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395 6th St interior demo 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003132 Date 7/25/13 Property Address . . . . . . 395 6TH ST Application type description DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INTERIOR DEMO ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PEEK CATHERINE CONWAY PARKER SIGNATURE HOMES & DEVELOPMENT 395 6TH STREET 731 DUVAL STATION RD ATLANTIC BEACH FL 32233 STE 107-417 JACKSONVILLE FL 32218 (904) 759-9867 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/21/14 ---------------------------------------------------------------------------- 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 Office (904) 247-5826 Fax (904) 247-5845 Job Address-V I ,12 p� � ,�T Permit Number: n v� Legal Description Parcel# Floor Area of Sq.Ft. Sq. 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 structures)(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 orm Describe in detail the type of work to be performed: � d / o Property caner Information: Name: "q f )� Address: -6 77I S7 City State Zip hone E-Mail or Fax#(Optional) Contractor Information: / Company Name: 1 Y /771s Quali ing Agent: `L i A-yn Address: 4 _ b City VL State_�_Zip 2Z Office Phone -7 S79- 9F(o 7 Job Site/Contact Number S9 9 !0 7 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 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,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 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and or inances governing this type q Iwork will be complied with whether spped ied herein or not. The granting of a permit does not presume to give authority violate or cancel the provisions of any other federal,state, or local r regulating construction or the performance of construction. ignature of Owner Signature of Contractor Print Name ...... Print Name l �� th* ay 20 this G� "lDay of - U 201 p SHIRLEY L.GRAHAM JEN WAR Notary Public ;= EXPIRES:February 14,2014 �`r :: MY CpMMI ON M FF 011480 p,'f}y,.• Bonded Thru Notary Public Underwriters 2017 EXPIREs:Apnt 24, vised 10.24.12 Notary putt- Underwriters Rf.hd Banded Thru