1 Ahern Street Demo - Interior Permit CITY OF ATLANTIC BEACH
J �r
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DEMO - INTERIOR ONLY
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: DEM018-0008
Description: interior demolition of lifeguard station
Estimated Value: 6000
Issue Date: 4/17/2018
Expiration Date: 10/14/2018
PROPERTY ADDRESS:
Address: 1 AHERN ST
RE Number:
PROPERTY OWNER:
Name: CITY OF ATLANTIC BEACH
Address: 800 Seminole Road
Atlantic Beach, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: E B MORRIS GENERAL CONTRACTORS INC
Address: 238 Canal Boulevard Suite 1
PONTE VEDRA BEACH, FL 32082
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
LPhone:(904)247-5826 Fax:(904)247-5845
Job Address: 57- A TLAm7-_-j-C 3WCd Permit Number: M U 1 — CC9L?-
Legal Description RE#
Valuation of Work(Replacement Cost)$�0, DD Heated/Cooled SF 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 Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No 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: '04m, ��Y, r4 � VOOV
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Address:
City State Zip ? Phone
E-Mail
Owner orAjen'i'(1TrAJent, ower o Att rney or Agency Letter Required)
Contractor Information
Name of Company: ` Qualifying Agent: J2)23l2�TC 0-
Address (�` � �a L 5—)- City l�,�j- State FL Zip
Office Phone -z -?SJR Job Site/Contact Number
State Certification/Registration# '— E-Mail CPTC-C'' C7S/` "/L� c�CaG' Ck)H
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation �Ut/Atr'u =N,S CO, 2,o(y
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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of t
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,an
there may be additional permits required from other governmental entities such as water management districts,state agencies, rr
federal agencies.
s �
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
{
(Signature of Owner or Ag nt) ignat a of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this a day of Signed and sworn to(or firmnned)before me this day of
�l7 by 5L \� l` aJYt f at71 by D IIQQ f f \S Lk CC 2 lVt 1(
ig of Notary) J(Sign re of Notary)
[ ersonally Known OR
�""�""�• JENNIFER JOHNSTON P onally Known OR
L\ MY COMMISSION 0 GG 012984
[ ]Produced Identification t; ;•� roduced Identification ,,pp �
Type of Identification: ��d EXPIRES:OcWw27,2020 pe of Identification: tel_ A V P-,