Contractor
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CHESHIRE DAVID W MORALES CONSTRUCTION CO. , INC.
227 BEACH AVE 6950 PHILLIPS HWY, SUITE 15
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 296-9559
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/24/13
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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.
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UILDING PERMIT APPLICATION
R*Pu uant to F.,S1. 553.721 & F.S. 468.631' a surchargefee will be collected on any permit regulated under the FBC.
Job Address: 227 Beach Avenue, Atlantic Beach, FL Permit Number:
Legal Description ,/
f 06 00
Project Valuation $ 1 1 ! � - 13 99
Class of Work: 11 New El Addition 0 Alteration El Repair 1:1 Move 0 Replacement
Use of existing/proposed structure(s): 0 Commercial 0 Residential
If an existing structure,is a fire sprinkler system installed? 11 Yes 0 No El N/A
Roofing Materials: Main Material FL Approval# Underlayment FL Approval#
Describe in detail the type of work to be performed:Demolition of all interior finishes on walls and ceilings to expose
structure.
Property Owner Information:
Name:Corkie T.Goode A Registered Agent(If Applicable):
Address 4216 Point La Vista Road City Jacksonville
State FL County Duval Zip 32207 Phone E-Mail
Contractor Information:
Company Name:Morales Construction Co., Inc Name of License Holder: Ricardo Morales, III
Address:6950 Philips Highway, Suite 15 City Jacksonville State FL Zil) 32216
Office Phone (904)296-9559 Office E-Mail or Fax#rick@moralesgroup.com
State Certification/Registration#CBC 040880 Job Site Contact Name/Number Stephen Altman 904-626-4628
Architect Name &Phone#
Engineer's Name&Phone#
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 cl�apermit and that all work will be performed to meet the standards o all laws regulatin�construction in thisjurisdiction. This permit becomes null and
void ifwokk is not commenced within six(6)months,or i(construction or worris suqpend�d or a andonedfor a period ofsix(6)months at any time after work is
commenced. I understand that separate permits must be securedfor Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks andAir
Conditioners,etc.
Owner's Affldavit:I hereby certi that I have read and examined this application and know the same to be true and correct. A 11provisions oflaws and ordinances
governing this� eofw te complied with whether specified herein or not. The granting ofa permit does not presume to give authority to violate or cancel
the provisions ovany otherfederal,state,or local law regulating construction or the performance of construction.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BffOR�E RECO)LPING YOUR NOTICE OF COMMENCE EN
Signature of Ow4� Signature of Contractor
OL /
Print Name Corkie T. PrintName R�CA
STATE OF FLORIDA, COUNTY OF STATE OF FLORIDA, COUNTY OF
Sworn to or a irme an subscribed before me this Sworn to (or affirmed) and subscribed before me this
day of 20 100 1016
_&5 day of 201
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14-0 NOT WRITE BELOW THIS LINE: OFFICE USE ONLY
Review Result(circle one): Applicable Codes: 20 10 Florida Building Code
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