670 Sherry Dr - Demolition ,-1-J- S ..
v r J �
,=� ''S\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 DEMO - 447
Job Type: DEMOLITION
Description:
Estimated Value: $2,100.00
Issue Date: 2/22/2016
Expiration Date: 8/20/2016
PROPERTY ADDRESS:
Address: 670 SHERRY DR
RE Number: 170398 - 0000
PROPERTY OWNER:
Name: GORDON, JOHN W
Address: 670 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: ARMSTRONG CONSTRUCTION
Address: P.O. BOX 5700 QA SHANNON PAUL ARMSTRONG
Phone: - -
PERMIT INFORMATION:
FEES:
Demolition Fee $100.00
STATE DCA SURCHARGE $2.00
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.
�v BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 CT..�111 M 1 T
'7 1/t/t y 7(I . Office (904) 247 -5826 Fax (904) 247 -5845
Job Address:0 (7 S A i , 01 l C_ Aefia Permit Number: / �0 - . 1, L7 - 7
Legal Description SQ 1 I r t
C414,10 Parcel #
F c*ir Area o t. S.1-1
Valuation of Work $ 21°1)/v ' Proposed Work h /cooled n heated /cooled
Class of Work (circle one): New Addition Alteratio 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 approval form --
Describe in detail the type of work to be performed: ° - [&Pj,NL I N e -a 1.--Litt ' e 0/
Property Owner Information: LP
,� /
Name: 1, ' 'U f\ 1v l C Address: (o ]0 Sly ( (_1.,� po
City State Zip e Phone 9t-A-- I - `1CIL) 1
E -Mail or Fax # (Optional) I
Contractor Information:
Company Name: £ I drr . ,A ► Qualifying Agent: / .4 . A A - )4, 44 ID . 1 Yl ' _
Address:' O. .'rs , an ; A Ci 1.,...�,.. onr ��= , State Zip • : ■ all
Office Phone is - ilifi 'r Job ite/ Contact Nu • : - r / Fax # ' — AP A
State Certificatton/Registration # P. ,1O S(")/a 0 4 c
Architect Name & Phone # ,
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 1 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 aperiod 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, Bo 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 hereby type of workf certify com read and whetherspecified t l herein or not. The granting of a permit i correct. give utho � . , i.�lategorvcarncel this
the
provisions of any o er fede .1, state, or lo , 1 law regulating construction or the performance of construction.
Signature of O n, 1: Signature of Co tracto �'
•
Print Name r .I ! temp Print Name �l�a'1/ a JJ
Sworn to and s scribed before m /_ Sworn to and subs ri.ed before me
this Day o 7JJ , 20 ) ' this _ D.y of . 1 I A . 20KP
/li iil MARNA
'' •,
/
Notary Pub is r , „,.. ANN was 1. T r / , ;.■ :
i 4. , `°
8 re
?'. '= MY COMMISSION 4 FF 161400 Nota ' u . � '' +:
: * ,�, . x �. �,� -.,:a ` Se 1, 1
' ;d€ EXPIRES: September 18, 201 ' dr Bonded EXPIRES: Tnru No Pub c Un 8 rnr
" Bonded T"”' Notary Public tlndenm�rs Nf, t�`' ember - - - " - . .10
Cr��`J�
`s, CITY OF ATLANTIC BEACH
- _ 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'`'' J;3 I>'r
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-654
Job Type: PLUMBING ONLY
Description: PLUMBING - ONE SHOWER PAN
Estimated Value:
Issue Date: 3/23/2016
Expiration Date: 9/19/2016
PROPERTY ADDRESS:
Address: 670 SHERRY DR
RE Number: 170398-0000
PROPERTY OWNER:
Name: GORDON, JOHN W
Address: 670 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: LARRY TEAGUE & SONS PLUMBING
Address: 203 OCEANFRONT QA ARNOLD GEORGE BENNETT
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Co `7D �`jk e R l:::: 2j ve PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ (050,00
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory -,��- -- Water Heater
Other Fixtures Water Treating System
WCtshI, t 615c-Y 4e-
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer n Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads LI Well **
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.thn
Property Owners Name t"ArT12-I CK. G(A-OY Phone Number QX z179'5'717
Plumbing Company Lfr 224 I eA-Gati; 4-- NS Office Phone gal 270.2259 Fax9olt„N' ,gX9c1
Co. Address: 1.O? (�CQ...Orc c oC* City P State Fl Zip 3 22(0eo
License Holder(Print): O1.-0 C State Certification/Registration# ,41S-619
Notarized Signature of License Holder 0Andid, tatACAL
��r�' � MEIANIE A.DARLINGTON worn and subscribed before me this /7J1 day of /i i:Ar , 20/6
fr. ► '�- MY COMMISSION#EE198733
=; ; EXPIRES May 15.2016 ignature of Notary Public 1,C���C4-c.Z C 1 L 14,9,;41„_,
(407)3960163