1480 Mayport Rd canopy demo permit CITY OF ATLANTIC BEACH
;, 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r j`U
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DEMO-2286
lob Type: DEMOLITION
Description: CANOPY DEMO - STEEL TO REMAIN
Estimated Value: $3,500.00
Issue Date: 10/12/2016
Expiration Date: 4/10/2017
PROPERTY ADDRESS:
Address: 1480 MAYPORT RD
RE Number: 170794-0000
PROPERTY OWNER:
Name: JAX PETRO LLC
Address: 380 COMMERCE PKWY
GENERAL CONTRACTOR INFORMATION:
Name: ALUMINUM PLUS
Raymond Scott Pollitt,CBC056832
Address: 748 E INTERNATIONAL SPDWY BL QA ROBERT
WILLIAM HALL
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 CrrY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 1 -D cmQ /
Office(904)247-5826 Fae(904)247-5845 O-zz86
Job Address: +eaawx.Pomswo Permit Number.
Legal Description «n :,..w.x,«a .sEcxwwa zz.wFcomx+«..r,maxv Parcel#170794-0000
Fluor Area of
Valuation of Work Srmoo Proposed Work heated/cooled non-herted/eeoled
Class of Worli kirele one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use ofexi.ti.g/p=posed structural irk one): Commercial Residential
If ae existing structure,is a firesperm 'system installed (Circle one): Yes No N/A
Florida ProductApproval#
For multiple product use p uctapprro� rov�or�
?nGri w V
Describe in detail the type of work to be performed:nynouroxaFExsnxccwsesxaPv Sie+-t �r-nme_ -Fv re.rtir�.J
Prooerty Owner Information:
Name:a,x P TRO uc Address:socowEacE Pxwr
City wxxunoE Stale at ZiP smss Phone
E-Mail m Fax#(Optional)
Contractor Information:
Company Name: n.N.Pans Qualifying Agent mraososcortwEurt
Address:rwz ityoauxo Stak n Zip ona
Office Phone earaaaoe Job Site/Coolant Number Fax# amerce
Stn,Cenificalion/Registration#canon*
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Apph�len le hereby mMeroo6rmn apzrmlrm Qn rMwMmdaanINlatlmu o,MAmroi I¢nr/y tlmrro wort ml,ubllmlen Ms mmmea.MprYnr ro rM
tomN wN# 2vAn
#mr dl wart wMnee rmmrommrheamw.m oJm/6we reRa/mMgrw.arwmlon/n Mlah dmron ih4pmnh ue.«me..m#I
OarobmW dfar o9 oJ.ru 6f montlum my umeufier
raW aMA4GaWbwnS ms dMor eeporme pemras mmr be eeawdjoP E'IMiref Werk ftm sje•sks. ea,Pov/a. nMlerr,Heaem.
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.
/hercbvmlfy M2/hove nd¢donmrnedlhu �ummHbrow)he mane robe nuemHmrm'rA(fpravblmuoo{//mv`mNONMmresgovemM Mu
+YPeW/wort w#/ eomP//M wfM wheMer, ran FereM or �reRlnnrMg lapemu eoe. _premmero Rh'e wlmmhy In+bide or mn¢RI Me
loo° fwr /edmd.dde.orlemtlo`w' xew pay re Vim.,
Signame,of Owner Signature of Contraction
Pnm e
am _. . ............ ... 1�.�- -_- Print Nam
1.1.-.
Wand. fore vre o oandm creme
I Day 20 u Day .20 kte-
Nkl!�lo, m
Revised 01.26.10
PEBPAJ.MBS
Ft, MY LOMMiaslA,16,2 r0A5
EY31REs:AFd 4>a>0 :Aw..iw�.T eFeMJ.G9a
E : ` llaa NoaaY WMk UrdrrxdMu _ ,A S AIYLOMNI9910N eFF88S'RS
f1fP10.FS:Ipd4,10Ja
+' A'4 awdatlihu Rally PutkUWrafhn