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227 Beach ave demo interior main hse 2013 �j!.rL`Jr✓�� M" , CITY, CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD s) ATLANTIC BEACH, FL 32233 v INSPECTION PHONE LINE 247-5814 13-00002080 Date 1/31/13 Application Number 227 BEACH AVE MAIN Property Address MAIN HOUSE Tenant nbr, name . . Application type description DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 -------------------------- Application desc interior demo main house ------------------------- Contractor Owner CHESHIRE DAVID W MORALES CONSTRUCTION CO. , IN C. 227 BEACH AVE 6950 PHILLIPS HWY, SUFE 15 L 32216 ATLANTIC BEACH FL 32233 JACKSONVILLE (904) 296-9559 ----- ---- Permit DEMOLITION PERMIT Additional desc • Plan Check Fee . 00 Permit Fee . . . . 100 . 00 0 Valuation Issue Date • • ' ' 7/30/13 Expiration Date . 2 . 00 Other Fees • • . . STATE DCA SURCHARGE 2 , 00 • � � STATE DBPR SURCHARGE ------------------ ------------------------------ Credited Fee summary g ----Due Paid Charged --- ---------- ---------- 00 . 00 Permit Fee Total 100 . 00 100 . 00 00 . 00 Plan Check Total 00 ' 0000 4 4 . 00 . . 00 . 00 Other Fee Total 00 . 00 Grand Total 104 . 00 104 . 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: 227 Beach Avenue Permit Number: Legal Description 5-69 16-2S-29E .2 ATLANTIC BEACH Parcel# 170189-0010 oor Area o q. t. q. Ft- Valuation of Work$ 5,000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Moe Demolition ool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes ZEE:> N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Selective demolition to prepare for future renovation Property Owner Information: Name: Corkie T. Gooden Trust Address: 4216 Point La Vista Rd City Jacksonville State FL Zip 32207 Phone E-Mail or Fax# (Optional) Contractor Information: Company Name: Morales Construction Co.,Inc. Qualifying Agent: Ricardo Morales III Address: 6950 Philips Hwy _City Jacksonville State FL Zip 32216 Office Phone 904-296-9559 Job Site/Contact Number Fax# State Certification/Registration# CBC 040880 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 six and work er void o work is not commenced within I understand that separate permits muor st be secuconstructred for Electricion or work is alWork,Plumbing,Sigor ns,or aWells,Poeriod ols, I u�naces,Boilermonths at s,Heaters, 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 PROPER Y. IF YOU INTEND TO OBTAIN R AN ATTORNEY BEFORE RECORDING YOUR NOTICE F CONSULT H YOUR LENDER O COMMENCEMENT. I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ted 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 regurg construction or the performance of construction. Signature of Owner , . ' 1 Signature of Contractor Print Name (�OQK`C 1 • 6.�DOGi.Pn.................................... Print Name R�. .A..RDo..........Mo..R_A..► E5....._�............................... .......................................................................... Swo to__II��nd subscrib d before me xx Sworn to and subscribed before me 201 �a of 20 ✓ this Day of th' y Ad TE Nota N P 6 Notary Public-State o on a Notary If— Jd :s # ;.`_My Comm.Expires Feb 28,2015 3' VLOZ'5Wdv:S3HIdX3 '>'•' 3N,* "o`? Commission#EE 5R9flse 01.26.10 ,996 40#NOISSIWWOJ AN '"' %'sof Bonded Through National Notary Assn. �: N311d'AVInVd "��",,