Permit Siding 97 Dudley 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001012 Date 8/17/10
Property Address . . . . . . 97 DUDLEY ST A
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
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Application desc
remove and replace siding
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Owner Contractor
------------------------ ------------------------
JACKSONVILLE HOUSING AUTHORITY KBT CONTRACTING CORP
5105 BLANDING BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 338-1314
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . valuation . . . . 2200
Expiration Date . . 2/13/11
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Permit Number:
Job Address: 97 A, !jg!q�ftia- St
Legal Description Floor Area of SO.Ft. Parcel# Sq.Ft
Valuation of Work$ -2;-ZoO. Proposed Work he-lated/cooled non-heated/cooled
9
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/propose�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# F1- -
For multiple products use product approval form
Describe in detail the type of work to be performed: Remove existing vinyl siding and install new viqY1 siding to
include house wrgp and 6"window tgpe.
Property Owner Information:
Name: Jacksonville Housing Authority Address: 1085 Golfair Blvd
City Jacksonville State Fl Zip 32209 Phone 904-336-3455
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: KBT Contracting Corp Qualifying Agent: Keith Timmons
Address: 5105 Blanding Blvd Citv Jacksonville State Fl Zip 32210
Office Phone 904-647-9200 Job Site/Contact Number 904-338-1314 Fax# 904-771-2876
State Certification/Registration# CBC058625 -
Architect Name&Phone#Forrest A.Junck-904-744-6617
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address nnnU
L
A a ere ade ba*na e I do e work and in a a n a Ind a d e tha n rk o lnjLt�j JAUncelprior to the
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n ctio 6 c ion. Thispermit becomes null
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ape uand hat a w k i e e me lan ar a �aw a ng s
ffl f kiss s e Ora an n a period qfsLxP6)months at any time after
f s 0
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Is ot c P) Ob e red Ee a k bn gn e
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f. 's t t s,
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Tanks andAir Con . onen,ea
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 here certify that I have read and examined th lication and know the same to be true and correct. Allprovisions oflaws apd ordinances governing this
1�work will be coTplied with whether 'e'isi X0 herein r no e granting of a permit does not presume to give a�Wority to violate or cancel the
provisions ofany otherfederal,state, or localsf1w.egulating coons cti,r the peifb�mance ofconstruction.
r on
Signature of Owner Signature of Contracfi;;-4�1
Print Name ......................... Print Name
...............................
Sworn to and suL-scrj*bed before me Swo to d s bScp'bed before me
this 0-1)ay of this -2- of 29ZO
Oypy,Puvle
Notary Public Notary Public State of Florida otarY Public State of Flonda
oorco..nt, Don Tant
my asion DD970056 W Commission DD970056 vised 0 1.26.10
%or'IV ExP'res 03110/2014
V0, Expires 03/1012014
L% ev�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001013 Date 8/17/10
Property Address . . . . . . 97 DUDLEY ST B
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
remove and replace siding
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WOODS, LISA KBT CONTRACTING CORP
97 DUDLEY ST #B 5105 BLANDING BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 338-1314
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 6S . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2200
Expiration Date . . 2/13/11
----------------------------------------------------------------------------
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: 97B Unidiiii -_ )—Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel# Sq.Ft
Valuation of Work$2,200.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structureQ)(circle one): Commercial Residential
If an existing structure,is a fire spnnkler system installed? (Circle one): Yes No N/A
Florida Product Approval# FL- 12192.9
For multiple products use_�roduct approval ro—rm
Describe in detail the type of work to be performed: Remove existing viWl siding and install new vipyl siding to
include house wrap and 6" window t4pe.
Property Owner Information:
Name: Jacksonville Housing Authorijy Address: 1085 Golfair Blvd
City Jacksonville - State Fl Zip 32209 Phone 904-336-3455
E-Mail or Fax#(Optional
Contractor Information:
Company Name: KBT Contracting Corp Qualifying Agent: Keith Timmons
Address: 5105 Blanding Blvd City Jac sonville State F1 Zip 32210
Office Phone 904-647-9200 Job Site/Contact Number 904-338-1314 Fax# 904-771-2876 - -
State Certification/Registration# CBC058625
Architect Name&Phone#Forrest A.Junck-904-744-6617
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address n n u
Lr r s on has commenced prior to the
thisjurisdiction. This permit becomes null
a
wperiod ofsixi,61 months at any time a ter
ells,Pdols, urnaces,Boilers,Hearers,
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere 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
t V 4 will be co�nplied with whethe I the
ype.).wo) r specified herein of-nN The granting of a permit does not presume to give authority to violate or cance
provisions of any otherfederal,state, or local law regulating co tru tion or the peifo�mance of construction.
Signature of Owner Signature of Contractor
Priat Name Keith Chatman Print Name ..................................Keith Timmons...................... ....................
........................................................................................................................... .............. ........................
Sworn to and subscrl'bie J beforEep-me Sworn to and subscribed before me
this I`Zj Day of _A!,5 A_.:w A / 1 .20/0 thi 12--Day of 200
ta u Fiond
"' blic State of a
Notary P6fic rY r- tate of Florida
Notary Public State of Florida rcn Tant
Don Tent My commission DD970056
mm )56
My commission DD970056 d; ExPirss 03/10/2014 Re 01.26.10
x P
Pires 03/10/2014