Permit Siding 587 Selva lakes 2011 f ra i ,J
' << CITY OF ATLANTIC BEACH
•
j s? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
4-Y Ji319
Application Number 11- 00001900
Property Address 587 SELVA LAKES CIR Date 4/11/11
Application type description SIDING PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 1045
Application desc
replace 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 .
Issue Date 30.00
Valuation 1045
Expiration Date .
10/08/11
Other Fees STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2.00
2.00
Fee summary Charged Paid
Credited Due
Permit Fee Total 60.00 60.00
Plan Check Total . .00
30.00 30.00 .00 .00
Other Fee Total 4.00 4.00
Grand Total . .00
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 PERIV.QT APPLICATION
` CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
rob Address: 387 s -et„ .(a C . g C Permit Number:
,ega1 Description Parcel #
c o Floor Area of Sq.Ft. 5 Ft
jaluation of Work $ /D y,$� Proposed Work heated /cooled n heated/cooled
lass of Work (circle one): New Addition Alteration epair Move Demolition pool/spa window /door
Tse of existing /proposed structure(s) (circle one): Commercial : esiden:. -
f an existing structure, is a fire sprinkler system installed? (Circle one): ' es o N/A
lorida Product Approval #
or multiple products use product approval form
)escribe in detail the type of work to be performed: ?t.YK OL/i LDw �
ZZ / 6 ` � e).P S ' ' l 2O' ,j6
o/✓ yt 27 it .' cv at r! EAu45 07 STatiCTpR4i /CAic> 6F 70'
roperty Owner Information:
'me: , 'NCj! l RC ■ AM/1 C k Address: S8 7 S [ v , 44ic£S CR
ity ` me .` 1 State g Zip 3Z233 Phone
-M. ' or Fax # (Optional)
'ontractor Information:
ompany Name: t- 2 EC j4 G Sf CR u in Agent: 44$11 2
ddress: `73`j . i ?moCoto..,l z_ E. City i x - State FC. Zip 3 22- /
ffice Phone BY- 5 zcz - /ogy Job Site/ Contact Number � 3#,n Fax # ,71 /
tate Certification/Registration # C (t( C7
., S-"as 3 q
rchitect Name & Phone #
ngineer's Name & Phone #
;e Simple Title Holder Name and Address —
onding Company Name and Address FIL E Cap [ortgage Lender Name and Address Y
)plication 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
•uance 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
d void f work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora period of six _(6) months at any time after
rrk is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Hea
cnks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
ereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
)e of work will be complied with whether specified herein or not. The granting of a permit does not presume to gzv- authority to violate or cancel the
3visions of any other federal?', or local law regul ng construction or the performance of construction. /
i
gnature of Owner/ Signatw-e of Contracto lir Ag :2---------- '
int Name / qrl A (J A, � � ,% Print Name v v Z • Lt- oL/f it/d
vom to and subscr ed before me Swo -. to • -
, . nd subscrib :d •e • • - •.
s 7* Day of 20 I ( s
, o�'��, . .TIRES: ; e CI ''�
rtary Pubh Lt R No .3410M4 Bond : '70 . '
Notary Public, State of Florida
My Comm. exp. July 23, 2013 Revised 01.26.10
Comm. No. DD 899300
j!.rL�r City of Atlantic Beach APPLICATION NUMBER
+ Building Department (To be as by the Building Department )
S„ 800 Seminole Road
15 k n4 tt Atlantic Beach, Florida 32233 -5445 = /1
Phone (904) 247 -5826 Fax (904) 247 -5845
..C513 ,r E - mail: building- dept @coab.us Date route ?;+
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
64'7 J/va- Zai(Es �•-'� D nt review required Yes No
Buildin
Applicant: M /77e ilzi//a7 y -7) anning & Zoning
Tree Administrator
Project: 7 / - fi 7 T Public Works
Public Utilities
Public Safety
Fire Services
as `1i * S. £ q rues- ST { IR1:- i 's'',TTM a SI A1r4:Rt .,17 �� l t I° tr 4
lew #e _ tg.F. S � Det Signa 4t � :.
Rey
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: QApproved. EDenied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date:
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. nDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09