Permit Bldg Stucco Repairs 1884 Beachside Ct 2010 „ ' , , ,, ti CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�� INSPECTION PHONE LINE 247 -5826
Application Number
Property Address 1084000 BEACHSIDE Date 10/25/10
Application type description RESIDENTIAL I OTHER
Property Zoning
Application valuation . TO BE UPDATED
. 2300
Application desc
stucco repair
Owner
Contractor
FARRELL
1884 BEACHSIDE COURT JEP CONTRACTORS INC
1416 FOREST AVENUE
ATLANTIC BEACH
FL 32233 NEPTUNE BEACH
(904) 247 -9525 FL 32266
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . 65.00
Issue Date . Plan Check Fee 32.50
Valuation . . . . 2300
Expiration Date
4/23/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2.00
2.00
Fee summary Charged Paid
Credited Due
Permit Fee Total 65.00
Plan Check Total 65.00 .00 .00
Other Fee Total 32'50 32.50 .00
4.00 4.00 .00
Grand Total 101.50 .00 .00
101.50 .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 Senii.noIe Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax 904 ,
Job Address: • .- /J ,/ i / A r
Legal Description ` 2 .-) - 25 ZY�. -- - P Number: ( /a CJ�
I , 4-"4 . 0- 11 1 a- $ «. Oared #
Valuation of Work $ 02 300 Propose Work h /cooled
Class of Work (circle one): non - heated /eooled�
New Addition Alteration Re a i r
Use of existing /proposed structure(s� C ommercial � (circle one): p eSM °ve - pool/spa window /door ,
If an existing structure, is a fire sprinJder system installed? ": Florida Product Approval # _ {Circle one); es j
For multiple products use pro net app rov a farm .. o N /A
v -
' ° � ,� ape d .
Describe in detail the type of work to be performed: air.' tux i.v SA eit. ie,
-- --- ___ Si m �� 0
Pro erty Owner Information: �' -- — - S�
City .....e. ,�� /��' � i • Address: � 7 /r�/- .,:;‘,2.. .,:;‘,2.. E,-Mail. or Fax # (Optional) • " /0 _S Phone
jr •
Contractor Information: �'' _ _ .�
Company Name: J(• • `�� t� 7 G ,-'h-' r 5. vt �-�—
Address: �M�►Lr��+ %7�'� Qualifyi7 ,,• Agent: .1 o(�r. fi��•�rs e�4�
office Phone z X17 S S Z S >`
._..i City AP' :.:t .4 r�).T/r/
Mate Ce hone tion/R.egistratiou # J ob : ire/ Contact Number 2 2 . . State �
F
Architect N q $ Z Fa # 7 y T / Zip '
am e & Phon C <' C`�� _ - i 8
agineer's Name & Phone # N4 — — ---
�ee Simple Title Haider Name and Address Kam t _. _ ._ : .F'Y �"- -" - - - -
3onding Company Name and Address �' F — -- c am ` t ` _ ru ST 5-C q , R L. �cr� .
Mortgage Lender Name and Addres' hIR.^A ,...k t
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
ssuance ofapermit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes
tnd void f work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora eriod
ra rk is coenced. I understand that se orate ermits must be secured or Electric pp p ced prior to the
Conksacmm Conditioners, s p p f arWorlc, Plumbing, Signs, W of six (6) months at any tim r,l
g g ells, Pools, Furnoces, Boilers, Il'eate r,
mm
WARNING TO OWNER: YOUR FAILURE TO R.E
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I E OF YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONS
YOUR LENDER OR AN ATTORNEY BEFORE . IMPROVEMENTS
RECORDING YOUR NOTICE OFD
COMMENCEMENT.
hereby certify that 1 have read and-, amined this a plication and know the same to be true and correct. 411 provisions of laws and ordinances governing this
Vpe of work will be complied • nether speed herein or not. I he >ranting of cr rmit does not presume to give authority to violate or cancel the
rovirrorzr of any other fe oral • r to law re • toting canstry 'on . the perfor ofcnnsb action.
t, ti t. • - � i_ A A ; /
lignature of /'
i
Aro, ��� ' Siglatnre of Contractor
'n.nt Name f4 � - 774--- ;won to and snbscribe. e r I Print Name a . : P
�,.e
his Day of l_ S r - to and s�il,scri jgc�,b
A Day of_ (J._ U me
_ _- ----- ..__.
/glary Public `_ ( 2
I 1 otaiy ublie C,..
' ' �• SHIRLEY L GRAHAM
,t .�li 95T160 CND t '
RED FOR CO , t,1, Dm , n ro 0
"OFFICIAL SEAL" CITY OF AT w C
LBERTO- RIVERA r Lira
NOTARY PUBLIC, STATE OF ILLINOIS
mI'TS LOR C O ND I . - .. _
_..�
MY COMMISSION EXPIRES APRIL 18, tot t REQUIREMENTS AND D CONDITIOIO NS.
REVIEWED BY / W DATE: O a� �v
j �m ) t. 1
__ _r
t�.�•'�f��, City of Atlantic Beach
r: Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
' S9
Atlantic Beach, Florida 32233 -5445 /2 9
Phone (904) 247 -5826 Fax (904) 247 -5845
n > ' E -mail: building- dept @coab.us Date routed: Z43
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: i t 7 1'LG1 e , 6 6 / _Qepament review required q Ye w No
I ( Building
Applicant: EP 0 ni `f G es finning &Zoning
Tree Administrator
Project: ,41 (' ea /t /aye — Public Works
Public Utilities
Public Safety
may# Fire Services
a. ,s,.,� .�< r r b r ,a.. ..Ai D $46 ' ^* r , P, { li!'ar r ftmt "F i'
Other Agency Review or Permit Required Review or Receipt
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: ['Approved. []Denied.
(Circle one.) Comments:
(IN
PLANNING & ZONING
Reviewed by: c. Date: /0 G 1C)
TREE ADMIN.
Second Review: ['Approved as revised. ['Deni d.
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