1912 Oak Cirlce DEMO19-0017 Int. Demo t DEMO PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DEM019-0017
ISSUED: S/8/2019
800 SEMINOLE ROAD EXPIRES: 11/4/2019
ATLANTIC BEACH. FL 32233
• 904
• . INSPECTION
•CONFORM TO EDITION t OF • • rA BUILDING
ALL
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
1912 OAK CIR DEMO INTERIOR ONLY INTERIOR DEMO $2000.00
TYPE OF ZONING: BUILDINGSUBDIVISION:SE
CONSTRUCTION: NUMBER: GROUP: SELVA MARINA UNIT
172020 1254 12A
COMPANY: ADDRESS:
AMERICRAFT
OWNER: ADDRESS:
COOK THOMAS 1 1912 OAK CIR ATLANTIC BEACH FL 32233-4506
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-000032210W 0 5t0o oo
STATE OBPR SURCHARGE 4550000-208-0700 0 5300
STATE OCA SURCHARGE 455-0000-2080600 0 00
TOTAL: $109.4.00
Issued Date: 5/8/2019 1 of 2
DEMO PERMIT PERMIT NUMBER
DEM019-0017
CITY OF ATLANTIC BEACH ISSUED: 5/8/2019
800 SEMINOLE ROAD
s uf' V ATLANTIC BEACH.FL 32233 EXPIRES: 11/4/2019
Issued Date:5/8/2019 2 of 2
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
un ut
Phone: (904) 247-5826 Email: Building-Deot@coab.us 15 REQUIRED.
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Job Address: /9/2 OAt e/Aeci e9ruwria ITAWA' Permit Number. D E.fY\c,� � l - 0
Legal Description 36- 6* - 09TS.R 9E 566✓A AIAA/wo &w,rli-A LSTN RE# /72026 - 1294
Valuation of Work(Replacement Cost)$ 2 oeo.'—^ Heated/Cooled SF 2-/21 Non-Heated/Cooled -SS3 F6
• Classof Work: ❑New DAddition OAlteration ❑Repair ❑Move gDemcd ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): OCommercial XResidential
• If an existing structure,is afire sprinkler system installed?: Dyes Ad
• Will trees be removed in association with proposed pro'ect?Dyes must submit separate Tree Removal Permit) o
Describe in detail the type of work to be performed: /NrSAIoaf OEMOL/TION 0N6y of /or/Ns
LLOOR/Nb" tA9/NA rAs/Aw0 M//-LWo,e./L PA/OIL 70 /SSUANe!i OF PiNO�Ar/ew
PEM"/r lAiii Sr/DM IrfiO CVA:/IENfL .
Florida Product Approvalif N/A AOA 0suo for multiple products use product approval form
Property Owner Information
Name Tim Coom Address /9/2 OAK dlAeGE
City An&A ri 9u eN P6. State j&L Zip 3223D Phone C961ir) 2Y7- 7760
E-Mail 4v,% a7
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company !)Arta/cMPr dzmr s Qualifying Agent Xmp A,,./M cAl,t4 Zu
Address R-0 Aox 60934- City FOAL; M~ RA State Clt Zip 7319*
Office Phone .139 - S7/-8325 Job Site Contact Number SYMC 239- S71-5325'
StateCertification/Registration ifPAC 046620 E-Mail We0 lbcmil(1 aym6ll cOm
Architect Name&Phone If AA6 739 470- 710
Engineers Name&Phone If gN6 /N rCAii rr 607.17- 299) 533 -seat
Workers Compensation Insurer OR Exempt 6/Expiration Date 7-16 - 2020
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 regulating
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 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.
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 INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECO DING ; U� TICE OF COMMENCEMENT.
-..... ( atureo caner or Agent) (Signature of Contractor)
Signed and sworn to(or aIT d)before me this day of Signed and sworn to(or affirmed)before m,this 3 day of
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