680 Sturdivant Ave (vault) CITY OF ATLANTIC BEACH
APPLICATION TO MAKE ADDITIONS OR ALTERATIONS
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Owner -Address Phone,�-r�--g (,,
Architect Address Phone
Contractor AddressdZ,�]&�g, .% zly phonq&-a/
Contractors License/Certification Numbers
Expiration Date
Property Address Zonixig
Lot # Blcok or Unit ��, Subdivision
Valuation of Construction $ Type of Construction
Describe Work to be Performed
Materials to be Used
Present Use of Building
Proposed Use of Building
Flood Zone
Dimensions of New Area:
HEATED
GARAGE OR STORAGE
CARPORT OR PORCH
DECK
PATIO YES NO NU1BER
Will there be an increase in number .of units?
Will there be a decrease in number of units?
Any additional plumbing fixtures?
Any new fireplaces?
SUBMIT TWO COMPLETE SE S OF PIANS INCLUDING SITE PIAN
Signature OWNER Date,IV
� �
Signature CONTRACTOR Date
DEPARTMENT OF BUILDING 8861
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 9 V V
PERMIT TO BUILD 5^.0n?CKT
THIS PERMIT MUST BE POSTED ON JOB 5130 710EIIS
8561 .00CAC
Date July 8, 19 87560 11 711111
Valuation$ Fee$ 50.00 (0nD
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law. i
RIMAS J. BENNETT
This is to certify that
i
i
has permission to baht DEMOLISH SINGLE FAMILY WT _
i
Classification RESIDENTIAL Zone
Owned by THOMAS AL BENNETT
Lot— Block S/D
House No. 680 STURDIVANT AVENUE
According to approved plans which are part of this permit
= NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
4 104 0 O Building material, rubbish and debris
_ from this work must not be placed
in public.,space, and must be cleared
up" nd auled away by either con- ,
or owjer.
i ing Official.
FOR OFFICE PERMIT DATE CONTRACTOR t.\✓
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
I
WATER