Permit Siding 587 Selva lakes Cir 2011 CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
tts ;' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
' -. J
Application Number 11- 00001813 - 3/23/11
Property Address 587 SELVA LAKES CIR
Application type description SIDING PERMIT U LE
Property Zoning TO BE UPDATED MAR 3 201
Application valuation . . . 1300
Application desc By
REPLACE ROTTED T -111 SIDING
Owner Contractor
NORTH FL. CLASSIC HOMES HOMEOWNER BUILDING SVCS, INC
8081 PHILLIPS HWY,SUITE 14 739 BROOKMONT AVE E
JACKSONVILLE FL 32256 JACKSONVILLE FL 32211
(904) 322 -1054
Permit SIDING PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1300
Expiration Date . 9/19/11
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 60.00 60.00 .00 .00
Plan Check Total 30.00 30.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .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: � ' d 7 � L VI /.--A-c Ca . Permit Number: (( ( 1 5
Legal Description Parcel #
Valuation of Work $ / EC7o , °a
Class of Work (circle one): New Addition Alteration -` - olition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercia ' esidentia 1
If an existing structure, is a fire sprinkler system installed? (Circle one): - o 5( N /A
Florida Product Approval #;.7.„
For multiple products use product approval form
7 i
Describe in detail the type of work to be performed: I 7?- p L a C gJU 7 e F 8 S' 1 (7
07 T- ) I 1 5 A, g. Q q-62_ or S r - CZ c,t 122 ' Q
Property Owner Information: , C..7 .
Name kN y 2- � 1.W - � - Cft Address:58 7 SEC-VA AF Lela CR. . , W ,
City Ci C - a� Statcrp3 CZi 2?3 3 Phone � .....J �1�-� 1 F✓�
E -Mail or Fax # (Optional) 1111=11111 1
Li 1
Contractor Information: 1
Company Name:HOPI/a Q/N j� t/• •
'2- � Q0'6 &/l hi c alifyin Agent: 5i9/y1
Address: 2 ' a�,�a,v; �e ki City .,,4-se _ State ! - C - Zip 322f/
Office Phone S ' f-/ 37Z.. - /0 Job Site/ Contact N . •• • - ,,u: .... , . ...__ ... Fax. #w .._ . ... .. /
State Certification/Registration # L . a 0 �` ' / _ _ _ _ _ _ _ _ _
Architect Name & Phone # �, • ��
Engineer's Name & Phone # CITY OF ATLANTIC BEACH
Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITIONAL
Bonding Company Name and Address ✓ 4 • _ • l' ■ . 1 _ • ` __ •
Mortgage Lender Name and Address di 1
Application is hereby made to obtain a permit to do the work and install. — - - -:7" . • . ced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating onstruction in this jurisdiction. This permit becomes null
and void of 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 for ElectricalWork, Plumbing, Signs, Wells, 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.
I hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whe r specified herein or not. The granting of a permit does not presume to g thority to violate •r cancel the
provisions of any other federal, state, o/ ,cal law regulating con uction or the performance of constructi ay- on.
-�" _ O IIP i ill . .110111ir --...
Signature of Owne
g _/ � ■/ / � 1 Signature of Contract°
Print Name � G' /f A /, Qom/', nom. Print Name 6c.. N•i/ 1 . y LE )t' �,,,,
Swo • a del subscribed b e me / , Swo t• jasubscribed bef.:- e /
this , �. y of / 1 20 // this- Day of ' / / _ 20�
Notary Public ' 1 otary Public rj1--- /911? Sa 96 602 %zo
�EBOwtrap;r� Revised 01.26.10
,/
/ ? `�,! = MY COMMISSION t DO g,�
.� . ( �/ v - EXPIRES: May 2t z: ' ,
�� Rf Banded Thru Notary Publw slr
s!- Syr,,, City of Atlantic Beach APPLICATION NUMBER
e t r Building Department (To be assigned by the Building Department.)
,
N Seminole Road
s� Atlantic Beach, Florida 32233 -5445 — A
a� - ' . ' Phone (904) 247 -5826 • Fax (904) 247 -5845
II „ y E -mail: building- dept @coab.us Date routed: /
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: c57 7 (5c— 474 review required Yes / No
Applicant: /�10aJ4er Planning & Zoning
Li Tree Administrator
Project: S//)(A1— Public Works
Public Utilities
Public Safety
Fire Services
Re01e6fe 7 sr rAu De s ur 4, . 77
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: lElip EDenied.
(Circle one.) Comments:
(BUILDING
PLANNING & ZONING Reviewed by: )71 Date:3h2 ///
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09