Permit Deck 1969 Beach 2011 CITY OF ATLANTIC BEACH
r, A 800 SEMINOLE ROAD
j V e", ATLANTIC BEACH, FL 32233
___/ t:n INSPECTION PHONE LINE 247 -5814
' 1131 >
Application Number 11- 00002174 Date 6/06/11
Property Address 1969 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 1000
Application desc
remove and replace deck for sewer
Owner Contractor
GREIDER, JACK SUNSHINE COAST CONSTRUCTION
1969 BEACH AVENUE 513 VIKINGS LANE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 208 -1084
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 55.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 12/03/11
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 .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 59.00 59.00 .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: / y 6q 0f4c li' 4 - , tiU4 Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ (o 0 U , ti b Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Re. Move Demolition pool/spa window /door
Use of existing/proposed structure(s) circle one): Commercial _
g
If an existing structure, is a fire sprin a system installed? (Circle one Yes No Florida Product Approval # /-
For multiple products use product approval form
Describe in detail the type of work to be performed: 14 in0 v/{t 0 F DEtk1 ti & ° 111104,
-F15 R P L u Pi P ' 1 N.4,0 g, f(
Property Owner Information:
Name: 0 R ) ii c 1< G Rt. i °SR Address: / 6 1 13i4G /1 4vE .
City / 5 Statef Zip 3 z Z 33 Phone 79 g - r)-5
E -Mail or Fax # (Optional)
Contractor Information: t QQ
v,L j s/,.vt Co R ti vt, .J 0 E f v P't v t #C
ie
Company Name: S A s l CAN 57 vc Tw , Qualifyin Agent:
Address: c i /3 V j,C t i" & 5 CA/ City 4 f3 State FC, Zip 3 z z. -7)
Office Phone L' y) 20 7 - /0 8 `l Job Site/ Contact Number < Ai E Fax # A'719
State Certification/Registration # P L Re /2 ''- 6 3f r
Architect Name & Phone # ti/ 4
Engineer's Name & Phone # /L7;4 ,,1
Fee Simple Title Holder Name and Address /L //7
Bonding Company Name and Address 4-7 AA
Mortgage Lender Name and Address /YA--
Application 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
issuance 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
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a�period of sic (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical 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
I hereby 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
.type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give auth late or cancel the
provisions of any other federal, state, •r local law re:. • ' : • zstruction or tita.kerformance of construction. ,-
J
Signature of Owner f
. _, Signature of Contractor
Print Name j. L. • 7 , '. ,,. /.; , C ' j --,, e ., Print Name j 0 IE
Sworn to and subscribed before me / Swon . and subscribe before me
this - 3 Da of , I CL � , 20 ( 1 thi 4 / Day • �/'1 r „ 20
A� , k, (A A /3� ANDREA W. BEYER + �1r4� \I
e` NOTARY PUBL N. ITV ,�44' r• k. ebr - 14, • 14 erwrite , '
Notary ublic .. �
y , STATE OF FLORIDA ( �.onded Thru Notary +iic und . 1)
1 Comm#DD0928443 R� � � - - i sed01.26.10
Expires 9128/2013
800 Seminole Road
lot
.;.� 4; Atlantic Beach, Florida 32233
� r � ,' � � Telephone (904) 247 -5800
i FAX (904) 247 -5845
Construction Site Management Plan Compliance
A construction site management plan buildnnorne1� B sit management
has been approved as a part of this building p rmit
plan was approved based upon the following information.
1. Parking plan - parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading /unloading area and material storage
area.
3. Location of chemical toilet area - chemical toilets must be kept out of City
right -of -way and not further than 15 feet from structure under construction.
4. Location of dumpster - dumpster must be from approved waste company (in
accordance with Chapter 16 City Code). As of 2009, approved dumpster,
companies for At1. Beach are Advanced Disposal, Realco Recycling, and
Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6 -17 (3)
Revised 6/2009