/
     
600 AQUATIC DR RES24-0173 ;,i-!>>`/rl„ BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach Building Department PERMIT -D 7'3 # K�S z 800 Seminole Road, Atlantic Beach, FL 32233 information required to process "2:-i;19' Phone: (904) 247-5826 Email:Building-Dept@coab.us Job Address 600 Aquatic Drive Atlantic Beach,FL 32233 RE# 171818 5200 Legal Description Full legal description attached Valuation of Work(Replacement Cost) 5,000 Heated/Cooled SF 1056 Non-Heated/Cooled SF 48 •Class of Work: ❑ New EAddition ❑Alteration 0Repair ❑Move ❑Demo ❑Pool ❑Window/Door •Use of existing/proposed structure(s): ❑Commercial El Residential • If existing structure, is a fire sprinkler system installed?:❑Yes 0 No •Will tree(s) be removed in association with proposed project? ❑Yes (Must submit separate Tree Removal Permit) 0 No Describe in detail the type of work to be performed: Replace gable end siding with Hardie Lap Siding. Repair T1-11 siding on front of home. Florida Product Approval# 13192.2 and 9190-R12 (For multiple products use Product Approval Information Sheet) Property Owner Information Name Michael Steinert Phone 904-609-5937 Address 600 Aquatic Drive City Atlantic Beach State FL Zip 32233 Email mikeylouca@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Lavender House Phone 904-553-8926 Address 450 Pablo Point Drive City Jacksonville State FL Zip 32225 Qualifying Agent Nathan Lambert State Certification/Registration# CRC1333022 Email info@lavenderhouseexteriors.com Job Site Contact Number 904-553-9244 Worker's Compensation Insurer OR Exempt 0 Expiration Date 05/06/2025 Architect's Name Email Phone Engineer's Name Email Phone 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 city/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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or a' it ed)before me this (0 day of Si ned and sworn to(or of rmed)bef• me this lf� day of JC.. ,ZO 4-bt---s-1 5'+•eihert _ ri. •y ‘ rata l` -) , -4131hCA. Signature o Notary 'IP— Signature o Notary ��- (Personally Known OR [ I Produce ntification [ I Personally Known OR [ ] Produced I.•nt fication Type of Identification: Type of Identification: > L. ,..,-. .*-°t.,, TONI GINDLESPERGER `;j • •`•<-`. TONI GINDLESPERGER --4- '• MY COMMISSION#HH 407122 nnu :• MY COMMISSION#HH 407122 EXPIRES:October 6,2027 ."•°•,d'o,: EXPIRES:October 6,2027 •.. .. ?:,.