474 Mako Dr - Demo (--
CITY
y\J\f�# �s� OF ATLANTIC BEACH
800 SEMINOLE ROAD
j''� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DEMO-1279
Job Type: DEMOLITION
Description: Take out duct work from attic, replace, blow in insulation
Estimated Value: $500.00
Issue Date: 6/3/2016
Expiration Date: 11/30/2016
PROPERTY ADDRESS:
Address: 474 MAKO DR
RE Number: 171479-0000
PROPERTY OWNER:
Name: BECKENBACH, MARK & JACQUELYN,
Address: 2210 OCEANWALK DR
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.
-- i��.� BUILDING PERMIT APPLICATION
JS' \i
r /.. j
/ CITY OF ATLANTIC BEACH
k / v 800 Seminole Road,Atlantic Beach FL 32233
<'�c.).7139'r' Office:(904)247-5826 • Fax:(904)247-5845
Job Address: /79 Tt i ltS Permit Number:
Legal Description RE#
do
Valuation of Work(Replacement Cost) $ 3d� Heated/Cooled SF /063 Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial esident'
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes CO N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: 1 OTC la t o g- RICJ Q 6.,
aor-Dsa-o,dc. .r'e eine_ ,-Rea _'1,O ,IL) l oSL-0r-`3 d
Florida Product Approval#_ for multiple products use product approval form
Property Owner Information
l' ^
Name: Pf4L.Z C . CJf/3A(-1) Address: 2{IJ° (Nr-PfiLJ6 C 'W 1(. (Al
City :--- ,,,g-re.... = ', .. Stat Zip `Z.3 Phone e.7 S ' -..5-3(1-- �
E-Mai i' i)MGk /'1' (Q 4c A/r-. Co
Owner e - . _ . _ . . . _ . - . o MA 6 . 136e)(cA)i/E-'
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.
Contractor Information:
Name of Company: • : ying Agent:
Address: City State Zip
Office Phone Jo• :' a/Contact Number
State Certification/Registration# E-Mail
Architect Name &Phone#
Engineer's Name & Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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 w,rk is not commenced within sin 6) months, or if constriction or work is suspended or abandoned for a
period oJ'six(6)months at any time .ft. rk is commenced. I unders d that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools, Furnaces,Bo' 'r, aters, T s and it Cond' ners,etc.
1
Signature of Prope .. e w r: Signature of Contractor:
Befo me
this__D Day of ' _ • -r aEIP idly Before me this Da
Notary Public: _ r _;�:r—Y `�n�, �, :�h
l ' 4�
'Ams, MY cowl %'#FF 924951
I'' <- XPIR :October 6,2019
I hereby certify that I have read and examined this applica '•!:/1►i e_ < q ,, pa,�J a. All provisions of laws and
ordinances governing this type of work will be complied wit w.,-f s- granting of a permit does not
presume to give authority to violate or cancel the provisions of• • . r e•era!, state, or local law regulating construction or the
petformance of construction.
Rev. 3/14/16