310 A 8th St demo permit -S Iyl�yiy�
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
30B INFORMATION:
Sob ID: 16-DEMO-2836
Job Type: DEMOLITION
Description: INTERIOR DEMO
Estimated Value: $2,000.00
Issue Date: 12/19/2016
Expiration Date: 6/17/2017
PROPERTY ADDRESS:
Address: 310 STH ST A
RE Number: 169918-0100
GENERAL CONTRACTOR INFORMATION:
Name: URBAN PARTNERS CONSTRUCTION
,CGC1518379
Address: 4320 PABLO PROF CT STE 103 EDMUNDO ENRIQUE
GONZALEZ "
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 /
Office (904)247-5826 Fax(904) 247-5845 16-b Emo_z 8 3Fj
Job Address: ,*-31 131 z Yt-h 5fiP€GT", f�6 W-A_ p.��•Permit Number:
Legal Description l oT3, BLK�ll 1�IkT k)0.1 SUb "(k` /!'11.6N•OC-`'^" Psrcel# Kofl� I S— D OD
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Valuation of Work S 21bcc) Proposed Work heated/cooled Z(l-L,3 non-beated/cooled �
Class of Work(circle one): New Addition Alteration Repair Move Cgiwition of/spa window/door
Use of existing/proposed structure(s) circle e)
ircle one): Commercial eslden['
If an existing structure,is a fire sprinkler system installed?(Circle on : o N/A
Florida Product Approval # ok
For multiple products use prowlapp�7orm
Describe in detail the type of work to be performed: Cx�TW-`/ I t4T6V-t 02 T)6-yvX0
Property Owner Information:
Name: .l�t-1 � LIME 645 HCE LL_ Address: ID+ S. 9405cboe 6LVD.
City �DU"T� V - BEACH- State fLZip 32D8L Phone q DU- H38- (cD55
E-Mail or Fax#(Optional) t;RtaSHELL(9BE LLSbu-T714 . N�P_T'
Contractor Information:
Company Name: Ul=BAN {1tFR7llC aA9)4J`a7 Lx.1,LkC-.Qualifying Agent: El]mwnIDD E. ISRWICAtf'�
Address: 323(c bEA( LVD. City SAC4,5WVILLE State Fe- Zip3Z207-
Office Phone g0+?-7D- 2225 Job Site/Contact Number RDy-5ql - -79Z- Fax# q0y-2To-22QS
State Certification/Registration# C4GO _*
Architect Name& Phone# a
Engineer's Name& Phone# u k
Fee Simple Title Holder Name and Address
Bonding Company Name and Address NIH
Mortgage Lender Name and Address to/1H
Application is hereby made to obtain operant to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurbediction. This permit becomes null
and void fwork is not commenced within six(6J months,or ifrorutruction or work is suspended or abandoned for a period ofsa/6)months of any time after
work is commenced /understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, furnatts,BoJers,Heaters,
Tanks and Air Cmai imunm 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.
/hereby cert shod 1 have read and examined Mina licatian and know the same to be true and correct AI!provisions of laws ordinances gay ing this
type o,/work wt!!be complied with whether sppeeed ted herein or not. The ting of a permit does not presume fo ve au dry to viaMte o canelthe
provlsmrts ofany other federal,ante,or ocoNaw regu ting constru tion a performance ojconstroction.
Signature of Owner //�K Signature ofContrncta /'`
Print Name _.11�...5 .. ...1.J....Vf.Y-.LL-I..l.................. ............. Prin[Name ��MUn1D......._. .:.....5 '�
Sworn to and subscribed before me Swom to and subscp'bed before me
ilii 13 Day of UECPavyl3EfL 201 Le this �3 Day of LC2E�In8E2- .20/Lo
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