Permit Siding 1738 W Park Ter 2011 CITY OF ATLANTIC BEACH
1J
800 SEMINOLE ROAD
-r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 11-00002686 Date 11/21/11
Property Address . . . . . . 1738 W PARK TER
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 500
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Application desc
T1-11 REPLACE SIDING
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Owner Contractor
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ANDERSON PHILLIPS BUILDERS LLC
1738 PARK TERRACE WEST 1250 SELVA MARINA CIRCLE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 349-2999
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 500
Expiration Date . . 5/19/12
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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 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.
'Now- BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH D
800 Seminole Road, Atlantic Beach, FL 32233 Q M
Office (904)247-5826 Fax (904) 247-5845 L1
I7n FM hL T6 rac , vim-- �
Job Address: Permit Ner: r
Legal Description C Parcel#
Floor Area of Sq.Ft. q t
Valuation of Work$_'6'06. Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition poollspa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:—"b 49— .S WA 031 Civ t-4—
Property Owner Information:
Name:GtGU M 4 04AA(I L.. AV*4W,Jr* Address: r739 Park-- -OWAC • 14�
City AM11 aul Stater-Zip 322'3 Phone 24(o•1P42
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: P1 hwPf5 I SV (de13 1 l �_Qualifying Agent:
4ddress: �Q -1 ✓16[ City P _i, State l:) , Zip
3ffice Phone 73fcl - Z 1 Job Site/Contact Number Fax#
State Certification/Registration# G 1 Z
krchitect Name&Phone# REVIEWED FOR CODE COMPLIANC rt
Engineer's Name&Phone# C_I-TV OF ATLANTIC REACH
lee Simple Title Holder Name and AddressSEEP RMTT.SEOt
3onding Company Name and Address REQUIREMENTS
vlortgage Lender Name and Address
REVIEWED BY: DATE.
application is hereby made to obtain a permit to do the work a s coli¢ ' n o the
ssuance of a permit and that all work well be performed to meet the star ar o a aws regu attng construction m ts�uns tc on. Thi m null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a penod of six 6)motet m er
vork is commenced I understand that separate permits must be secured for Electrical World Plumbing,Signs, P{'ells,Pools, urnac� ®ii�■H s,
hanks and Air Conditioners,etc �V
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE -
COPN1ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROV E. -NT
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
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 goy in g this
vpe o}work will be complied with whether speed herein or not. The granting of a permit does not presume to give authority to violate c nee l the
rovisions ofany otherfederal,state, or local law regulating construction or the performance ofconstruction.
signature of O e - Signature of Co ct
'Tint Name p1G..Y i.• /��' w►�T ,c�v Print Name el
.......................................................................
�.... .. . ...... ....... .. .....�.l.� � .......................
',worn to and subscri ed before e rib d be ore me
'iis�-EhDay of 0 20
ar P a., 7780
9t6bma
Totary Pub is
�'�''•'koF►� '�� Commission#DD 897789 Revised 01.26.10
City of Atlantic Beach APPLICATION NUMBER
;. . Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
j
i Phone (904)247-5826 • Fax (904)247-5845 I/
1 g_ p @ Date routed:
r ;�,q / E-mail: buildin de t coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
pj artment review required Ye No
Property Address:
49l + Building
Applicant: /� iLGS anning &Zoning
Tree Administrator
Project: /7 c` //� y77 Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B
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: proved. ❑Denied.
(Circle one.) Comments:
UILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
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