Permit Bldg Repair Wall 121 FL Blvd. 2010 i l ''''*
� ' $" ._
CITY OF ATLANTIC BEACH
�''' ° 800 SEMINOLE ROAD
INSPECTION PHONE L N 247 32233
5826
Application Number
Property Address . . ' 10- 0 0001286
Application type 121 FLEET LANDING BLVD Date 10/26/10
Application on ni g description RESIDENTIAL ALTERATION
Application valuation • . ' TO BE UPDATED
-- - - - - -- -------- - - - - -- 1800
Application desc - - - - -- ________
-------- - - - - -- ____
- - -- repair - --
front garage wall
--------------- - -
Owner --- --- - - - - --
_____ Contractor
PRESTIGE BUILDERS & REMODELERS
848 AILY CHURCH LANE
SEVIERVILLE TN 37876
(904) 662 -1528
Permit BUILDING PERMIT
Additional desc .
Permit Fee
Issue Date 60.00 Plan Check Fee . 30.00
Expiration Date Valuation
4/24/11 1800
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 g Paid Credited
Permit Fee Total Due
Plan Check Total 60.00 60.00
30.00 . 00 .00
30
Other Fee Total 30.00 .00
Grand Total 4.00 4.00 .00
94.00 .00 .00
94.00 .00
.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
_,,, i (:12 8659087710
Na y 11 10 12:30p PRESTIGE BUILDERS
PAGE 02
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 ale Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: i s F L F T 1 Ise � [a _ 1 . permit Ntrmbe4 6
5 a M ET.
Valuation of Work -1 .. , , , . �:'
Proposed Work 6eatedf *0W ' • t
_ non-haatodicooled,
Class of Work (rircl. doe): New Addition Alteration
Use t f s circle meek. Mamie thon pool/spa window/door
Product # "plea asheRedt (Melee a , w e �j m �O
For maid* p vds age efd rova
Describe in detail the type of Nrork to be performed: ► EPA 1 ! • C ti..) L
1 tt n
bie o Aw
Name: � F -FLf? LtaN DI NG I'
CIty A .: h. & :r State' ip i► ^ ' P hone
&Mail or Pax #(•,,,,.
Compax�p aaao. "' Y , Sp
Ads ... • , .. ,,, • A gmr: •. u T T R
Office Ply , i Job Site/ AL h�T U N E b �• _+ �_
State Catd>�i #`s:C �� Fax rk _$b 5 , G} D '7'] 10
Architect Name d:Phone #
Bogkeses Name A mac d
Fee Simple Tide HolderName son Address____! 1 F�
ing Con*ony Name and A E, --
Mortgage Lender Name lid mead ►.c o,.t.G
ir k vii i d e twe tatort I Ltifigo sirl 1 V Zoritrat,cr ansiar or
abandanotlfor Dab artgAfr A ' —- 4 = e ' '''"F"'"' Porno* b� amend for Mt* r�.eam � e 1hq,.nersI,
A
COMMEW TO OWNER: YOUR FAILURE TO RECORD A NOTICE S F P• sr. , F T
TO YOUR PROPERTY. IF RESULT ND 1 p RIN FOR � ? ; , <r,,;
YOUR ,ENDER OR AID `l'TO BE
�kORE C ' RECORDING YOUR NU �� y �Ry s
EMENT. f. • . " tic
j aert trasdA rld�eYdt a�dbw�rJ�r�orlrstbelFMam�dcorrmrt ARPvvvr+atarrr.�jLurveeaicrQ ' b� . . ,••• o , . • ` � ,•
opt
wh of lk wan
�a d M wa er ,.00[ y1r �+g of . dfoe, na�rrsr�s m gl�o mrd4o.ory ro .�otcpir 6i�
prow= tia9' o OA *lapel regaia c�baafioe or tat porj6•+ r aonoawion.
,� a. ;- Signature of , ,„ v . •
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m.. V D.
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, I ' ong p Nine .i c .. 'd"- � i 7 Gi 4 ,
ir , i , to)L - ' - ''''"e''
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May 11 10 12:30p
BUILDING PERMIT APPLICATION
CITY of ATLANTIC BEACH
800 Seminole Road, Atbrn is Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 1)1 'F LE -F_'( LIA N b 1 N G 6 ► .J N Permit Number.
Legal Description 51)(1 Parcel #
Valuation of Work S 1? (7 D ,
Floor W ork Work n n heated/cooled
Class of Work (circle one):
New Addition Alteration ( . Move Demolition pool/spa window /door
Use of s�� ss a ue► s sinMy one }: Commercial � !` No /A
If an e fire r system
Florida Product
products is
For multiple s product approval form
p p P
Describe in detail the type of work to be performed: Re.- PAIR. FIZ U N'f G t t & 1: R L L
Property Owner Information:
Name: N C C-�F A : 0 N E E LE tI I--i� N f> l NU 131 J N
City A LPs N 71 C_ 3 P•C N Statel`L Zip 3221 Phone
E-Mail or Fax • (Optional)
Contractor Information:
.�..� u TTY (JO M � e() 1,7-4 Co mypany ame: P R I CAE l{ ►LSE 5 Agent: b f tic F+ spa t Zip s
Address: °) 1-A h P 2&1 12i<T 5 T Cit I� t-1 8 N Fax S b 5 D° - 17 l i
Office Phone q 0 4- ' l'e(aa • 15:1A Job Sitd umber
State C on/Re tion • C- ( C - 0 5 tie, r-i--
Architect Name & Phone • N / IN
Engineer's Name & Phone # N / 1a
Fee Simple Title Holder Name and Address H / i\
Bonding Company Name and Address NO N E
Mortgage Lender Name and Address ht 0 r[. G
Applicator
y t do the wont teethe d ir standta ds ors of a; as t 1laers di aarted r rr gcohb'rd dfy that no work a Cott has cotnatenced becaares Prior m the
:avoi eso g hat ati warltaw7ll ba Av mdl sua a t I c a nd ,b�
-work is wh sa� g s secur or work is Wow. Welk, p `'""""'` % jt' . ;' , „�
work a commenced I understand that ad be secured jar ` . '��
Tanks medlar Condemners, etc ` Pb ....... ,Fie,(
s
WARNING TO OWNER -e)1? YOUR FAILURE TO RECORD A NOTICE • : * .<
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRO ?, .� ” . _
Y0
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONS 3 T . e,
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N I t r •. t � ; R F
COMMENCEMENT.
I here ca * that I lease road and a d and know the same to be true and carrel AU Provisions of laws and ,$' : a `
tjwork will be complied with whether d herein or not. 170 granting of a permit does not P m g authority
to
p p o fany other ial„ state, or local regulating construction or the performance of construction.
!< a . si o f i • i sr &. .e..- - C Signasigma= of Owner 6 ' • , f
Print Name +4 ref Oh 4_,_.._f_�t si <,_ __ Print Name —3 c,l ti ( ._ d> A c2 0 � ...
Sworn to and subscriI ..• before me, Swam to and subscrt..' before me 20 id
�
this /a Day f ' y ,, r 20 0 this .. Day of 1 . + -I- ,
' / •
IA... l� I
.
Notary Public • Notary '1i' t.W µde a- i `l-1
ELIZAKTS ten - Revised 01.26.10
,4 � . Now!
'1 , . SIND
Y, 4 ;'' '
1180. >
_ii. -1,�1� City of Atlantic Beach APPLICATION NUMBER
j r+^ Building Department (To be assigned by the Building Department.)
r
800 Seminole Road / / .47& �
') s) Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
"�` 91' - ' it �' Email: building dept @coab.us Date routed: / `e
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
e No
Property Address: /A / / / �f 1 /, a t review required Y'
B uilding
Applicant: �T fi 5 -, i % hd es riaiirii & Zoning
/ Tree Administrator
Project: / 1 y ,7,L / /2/? / � 9a . X a. Public Works
Public Utilities
WQ L 1.. Public Safety
Fire Services
Review fee $ Dept S
NSA
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By U
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: vriipproved. (Denied.
(Circle one.) Comments:
B DIN
PLANNING & ZONING Reviewed by: `??/l 1 - Date: /0 0 /O
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: 1 (Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
I
Revised 05/14/09