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
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Application desc
INTERIOR DEMO
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Owner Contractor
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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
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/21/14
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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-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