Permit Bldg Repair Termite Damage 5514 Rigel Ct 2010 � : t J r CITY OF ATLANTIC BEACH
vtt 800 SEMINOLE ROAD
'.,t.-)ti , ��< ,,--) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
-
Application Number 10- 00001287 Date 10/26/10
Property Address 5514 RIGEL CT
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 2000
Application desc
termite repairs
Owner Contractor
PRESTIGE BUILDERS & REMODELERS
848 AILY CHURCH LANE
SEVIERVILLE TN 37876
(904) 662 -1528
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 2000
Expiration Date . 4/24/11
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 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total 30.00 30.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r - -•
Ma y 11 10 12:30p
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: Jr 5 1 t-k' R (Cy
C - Permit Number:
Legal Description S R t`h E - Parcel #
Floor Area of Sq•Ft non
,
Valuation of Work S 0 () Q . Proposed Work heated/cooled
Class of Work (circle one): New Addition Alteration C
Move Demolition pool/spa window /door
ro urcle one): ,
} (� Commercial idnxtial
If an en O stia re, istructure(s s a fire sprlalder systems n ista fled? (Cunha one): es o
Florida Product Approval #
For multiple prod use product approval form
Describe in detail the type of work to be performed: A L' t. C e 'I a k' - " k. f
Property Owner Information;
Name:
CC 2 r A d d r e s s : 0 WE L E CT L ►N b [ N Cs 13 LAS 13
City P 1 1. rN'[ t c - Or- StateF1-Zip 3 Phone
E-Mail or Fax # (Optional)
Contractor Information: c ) Qualifying A J uT� C----\ o) ` A C b 12 7
Company Name: P E (� C E Tu f L D'C Agent: A
Address:, �°I 2 P 7 -City N E PTU N t- 1'5 E Fax (0 5 q � � 1 1.
Office Phone RC 4- CeL, -1 5a:S Job Situ Contact Number
State Certification/Registration # e-13 C 0 5 (0 ci
Architect Name & Phone # 1.4 / IN
Engineer's Name & Phone # r-1 / A
Fee Simple Title Holder Name and Address N /Lx
Bonding Company Name and Address N () NE
Mortgage Lender Name and Address N o NE
Application is hereby made to obtain a permit to do the work and installations as indicated I cer(• that no w hoc' s; ' l' ; , i� sdict
issuance of a permit and that till work will be to ¢t the standards F g all laws regulating corn uri ass 6 , �J ., at y • , Thut
and void work a not I. unmermad within eis separate tf � for work w W -vtd or ork, Plumbing, Ste, a Wells, J Pools, , , BaW ., % ; , . • Z e I.
work Tanks w and Co m . •
F
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI i �' 'l ' 0 F' •
: r
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPR o ;i 4, ' F �
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONS ? ►* '+ ;
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO '.....
COMMENCEMENT. ' / ''rt sir i t 1 u►►►►`
thir
I certify that x have read and examined this •,• and know same to be true and correct. All provisions to violate laws and ordinances governing*: the
types work will be complied with whether • .'• d herein or n The granting of a permit does not premise to gyve authority'
provisions of arty other federal, state, or local , regulating construction or tie performance of construction.
Signature of ()tuner �,� - l� Signature of . „" . �" ••
g�
P r i n t Name __ , k 4T'rh 14V A __ / hie.___ __ .. P r i n t Name J . u 1 h A ( . U) N c- C o (.2,1„,
.
Sworn to and subscribed before me / Sworn to and sub -.. -bed before me p
this AP of " c4 .20 20 %d this . ( ^Day o A _ - 1° , 20
Notary Public Y Notary • .1 ,
• — V .. — — — — — R evised 01.26.10
4 rt1T,' ELIZABETH TESKE
l itydi Notary PNtic • State of Florida ' My Comm. Expires Apr S. 2018 ' 4 Commission N DD 881829
• on * a Bonded Through National Notary Assn 0
10/21/2010 17:12 9659007710 PRESTIGE BUILDERS PAGE 01
Mau 11 10 1230p
• BUELDING PERMIT APPLICATION
• CTTY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
• Office (904) 247-5826 Fax (904) 247-5845
Job Address: 5 • - i, C Permit Number:
P _ - #
Legal Desc -
ription 6 1 , .. .
oor . o q-
v of Work S1)11Q:,___ Proposed Wolk bested/mated ____ non-heatedicoektIL_____
Class of Work (eirde one): New Addition Alteranou ,(#) Move Demolition pools* vandowl door
Ilse of , '
u an eningaidsre=dirlin nrechite(*Intir f (Melt one: ea o talirt
Florida Product ApF0•81 # —
For maniple prod use p i c ----- 1 alrllaprovn ■■ on , •
Describe in detail the type of work to be perfonned: 1:k ' t .
uossEgahvgairaftwgzsi
CitY Pr - t'sg■ c- 4 ' -
E-Mail or Fax # (Optimal)
().■ Lt__1_ , 44 _11.. 1. 2.) :
11 . , 61 Lb L QuidifYingAgtat ___)±-n.'_.—LA(1-1112-J412:1
"r144137 Nam': k 5 €. - .— • ,acyjilik &eft 1 .-J,__-_
Address, - _ ' 1 IN & • 2_ , _City -'
Office Pbrme RDAL_ie.k.a.-=-i-aai---e Job Site/ Contact lsjntber __.---Fact # J12 _ Ti
Stale Cenificatio E7400illation #4___C.51,Zt
Architect Nanne & Phone #
Engbaeees NAM & Phone # __bk.11.-------- ------.—___
Fee Simple Title Nelda Nemo add Addessil_x --- ___. .---------.
Bonding Company "Name anti Address_
, e
Mortgage Lender Name end Addiess , • .- .
m. Ae. mi.. amr I ctriffi 'the ao waric or tartatiaden katc ;, .. , , .,.• . , ,
=211 spetrargorarehrtl a ri I - :_tei — iniiiiim leondarir o? laar tvgadadenenuarecdan ftdae Nentietion. MI ,. . . l'ii,
and vote 1 Veer* & not asianencedwithtn dig month:, err f cormtnection c e wisloreklonendod or abandoned fir a paled ofset ,,, , ', at ant , , . ■••._
work de oommemed. I emberstand thee swarms perms moo be secured * Wm, Welk, lank, , ... _ , Bows, , „ , ,.. i.
Tanks and Ak Omedkienen4 ele. • • ) 4, 1 4 . • . 0 1 :.
WARNING 10 OWNER: YOUR FAILURE TO RECORD A NOTI --- 4 ,
COMMENCEIVIENT MAY RESULT IN YOUR PAYING TWICE FOR 1 1- t .4, , w.)1,c; 1 rn
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN. FINANCING,_CON * . 14 'p. 4 : °./ .?
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR Norrkcbmi.7 ... •
COMMENCEMENT. ." tos'
-um, iit0 -
I lowly can* !hat i Imre ,lad ca - owl boothe SCUM to b e true end correct 411provons o f laws and ce4ing:1m govagfttl
type cy wart adi be eamftert with windier Mrs& or mot Pw greengui of a permit does mu:resume to en to vroiate cancel
provisions claw atkirei. • . stew, orlocal regalaitigomutrucaon or the performance ofoonstruefton.
.00 -
Signature of Owner ) C40:X:r43 Signature of • Print Name _ )4 -r* Ae.v A- _ 5 f _ ___ Print NM= el.U._ k
_ ..
SWonl tn and subscribed b fore me / S • 4 4 to and sub. , before me
this )b - of 441, _ • cA - 4 - 7 — 20 • this • v o I .. - .• + _____,19,11._) 1 i > 610
/ — / ' c•-,:r.-ef--1,--- ei , A A , 10 , ■ I 1 , 11 Caw. ;!
Natarytthiic t o),
• --"' ' ' — - - • - - •
a
- .11 - , EUZASETI4 RUE REVI
'SEE PERMITS FOR ADDITIONAL 1 Immij
or Maury Public - Stow 0 Florida
' lay Comm. WWI Aor 6, 2013 , CITY OF ATLANTIC BEACH 4 -1
'' '...- / ' Commission • 00 867829 ' 1
MI %Tough Mono Notary Assn ■ , aimmow
REQUIREMENTS AND CONDITIONS. i La.... I
REVIEWED BY: /91c9- DATE: /6 -,./- 2 -le,
.t,A, City of Atlantic Beach APPLICATION NUMBER
US r f toliti Building Department (To be assigned by the Building Department.)
800 Seminole Road �A
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 /NV P�, Jit 9';' E -mail: building- dept @coab.us Date routed: /
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / +l /(` 1 C-T- nt review required Yess No
p Y u ildin V
Applicant: , ld r anning &Zoning
Tree Administrator
Project: 7r,71 ,7 72F fh . Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date ^�
Other Agency Review or Permit Required of Permit Verified By / •
Florida Dept. of Environmental Protection Q /J - n Q
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: l Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: .fin Date: /0 . 2. Z
TREE ADMIN. Second Review: Approved as revised. @Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I (Approved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09