800 Sherry Dr 2015 Interior demo CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
+J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-RAAR-728
Job Type: DEMOLITION
Description: interior remodel
Estimated Value: $150,000.00
Issue Date: 1/8/2015
Expiration Date: 7/7/2015
PROPERTY ADDRESS:
Address: 800 SHERRY DR
RE Number: 170393-0000
PROPERTY OWNER:
Name: EGGERS, WALTER E
Address: 800 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: THG GENERAL CONTRACTORS
Address: 634 S 2ND AVE TERRY GAUSE
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PPLIC -1�10 � [�\jjj�
Building DepartmrszL�i 6 be�ssigned by the Building Deparfingen't.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
I
Phone(904)247-5826 - Fax(904)247-5845
City web-site http://wvi/w.,��i)ab.LJS Il
3ate routed: 12-
APPLICATWHI REVNEW AND TRACMG FORM
LP'roperty Address: LeUQ ar-1-1-ment r
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Building
P P annincj
�A Zoning
Tree AdMinistrator
ZKI'W—=7 Public Works
Public 1-hiiiiies
mV Public Safety
Fire Ser.vr�ess
Review fee $ Dept Signature
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ONTRACTOP NTAC -" 4K
APPUCATFOK.� STATUS
Reviewing
De
partmenFi
rsFReview
: Approved.
[ Denie-
(Circle one.) Comments.
BUILDING
PLANNING 001.ZONING
Reviewed by:-4? Date:
TREE ADMIN.
Second Rpvipwr: FjApproved as revised i d
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date----
FIRE SERVICES
Third Revievtr, [_]Approved as revised. []Denier'.
---
Corr ments:
Reviewed by:__ Date:
SED 09252014
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BUILDING PERMIT APPLICATION 0 T 0 � L�
Lj
CITY OF ATLANTIC BEACH DEC 3 0 20
f I L fCOPY 800 Seminole Road, Atlantic Beach, FL 32233 14
w ,tea, Office (904) 247-5826 Fax (904) 247-5845
Job Address: !�7aQ ke nq rive, Permit Number: 7
Legal Description o�c -)o 71,"?L See-con 3 6�4C774L2 1-Zcyc_cep�bParcel#
Floor Area of Sq.Ft. 'qFt
Valuation of Work S t SD, Dov." Proposed Work heated/cooled 13 DB non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair ove emolitiN
poo/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidentia
If an existing structure, is a fire sprinkler system installed? (Circle one): es o /
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: locr�r cnE� ✓mss ������_�j�. s
n 10 ci b G�;44nn i!q to v 1,ge5z L�5
Property Owner Information:
Name: 'G ► sJ L( , lto,_)r, Address:
City FH{an � L2cere, State F'L Zip 3 7-233 Phone
E-Mail or Fax# (Optional)
Contractor Information:
Company Name:-TI-16 (ft e^e,✓A
( �o��r�i�vs J1►c. Qualifying Agent:���✓rrt� �-
Address: 6 3 it _-^-CL Qom-, fj o City 7'a-u R State r--L Zip 3 Z 2 So
Office Phone QD4• P,9:?- ,�g Zs Job Site/Contact NumberT V Jg,• S4'2 S Fax#
State Certification/Registration#__C_ G L o 2- 1"S3
Architect Name&Phone# 5� 3
Engineer's Name& Phone# "rr 6 tt ®4di
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 apertod of six 6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Aurnaees,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.
1 hereby certify that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether speci ted 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 Owne Signature of Contractor
PrintName ................. ........ ..................................................... Print Name �.
.........ew ... ,t ......1� .......... .. .5 .......................
Sworn to and subscr' ed befgqre me Swoxgtaand subscri b fore me
this I'I Day of �tr110t� 2014 this NDay of- � 20
Notary PC
lic MWublic
Revised 01.26.10
�Notary�Renee
tate
of Florida JENNIFER WAR
i Bevy 7,14q,e y .,V�nAANA1ccinN J FF 611480