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` o ? f > CITY OF ATLANTIC BEACH
R
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
`a INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002763 Date 10/17/11
Property Address 68 OCEAN BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 1200
Application desc
NEW DECK FLOOR AND HANDRAILS
Owner Contractor
RANGEL, CATHERINE JAMES & SON BUILDERS, INC
68 OCEAN BLVD. 129 15TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 509 -0812
Permit W /W /O BUILDING PERMIT
Additional desc .
Permit Fee . . . 120.00 Plan Check Fee 60.00
Issue Date Valuation . . . . 1200
Expiration Date . . 4/14/12
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 120.00 120.00 .00 .00
Plan Check Total 60.00 60.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 184.00 184.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,$ ,e4 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
` 800 Seminole Road 3
j 0 Atlantic Beach, Florida 32233 -5445
0 1/4 " )
/ �j
Phone (904) 247-5826 • Fax (904) 247 -5845
"tt31v1' E -mail: building- dept @coab.us Date routed: I //
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addres : 60 U 1m7v 8 /'d _Department review required Ye No
Building�j V
Applicant: �S � � � c %, S P lanning & Zoning
91(iabin-r2 ` Tree Administrator
Project: ?E// c �� J Public Works
hX ,2h7 " Public Utilities
Public Safety
Fire Services
e `C i 5 gb U i *�� i y r� n +n' � �� r� i N a e r N1',/ w �
3J d� o r�, 3 r 1lav
� �II,r �'c � hN s�' ..
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:
BUILDING
PLANNING &ZONING Reviewed 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: 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: 65 Oele,&_ ` /(71 Permit Number: /1 " .7
Legal Description Parcel #
aw Floor Area of Sq.Ft. Sq.Ft
�
Valuation of Work $/z. Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (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
Descr' e in detail the type of work to be performed: C
Property Owner Information:
Name: C� 4-4.4 -v■.4_, Address: v 723 f DL 3 eGJ c Coo. "
City j G'. -Sdyt L. . 4- Late EZip 72- en, Phone 307 47o 5
E -Mail or Fax # (Optional) 2qq /J.77
Contractor Information: � ,/ %XX, Company Name: , � -.fi c SGv i Qualif ng Agent: -� 2 7 ICC 'ef'
Address: / ? ? / T`4- ,le.re 5 City J y r,4 State /t/ Zip •? 'ej
Office Phone S' 9 D6'/ Z Job Site/ Cont.. - _- - _ _ _ c
State Certification/Registration # Fe :49, nr L I% 1. *A rAk 1- n C b Ciiir l � .. ... / • �,, �
Architect Name & Phone # 0``;#
Engineer's Name & Phone # ' i ' Vila Pr-
Fee Simple Title Holder Name and Address — 1'1 S FOR ADDITIONAL , , ;,'x,
Bonding Company Name and Address "''' ""'' ' 1' 1 ITT
•NDONS. 1 _ """
Mortgage Lender Name and Address : ; ��,
__ �,
Application is hereby made to obtain a permit to do the work and insta attons as in • •,. --- 7 - 7--.-- -
• ' – • – - - . .mmeric :, AAA t
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. is perrnt ,become �u ;
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 k • nv ft ,
work is commenced. I understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, Pools, F urnaces, ' r er
Tan and Air Conditioners, etc. 10116*
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE1TS"
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 a plication and know the same to be true and correct. All provisions of laws and ordinances go ning this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority iol.r cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owne > . Signature of Contractor ' /
,.7
Print Name .C/L A Print Name ��// �d,��
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,,.? Swor • .nd s .s: ib- a ore
th'. y Da of . ' '� eta.a. , 0 57 ' 1 / "thi Day o' / � 20
iff / / $. 2 1 awiimino
,..-ki:-....::.._._1*.___._-‘., 10-17-7rramirlib-----1
Notary Public L__-- -- - -" — Nota ' `.'� rcoMM� ,
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*= ION DD 957760
�� °e" Boned h uW 1 U I+ '� ry n = , 01.26.10
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SHANK NAILS.
TYPICAL GUARD DETAIL
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