Permit Termite Repair 71 19th St 2011 r y �' CITY OF ATLANTIC BEACH
. 4 s 800 SEMINOLE ROAD
r. a ATLA BEACH, FL 32233
J " m I NSPECTION PHONE LINE 247 -5814
11- 00002482 Date 8/16/11
Application Number 71 19TH ST
Property Address
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . • • 1800
Application desc
termite repair
Owner Contractor
STEPHANIE L. HARDMAN ET AL BO -OT CONSTRUCTION SERVICES
KARIN RAUDSEP 2341 WINDCHIME DR
71 19TH STREET
JACKSONVILLE FL 32224
ATLANTIC BEACH FL 32233 (904) 220 -6082
Permit RESIDENTIAL ALT /OTHER
Additional desc . Plan Check Fee 30.00
Permit Fee . . . . 60.00 1800
Issue Date . . . . Valuation . . . .
Expiration Date . . 2/12/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC 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
.00 .00
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total 30.00 30.00
.00 .00
Other Fee Total 4.00 .00
Grand Total 94.00 94.00 .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
b Address: 7 / d / ._ 7 T 41-I Permit Number: /1 a y ga—
.TO
�iC_ 1!? m
Legal Description Parcel #
Floor Area of Sq.1�'t. Sq.Ft
Valuation of Work $ //c e.)( r Proposed Work heated /cooled non - heated /cooled
� :� � e.
Class of Work (circle one): New Addition Alteration Repaid' ` Move Demolition 1 1Mpt W Ll hP r
Use of existing /proposed structure(s) (circle one): Commercial sident
If an existing structure, is a fire sprinkler system installed? (Circle one): es N' N i AUG 1 1 2011
Florida Product Approval #
For multiple products use product approval form ---- f �-- By
Describe in detail the type of work to be performed: i)Cy 1' + "1 1 l �,
Property Owner Information:
Name: - l � r/ % 57- City 1_i77 4'1 ` f ( . - - State f ? ?$ f Phone
E -Mail or Fax # (Optional)
Contractor Information: / �—
J -- 0 ' T :x',� 51/27, 'J`� ., -� Qual i m A ent: � /e �� v�
Company Name: `? g g
Address: A 3 9 C (,./ . :1'7 a..-t -K- P City .. State 'i Zip 32Zz `f
Office Phone ,7 r 2? -' .).P' Job Site/ Contact Number 97./ -` /LA '- • t)7 Fax #
State Certification /Registration #
Architect Name & Phone #
Engineer's Name & Phone # ORMNIIMEASESIIIPMEIMENS 4. "° , - '..." '' "
Fee Simple Title Holder Name and Address ... a f '
Bonding Company Name and Address If I 1 R M N 1111 . ,
Mortgage Lender Name and Address * 4
u. '$3ik} ,,A rax. A90arau.aw ::Fri.++' 9• .* aI. {
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no Voiatilosoprinaallertiarrithateofattliettirlir 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 aperiod of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical !Fork, Plumbing, Signs, Wells, Pools, urnaces, 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.
I hereby certify that I have read and exami d this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be compli: , j;with wheth r specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other feder. , it', or to al law regulating construction or the performance of construction.
/ ',;
Signature of Owner ` Signature of Contractor ,G
Print Name 40/\.) Print Name (y.R../ e.: a / , r / ) it_
Swore o a•: ubs 'Ali •d before e Swo to an. ubs d before e
this / 1. i Ail , or Aire ar ir , 2017 t i / r) . of Sid, L. ..; ,/ , 20//
._.__.
.....____
No 4 ub is 6 Not. u'FW
tt V SHIRLEY L GRAHAM
sed 01 .26.1 0
"' —7-- .. MY COMMISSION 4 DD 957760
SHiRLEY L GRAHAM
lc' a;,` EXPIRES; February 14, 2014
sr 1, 'AY COMMiSSM DD 957760
4
'. .'r�'7 EXPIRES: February 14, 2014 " otaryPublc U nderwriters
�',q! �,.• Bonded Thru Notary public Underwriters , B onded Thru N
�r "r� i e • v — 1■77 ° T .. __m
S , f City of Atlantic Beach APPLICATION NUMBER
. ��' o
.� Building D R be assi ned g b y the Buildi g Department.)
)
{ s 800 Seminole Road
�r Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 /�
Wis. E-mail: building- dept @coab.us Date routed: 1
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2i /9 rN Sr Department review required Yes No
Building
Applicant: - Planning & Zoning
Tree Administrator
Project: /1 . /D lib :ben-116 Public Works
Public Utilities
Public Safety
Fire Services
o" t o ;
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: ®Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING by: /� Date: �/— 1/
TREE ADMIN. Second Review: Approved 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 07/27/10
Y
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CAD
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Hip Rafter Repair -
For
14 . IHkA tioiti AOSCICIA` ES,
CONSULTING
THE ENGINEER
Stephanie Hardman
FNGIRPEF:PING SUPPORT TO THE CONSTRUCTIO
5201 ATLANTIC BLVD #119
JACKSONVILLE, FL 32207
71 Nineteenth Street -o;rI (9341 395-r t ,l
Atlantic Beach, FI. 32233
(904) 247 -6678
Date 08/09/11 1 Dwa. No. 167 -2011 I Dwa. by Joe Crum � 9
Custom Designs qty
l
,john I. Crum
Residential Design and Drafting Services
if You Can Dream lt. / can Draw ft Sheet A .. " /� Jacksonville, FI. (904) 759 -5585