Loading...
Permit Bldg Bath Remodel 2215 Alicia 2011 " j K .,,,,,... CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002722 Date 9/30/11 Property Address 2215 ALICIA LN Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 500 Application desc durarock for shower Owner Contractor LEWIS DENISE KLETT LIVING TRST BO -OT CONSTRUCTION SERVICES 335 W 107TH STREET 2341 WINDCHIME DR CARMEL IN 460329587 JACKSONVILLE FL 32224 (904) 220 -6082 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 55.00 Plan Check Fee 27.50 Issue Date Valuation . . . . 500 Expiration Date . . 3/28/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE 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 27.50 27.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 86.50 86.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: d■ 15 t i C 1 # L 1, Permit Number: / , o2 7 22- Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 5(4r ct Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): alp Addition Alteration Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial �eni"Ta If an existing structure, is a fire sprinkler system installed? (Circle one): ''es — " N o N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: Dc�1v4 - c- / : a 1 .gJoveet /9 0 � — r/u2, (4)1- Ili 0 f ,f 6 . � Y s / d ctiek Property Owner Information: Name: 5 7 6,....,,s-, e,,,....., 'S Address: ,- J ( r e - c. t 4 rii i City 4TL -,t- cc- 13 - - State /%I Zip /2Z) ) Phone E -Mail or Fax # (Optional) Contractor Information: / Company Name: l3 - ©f 6 �, Qualifying Agent: - #0-r &' /31001— � Address: • r, . r 04- ? it_ City 49 'State Zip ?Z Z Office Phone 40 2 20"&C 8 2.- Job Sit =* - : = r ' State Certification/Registration # 1 i._ f: *I !! :1 1,. / 1 e r a l ■ r ` 11 , . 4 . .4 4044 4,,, ., Architect Name & Phone # Engineer's Name & Phone # 1 . • . _ lipl , ' ' CH 11 a Fee Simple Title Holder Name and Address 1 . - • � DITION NS 1�{ 11 �' . I . Bonding Company Name and Address ' I I 1 Mortgage Lender Name and Address 1 REVIEWS D : • t' I • __ Application is hereby made to obtain a permit to do the work and installations as in.icate.. c• ' -- � .n has commenced prior to the issuance of a permit and that all work will be perforated 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. I understand that separate permits must be secured for Electrical !York, Plumbing, Signs, Wells, Pools, F urnaces, 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 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 type of work will be compli -. with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other fed a , state, or local law regulating c� ruction or the performance of construction. • . ��r Signature of Owner k. i t� >o ��� I -' - Signature of Contractor • �,i , II Print Name 1V ,zy1 i 'e. }K 1 - e�.0 i_S Print Name l t i1 i , Yhd1 T Sworn;,• : : bscr..e befo - ze Swor rFrcrsubscribed . or�,� e this it i. • f � . ' this / ay of '' / %,.,.. 20/1 SHIRLEY L GRAHAM I�r l _ - V 14:',-„iTiV a r1.-41. # DD 957 . i 1_ � .. -- • 7349 �I " , 2 014 I' F �.:'s _ ISSION # EE 0 Not • -'" Ub 1C Mary 14 Nota Bonded Thru Notary Public Underwriter � EXPIRES: May 21 2015 MY COMM - I mo � w ,,, srs f _, Thru Notary Publir U ; ' - 01.26.10 +lr City of Atlantic Beach APPLICATION NUMBER '� • � Building Department (To be assigned by the Building Department.) -r 800 Seminole Road f/- Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 Fax (904) 247 -5845 G yY� E -mail: building- dept @coab.us Date routed: ! /Se / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 2/6 / � A a` [ °{'a ent review required Yes No P Y �tm 4 (Buildin Applicant: t� G/7STrl( C'7 �`� Planning & Zoning Tree Administrator Project: i/2 a ,e, ! k- / - c �f Q Public Works Public Utilities Public Safety Fire Services 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 Reviewed by: Pi Date: ?""TO TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 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