665 SAILFISH DR ACC21-0036 BRYCE BROWNING REVISED PERMIT APPLICATION 7-7-21_1圏語董置霊園圏 REVIEWED FOR CODE COMPしIANCE5.26.之021
^ Building Permit AppIication
City of Atlantic Beach Bu胴ng Depa巾ment
800 Seminole Road′ Atlantic Beach’FL 3223
Phone: (904〉 247-5826 Email: B印刷服、DビD'
REⅥE WどD
By M枕e Jones at 3:30 pm, May 26′ 2021
」ob Add「ess:臆臆臆与碕臆食、臆l曳山__喜一臆臆臆臆喜一喜一P。,mi.Numb。。
しe帥D錬。「時。n臆王ら臆÷4〇 日.之で乙鍬どとき_′1(拭観、し}人事1しO:
Valuation of Wo「k (Replecement Cost)遥i。寧e」皇i Heated/Cooled SF
ACC21 -0036
No巾He∂ted/C。oIed享印書亀子十・
わ「 multjpIe p「oduc章3 USe p「odu`l ∂Pp「〇両fo「m
WOrk or lnsta=ation has
State ⊂erti樋tjon/ftegrstr∂tion ‡ CCq ISlq寧}S臆臆
A「ch冗e京Name & Phone鱒
どng肌合e在Name &軸one β
ど・Ma= ごまf
Workers Compens@tion insu「er
App柾atio両s herebY made to obtain a permit to do the wo「k and irrst訓at-ons as刷cated. 1 certIfy that no
COmmenced prjor to the issuance of a pe「m両月掴hat aI- wo′k w冊e performedくO meet the standa「ds of all the laws regulating
COnStru⊂ttorl jn thisjurjsdictlon・ l understand胸a separate perm-t musくbe securgd for ELE⊂TRICAしWOR時しUMBINGjlGNS,
WELLS・ POOLS・ FUflNACES‘ BOILERS′ HRATERS‘ TANKS′ and A腫COND-T-ONERS, etC. NO丁’C帥add畑to the ′equire巾entS O廟s
Pe「mit・ there爪ay be addj【iomal restr‘⊂tIons applicable to軌s property that may be foun{白いthe public 「ecords of this 〔Ounry′ 8nd
the「e may be add猷潤I permJts req='red fr。m Othe「 gove「…enta' en【ities such as wate「 management dist面s’State agenc庫or
OWN鵬AFFIDAV旧cemfy that a"he io「ego‘ng面o「matiorl js ∂CCu「ate and that訓work wi冊e done in co岬an⊂e With all
印p庸ebleほws 「eg両t活g ⊂on引けu仁ti。∩ ∂nd 2〇両ng.
WARNING TO OWNER: YOUR FAILUR打O RECORD A NOTICE OF COMM削CEM削T MAY
RESULT IN YOUR PAYING TWICE FOR IMPROV恥ENTSTO YOUR PROPERTY. IF YOU INT削D
TO OBTA冊FINANCING・ CONSUしTW汀H YOUR LENDER OR AN ATTORNEYB王FORE