965 Sailfish Dr 2014 demo ( interior only) CITY OF ATLANTIC BEACH
I�
I 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000064 Date 1/22/14
Property Address . . . . . . 965 SAILFISH DR
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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WOODS, CAROLYN & JEFF STYLES CONSTRUCTION, INC.
303 6TH ST 1537 PENMAN ROAD SUITE A
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 241-4477
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . . . 00
Permit Fee . . . . 100 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/21/14
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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.
i
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: (5- S r* i l G S\-, �p r, Permit Number:
Legal Description / at 3 91 ,310`K 6 iy( �i'M-3 uN►f ON` Parcel # 17/ 0C'
Floor Arett o —meq. t. sq.Ft
Valuation of Work$ roposed Work heated/cooled 1i ! non-heated/cooled
Class of Work(circle one): NewAddition teratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (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 approvaTform M
Describe in detail the type of work to be performed: i14A�Adld tl L,7�,(0
Property caner Information:
Name: -Vil IWAOAS Address:
City >r State Fl Zip'Pz-33 Phone 'N o`( 2-`d t 0'12
3
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: p
Company Name: i...► .4-Qualifying Agent:
Address: 157f 7 ems..,••�..- City Tai. State _Zip^I2: ce
Office Phone ?N/- Ni? / Job Site/Contact Number ,?/a - -Y Fax#
State Certification/Registration# 4 /2 t o 46 9
Architect Name&Phone# S'Y t'- 8'7 t"k
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. 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 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 sixmonths at any time after
work is commenced. I 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.
I hereb certify 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 with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner �� - - "- Signature of Contractor
Print Name .
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BefD-S Print Name s.. r ..l ........G.R.........SN�.•.._� ..............
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My Comm.Expires May 26,2015
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Commission#EE 97846 11 �` � `' CPI -Rvi��dt01. .10
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