411 Whiting Ln 11-00002613 Porch Repair ' P 1-** CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
0.0 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
r F3
Application Number 11- 00002613 Date 9/14/11
Property Address 411 WHITING LN
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 850
Application desc
PORCH REPAIR
Owner Contractor
JONES, CLARENCE BOBBY THE DESIGN & BUILD GROUP, INC.
411 WHITING LANE 13412 PEREGRINE ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 294 -2304
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 55.00 Plan Check Fee . . 34.50
Issue Date . . . Valuation . . . . 850
Expiration Date . 3/12/12
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
Permit Fee Total 55.00 55.00 .00 .00
Plan Check Total 34.50 34.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 93.50 93.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.t- 4lr City of Atlantic Beach APPLICATION NUMBER
e;
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
S E -mail: building- dept @coab.us Date routed: 7 sa
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1/ ie/b•7 De artment review required Ye No
�-- Building
Applicant: JtT - L n '/° (1-M f ` 'P • g & Zoning
Tree Administrator
Project: / ge di) Bpi_ Public Works
Public Utilities
Public Safety
Fire Services
ii d� • N P;, ��;' dat ar
` -=�{x _'U,.ro�C�Yh E,
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: Ecpproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: m r Date: 7-13— I)
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑D Hied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 'V/ WA/ 4/4 L,A) , Permit Number: 1/ - 3
g
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.r't
Valuation of Work $ FirG ✓ Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition rat (
lte _R it Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial (Z_ Eye=
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes Obi& N /A
Florida Product Approval #
For multiple products use product approval orm
Describe in detail the type of work to be performed / : ZEi°L,dc£ (-2-) , e ms Pte- ?ri (- 0/4.),,,,--f )' F 4Ajp
Property Owner Information: /
Name: / - P �° S 6 �� C 1 ( {� !�
Address: �• J 4 A n
City 1E'1111ra State 1 Zip,322, -Phone
E -Mail or Fax • •ptional)
Contractor Information:
Company Name: 712 ,cF /9)j Y-Sfre lI e , - zz Quali ing Agent: �, ^�
/A' 1 -, 2) , c�
Address: /44 V ? / CAfey,d 7 City Ci State F Zip 3
O/ 2-74 • 3
Office Phone Z d
1 Job Site/ Contact _ i,; - -- — - -
State Certification/Registration # GC l -1 Z ; al, / I a�hi�/ a111 aro !iro ') n , ..imp i !] _• _ rpm, AR ' r
Architect Name & Phone # A - E ,
Engineer's Name & Phone # w - at r
Fee Simple Title Holder Name and Address . PERMITS FOR ADDITIONAL i
Bonding Company Name and Address -- - - 1� : ,•
Mortgage Lender Name and Address - REVIEWED BY: t� II : k, •
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify. i at no work or installation 77as commencle a prior t. h e ,k
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 ec ali fim.ult
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 a . i ter
work is commenced understand that separate permits must be secured for Electrical W , B ork Plumbin Signs, Wells, Pools, Furnaces '; s, ,� o
rs,
Tanks and Air Conditioners, etc. .
1.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF `".w'...,F;m'...
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.
1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
p type of work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
rovisions of any other al, state, or local law regulating construction or the performance of construction. 4,60
Signature of Own r i !, - , Signature of Contractor 4 e
Print Name R .�. .. L 1-1,1 1.16s Print Name ..4? -i . C , e J
Swor1 .. nd subsc • . ed be �- 1 - Sworn • . nd subscri ; -d before me
this f ►. y o' _r_ /Jj ; , 2011 this , ►.y of ,i_ ..r 20
or liMilli . Nota • • . Y , 4 10e7111 MP
:, MY COMMISSION # DD 957760 F i'1 i s 1' . : b I • S; February , • 014
ie .. �, cc EXPIRES: February 14, 2014 d+: Bonded Thru Notary Public c , I: /tors l
`7 R rn oP Bonded Thru Notary Public Underwriters ° `t'
. evised 01.26.10