Permit Bldg Stucco Repair 1048 Little Cypress key 2010 ,� ° °� CITY OF ATLANTIC BEACH
° r 800 SEMINOLE ROAD
J -J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001367 Date 11/12/10
Property Address 1048 LITTLE CYPRESS KEY
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 2220
Application desc
stucco repair
Owner Contractor
REVEL, EDWARD & PATRICIA DKB ENTERPRISES INC.
P.O. BOX 331458
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -5885
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 2220
Expiration Date . 5/11/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .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: / O 4 /(c l /TG /^_ C'i f�K(S_S / Permit Number:
Legal Description Parcel #
Valuation of Work $ LU C' • °
Class of Work (circle one): New Addition Alteration Repai Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Comme a Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # J,�
For multiple pro d ucts use product approva orm
Describe in detail the type of work to be performed: /f, /t/ r I'/ii114G 'D - Crq c c c9
Property Owner Information:
Name: if V L-- Address: /YJ
City /}- 7 - 69 /r (C do StateFC Zip, ? 2 3j Phone
E -Mail or Fax # (Optional)
Contractor Information: /`�
Company
Name: /t T' ho I !z 1� fL + Sk S Doc- Qua lifying Agent: Dd kJ <- ��� e t-}
Address: Q‘ UY 3 1 y City 417- / /f - State 1-- Zip 3 2- -? 3
Office Phone ?o • �2 Y�- 3 Job Site/ Contact Number 70-/- 6 j ( -cif/` Si3 Fax # W cf - „2_2 / – ,7/j9.)
State Certification/Registration # (1, c 4 / 1 ({_ '7
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 standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, 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 or Electrical Work, Plumbing, Signs, W ells, Pools, Furnaces, Bo Heaters,
Tanks and Air Conditioners, etc.
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.
1 hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to 'olate or cancel the
provisions of any other federal, state, or . : law regulating • nstru tion or the performance of construction. 4. o_
S of OwnAll err - Signature of Contractor _ Ii►,. ' ��t
Print Name ' � , e V e dL .�/�'iy - L „gtjeC Print Name . /t / d
L=
Sw�r and sub i e p ,q 20 Sworn to and subscribed before me
thi� Da of l'►f� JX this 4/ Day of 41/ove.w► ,r , 20 / 0
Notary P l ic � H-- NO
1 N JAL t +_ f p ( TARY PUBLIC -STATE OF FI 1Q }}y Pu lic
1,\_.....,m. !� t I� Linda L. Lennart , ,,,, R o �Ew�s
'ti. =Commission DD 804949 .'".r;., Y CH D[3 �84 1X i
i7r. Y
"%.,,, / Expires: _•: • ;= M
p AUG. 30, 2012
BOND Er ES: September 28, 2012
E MU ATLANTIC BONDING Co., INC. y �o� :,•
s!-��r City of Atlantic Beach
;~ ��� C APPLICATION NUMBER
, Building Department (To be assigned by the Building Department.)
800 Seminole Road /4 , /��
.0 Atlantic Beach, Florida 32233 -5445 Cry
Phone (904) 247 -5826 • Fax (904) 247 -5845
r;3 1)1 E -mail: building- dept @coab.us Date routed: / 0 /C
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 r J, £? /k - • i ent review required Yes No
/ Building
Applicant: 2 �� 7E4p ( 1S • anning & Zoning
Tree Administrator
Project: /,12 ?)iry7 Q Sm CCid Public Works
1 / Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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:
.APPLICAT STATUS
Reviewing Department First Re ew: Approved. ['Denied.
(Circle one.) Comments.
BUILDING
69-g14 L f - re-6'1-7e
PLANNING & ZONING Reviewed by: Date!' ,�y A
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['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