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347 skate Rd 2013 interior demo CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002304 Date 3/12/13 Property Address . . . . . . 347 SKATE RD Application type description DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc interior demo only -------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- COGORNO, GINO A NPS INC 8802 RUNNYMEADE RD 7442 SILVERLAKE TERR JACKSONVILLE FL 32257 JACKSONVILLE FL 32211 (904) 860-7126 ----------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . Permit Fee 100 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/08/13 ----------------------------------------------------------- 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 2 3 O Office (904) 247-5826 Fax (904) 247-5845 j Job Address: z4-1 S V C -e- �c� jam 32233 Permit Number: Legal Description �- ()CLQ-`� 14 � f c-of Parcel# t oor ea o q. t• q Valuation of Work$ 5 I 000 _Proposed Work heated/cooled_ non-heated/cooled Class of Work(circle one): New Zddit�ionAlteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)((circle one): Commercial Reside If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: Property Owner Information: A, �� W D �O 0 i..�D Address: Name: ��p City 9)C. - State_Zip hone '�_ E-Mail or Fax#(Optional) Contractor Information: 1 ual3Z�w= A J��•<< Company Name: �� Qty t Cc � State Zip 3Z24"C Address: ( 3 D3 Ci Office Phone 21 s�i Job Site/Contact Number $6 71 Z C Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address that no work or llation commenced rior isthe euatnaetonas permit t and that all made to work will bet performed tot to do the omeet the standards of all rk and installations as laws regulatinicated. I construction in thpis juraisdict'on.his permit becomesonull and work void workiscommenced not Icommenced within six understand that separate permits r i ft n truction securedfor Electrical Work,Plumbing,Sigor work is suspended or ns,aWells,Poeriod olst, I urnacemons,Boiler,t Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR O OBTAIN FINANCING, CON ULT WITH TO YOUR PROPERTY. IF YOU INTEND YOUR LENDER OR AN ATTORNEY BE OR ERECORDING YOUR NOTICE OF CO I h e o certify w that I have read and 11 be complied ed with whetherhis eciaedlhere n or not.ication and Theegranting of same to be to permit doesrue and cnot prt. All esumetto givons e law tho 'tyrtot vaolatences gor cancel this tyPo 1 provisions of any other federal,state, or local law regulating construction or the pe formance of construction. l� Signature of Owner 3 &`v' E'J��" Signature of Contracto. 1 ...... ... PrmtName t, ACK..._�........... ................................................. .. .. .............................. Print Name ........................ . .. . .G . . . . . .................. Befo e me rn/n�� / Before me this -1 Day of /"�'L c/'1 20 / this . -Day( f ✓�/�ZC'`/ 20 � LEAH J.BOHANNON •" "• LEAH J.BOHANNON of Florida • tary i My Comm.Expires Apr.18,2015 otary P is My Comm.Expires Apr.18,2(, Commission No.EE 83338