Permit Siding 1064 Snug Harbor Ct 2012 ?S =L ` i '"
`S !
s t\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ° ' r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000196 Date 2/16/12
Property Address 1064 SNUG HARBOR CT
Application type description SIDING PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5350
Application desc
SIDING FL 889
Owner Contractor
KIERNAN DAVID MERRITT CONSTRUCTION
1064 SNUG HARBOR CT. 1930 RIVER OAKS ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 858 -9400
Permit SIDING PERMIT
Additional desc .
Permit Fee . . . 80.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5350
Expiration Date . 8/14/12
Special Notes and Comments
NEED NOC
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 80.00 80.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 84.00 84.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-Z' BUILDING PERMIT APPLICATION
�
CITY OF ATLANTIC BEACH . 27 #Thr,&) �'
800 Seminole Road, Atlantic Beach, FL 32233 ' l
// Office (904) 247 -5826 Fax (904) 247 -5845 /2 -1
Job Address: )OW 2 51 �jt- ✓0x - permit Number: / 2 lc
Legal Description �J Parcel #
o L Floor Area of Sq.Ft. S Ft
Valuation of Work $ 1 G 700 Proposed Work heated /cooled
n - 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 spr;tnkler system installed? (Circle one): Yes No N /A
Florida Product Approval # F 1 E c,
For multiple products use product approval form -
Describe in detail the type of work to be performed: s )G�.t,j) tti {4.,•,-,,,,, i G •
h I i S ( /I7 e fici 5 1 n � 6 i! '�ccffi L c 5 1c � . t o
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Property Owner Information:
Name: 45Yh k i -0'n4L-n Address: ( 2 - 106 ci &1 a - C-4
City A4 16l41•1; P. 6e StateH 1 37233 Phone .x2 8 - 6.36:;
E -Mail or Fax # (Optional) __. -.--
Contractor Information:
Company Nagle:, DAVI d MCA (1 - -(0' U(, j "� l(,) Lilt- Qualifying A ent: akVid )i
Address: t 0 ( int.. ri 1 c2 L., City . `,)(1) {, 6 fac11 State t--('- Zi p z
Office Phone SS 5 S -g4co Job Site/ Contact Number , 5 1 -1 a S``1 Fax # ZZO -3 46y
State Certification/Registration # CV. C. C 3 D-30 3
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation 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 i6) months at any time after
work is commenced. I understand that separate permits must be secured or Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, 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.
I 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 governing this
type of work will be complied . ith 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 federal ' ate, o , : al law regulating construction or the performance of construction.
Signature of Owner _ Signature of Contractor
Print Name C.. 5 {'I t y (W,-{-1 Print Name
Sw to and subsc ' • -d r - fore me Sworn tp and subscribed before �a,e
t ` is Da • - _ 20 this /6 Day of ` 2V/ 2 20
• MI. N # DD926677 /. �
Notary Pub N • - : XNIRF, September 20, Notary Public ° pllota0t t516 3
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