1433 BEACH AVE - DEMO -Sr\I.Jr
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jCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
73 r" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\0;219''
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-DEMO-3006
Job Type: DEMOLITION
Description: precise interior demo
Estimated Value: $3,500.00
Issue Date: 1/17/2017
Expiration Date: 7/16/2017
PROPERTY ADDRESS:
Address: 1433 BEACH AVE
RE Number: 170303-0000
PROPERTY OWNER:
Name: Idyll Hour, LLC
Address: 1433 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
, CBC1250212
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION:
FEES:
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
STATE DCA 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
Job Address: 1433 Beach Ave, Atlantic Beach, FL 32233 Permit Number: i 1— 1)6.M -
Legal Description 6-1 16-2S-29E Atlantic Beach Lots 4,5 BIk 61 Parcel # RE 170303-0000
Floor Area of Sq.Ft. Sq.FtValuation of Work $ -3 S vU Proposed Work heated/cooled 3029 non-heated/cooled 3076
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial [Residential I
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: Precise interior demo
Property Owner Information:
Name: Idyll Hour, LLC Address: 1433 Beach Ave
City Atlantic Beach State FL Zip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Bosco Building Contractors, Inc. Qualifying Agent: Todd A. Bosco
Address: 2158 Mayport Rd City Jacksonville State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326
State Certification/Registration# CBC 1250212
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. 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 a period 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,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.
I hereby certify that 1 have read and examined thisplication and know the same to betrue and correct. All provisions of laws and ordinances governing this
type ofspecified work will be complied with whether speced 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 Owner IX'.././61 ��i Merj Ea— Signature of Contractor t. - -
Print Name l./ 4 1)I.6"1" tl �, Print Name Todd A. Bosco
Sworn to and subscribed before me Sworn to and subscribed before me
this h Day of jun u. x'to ,20 Il this V Day of ,20 t'l
•Denise A.Emil MOILtea. _ A Emil
Notary Public NOTARY PUBLIC � rY Pu. is •
_'�. '
. ,a �1--STATE OF FLORIDA
STATE OF FLORIDA 11A: • 04oktfeRF964426
'�1' -"• Comml,FF966426
EExpires 3/1/2020
Expires 3/1/2020