640 Sturdivant Ave (vault) PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-- :IT INFORMATION --- -------- LOCATION INFORMATION ----
Peii;,,i t Nua,tber : 11527 Address : 640 STURDIVANT AVENUE
Permit Type : BUILDING ATLANTIC BEACH , FLORIDA 3221'
"lass of Work: REMOVE ---------- LEGAL DESCRIPTION -------
Constr . Type: WOOD FRAME Lot : Block: Section:
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH
Estimated Value : 50 .00
Improv . Cost : SO . 00
Total Fees : $50 .00
Amount ,Paid: 550 . 00
Date Ad 2/28/96
r r N PERMIT FOR 10 STURDIVANT
._WNE:j_ ii4e, ?,MATIONAPPLICATION FEES -----
-Name , PERMIT 550 .00
Address : x",40 STURDTVANT AVENUE WATER IMPACT FEE $0 .00
ATLAI'TIC REACH - FLORIDA =: SEWER, IMPACT- FEE � 50 .00
cin WA�' RtET ' AP
Phone: # _ 0 1 64 -50 . 9
RAIN 01
- ----- - CONTRA-TOR INFORMATION -- RADON CAB 5% 80 . 00
Name . y�#1,_ I LiwM')IaITON CAPITAL IMPROVE. SO .00
Address : -P.0 1508 SEWER TAP SO .00
3Pt
CROSS f ONNEECTT01 ......Wa O��P.,
cFnwe : N /A Tyre SEC H IMPACT FEE SO .00
° g CONST . SURCHARGE OO
SCHARGE/ATL.BCH. SOJO
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO CoTIaO.100M4
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 2/28196 of ' 0036841 88
001ow3al000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
lll `r' HHLL HIL D' -H ILL I-bi Jun 2u "j4
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERA'TIOti5
DEMOLITIONS
Owner(s) : DAVID COLE
Address : 640 STURDIVANT AVENUE Phone : 246-0319
Lot # Block or Unit # Subdivision:______--._____
Contractor : OMNI DEMOLITION, INC.
Address ., 10334 MACON ROAD, JACKSONVILLE, FI Phone No:_ZE4-5 9
32219
Describe work to be done : DEMOLITION
Present use of building : Residential
Valuation of Proposed Construction:_—$j—465-00
Proposed use N/A _
Is this an addition?_fyIf yes , what are the dimensions of
the added space: V�� ft . X ft . Will the added area
be heated and cooled? New electrical ( or increase ) ?
New plumbing fixtures? New fireplace? _New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS , INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE FORMS , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR .
Signature OWNER. Date : - ---------
Signature CONTRACTOR: Date :
Mb
CITY OF
12e4c.4- �
Office of Building Official
gREQUEST FOR INSPECTION
Date 2 O
Permit No. _
Time A.M. zz
Received PM.
(49 q O
Job Address Locality
Owner's /'�
Name (\(�J
Contractor ba
of
BUILDING CONCRETE ELECTRICAL PLUMBING
Framing - MECHANICAL
Re RoofingFooting Rough Wiring Rough Air Cond.8
Tem Pole Heating
Insulation Slnel Finaii Sewer l a
X Fire Place _
READY FOR INSPECTION / ` Pre Fab
Mon ues r�/�n Wed A.M.
\ Thurs. Friday PM
Inspection Made - A.M.
l PM.
sprsaor Final Inspection
��—� Certificate of Occupancy