Permit Bldg 2279 Seminole Rd UNIT 4 2011 - -'
r s
r' CITY OF ATLANTIC BEACH
,
) 800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
INS PHONE LINE 247 -5826
v
Application Number
11- 00001518 Date 1/05/11
Property Address 2279 SEMINOLE RD UNIT 004
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . • • 20000
Application desc
remodel master bath
Contractor
Owner
CATANIA, LOUIS J ALESCH CONTRACTING INC
1946 BEACHSIDE CT
FL 32233 ATLANTIC BEACH FL 32233
ATLANTIC BEACH (904) 613 -6517
Permit BUILDING PERMIT
Additional desc . Plan Check Fee 75.00
Permit Fee . . • . 150.00 75.00
Issue Date . . • . Valuation . • • •
Expiration Date . . 7/04/11
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 2.25
STATE DBPR SURCHARGE 2.25
g
Fee summary
Charged Paid Credited Due
.00 .00
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total 75.00 75.00
.00 .00
Other Fee Total 4.50 .00
Grand Total 229.50 229.50 .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: 227
S$ , '`'`"' -0 �`' ( :rt 4 Permit Number: /1 " /S/ g-
1 � "
Parcel #
Legal Description
Valuation of Work $ 1"
olition ooUs a window /door
Class of Work (circle one): New Addition lt' Repai p p
Use of existing/proposed structure(s) (circle one): Commercial Residential N /A
If an existing s structure, is a fire sprinkler system installed? (Circle one .
Florida Product Approval #
For multiple products use product approval form �s
Describe in detail the type of work to be performed: ^- a 6 '� '`
'A
‘ }8..A3., ru.-ioLk 0,47,0-1- bl, 4_. 4 e._UJ tut---6%_. 5(...A•arlyeig- v-- f t."—
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Prope Owner Information:
rt t B- u.a. ' Sf� jpl�a v-��. 0,8_ I t- , 0--.' Address: 13 �~ 1 i» s 3G6
Name: U Phone - 7
City State _ Zip
E -Mail or Fax # (Optional)
Contractor Information: v � (_2 esiC
/ r/
Gam ,Y Qualifying Agent: "�
Company Name: 4, State Zip
Address: � � � � �" Q � Cit Fax #
Office Phone Job Site/ Contact Number
State Certification/Registration # rlri■ii -- = _
- r a�ikaa+ Yr i+11r -,- .
Architect Name & Phone # ► __ 11 5i . A. , _I a - . r �►� 1 ,Th- aa .
Engineer's Name & Phone # 1 • AI TIC '
Fee Supple Title Holder Name and Addres ++' • .• , , OR 4' li N� Ji
• Bonding Company Name and Address I ' : ! • _ , 1 ! CONDITION 111
Mortgage Lender Name and Address _ :.•
REVIE 1 By. " A "°
made to obtain a permit to d• • • • • • • install' • : f ed. I D ie! a ghat no work or i uai ha This permit becomes Application is e rreby •- • •• • • construcuort ir• (hi l' P
an d void of a permit of commenced that all work will be per forme• e r • • ° • - - ; -_ - io o six f6 months at any time after
and void f en is not commenced whatn eix r a) months, or u construction be ssecured for work is c Wo rk, or • • - f
work is commenced. Citio Terse etc.nd that separate permits must be seu for Electrical Wo Plumbing, Signs, re ls, Pools, Furnaces, Boilers, Heaters,
Tanks and Air
WARNING TO OWNER: YOUR TO RECORD OR TICS OF
MENTS TWICE
COMMENCEMENT MAY RESULT
YOUR PROPERTY. IF YOU INTEND BEOOOB�TRAIEC FINANCING, IN YCONSULT E OF H
YOUR LENDER OR AN ATTOOMMENCEMENT.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions • laws and ordin• es governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume t• ga auth•ri • elate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
0 .4------ - Signature of Contractor r Signature of Owner ,� /- %���`� ���', '✓
n 1 l Print Naive l r
Print Name ,��� ' .�`'l.r- fi..t'l. t r l (�' 1 l �:t..
Swot Vi nd subscrib � . - fo •- lle
Swo . to ,>i� subscrib: before me 2 / this Day of 20 /1
this ia'�!i ay of ■ - ati �. t
Notary �, -- ---- - --� ��
Notary ' ublic
AO Notary a WHITE r _
.� . M Df,ise .126.10
, ,., .4 MY FX CO PI MISSION RES: May 2 �,
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 2279 Seminole Rd #4 Permit Number: // ' / 5/ r
Legal Description AG -212 37 -2S -29 DEWEES GRANT Parcel # 4 1"t
Floor Area of Sq.Ft. o - heated /cooled
Valuation of Work $ 20,000 Proposed Work heated /cooled n
Class of Work (circle one): New Addition Iteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial sides
If an existing structure, is a fire sprinkler system installed? (Circle one): 'es No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to
ceiling h t and fan. l Minor sheetrock and painting work also, and tile
flooring. Re-plumb shower, install 9 9
Property Owner Information:
Name: CATANIA LOUIS J & STEPHANIE _Address:2279 Seminole Rd #4
City Atlantic Beach State Florida Zip 32233 Phone 904- 708 -3669
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Alesch Contracting, Inc Qualifying Agent: Theodore Alesch
Address: 1946 Beachside Ct City: Atlantic Beach State: FL Zip: 32233
Office Phone 904 -613 -651 Job Site/ Contact Number 904 -613 -6517 Fax # N/A
State Certification/Registration # C G / 5/ 62 3 cY
Architect Naive & Phone # N/A
Engineer's Name & Phone # N/A
Fee Simple Title Holder Name and Address: SAME AS PROPERTY OWNER
Bonding Company Name and Address: N/A
Mortgage Lender Name and Address: N/A
A is hereby nd e t all work will be performed to meet installations tadards of sl aws regulating in thi installation uriisdiction. This permit becomes
issuanc of wa ork permit
and void if work is not commenced within six (ti� months, or if construction or work is susmaed or abandoned for a perzo pof� �6u months a , any time after
'
work is commenced. I understand that separate permits must be secured for Ele Work Plumbing, , Welts,
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 ERTCORDING YOUR NOTICE OF
COMMEN
CEMENT.
hereby certify that I have read and examined this a lication and know the same to be true and correct. All provisions t e to noes or verning this
. The t ype s of any be fede with whether wafted herein o �tction or t� performance e of construction.
provisions of ar other federal, state, or local law regulating c
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
- lo 800 Seminole Road
j g -0 Atlantic Beach, Florida 32233 -5445
' Phone (904) 247 -5826 • Fax (904) 247 -5845
kSi19"? E -mail: building- dept @coab.us Date routed: •
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z7 Sey11 ln/o% ent review required Ye No
A Building 17
Applicant: /4 A 6-227-4;,7,96/7-?? J Planning & Zoning
CY
l /J� Tree Administrator
Project: �,Gl t (1 t f ,///l Ge-6 rte; Gc j Public Works
Public Utilities
Public Safety
Fire Services
S i gna ture 'n7 A .fir a wash' P�h
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: Date: / - 3 -1 /
TREE ADMIN. Second Review: ❑Approved as revised. ❑D nied.
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