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1085 Atlantic Blvd Unit 95 bath repakrs 2012 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r� ATLANTIC BEACH FL 32,711 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001651 Date 11/07/12 Property Address . . . . . . 1085 ATLANTIC BLVD 95 Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 -------------------------------------------- Application desc bath remodel/drywall durarock ------------------------------------------- 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 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 Fax (904)247-5845 WKS O Job Address: p- Q �Jl J N ki-A f&---#—=15—Permit Number: ��pp�� Legal Description Parcel# 1 nd-!5 (~VC�C_ D Floor Area� Sq.Ft. qct Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration 6Repair 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 type of work to be performed: yi �V 1�-IA L�fmwd8wcf Proaerty Owner-information: r Q A l C Name: 0 l7� +�G UZZ Address: City IAAM.WA, Stat ipPhone E-Mail or Fax# Optional) Contractor Information: \,, Company Name: r G Quali ing Agent: W Kvo ` Address: 1'1 City State ip Office Phone ob Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# _ Engineer's Name&Phone# Fee Simple Title Holder 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 in�,cgd,!certify that no work or installation has commenced prior to the issuance of a permit and that 0/U work will be performed to meet the standards of all ulatngcontctioin thisjurisdiction. This permit becomes Wulf and void tf ork is not commenced wthiix(6)moths,orif cotructioorwvkndedor abandoned fora period of six(6)months at envtimefterwork ismmenced. I understand that separate permus must be secured for EledricWork,Plumbing,Signs, Wells,Pools,Furnaces,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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of 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 airy other federal,state,or local law regulating construction or the performance of construction. t Signature of Owner r/Z Signature of Contractor Print Name !oo GC 5........ i 1 .......... .. �v�l '(`ff.Y Print Name ..ra ........._...1.—t . ................. Sworn to and subscribed before me Sworn tp and subscr'bed before me this 3l'O Day of 0e4o vex .201-2- this ' Day of Y 201,\—�- I L5j�� 2 Nota Public o u he Revised 01.26.10 BEVERLY EMMERT RACHEL DUDASKO .= Commission#EE 057964 NOTARY PUBLICgl;= empires March 21,2015 STATE OF FLORIDA ,,�` Thu Troy Fainlnwrance800.385-7019 Cornn*EES44697 Explm 10/17/2016