346 6th St (vault) FSA-3844
` DEPARTMENT OF BUILDING
CITY 0F'ATLANTIC.BEACH
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. I EMIT INFORMATION _�----- L CIATION INFORMATION
Number* 1,37278 .Address . 146 SIXTH STREET
I 2 3 3� T'yOtRE�ROOD FLORIDA 32T "H
4 ani of Work,t NEW _ .. LEGAL, DESCRIPTION
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proposed, i se,S#,GLZ kAklLy Section, Subd:
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mp4ov. costSCIS .�?�b
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A cunt 25.00
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FRIIT 25.0
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4/11!199
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' NOTICES A LOGNf:RET frO RM'3�AND FOOTINGS MUSTSONSPECTEp 1&fORf pooRING
PERMIT VOID SIX(MONTHS AFTER DATE OF ISSUE
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NGMATER ,!?UBBISH"ANQ DEBRIS FROM THIS WORK MUST NOT BE PLACEp IN PUBLIC$Ii AND:M1JSt 81*
GIEED UPAND HAttLED<AWAY BY EITHER CONTRACTOR OR OWNER
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►77-7-177-7
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I T'H P' N' ,A'LAYING Twl FC?R BU I DIhi tMhR il" 11 ENT .
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iU D ACCORf9ING TO APPRDI/EA PLANS WHICH ARE PART OF THIS PERMIT AND
SUBJECT TD REVOCATICII+TIII '
„ I #t NS OF LAW.t PR¢ONOFAP:C
ate: lIII3? 8f, tfiece�ipt: $848E5b
s OIfiLYE 14722
ATLANT,IC BEACHBUILD,04G DEPARTMENT 89188683 2#�6
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CITY OF ALANTIC BRACH
APPLICATION
PXRKIT APPLICATIO
Owner Ar s) /� T � e-5
Address:_. Phone:
Lot # , Block or Unit # Subdivision:
Contractor: �;,I1 ���iirvs�S
Address : ��S' 4y,!P�- zW% S
City, State and ZipCItsvti.y" < le f lOZdg 3.2 5 Phone --2 ct3-+�jzsi
State License # Cee bs70 fie.
Describe work to be performed: /'r,--o 1`2
Valuation of Proposed Construction:
Materials to be used:
Signature of Owner;
Signature of Contractor: iG�'��'
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information