Permit 1855 Beachside Court 't SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000435 Date 4/15/10
Property Address . . . . . . 1955 BEACHSIDE CT
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
repair water damage
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Owner Contractor
------------------------ ------------------------
BENZ, JAMES AND CATHERINE M. REMODELING PROS
KEITH SHEETS
ATLANTIC BEACH FL 32233 2695 PINEWOOD BLVD STE 1
MIDDLEBURG FL 32068
(904) 545-4638
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 4000
Expiration Date . . 10/12/10
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Grand Total 105 . 00 105 . 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 13EACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: /9,�l EgCc4 i�,de CC)14 Permit Number: /0 - '1'3�5-
Legal Description /,0 -aO &-�"CK 884 6h:5 Parcel#
Valuation of Work$ Floor Area of 9q-Y. t. Sq.Ft
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteratio<ReTair ' Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Comm ial sidenti
If an existing structure,is a fire spUer system installed9(Circle one):�—�No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: ge-P-0,r- 1A)d--r dd m 0 n lieaey-e�
5*lrtjM 0 Gft-�sld' t 2sj reside,�,c<
Property Owner Information:
Name: W�4(144e-rl he Address: 14�� 5'
City /U&64— State f
LZp 17,2?� Phone
E-Mail or Fax#(Optional)—Jnetl 7, 'd) q bQ r
Contractor Information: <1
Company Name: 0 Quali ing Agent:
Address: -2, ),� 3
City I-,-
State d--t" Zip
Officeftone,f� S-- Job Site/Contact Numberly._e.,2q S-Xe-� Fax# fg!��
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 4AIZ
I /
li a, is her de bana e do work and ns a ' n a ndic or installation has commenced he
t i 'a" t'o s s i,, prior to t
,an ard 0 a' ir thisjurisdiction. This permit becomes nu
r ct k s a e i f s�J6) fter
on or or rodo months at any time
s cur f
0, JecMc R?Us, ul -s,He ers,
esse' e E e Pools, urnaces,Boilei ealey
p c ;V' rmi t or om it
io e a 'o 0 t p
P h U k
I ance a Perm a , a a
(6 Ot 0, c
i 1' ixp
ssu 0 wor w e
'a d",'d, work"s not C.""Ced w thin s 0
i f d understand that sepa'a e Per i " t b d
"k s co", ce
T S jr� S,
ank andA on,;hdoner dc.
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.
I hereby cer!i
fy that I have read and examined this a)plication and know the same to be true and correct. Allprovisions of laws and ordinances governing this
P .
work will be co�nplied with whether ecifled herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.si.ons of any otherfederal,state, or localsfa w regulating construction or the peifiormance ofconstruction. -7
[--L-PL 5'-t,-2-0 502 �0�-
�Signature of Owner Signature of Contractor
Print Name . .........7 Print Name
,.c A........ .....
..........
Sworn.to and subscribed before riked before me
Day of 6kQAd
this J3+k RM VIP CODE Ca 0
-J A, 6 45 @9MMtATLANTIC
Notaiy-P bl' F-E PERMITS FOR ADDI No rY PUblic State of Florid
AL CHWANLI RNWIER a
Na y E Bailey
IREMENTS AND CONDITT M ommission DD7454ZbVjS
Notm Puble, of Fk)dd Qu
COMM$* Ex res 02/08/2012 01.26.j
My ;I IBY:-M-,� DATE:
COM ey4A
MAP SHOWNG BOUNDARY SURVEY OF
"LOT ZD BLOCK / - AS SHOWN ON MAP OF
/3& A C hZ-T / /:) C-
AS RECORDED /At PLAr BOOK 47- PAGES 14-14- OF THE PUBLIC RECORDS OF DUVAL COUNr)� FLORIDA
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ME PROPERTY _4WOM HEREW APPEARS TO LIE WHIM FLOOO HAZARD ZONE AS SCAl EQ FROM FLOOD
y4suRANcE RA Tr mAp L FOR A r L,4 FLORIDA, DA TEO 4--t7- I AND
IS MIOM AS A COURMS I Y ONLY AND DOES NOT coNsymyr A CE-R77FCA77ON CAF SAJWE_
TRi-sTATE LAND SURVEYORSi, INC.
-8411 BA MEADOWS WA Y SUIM' #2�-JACKS- ON-MLE,- FLORlaA-.J2256 (904) 731-7235
CItY ofiAtIantic Bear-h
APRL'.CATf0t4'MUMaER
BuffdIng Departmerit (To ba,assigned'by the B4ifding Dap ant)
800 Seminole Road
A-ilantic Seach,Florida 32233-5A4o-
Phone(904)2-47-5826 - Fax(904)247-5845
jr-11 I E-maik bu"Ing-dept9coalxua Date rotdad.,
G1tYWeh-sf`,w_ hffp:fAww.caab.us
APPLICATION REVIEW AND TRACKING FORM
"roperty Address: A�e�&o I D-wafftcent review required No
-BWldfng ,-'
kpplicant &Zoning
Tree Adminfist-ator
Wbe (J4
T-1 Pubric Uff9des
r"Iroo 7 f PURE.
-Fife Servicas
Other AgenW Review or Permit Required Review or Receipt Daft
FfoddB Dapt Of Environmental Protection of Permit'Vedffed By
Florida DapL of Transportation
St John-%River Water lWanagement Drfrict
AmV Corps af BVineem
0hrWon of Hofal�3 and Restauranft
Dhfidonof Alcohnfic Bavwagas and TDbaoco
Other
APPLICA71 ION STATUS
.eviewing Department
First Review. B�Approved. FIDenied.
(CkcIe one.) Commerds.-
1ANNING&ZONFING
Reviewed b.y-. Date, W/91//O
TREE ADMOL V
SOCOnd Rsylew: ElApproved as mvised. r-IDenied-
PUBLIGWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElAppraved as revised. FIDenied.
Gomments:
Reviewed by: Data: