Permit 306 Plaza CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-0000ig8i Date 12/10/09
Property Address . . . . . . 306 PLAZA
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
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Application desc
FOUNDATION REPAIR
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Owner Contractor
------------------------ ------------------------
RILEY, RICHARD M. FOUNDATION SYSTEMS & EQUIPMENT
306 PLAZA Q/A:BILLY CLARK MCMAHON
ATLANTIC BEACH FL 32233 PO BOX 50545
JAX BEACH FL 32240
(904) 241-4425
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2500
Expiration Date . . 6/08/10
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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.
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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 BFACH
09-
800 SEMINOLE ROAD,ATLAJMC BEACH,FL 32233
OFFICE(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPTCCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
77 .�SQ_FT_UNDER
1;:JQB ADDRESS.
2:VALUAT
OON OFWORK�L'.`,.1 ROOF
PL 3 2?Z.�3 '*2-So C),00
�4'LEGAL DESCRIPTION:
LA WO K
5.C SS OF R 6.USE OF STRUCTURE,
E3 NEW BUILDING El DEMOLITION ZT-RESIDENTIAL
LOT-),-3BLOCKIO SUBDIVISION 13 ADDITION 0 CONVERTING USE 13 COMMERCIAL
7.,DESCRIPTION Ol'WORK:"�_::
El ALTERAT10N EI ACCESSORY BLDG. 8;FIRE SPRINKLER,
*X-REPAIR E3 POOL/SPA 13 YES KNIA
FOOAJ"'(391 P(�p a 11 MOVE 11 OTHER 11 NO
PROPERTYOWNERw CONTRACTOR._i ARCHITECT QENGINEER�.�'
9.NAME: 15.COMPANY.NAME: 23.COMPANY NAMES+
.01 sys4e4a+�10 E-i-�I r,,e-ee-tk ILA LLC'M-.b t-�&&k
16.NAME. Z4.LHMNZ)tZ NAM=
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.4
,-3c(v TIQZa-_ C-&C o S`i 302? 64-a 14 t 4
18.ADDRESS: 26.ADDRESS: o I L et-ke-fA oA4- r
4+LaA'c 6(fa(�IPL3ZZ3? "OS-Z -
A41 a 8��, P�L�3 2 Z-3 3 Ua)6 `
11.SFFIBE PHONE: /VL 12.FAX NO.: 71.OFFICE PHONE: 2d'XAX NO.: 27.OFFI PH 28.FAX NO.:
.2-(4q- sSq 2/ 9'_YS_ q
I r N 49
13.CELL PHONE: 21.C9j6gUQUe-- 29.CELL PHONE:
9
14.EMAIL ADDRESS: 22 EMAIL ADDRESS: 30.EMAIL ADDRESS:
b;I I KcP&Akv1®rAettsabk yt e:+i
FEEZIM .. .1 4 _7 �". �%x ;� Z_ '' , � _ _ . 11 11 I I - I I - � : I
PLE31TILEMOLDM'
�ICINDING C? !P N 6
M RTGAGE LENDER:
31.NAME: A)LA 33.NAME: NLA 35.NAME:
32.ADDRESS: 1 34.ADDRESS: 1 36.ADDRESS:
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 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,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEITS 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
_N CTOR"
E
:r,oe.AGENT. CO-NTRA
41 ..1 (if nt Power Att CiAlieri
(duallfie r.
on[
By Letter Required)1 1, 1 .1 _` J
.1 . y'
Signed: k y -Date: 12.a� Signed: Date:.IT- 9
Beforemethis _7P_1 day 19-Ov- 2009 in A county of Before me this -7714 day of QA��
Ad6e-,2009 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by±[m&Vlf/herself and affirms tKat all statements and declarations are herin by himself I 6erself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of Flbr.,,�Zt County of_lb.-lili Notary Public at Large,State of 144 County Of A L)Vye-
43'1�lersonally Known Wpersonaiiy Known
0 Produced Ideryffication- 13 Produced Identification-
Notary Signature:
4. 1 A 9 t
........................................
_�'ondi
VP (uary Plublic St of Florida ITY OF ATLANTIC BE N ry ublic State of Florida
Ronald C Harsh
951 SEE PERMITS FOR ADDITIO R Id C Harshman
5
343
4 M ommission DD645951
My Commission 645951 EOUIREWNTS AND CONDIT
r Of E res 03/01/2011
REVIEWEDBY/97.
A DAME
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APPLICATION NUMBER
City of Atlantic Beach
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlant c Beach, Florida 32233-5445
Phon (904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 067
Cityweb-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 10� ToAZA, Dejaadment review required Yes I No
;1�� 7
Applicant: 0(,--A-h g�'ji, 11-57'1 fa,;; Ma_nn�ing &Zoning
V Tree Administrator
Public Works
Project: Public Utilities
Public Safety
Fire Services
Pi
"w" 'w';'Xg
Other Agency 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
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: P/Approved. FlDenied.
(Circle one.) Comments:
=BUILD1§
PLANNING &ZONING Reviewed by: )-,7,1 cl, Date: /.-;o-�-0/4'
TREE ADMIN. Second Review: F]Approved as revised. D enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14109