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Permit Siding 2208 Fairway Villa 2011 , 1070e* ` }x CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t ° = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 11- 00001734 Date 3/03/11 Property Address 2208 N FAIRWAY VILLAS LN Application type description SIDING PERMIT Property Zoning TO BE UPDATED Application valuation . . . 1000 Application desc SIDING AND FASCIA Owner Contractor BAYS, ROBERT & CATHERINE MATHIEU BUILDERS 2208 FAIRWAY VILLAS LN 15899 SHELLCRACKER RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226 (904) 813 -3661 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . 27.50 Issue Date . . . Valuation . . . . 1000 Expiration Date . 8/30/11 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 55.00 55.00 .00 .00 Plan Check Total 27.50 27.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 86.50 86.50 .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: ..? o 1 rd► % y l/.' / /as /V. \ J.d' Permit Number: Legal Description lar va yy :/ /des Parcel # /. 93 ° l ff' //. `r'loor Area of Sq.k t. Sq.I 't Valuation of Work $ /a4P, 0 Proposed Work heated/cooled non - heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition poo14 Tao•', .7 I Use of existing/proposed structure(s) (circle one): Commercial • esiden II'. [f an existing structure, is a fire sprinkler ' system installed? (Circle one): • e o N /A M 2 011 Florida Product Approval # - For multiple products use product approval form By` )escribe in detail the type of work to be performed: £'&' , # 0 9 .0:rs i /1 5: 04:7 '" 4 e-se; 4. / Ole .e ''roperty Owner Information: Jame: , 4e er 1 Address: �9 rya R si ' ©.- :it A /w.r,; c lute A, State 6. Zip -72.2.0 Phone 90 y t ,'3 3 6 G / -Mail or Fax # (Optional) /45 / %4 en a tl, ; e cc (a yet Ao o C o,,, :ontractor Information: ) ‘iseit )ompany Name: /17it f`i:G a /•( # /ire �S Qualifying Agent: Dk .514 address:. 'df ,.S //tree keg' A( City . j ex State Fe- Zip Z2- )ffice Phone J, --_ _ ::.:. G G Fax # fe4/,u &t Z S o State Certification/Registration # -/A 1 . h ta i 5: v ` architect Name & Phone # . , " ' a t ' . . Y ' ; . , . . l'ngineer's Name & Phone # 1 9 * 1 . ry 4 ee Simple Title Holder Name and Addre . N ' • ,' T_ 'S r- or, 111_7 t, a 3onding Company Name and Address -„ ' T) t`t) ;� p ;� LO ti �s• 1 111171141 Mortgage Lender Name and Address 1 R _ (pplication is hereby made to obtain a permit to do the work and installatio , as indica et I`aer ' installation has commenced prior r t to nuance of a permit and that all work will be performed to meet the standards of all laws regulating construe on jurisdiction. This permit becomes nd void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora eriod of six f6) months at any time c cork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Hew anks 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. hereby cent) that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing ape of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel rovisions of any other federal, state, or local law regulating construction or the performance of construction. ignature of Ownerat ■ IL ,V N , ■ I Signature of Contractor 'Tint Name \\e..C.).'YC\Q-.V` j Print Name Pk, .2 .e iiiewe/ worn to and subscribed before me Sworn to and subscribed before me ais 1 Day of Mai/ C In , 201) this 1 Day of M Cu( C.. , 20 1 1 li ■<g C k i C�.i X .S 0 � u .`i►a'�" ,% (iEUOUE 80NA010 i t ' f � rk , dotary Pu � � �_ ,,r �; r' NoNotary AN y Public - State of Florida , Notary % blic iir4ceil t Notary Public • State of Florida . r i , ,,, My Comm. Expires Oct 5, 2014 � , ? : e C $ �Qc t S, 2014 n,Ea,, Commission # EE 32353 ` "48Aits �s i�QE 32353 ,,,,,,, 4., City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r t 800 Seminole Road / / f � Atlantic Beach, Florida 32233 - 5445 ! / 1 Phone (904) 247 -5826 • Fax (904) 247 -5845 ,r F3 S) . E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW ANy TRACKING FORM Property Address: 22.66 /"Q -iL- wa W//it, Department review required Y / Building — ) V Applicant: 74411)/(, - 1.U L i a ' S Planning & Zoning Tree Administrator Project: W � 15 4 � Public Works Public Utilities /l >et, - Yoh 47 Public Safety Fire Services Revtew�ee$ roSnamuce � ' ..,.. , 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: proved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING Reviewed by: m Date: 3 2 "l� TREE ADMIN. Second Review: Approved as revised. ❑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