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355 Plaza interior demo 2013 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD 1 s) ATLANTIC BEACH,FL 32233 !J =r INSPECTION PHONE LINE 247-5814 13-00002076 Date 1/31/13 Application Number . . 355 PLAZA Property Address . . • • Application type description DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 --------------------------- Application desc interior demo garage seek and find --------------------------- Contractor Owner ----- BLEDSOE JAMES A JR THOMAS E KOHN 4653 EMPIRE AVE 15 GUAVA DR JPONTE VEDRA BEACH FL 32082 JACKSONVILLE FL 322072192 (803) 243-0395 ----- ---- Permit DEMOLITION PERMIT Additional desc Plan Check Fee . 00 Permit Fee . . . . 100 . 00 0 Valuation . Issue Date • • ' ' 7/30/13 Expiration Date . STATE DCA SURCHARGE 2 . 00 Other Fees 2 . 00 STATE DBPR SURCHARGE ------------- -------- - ------------ ---------- Paid Credited Due Charged Fee summary g ---------- ----- ---------- . 00 00 Permit Fee Total 100 . 000 100 : 0000 00 . 00 Plan Check Total 0 400 . 00 . 00 . Other Fee Total 4 . 00 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. BUILLDING PERMIT APPLICATION CITE' OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address: 3_�>� LA- A- C4(V _ Permit Number; Legal DescriptionParcel 4 Floor ea of t q. . q ' Valuation of Work 000"DLI Proposed Work heated/cooled non-heatedlcooled Class of Work(circle one): New Addition Alteration Repair Move Demolitio pooUspa 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 No N/A Florida Product Approval#`_ _ ��a��h For multiple products use procCuct approva orm Describe in detail the type of work to be performed: K !e' (j lG I l fir Property Owner Information: II 1 Cr Adress:l`'S�� lG z Name: �� l o - _ .... — City L Stat ip__ ........Phone E-Mail or Fax#(Optional)_ja �2( Contractor Information: Com anName:. C,7uali y in Agent: — Addressy .._ City rV State lv Zip Office Phoue d Z7 D -q Job Site/Contact Number 3° `fS Fax 4_!! /M State Certztzcatzon/Regzstration'# A5205 o 1 - ° -— Architect Name&Phone# Engineer's Name&Phone# )`Fee Simple Title Holder Name an ddress �Im 5 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 and Mold!lYOrk 1SnlnoIna017tmerlCed within six(6)�months,med or if constructs o meet the rds r work i's susp nded regulatingall laws abandoned foon r anpi eried of six(6)Imo the atis tany tibecomes esaftter work is commenced. I understand that separate permits must be secured for Electrical York,Plumbing,Signs, iYells,Pools,Furnaces,Boilers,Healers, Tanks and Air Conditioners,eic. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENTD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO®EEE BE ORE RECORDING YOUR NO'T'ICE OF N . I hereb cert that 1 have read and examined this plication and know the same to be true and correct. AIL provisions of laws and ordinances governing this type o�work will be complied with whether spec;ted herein or not. The granting of a permit does not presume to give authority to violate r cancel the provisions of any other federal,state,or local lav regulating construction or the performance of constrttction. Signature of Owner II '' !� Signature of Con actor t �j�u��s /�,,,tm 8^S A , 13 Lw c1,10- Print Name [ 'a......_. Print Name ....._............__,.._..._.... Befo BeforeDay of _ �2Q � -this Da o 2© -- Notary zblic s�qtory _YL RAHA COMMISSIO #DD 7790 <*R'•P`,'�.,, MARSHA M.BRANDY EXPIRES:February 14,2 Revised 10.24.12 a� t MY COMMISSION 9 00 883132 �qf,;��` C onued Thru Notarl Public Underwriters * EXPIRES:August 11,2013 Bonded 7hruBudgetNotary Se*n