845 Sailfish Dr 2013 Interior Demo only f!.�•�`1r1v�
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002133 Date 2/08/13
Property Address . . . . . . 845 SAILFISH DR
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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LORIN ELIETTE MARIA HOMEOWNER BLDG SVCS, INC (RC)
1972 COLINA CT 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
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Permit DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/07/13
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: R4S_ `i,t11C-l--iS l-I 17 AJ) Permit Number:
GD 7 z 7 BZ-a-t< c#
Legal Description 10 - 0- 3 - 2-5 - �-1 C r--At Pt"L n, Parcel#
Floor Area ot Sq.Ft. Sq.1't
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): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle 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:
fLi* pyA7Lc') t
Property Owner Information:
Name: F (L.l ),l Address: 15 2 2 COCA KA to CA
City l C_ State�LZip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: vE, i Qualifying Agent: &LER m SC
Address:7 �' `N C- City,--(LS�s�ui r a State L Zip ZZ
Office Phone q - Job Site/Con ct Number Fax#
State Certification/Registration# CG
Architect Name&Phone# VEid - -4
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 cert 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 f 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 rs commenced 1 understand that separate permits must be secured for Electrical World Plurrrbing,Signs, Wells,Pools, urnaces,Boilers,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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby cert that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to viol or cancel the
'Vprovisions of arty other federal,state, or local law regulating construction or the performance of construction.
Si ature of Owner Signature of Contracto
Print Name 1111'el Print Name 6G,�%✓v i7 d_CX A1,JD i
Sworn to and subscribed before me Swo and su sc i f me
this—D offofva rl! ,201 Z 20
EY OSRAH
MiSS10 SFO
Notary ub , EV1118 t,,
ru 2014
i�hded Nota Public darwr4
�~ .•? MY COMMISSION 0 EF-218013 wised 01.26.10
EXPIRES Seplember 28.2018
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