Permit Bath Remodel 2303 Fiddlers 2012 I � ,r,
* 4' `ti› CITY OF ATLANTIC BEACH
.- 800 SEMINOLE ROAD
�) Z ATLANTIC BEACH, FL 32233
°�� INSPECTION PHONE LINE 247 -5814
- OI3 1
Application Number . . . . . 12- 00000180 Date 2/14/12
Property Address 2303 FIDDLERS LN
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 10000
Application desc
bath remodel
Owner Contractor
EBERT WILLIAM P J CORNELIUS CONSTRUCTION CO.
2303 FIDDLERS LAN 71 19TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249 -9706
- -- Structure Information 000 000 BATH REMODEL
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc . BATH REMODEL
Permit Fee 100.00 Plan Check Fee . . 50.00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 8/12/12
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 100.00 100.00 .00 .00
Plan Check Total 50.00 50.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 154.00 154.00 .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 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 308 F /j'zLf2 S id Permit Number: 49 — O/e
Legal Description 2 'L/�g2X �J / Parcel #
Flo or Are o q . t. Sq.Ft
Valuation of Work $ � d bZ�,7 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 i structure(s) (circle one): Commercial sidenti _�
If an existing structure, is a fire sprinkler system installed? (Circle one): : es N N /A
Florida Product Approval # )1
For multiple products use product approval orm
Describe in detail the type of work to be performed: A ff Il%/h � • � t�� A.
( f? EPIAE 1//W VT/ L
Property imr Information:
J 303 P)O,Oergs G+ —
Name: /� // �� Address: ` I �,� �� q�
State Zip 77 � Phone �Dw - 2 •976 e
E-Mail Fax # (Optional) 1 0-6 �� CC /USlL- //.1/t /.eVr) 1 .. , ' e f
Contractor Information: `
Company Nme: ,••,'. 5 ✓. z /D. Quali Agent: �/4� J
Address:
0 ' �( 3307/F City 6TL ern State �. Zip 62Z:53
Office Phone Job Site/ Contact Number m� ∎«
State Certification/Registration # — .. . • • .d_ N ►► i ! '1 p: ! !''' a ! a ' '
Architect Name & Phone # CITY OF ATLANTIC BEACH I
Engineer's Name &Phone # EE P ERMITS FOR ADDITIONAL
Fee Simple Title Holder Name and Address —Wain/4 ekr . QUIREMENTS AND CONDITIONS.
Bonding Company Name and Address _
Mortgage Lender Name and Address RE VIEWED BY DATE: 1 - 5'.12.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or inst ation has commenced prior to the
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 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. 1 understand that separate permits must be secured for ElectricalWork, 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.
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether sp ci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federnl,�tat or local la regulating construction or the performance of construction.
Signature of Owner t k 14/1) Signature of Contractor At/ La. ,„,./ '..„. , , 1
Print Name Print Name
Swo r ■ a , i subs rib left e me ` /2 Swo �� . • • subscrib : • -f• e me
this Lay of Al j 20 -- this D. •f , -Ai . 20 f , 41 ,,•• 111111116111
I j ... n ,_ . , _ ii1.. mt1 r'� IiL ,f:�f/1•l.�r=
Not '�' b DD 957
N G � " mksgo`N # DL7 20 i } MY COM # 760
. bruzlry t EXPIRES: ebrua 14, 20}�
* Putht U ., - Bonded 7hru Notary Public UndenvhTeFS • ed 01.26.10
a .x €1an Inn) N
'. ,, City of Atlantic Beach APPLICATION NUMBER
' , s Building Department (To be assigned by the Building Department.)
Al , 800 Seminole Road /C;0 O`76
j Atlantic Beach, Florida 32233 -5445
',7 4 Phone (904) 247 -5826 • Fax (904) 247 -5845
"" i E -mail: building- dept @coab.us Date routed: � � —
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addres : A Io/CY 44-5 L1-71 rtment review required Yes No
_Building
Ll 77 i f j C?2 ing & Zoning
Applicant: v5- ,� /,1 /� S
Tree Administrator
Project: � I // �1�/./A OCi C- Public Works
Public Utilities
Public Safety
Fire Services
OI �.a'q g ,�, I yr ``�- `�r��`� 41,444 �� �� �ifq�����' ._ ��� � [ �, ht At k i .flih .
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDINe
PLANNING & ZONING Reviewed by: Date: - / 3 2
TREE ADMIN. Second Review: Approved as revised. ❑D led.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10