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341 5th St (vault)
9044 MOW t DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERmit INF6XHATION LOCAT ON INFORMATION `- , iRbc'_ 04 Address: 341 FIFTH. STREET TT - 'A or ATLANTIC BEACH, FLORIDA 2 T*Ias - WHO Lot� El r��k; Suet caps ' " �s Oso. NG 4 I�AI .1 " - � w ANO# '"=' A ,' . w x IVa s ,ATLANTIC BEACH 3Ti ' Lla.. a' 4. 4 Int r o '^ ' M $22. 50 AF"F + CATION FEMS BgFy�°t r A �;Iv11�A FEE � �o $0 ,00i LORI Al' W4 lA'1'Fl METER/TAP 00 RAI�OH �"AR�-B,H. SP � 1�,A '�l�t CAB �+` - . �' .. ' .E .,T. I.� " CAP ;A � IMPROVE A . . R: I"FR CB �E-WEF TAP „ � :�2 .I CRB OH�IE�"TIOI�I ,# z Type; CI SFC lI, IMPACT FEE e agt. SCHAs °A'F .HCS. . 1VOTES. i x NOTICE --ALL'CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED IS AN POURIN0 PERMIT VOID SIX MONTHS AFTER DATEOF 8,01LI)i Ca,MATERIAL,RUBBISM AAND DEBRIS-FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAR D UP AND HAiILED AWAY HY EITHER CONTRACTOROR OWNER Ufa uRE TCI COM O WITH THE MECHANICS' LIEN LAW CAN RESULT IN TNS PROP NER PAYING TW1CrE FOR U1Lt3!['+I 1 UIRRCIVEMENTS." I$SUE ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOL, TI OF APPLICABLE PROVISIONS OF LAW, 00000000ItAm{)QOQ 14 ATLANTt�BEACH BVIL©INq DEPARTMENT Date: 9/07/94 41 Ilii: ,rr. . . CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owners) W14)ZLIC-17- Address : 5 '.5�• Phone: Lot # , Block or Unit # , Subdivision: Contractor: Address : City, State and Zips- c / I Phone ZW-SM State License # �C�t irc3lo Describe work to be performed: -2Z�7A� 66 s � Valuation of Proposed Construction: '-5o2 6- Materials to be used: Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information