Permit Siding 2010 CITY OF ATLANTIC BEACH
€ ° 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001076 Date 8/30/10
Property Address . . . . . . 31 5TH ST
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
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Application desc
REPLACE EXTERIOR SIDING WITH HARDIE BOARD
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Owner Contractor
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CLARKSON MCCALL, ROSE OWNER
31 5TH STREET
ATLANTIC BEACH FL 32233
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Permit . . . . . . BUILDING PERMIT
Additional desc . . REPLACE SIDING
Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 2/26/11
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total 50 . 00 50 . 00 . 00 . 00
Grand Total 150 . 00 150 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
�r Building Department (To be assigned by the Building Department.)
` 800 Seminole Road l -- 0- &
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 3V _ lV
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �( ST • Dqpartmenj review required Yes o
d;-Building
Applicant: 00J/1 ele— g &Zoning
Tree Administrator
Project: `-'' ,U lf1 Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.1 Comments:
CBUILDING
PLANNING &ZONING ��3pIl�
Reviewed by: �n Date:
TREE ADMIN. Second Review: QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [—]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: .3 / �� �� S- Permit Number:
Legal Description Parcel#
Floor Area of S q,Ft_ 2t or> Sq.Ft
Valuation of Work$ /D,pDc7 Proposed Work heated/cooled non-heated/cooled D
Class of Work(circle one): New Addition Alteration ;:)Move Demolition pool/spa window/door
Use of existing/proposed structures) (circle one): Commercialpes �
1
If an existing structure,is a fire sprinkler system installed?(Circle one): N/A N '
Florida Product Approval# .3/ elf ,b is
For multiple products use product approval form
Describe in detail the type of work to be performed: /,tl S ;/{-c-c- 4 .,—/ate D `
,46 1�:0N.- S ,OlAic
7
Property Owner Information:
Name: R D c (2.4 Lc_._ Address: 3 / S
City _ i c gAE,4c t,4-State 41- 2q, 21,
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number Fax#
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
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 stmadards of all laws regulating construction in this jurisdiction This permit becomes null
and void if work is not commenced within six(6)monihs, 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, (Yells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
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 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
type o work will be complied with whether sppeci ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany other federal,state, or local lary regulating construction or the performance ofconstruction.
Signature of Owner C ct! Signature of Contractor
Print NamePrint Name
.......... ...--...
Swop subscri d efore me Sworn to and WEsu sc
this I) y of cR VIED FOR COLO 20
CITY OF ATLANTIC BEACH
No ary Publ _*: :* MY E PE
f EXPIRES:May 21 2011 REOUIRE ONDITIONS.
+ Bonded Thru Notary PubNc Underwriters
11 R ised O1 .l�
REVIEWED BY. - DATE: D