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490 lEVY rD 2013 REMOVE NON LOAD BEARING WALL l CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 JFlI T Application Number . . . . . 13-00003488 Date 10/02/13 Property Address . . . . . . 490 LEVY RD Application type description DEMOLITION (PARTIAL) Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------------------------- Application desc remove non lad bearing wall demo --------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- RUSSELL MERVYN H & H HOMES INC 1308 N 7TH STREET 12218 LYONS ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 838-6318 ---------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . Permit Fee 100 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 3/31/14 ------------------------------------------------------- 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: 4/ y G.EV- Permit Number: Legal Description/ 3 qSCSI( Parcel# I —D0DO o0 oor rea o q. t. q. t Valuation of Work$ SSDy Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move llemolition pool/spa window/door Use of existing/pro osed structures) circle one): We . OiRce Residential If an existing structure,is a fire sprin er system insta one): Yes No N/A Florida Product Approval # A- For multiple products use pro uct approval form Describe in detail the type of work to be performed:De/12l!I 0>'V //U� I Dr WL,,O � s Property Owner Information: /�/J Name: 7�44C--7- G-LC Address:!/0� � ' l l rwoS tf" eiLive City L T!C-- 72E State LZip32a.33Phone '9 2, a E-Mail or Fax#(Optional) C,�e Contractor Information: Company Name: ! wt e5 �11/G Quali ing Agent: Address: DNS S e Ci 5v AU tJl State L Zip a Office Phon By /12 Job rte/Contact Numbe o Q 55-6 3/ Fax# A9� State Certification/Registration# � � Sd 7 2 l> Architect Name&Phone# fit" 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 installatiF s as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standarof 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 work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,eta 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 YOVIi NOTICE OF COMMENCEMENT. I hereb cert that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied wit whether sp i ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of arty other federal,st e1., or local 1 regulating construction or the performance of construction. l� Signature of Owner 1A im Signature of Contractor Print Name 1 Print Name C w 4 Irk--L— ............................................Vll�.l. � �.l u�. ..r ..... . . _............. Swo to and subscribed be ore me Sworn to and subscribed before me this�ly 20 this Z Day of ©C�� ,20/3 Nota Public D.CHRISTOPHER WARD ota bis " • CHAD LEWIS Notary Public,State of Florida Commission#EE 200086 ' My 9WMff I.ftW8013 My comm.expires May 20,2016 EXPIRES Sepbn*w 28.2018 1�