Permit Siding 104 Sylvan 2011 CITY OF ATLANTIC BEACH.
r 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jit c}r�
Application Number . . . . . 11-00002876 Date 11/17/11
Property Address . . . . . . 104 SYLVAN DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
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Application desc
replace siding t 1-11
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Owner Contractor
-
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STUCK TNT DESIGN & RENOVATION LLC
104 SYLVAN DRIVE 410 14TH AVE N
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 514-7421
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2200
Expiration Date . . 5/15/12
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 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 32233FNO
Office (904) 247-5826 Fax (904) 247-5845 W,,!R
Job Address: �j�1 �o.`f1 �� Permit Number
Legal Description /O O/L = S ;;L19 �1-'oLi r me C8Parcel# 06L-L& 2(?,`
1 Floor Area o q F't. - t
Valuation of Work$ &old•0 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/pro osed structure(s)(circle one): Commerc Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): o N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: 6RLrnoVC I.). T- I ► S 1 r�+l
a%VdV,\1i' 0NC . bbd Sq,FT fd be• rcw.Gv�
1j V
Property Owner Information: _ o '„�)
Name:_ a Mt 0 Addre � � G�
City 41 Re,11 StateFLZip Phone —ad
E-Mail or Fax# (Optional)
Contractor Information:
1
Company Name:TA _Qualifying Agent: 64ay k S
Address: Jv t City c ua QGJ1 State FL Zip Aa��
Office Phone 3 3 3 da-a _Job Fax#
State Certification/Registration# G COMPLIANCE
Architect Name&Phone# UIT"F A
Engineer's Name&Phone#
TIANITC BEACH
Fee Simple Title Holder Name and Address SEE PERMITS FOR AD
Bonding Company Name and Address KE MENTS AND CONDITIO
Mortgage Lender Name and Address
ATE: w,.r»�.._.,...,,"....._,�..*.-,. ►.,”
Application is hereby made to obtain a permit to do the lation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of al aws regulating-construction in as jsdiction. 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 a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells, Pools, Furnaces, 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.
1 hereb certify that 1 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 complied with whe r eci aed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any other federal,stat , o a a regulat' g construction or the performance of construction.
Signature of Contractor
Signature of Owner lm
Print Name ` ............��.�i1 ....IY...........71 G.. Print Name ,r.�`r.k-.....L............�.�....'.`. ` ......................................
. .................................................
Swor to subscd before Swornnd subscribed before me 20 l�
this Da o //`` f �+e this ay of
�;� • SHIRLEY L.GRAHAM
S DD 957760
Notary PUb11C EXPIRES:February 14 2014 Np11 fic
'„t�••' ° Bonded Thru Notary public Underwriters
pf„n. ANY PLUMMER
Commission#EE 1428vi ed 01.26.10
Expires March 21,2015
Ebo Thu Troy Fain Inmum 800.3857019
City of Atlantic Beach APPLICATION NUMBER
JS Building Department (To be assigned by the Building Department.)
800 Seminole Road l
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: �l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: nt review required Ye No
0-Y-4 Building
Applicant: �/V �f h Q -�c D Vl� p arming &Zoning
Tree Administrator
��, Public Works
Project: Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof 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:_zLi2��
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