Permit BLDG Repair Damaged Wall 5418 Capella Ct 2010 . ;- I ✓y)'
CITY OF ATLANTIC BE
Ir s 'AN SO
ACH
51 si 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001447
Property Address 5418 CAPELLA CT Date 12/09/10
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 2499
Application desc
see attached
Owner Contractor
FLEET LANDING NORTH RIVER BUILDERS AND PROPE
1 FLEET LANDING PROPERTY MANAGERS
ATLANTIC BEACH FL 32233 6771 SHINDLER DR
JACKSONVILLE FL 32222
(904) 838 -9179
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee
Issue Date 32.50
Valuation 2499
Expiration Date . . 6/07/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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 32.50 32.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 101.50 101.50 .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 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 5 ' 8
Legal Description 5 ,, , , Permit Number: < Y7
Parcel #
Valuation of Work $
Class of Work (circle one):
New Addition Alteration Re pair ' '
Use of existing /pro osed structure(s) (circle one): Commerc'. ' esidentia -
If an existing structure, is a fire sprinsprinkler system installed? (Circle one ; 6 molition pool/spa window/door
Florida Product Approval # ) e N /A
For multiple products use product approva orm
Describe in detail the type of work to be performed: --
q V /..
■
Property O wner Information
Name: A-1CCRr Q
City Ifl Address: 'lee E -Mail or Fax # (Optional) State i- Zip ________phone `� ' ' ' v A.
Contractor Information:
Company Name: ®.-i-, 'R'vAr
Address: i ` �' -, 1 M yna Qualifying Agent: o
Office Phone < N � City _ __ __ __ Aril �" y 3 � 1'"T�, Job Site/ Contact Number tiAtedigirE
State C ertification/Registration # 2zz2
� 8
I. '�wy�Fdi►Y � �
Architect Name & Phone # 1 i
Engineer's Name & Phone #
1 Fri Simple Title Holder Name and Address , RMIITS FOR C BE ' I
Bonding Company Name and Address 1 - • r ' f ADDITIONAL
Mort a e Lender i — AND CONDITIONS.
g g r e an. ••• ress A A
I cert that no work or installation Application is hereby ode 1 ' V -
issuance ofa permit d th 40 E1f to • t " ' to , bons a indicated.
and void if work is n. commence. whin six (6) mont or if construction or w. k is suspended or abandoned fora period o six 6
t' ' e sta yards of , Il laws re construction in this jurisdi This permit becomes null
work is commenced. I r n has commenced prior to the
Tanks and Air Condi ion '] , rn ecu ecfrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
A�
(6) months at any time after
COMM • E _ ,I j a I _ kl ,
I . .! • AI URE TO RECORD A NOTICE OF
TO YO p E ,� 1111Y „ . ' PAYING TWICE FOR IMPROVEMENTS
YOUR E � �. x �I ;a 1 OBTAIN FINANCING, , CONSULT WITH
RE RECORDING YOUR NOTICE OF
• ' ' 1 EMENT.
' hereby ertify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances ov
vpe of work will be complied with whether specified herein or not. The grant of a perm does not presume to
give aut
'rovisions of any other federal, state, or local la regulating construction or the performance of construction. g erning this
authority to violate or cancel the
ignature of Owner
'�" `� e/ Signature of Contractor
Tint Name J LtA
F,4 Print Name v v
worn to and subscribed before e ��
its Day of 1.) e �0 , Sworn to and subscribed before me
/' �—� this 2 ( Day of 0 v:�ZC
otaiy ' ubl'c � _ ,.
Notary Pu c
P "RY P '4
ELIZABETH TESKE
„m u I .
tiP e'�. *IA Y P �� ,, E ELIZABETH T E1(E i `��_ Notary Public - State of Florida Notary PuDtic - 5tatetb� 2 013 , 1 . 2 6.10
' • My Comm. Expires Apr 5, 2013 ' My Comm. Expires Apr 5, 2013 ' . �, = Commission DD 867829
Bonded Through National Notary Assn.
— Commission +M 00 867829
a Bonded Through National Notary Aun.
y aLEVi - r 4 , City of Atlantic Beach
1, Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
,.. Atlantic Beach, Florida 32233 -5445 /a'
Phone (904) 247 -5826 • Fax (904) 247 -5845
l'?--- ort s)%" E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us Date routed: Z //6
immor
APPLICATION REVIEW AND TRACKING FORM
Property Address: .9 e a /1 / a. - ::
— - • t review re uired Ye No
�/ 7? e B uildin Applicant: d ,'/T ) V1 , dC / /pl ft
g &Zoning
2�, �� r Tree Administrator
Project: , -7 / 7- 4 Public Works
Public Utilities
a g6 6 Q/ n-y-r? a 9 edifiZrPublic Safety
v 9ar a 9 Fire Services
h
D ept :0, ? � F � . ,p C mon, O t t 4
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: proved.
(Circle one.) Comments:
❑Denied.
C
PLANNING & ZONING
Reviewed by: :/72' Date: /r - ?"'/C)
TREE ADMIN.
Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review:
nApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
■