740 Redfin Dr.DEMO23-0022 Permit DEMO PERMIT PERMIT NUMBER
r s, DEM023-0022
CITY OF ATLANTIC BEACH
v
800 SEMINOLE ROAD ISSUED: 6/22/2023
ATLANTIC BEACH. FL 32233 EXPIRES: 12/19/2023
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF . . , CAREFULLY.
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 county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
740 REDFIN DR _ DEMO INTERIOR ONLY I _INTERIOR REMODEL $500.00
TYPE OF
• • GROUP:
171312 0000 ROYAL PALMS UNIT 02
COMPANY: ADDRESS:
PHILLIPS BUILDERS LLC 992 OCEAN BLVD ATLANTIC BEACH FL 32233
• ADDRESS:
REW BARBARA A L 740 REDFIN DR ATLANTIC BEACH FL - 132233
32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
CONDITIONSLIST OF
,Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
i
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $100.00
PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL:$154.00
Issued Date:6/22/2023 1 of 2
Building Permit Application Updoted10/9/18
s City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
ED
_.
Job Address:740 2 c D PJ) n Permit Number:
Legal Description�� 9 4 ll ` 2 S - 2. 9� /-0 YAj PAI�vI•>(R�E# VW1 rZ
KI
Valuation of Work(Replacement Cost)$ .7 oo$ ff G Heated/Cooled SF I 3�� Nbn-Heated/Cooed I7 r
• ClassofWork: ❑New ❑Addition ❑Alteration ❑Repair Move emQD o ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes �ftlo
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit El No
Describe in detail the type of work to be performed:
LlF DG- M6 A,
Florida Product Approval# for multiple products use product approval form
Property Owner Information _
Name P f+I Lim I PS IeE N V 0nI PV-0 P � Address 21 0
city rJ-F 1 LR65-tbi't SWte P.l - Zip ?2,Z, Phone��4 _'7 AL I C<l o
E-Mail u a ,1 D l2ta: me A ► tt - _
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) y
Contractor Information
Name of Com an
p Y ��U,/l OS �V' � 1��S Qualifying Agent
Address qq Z 0,�0� RL_Oo - City /}T 1 - + Gk State e . Zip
Office Phone 90 - Z (� IS-bn Job Site Contact Number
State Certification/Registration# 1=1 69-1 a N E-Mail (7!-FI,1.t PS R V ' ^L, � iU
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ Expiration Date
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 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A TTORNEY BEFORE
REICOR ING YOUR NOTICE O COMMENCEMENT.
(Signature of Ow or Agent) (Si9/t ure of Contractor)
6%
Signed and swore ff med) efore me t �ayoof Signed and sw �o(or affirmed)before met ' Y`day of
ignat of (Signature-0Tytart')
�""� TONI GiNDLESPERGER [ ]Pe ally Known OR ERIN MARIE STEHL
personally Know Off. '��: +: MY COMMISSION#HH 290616
[ ]Produced Identi itio >; MY COMMISSION#GG 353178 Wroduced Identification
Type of Identificati :�:+ �
EXPIRES:October 6,2023 Type of Identification: + EXPIRES:October 14,2026
°, one ru otary u lic Underwriters