Permit 892 Ocean Blvd 2011 deck repair CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
..... INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002277 Date 6/29/11
Property Address . . . . . . 892 OCEAN BLVD
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1200
----------------------------------------------------------------------------
Application desc
REPAIR BALCONY
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HARRIS, BOB STOKES CREEK CONTRACTING CORP
892 OCEAN BLVD. 6984 CATLETT RD
ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32095
(904) 591-2135
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1200
Expiration Date . . 12/26/11
----------------------------------------------------------------------------
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 1111A
Office (904) 247-5826 Fax (904) 247-5845 1"!>Jj, 1;�
-y
Job Address: gly-?_ a6f,_2n 8/w. Permit NufWr: eolf 11/W
Legal Description Parcel#
00 Floor Tr—ea of Sq.Ft.
Valuation of Work$_&W- Proposed Work heated/cooled non-heated/cz��o /e�?O 0
Class of Work(circle one): New Addition Alteration _®Repair Move Demolition pool/spa window/door
_rc
Use of existing/proposed struptureQ) f�ircle one): Comm, -, Residentia
cle one .
If an existing structure,is a fire sprinkler system installed? (Circle one : 0 N/A
Florida Product Approval #
For multiple products use product approval form---
Describe in detail the type of work to be performed: &16c?. /0—oz A!4&or� -46aezalr aet Lll-ow�4
Property Owner Information:
"Am
Name: P-2- oeutv Address:
Ej
rn ]10 Tn '.
city oft'"At k?_Iiwf�v State Zip 3,W ?3 1�h�.on_ r
e
E-Mail or Fax# (OpfiWnal 1 11 L LJUF
Contractor Information:
Company Name: Quali ing Agent: elei.,
Address: AW city N, -,4dwjwne- State Zip
Office Phone YPY- -212S- —Job Site/Contact Number &Y-5V42 1,?r Fax# 10 A,?2�1/-
State Certification/Registration# 11 e 0,90M
Architect Name&Phone#— wi.4 RMMMM FOR CODE
Engineer's Name &Phone 9 AZIA I i NCE
Fee Simple Title Holder Name and Address C-1W OF ATUNTIC BEACH
ne and Address NAL
Bonding Company Nai SEE PERMffS FOR ADDM01 I
RRQUIRE-M—IRN=_
Mortgage Lender Name and Address- Al 1A LVINO.
REVMWED BY. Ifl 1 6-c4-//
4pplication is hereby made to obtain a permit to do the work and installations a-L r 7r-7n,!staPA7,ToE12=Curn",—F, ; r to the
issuance ofa permit and that all work will be performed to meet the standards Of a aws re u a I es null
and void if work is not commenced within six(6)months, or if construction or work is susrended or abandonWb�a""'eriod q six(6)months at any time after
n SIg is,Pof
work is commenced I understa d that separate permits must be securedfor Electrica Work,M&Utnibing, S, We ols, Fi4rnaceev, Boilers,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.
Ihere certify that I have read and examined th' lication and know the same to be true and correct. All provisions of laws and ordinances governing thi's
71work will be coTplied with whether sfecsi 70 herein or not. The granting of a permit does not presume to ive authority to violate or cancel the
'1 9
provisions of any otherfederal,state, or local aw,regulating construction or the peFformance ofconstruction.
Signature of Owner Signature of Contractor
Print Name Print Name
... ............. ......... ................ ........eq
........ . .......... ......
................
r
Sworn t efore me Swo iL.;kaV soubsctO-bqd before ine -,*,0%SS10* Ro'v""
9�and subs ed b X C. j
4
f I
'7b ay of this
this��
y
4.�0,y-�%
S
cl:?
Notary Public
Notary Public
#Do 972114
St. , ..
s e
�A
N�
.-f 10.
11,�Vi
re
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
-mail: building-dept@coab.us
ujnp�' E Date routed: XZ 14
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address '-y" —21V ol DeRaftent review required Y No
'Building')
Applicant: 'Pis 6-�f —PfaM?Tin_g &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Recelpt 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: El-A"pproved. ElDenied.
(Circle one.) Comments:
BUILDING)
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: DApproved as revised. F]Deniqd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. r-lDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10