Permit Elevator 675 Beach 201 . CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
e - - o
App on Number 11- 00001979 Date 7/26/11
Prnpfmrt -y Ar7rlraac 67G ru'Aru 4vp
RE number 170121 -0000- -
NCR OLD ACCOUNT NUMBERS . . AB01072
Application type description RESIDENTIAL ADDITION
Subdivision Name
Property Use
Property Zoning TO BE UPDATED
Application valuation . . . 75000
Owner Contractor
BENZ RICHARD BELL BLDG CONTRACTOR
1952 BEACHSIDE COURT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249 -0131
Structure Information 000 000
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit MECHANICAL FIRE PERMIT
Additional desc .
Sub Contractor . RESIDENTIAL ELEVATORS INC
Permit Fee . . . 155.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 7/26/11
Qty Unit Charge Per Extension
BASE FEE 55.00
1.00 100.0000 EA M ELEVATORS 100.00
Special Notes and Comments
SEPERATE PERMIT REQUIRED FOR THE
ELEVATOR
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Other Fees STATE DCA SURCHARGE 5.70
STATE ELEC DCA SURCHARGE 2.00
STATE MECH DCA SURCHARGE 3.46
STATE PLBG DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
4 / Ir,� '
r
\ s ' ° ` sA CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
;V ~ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4 ' 4 0169 1 ' 4
Page 2
App1 i r nn NinmhPr 11 -nnnni qia DatA 7 /26/11
Other Fees STATE MECH DBPR SURCHARGE 3.46
STATE PLBG DBPR SURCHARGE 2.00
STATE DBPR SURCHARGE 5.70
Fee summary Charged Paid Credited Due
Permit Fee Total 155.00 155.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 26.32 26.32 .00 .00
Grand Total 181.32 181.32 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:Residential Elevators, Inc. 8508935064 07/2612011 13:49 11508 P.001/006
ESIDENTIAL
ELEVATORS
Elevating your standard of living
FAX COVER SHEET
DATE: 07.26.11
Please deliver the following pages to:
NAME: Debbie White/ Bldg. Department
FROM: June A. King, Licensing, Permitting Supervisor
Email address: jking faresidentialelevators.com
Fax: (850) 893 -5064
Telephone: (850) 926 -6022 ext. 270
We are transmitting 6 page(s) (including this cover sheet). If you do not receive
all of the pages, please call back as soon as possible.
COMMENTS:
Please call me at 800 -832 -2004 x 270 and I will give you my credit card number to pay
for the permit. The value on the project for Mr. Benz is $19,315.00.
Thank you,
June A. King
Residential Elevators, Inc.
Permit/Licensing Supervisor
•
/1,1
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDMDUAL OR ENTITY TO WHICH IT IS
W ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PR IVILEGED, CONFIDENTIAL AND
EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW If the reader of this message Is not the
Intended recipient or the employee or agent responsible for delivering the massage to tho Intended
recipient, you are hereby notified that any dissemination, distribution or copying of this
communicating Is St4 fl c rrgiiibItad K wmu brier arcaiwd this rn omivucatlnn In arw' Waste
notify us immediately by telephone (collect), and return the originl message to us at the address
below via the U.S. Postal Service. Thank you.
Residential Elevators, Inc.
2910 Kerry Forest Parkway,. 04-1
Tallahassee, FL 32309
BUILDING PERM CATION - 7? e L
CII BEACH
800,. inole Road, Atlantic Beach, FL 32233 1
Office (904) 247 - 5826 Fax (904) 247 - 5845
Job Address: 675 Beach Avenue Permit Number:
7
Legal Description Are Parcel # //
Valuation of Work $19.315.00 Proposed Work k a t hea d[coo SQ• Ft
p ted /cooled non- heattee
d/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structures (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Installed one home elevator in a single family dwelling.
Property Owner Information:
Name: Jim & Catherine Benz Address: 675 Beach Ave
City Atlantic Beach State' FL Zip 32233 Phone 1904) 246 -4048
E -Mail or Fax # (Optional) mrebnzagmail.corn
Contractor Information:
Company Name: Residential Elevators. Inc. Qualifying Agent: Francis J. Panzarino
Address:2910 Kerry Forest Parkway. D4-1 City: Tallahassee State FL Zip 3230
Office Phone 800 -832 -2004 x 270 Job Site/ Contact Number Steve Hawely 850- 251 -2221 Fax # 850- 893 -5064
State Certification/Registration # Elevator Company Registration License number ELCO98
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Adds
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 Mat all work will be pe reed to meet the standards of all laws regulating construction In this jurisdiction. This permit becomes null
and void ffwnrk is not commenced within six (6j months, or if construction or work is suspended or abandoned fora nod of six 6) months at any time after
work is commenced. I understand thatgeparate permits must be secured for Electrical Work, Phawrbin& sue, Wes, per, Ponwees, Boilers, it
Tanks and Air Conditioners, eta
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 this a plication and know the same to be true and correct All provisions of laws and ordinances governing this
type of o o will be c federal, with he p�fed herein or not The granting of a permit does not presume to give authority to violate or cancel the
tons
p f y f law regulating construction or the performance of construction.
Sw I A SIA '
Signature of Owner
. t
Signature of Contract t�
I r y
Print Name ., J
_..__. .___._._.._..__..__ _.� ._.._._._.._.._._ ...._. _..._ ..... _....__ Print Name June A. - ' _...._.- _ ._
Sworn to and subscribed before me Sworn to and subscn, , 14 I
this Day of . 20 this p2(v Day of •� = ; '"- K. . 20 /1
Notary Public Notary Public
Revised 01.26.10