151 Seminole Rd 2014 interior demo % 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000403 Date 3/17/14
Property Address . . . . . . 151 SEMINOLE RD
Application type description DEMOLITION
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INTERIOR DEMO (HOUSE FIRE)
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Owner Contractor
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SHERWOOD, BRIAN D JOE W. MANGE COMPANY
151 SEMINOLE RD 4579 LENOX AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205
(904) 786-9476
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/13/14
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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 ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION — PROPERTY OWNER
RELEASE FORM
Date:
To Whom it May Concern:
I/We the current property owners of: Lot
Block
Legal Descdption of Property
have contracted with to have
AKA \ S \ N 00\_e�
(Address of Property)
to remove the _9�(::NAery-
(Company Name) (Single Family,Duplex,commercial,etc.)
Prior to the construction of
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked.
2. Once house is removed, lot is to be graded and leveled.
3. All construction debris is to be removed from the property.
4. Affected area is to have grass or seed in place.
5. Erosion control devices will be put in place and will remain in place until grass
has covered affected area or new structure is completed and landscaping is in
place.
gignature
Signatule
TI-11S SPACE FOR RECORDER'S USE ONLY
OWNER
Signed' ;7 Date: '3/11
Before day of in the County ofDuval,State
OfFlorida,has personally appeared
Notary Public at Large,State offlorida,County ofDuval
My conxnission expires: OCA'a -_-Mo� or
Personally Known:
Produced Identification:
LESAJ.ROBERTS
MY COMMISSION J EE 132170
EXPIRES:October 9,2015
11,4 iv
OF F%. B=W Thru Budo Notuy Ser&,,
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23'31'
5'
Rear Comer Bedroom a-,
Front Comer Bedroom
5'4". 11 1 fe 313"-'
RCBR-CLT H
allwa-y
th v-4'I"
-
1611 1201
HVAC CO
Living Room V Ac
Kitchen
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Ill 7"
2'8"
Front Porch
Os
Main Level
3/12/2014 Page: 15