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1085 Atlantic Blvd Unit 96 bath repakrs 2012 �fCITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD -' -r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . 12-00001652 Date 11/07/12 Property Address . . . . . . 1085 ATLANTIC BLVD 96 Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 ---------------------------------------------------- Application desc drywall durarock bath remodel ---------------------------------------------------- Owner Contractor - ------------------------ ----------------------- 1085 ATLANTIC LLC WHYRICK BUILDERS INC 5118 N 56TH ST 4242 LEXINGTON AVE TAMPA FL 33610 JACKSONVILLE FL 32210 (904) 226-3434 --- Structure Information 000 000 DRYWALL DURAROCK BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------------ Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . . 00 Permit Fee . . . . 55 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 500 Expiration Date . . 5/06/13 --------------------- ------ Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 kg�t Faxx (90044)/2447-5845 Job Address: �� ba (✓Permit Number: Legal Description Parcel# �� c I—e� Floor Area o —Sq. t. q.l~t Valuation of Work S >P Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Re i Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the tyRe of work to be performed: jsm Pro Owner Information: �� Name: Address: 1.J 1-((ks City Sta _Zip Phone E-Mail or Fax#(O Tonal) Contractor Information: ''tt i,�/� , 1` 1 }�Q� Company ame• W( F1V r�G Quali in ent: _�VV Address: City State Zi Office Phone o Si /C t Nu b ax# State Certification/Registration# eL Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title}folder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. l 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 laws regulating construction in this jurisdiction. This permit becomes null and void rf work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a_period of six(6)months at any time after work is commenced. l understand that separate permits must be secured for Electrics Work,Plumbing,Signs, Wells,Pools, irrnaces,Boilers,Heaters. Tanks and Air Conditioners.etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPPOVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. l hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of anv other federal,state.or local law regulating construction or the performance of construclion. Signature of Owner Signature of Contractor Print Name /.as.. .. ................ < . Print Name ll£ ........... ...a (i Lk A . f�'�'.-... ..........._...... ......._.... .............._..._......._.................._.................. Sworn t and subscribed before me Sworn to and subscri d before me this 3rDay 20 IZ. this 5�_ 'Day of .20 I.2-- Notary Public N6td?y17u_bliV Revised 01.26.10 RACHEL DUDASKO BEVERLY EMMERT NOTARY PUBLIC :, Commission#EE 057964 STATE OF FLORIDA WmExpies MarF.ch 21,21,201n. esm,e Com#EE844897 Expires 10/17/2016