1325 Beach Ave DEMO20-0013 interior demo permitOWNER:ADDRESS:CITY:STATE:ZIP:
LAMBROU FRED H JR 1863 RIVER RD JACKSONVILLE FL 32207-3904
COMPANY:ADDRESS:CITY:STATE:ZIP:
MCANENY BUILDERS LLC 650 Park St JACKSONVILLE FL 32204
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170297 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1325 BEACH AVE DEMO INTERIOR ONLY interior exploratory demo $3000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $104.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 1Issued Date: 5/15/2020
PERMIT NUMBER
DEMO20-0013
ISSUED: 5/15/2020
EXPIRES: 11/11/2020
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application
City of Atlantic Beach Building Department
800 Sem i nol e Road, Atlantic Beach , FL 32233
Phone: (904) 247-5826 Email: Build i ng -Dept@coab.u s
Updared J0/9/J8
··AllINFORMATION
HIGHUGHTED IN GRAY
IS REQUIRED .
Job Address: 132:: fj£A( f.\. A.V(. AIU,.vT\(. tXJ..tH,):"L 17 Z) 3. Permit Number: __________ _
legal Descriptionc:.-/ J(,~lA·tt€. .Z~ A.TU • ..,'IC.M~c.~ L6rSJ tc 6I . .I1.5Z • RE# J]O~'D -0000
Non -Heated/Cooled 15"3 Valuation of Work (Replacement Cost) S .3'.JOOQ Heated/Cooled SF Z5S~
•
•
•
•
Class of Wor k: DNew D Addition OAtteration D Repa i r O Move ~.oemo O Pool DWindow!Door
Use of existing/proposed structu re{s); D Commercia l 'tz{Res ldentia l
If an existing structure, is a fire s pri nkler system installed?: DY es r,tNo
Will tr 'd Ie r sodation with orooosed project? D Ves (must submi Tree Removal Permit) 'loidNt
Describe in detail the type of work to be performed: (x.P'Lolt4.\Ot.~ D ~ -0(.\,104...> of • vn~lot j>A.~Ll"";t.
A,""-Jt:. I')ft "1 v .to.Ll... 10010 -s.,.t.uL\l)~\L • LJO~f!. IS '7!.E 1""(. f"(.1t~'"""<i: ~ te. A,.rc...c..~ C'l:~(.T "'\<J() EO(:"vE'C.
c."".-....J UVIG:~ (\£.' f'\1A.)L:, S"t~vc..."'\V'il..(!.. _A,.N "'LT'-~"",IOv ~"~I'-L ~ UOIXSTEJ) ,.v ,..~
Florida Product Approval # for multi ple products use product approval form
Property Owner Information
Name __ f"iLB:> L ............. ~'W~ T?.o..~Uo), A...t.b~ Address 13,0} D(~q.\ A~vvs
City me 6.;v \ \~ tlst:{:..\,\ Stat~ Zi p )lZ..Y) Phone ____________ _
E-M a il--c---~c_--c_--_c----------------_c----~--------------------------------------
Owner or Agent (If Agent, Power of Attorney or Agency Letter Requiredl __________________ __
Contractor Information
Name of Company ('V'\.c..b"......x; t:...?":l bu\ LM.\ l.LL.. Qualifying Agent 1 fpuAk../;> A( A,A.)f,W t{
Address (n.S-O P::..,tK. ,,):1 x:eu City :rV .. :<":£lUU1lJ,..(, State FL Zip J??'o4
Office Phone t>toLi JJLj n 1(, Job Site Con tact Number 3tM l.l'1 Jco\
State Certification/Registration # L.ye. ISP2 J 1'7 E-Mail L W IV\. e;;-M'!"''-'''-:A ... ''":)C~,Y)''-:-"'';Jl.l'uLLLiX.,-00.,.-;--,-<'.=-0:-""'''---
Arch itect Name & Phone # ---'~"fI..5"."------------------------------
Engineer's Na me & Phone "-....::;~ .. :':_:;_-:-.,-"':::cc::::-:-------::::-:----,--:-.,_C__=_-__;;_,~_t;_;_----
Workers Co mpen sa t ion Insure r A~txw tu!UXf.J OR Exempt 0 EKpiration Date -,"=f-'" S,,+""' __ _
Appl ica tion is hereby made to obta i n a permit to do the work and Installations as i ndicated. I certify that no work or i nstallat ion has
comm enc ed prior to the issuance of a perm it and that all work wlU be performed to meet the standards of aU the laws regulat ing
constructio n in this jurisdiction. I understan d t hat a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILE RS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this
permit, there may be additional restrictio ns applicable to this prope rty that may be f ound in the public records of this county, and
there may be additional permits required from other governmental entities such as water management districts, state ag en cies, or
fed eral agencies.
OWNER'S AFFIDAV IT: t cert ify that all the foregoing in for mation is accurate and that all work will be done in compliance wit h all
appl ica ble laws regulati ng co n struction an d zoni ng.
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 ATIORNEY BEFORE
RECORDI~~ :O!ICE 2:eM~i~~~_/ ,/ ~
(Signatu re of Owner or Age nt) (Signatur Contractor)
Signed and swo rn to (or affi r m ed) fo r_e me t h is dL q day of
¥'--,2oJ-'1~,~bY~~u:u...~~~~.5=-s~~ndswoJ'inito~!O~la~ffi~'~~~~~~~~~d~a~Y~O~f /:¥-' I , 3JJ,.cr , by
Signature of No t ary)
... 11 ~.... NoIary Public Slate of F~ ~ ~ ~ Notary Public s.. of Floride
j.XlP ersollally Kn own OR ~ " • ..,.. Mildred Reyes Moreno ~Persol1auy Known OR • ~ • Mlkked Reyes Moreno
I I Produced Identification '"~ h. i My COmr/IiSsionGG 3634" ( 1 Pro duced Identification • ( ... ~ My CCn1miMlol'lGG 3e3406
...... " £xpi .... 06I07J202S ... ." Elcpirw08l0712Q2S
Type of Id enti f ication: _--'''''.;;;;;. ..... '''''''',.,.'''''''''' ....... .-w Ty pe of Identification; __ ~~_ .... _ ..... ""' ..... _ ....... ""'''''
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $104.00
DEMO20-0013 Address: 1325 BEACH AVE APN: 170297 0000 $104.00
BUILDING $100.00
DEMOLITION 455-0000-322-1000 0 $100.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R13983 $104.00
Printed: Thursday, October 29, 2020 4:40 PM
Date Paid: Thursday, October 29, 2020
Paid By: Leonard William McAneny
Pay Method: CREDIT CARD 390742984
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13983