2317 FIDDLERS LN RES21-0224 APPLICATION r Building Permit Application Updated 10/9/18
A i City of Atlantic Beach Building Department **ALL INFORMATION
W800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED./�
Job Address: 2c'/ 2 /�ie /¢�.n/'f#(/IA/e Permit Number: 4 \E SZ l — OZZ`—r
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Valuation of Work(Replacement Cost)$ �fj bOO,0 0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ['Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s) be removed in association with proposed prosect? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:
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Florida Product Approval# for multiple products use product approval form
Property Owner Information
NameQ�Qi✓A/�s "94itJe_-1 Address 1,3/7 c%