Permit 1909-1913 Seminole Rd CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001930 Date 12/01/09
Property Address . . . . . . 1909 SEMINOLE RD
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
----------------------------------------------------------------------------
Application desc
replace 200 sf siding
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PARDEE, RUSSELL ALL TECH INC. OF MIAMI
1909 SEMINOLE ROAD 1148 FRUIT COVE ROAD
ATLANTIC BEACH FL 32233 STE C
ST. JOHNS FL 32259
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2200
Expiration Date . . 5/30/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Grand Total 97 . 50 97 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'It
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-,.
OFFICE:(9N)247-6826 0 FAX NO.:(904)247-6M
BUILDING-DEPTOCOAILUS
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: Z VALLIATION.OF WORK: 3.SO.FT.UNDER ROOF
4.LE(BAL DESCRIPTION:
S.CLASSOFViORK: 8.USE OF STRUCTURE:
E3 NEw BuiLDING 13 DEMOLITION Clll�ESIDENTIAL
LOT I&BLOCK-L$LIS DIVISION El ADDITION 13 coNvERTm USE 13 COMMERCIAL
7.DESCRIPTION OF WORK- 0 ALTERATION E3 ACCESSORY ai-Do. 8.FIRE SPRINKLr=R'
E'REPAIR 13 POOL I SPA 0 YES 13 NIA
0 MOVE 13 OTHER
PROPERTY OWNER: I I ---
CTOR' ARCHITECA&EER;
Cew?= T
9.NAME: 15.COMPANY NAIff- 23.COMPANY NAME:
A1-1--1E6� .TAJL O(MtApm
16.NAME:1 24.LICENSEE NAME:
MOSMA S 13OSS,51,4
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
le-11
lq6>q
18.ADDRESS:
_ Ad 26.ADDRESS:
-3 uq8&Faw-t
S-Ar-k-sr,AA-,;l,t(,e P1. 322S9
11.OFFICE PHONE: 9.OFZ:jrNEj 20.F Wo.: 27.OFFICE PHONE: 28.FAX NO.:
_2 jjg
13.CELL PHONE: gr-CELL PHONIE- 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE tTff-H-0LJ)ER- me-+
OF OTHER TMN OW001I BONDING COMPANY: MORTGAGE LENDER:
I
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS:
36.ADDRESS:
Application is hereby made to obtain a pe=t 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 YAH be performed to meet the standards of all laws regulating construction In this
jurisdiction. This permit becomes null and void if work is not commenced vAthin sbc(6)months, or if construction or work is suspended or
abandoned for a period of sbc(6)months at any time after work is commenced. I understand that separate permits must be secured for
Eleebicall Work,Plumbing,Signs,Wells,Poole,Fumaces,Boilers,Heartem,Tanks, Air Condlooners,etc.
OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all vwork vAll be done in compliance with all applicable
laws regulating constituction and zoning.I vvill not occupy or use the referenced building or any part therof,until all Inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
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 COMMENCEME
W&j
OWNER orAPENT'. CONTRACTOR
(0 ftww of Attorney OrAgency Le"'ar R-p*o* (Qua"-o*)
Signed. Date: "41 Signed:
jr]t- t A-
th Q Date:.
Before It 014sy OfAIP A61-1/3 C g, 2009 In the county of Before me this day of 7R Z Z��
10U*rALAd 2009 In the oo
D ,State o Florida,has personally appeared Duval,State of Florida,has Personally appeared
-'VkIMfk'* 5OSSID LA
herin by himself/herself and affirms that Oil statements and declarations are herin by himself/herself and affirms that all statements and
true and accurate. declaratio#a
true and accurate. 'LC>LIQ�4 Countyof e_��'-LIP
Notary Public at Large,State of County of,011-1 W Notary Public at Large,State of Z
E3 Personally Known 13 Personally Kwown <
X;-d--d Identifleation- Doveri GfPm&ced1dwff;csftn2�.;)'LA'Z) -'L3Z)C-.- C-)0'A
Notary Signature: 0 Notary Signature:
- - - - - - - - - -
RODERICK
T CRABBE
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-1211812 �,dsA:,N SPEAKS R
BLD1301 Permit Application Bldg:REVISED. Notary Public-State of Florida
My Comm.Expires Jun 10,2013 My COMMISSION 43 8
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EXPIRES:Febmary 25.2
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City of Atlantic Beach
APPLICATION NUMBER
Bul ding Department
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phon (904)247-5826 - Fax(904)247-5845
.......... E-mail: building-dept@coab.us Date routed:
-site: hftp:/Iwww.coab.us
City web
APPLICATION REVIEW AND TRACKING FORM
Property Address: C� __:Building q_nt review required
Applicant: 7C�e c_�
T, t �on�ing
Iree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ZA'pproved. ElDenied.
(Circle one.) Comments:
I L D I N'G';,
PLANNING &ZONING Reviewed bv: /77
� —1 Date: 11-70-0�E
TREE ADMIN. ce I
Second Review: [-]Approved as revised. F]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05114109
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
r
Application Number . . . . . 09-00001931 Date 12/01/09
Property Address . . . . . . 1913 SEMINOLE RD
Application type description SIDING PERMIT
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
----------------------------------------------------------------------------
Application desc
replace siding 300 sf
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BARDUSCH, CHARLES ALL TECH INC. OF MIAMI
1913 SEMINOLE ROAD 1148 FRUIT COVE ROAD
ATLANTIC BEACH FL 32233 STE C
ST. JOHNS FL 32259
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 5/30/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Grand Total 97 . 50 97 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-
P li_n
v OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPTGCOAB.US
3�"B!Al)pftESS BUILDING PERMIT APPLICATION
DUVAL COUNTY
I�T7 ZVALUATIOM
ck�l 13 SaFT.UNDt:K-ROOF,
13 d-19
Iq Lot i_X.0 C
4,4.10 ZDESCRIPTIOW'�,",,�;,��,'
W L
�70�KW 'USE OF STRUCTU
RE�
13 NEW BUILDING 13 DEMOLITION 9KIESIDENTIAL
LOTI&BLOCK / SUBDIVISION ADDITION 13 CONVERTIN
Z;,DESCRIPT(0_N0FW6RK.,,._, 13
G USE 13 c
-!=L OMMERCIAL
13 ALTERATION E3 ACCESSORY BLDG. Wa FIRE S—PRINKLER:
WREPAIR 13 POOL/SPA 13 YES 0 N/A
MOVE
13 OTHER
ISROPERTtWNER
9.NAME: TOR
�;,�,`ARCHIITECTII
is.COMPANY NAME. 23.COMPANY NAME:
ALL—"M,� TA-315- 61( P"jA,44
16.NAME
-NOMAS (30SS81 24.LICENSEE NAME:
16.ADDRESS: A
17.STATE OF t-LORIDA LICENSE NO.: 26.STATE OF FLORIDA LICENSE NO:F
1'?/ 3 S*15�"iAee1_r= 66elo:�(,30
18.ADDRESS' 26.ADDRESS:
/'I,(8C. FAUtt �bqe Q.
11-OFFICE PHONE- F/ 32Z91-
12.1745� 19.OFFICE PHONE FA 27.OFFICE PHONE: 28,FAX NO.:
._.�,N 0.:
_70 4 6'q IL F, )-In-)--)0-716
13.CELL PHONE: 21.Q&1,tTT]0rN_E -
29.CELL PHONE:
14.EMAIL ADDRESS: 4:::� RW 3 2,'� -
IAILAADDRESS: 0 -1 ?2�EMAIL ADDRESS:
605So 144 1 AIP I
BON'
31.NAME: 4 LEWE4
33.NAME: 36.NAME:
32.ADDRESS: 34.ADDRESS:
36.ADDRESS:
Application is hereby made to I
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 laws regulating construction in this
jurisdiction, This permit becomes null and void if 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. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Bollers,Heaters,Tanks, Air Conditioners,ate.
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.I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
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 RECOR ING YOUR NOTICE OF COMMENCEMENT.
Y
tAre
QWNERbk,"AGENT`;`,;'
TOR",
Sig
ate: Signed:
Before me this
Date:
day of 2009 in t a co nty of Before me this .1'A, day of �4 f-fy\V6 5LZ 009 in the county of
Duval State of Fl has personal y pp ared DUVGI,State of Florida,has personally appeared
7 cz,,yA s o,H C=
herin by himself I herself and affirms that all statements and declarations�re h C—l!)
.rin by himself I herself and affirms that 11 Is ments and declarations are
L true and accurate. a 6 to
true and accurate. 1,
Notary Public at Large,
O;Zpnelly Known State Of County of Notary Public at Large,State OE��O_P-—%INA,County of__�—I-k\/A L_
d duce 0 Personally Known
ntffl E31,
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tary Signaturl'i roducedidentificallon- L:2>0
Notary Signature:
W Com io ODE COMPLL4,NCg,
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Commiss 'AN SPEAKS GORMAN
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BLDG01 Permit Application CBEACH jlil'
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AND CONJDMONS. ) 0' Fl.Noiarly Discoot&gac,Co.
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REVIEWED BY: T
DATE:-At-k-0/o
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City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned b the Building Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 -0
Phone(904)247-5826 - Fax(904)247-5845
L)
E-mail: building-dept@coab.us Date rouli:ii:l�
City web-site: hftp:/AwAq.coab.us I[[
APPLICATION REVIEW AND TRACKING FORM
Property Address: -2) tf)-prn; t reyiwnr—quired Ye No
Applicant: C_ Building
ing&Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agen6y Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
15livision of Hotels and Resta—urants .
Division of Alcoholic Beverag s and �bacco
Other:
APPILICATION STATUS
Reviewing Department First Review E�Approved. []Denied.
(Circle one.) Comments:
PLANNING &ZONING
TREE ADMIN. Second Review: F Reviewed by:-- /77 Date:
]Approved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 06114109
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