Permit Siding 648 Aquatic Dr 2012 I'L`l
1 ` \i f CITY OF ATLANTIC BEACH
I r , 1, b 800 SEMINOLE ROAD
J ,k r,., p a x Z.
� �JF3 :� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
f'
Application Number 12- 00000323 Date 3/22/12
Property Address 648 AQUATIC DR
Application type description SIDING PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 2000
Application desc
SIDING
Owner Contractor
CAPITAL CITY INTERIOR TRIM CAPITAL CITY INTERIOR TRIM INC
8713 REEDY BRANCH DR 8713 REEDY BRANCH DR
JACKSONVILLE FL 32256 JACKSONVILLE FL 32256
(904) 519 -2542
Permit SIDING PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 2000
Expiration Date . 9/18/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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 60.00 60.00 .00 .00
Plan Check Total 30.00 30.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .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: (Pig /4 L(G -/ ? C l 1 ._ Permit Number: /Z. — TZ.Y
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ X040 • D 4 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 s em in tailed ?��((Cir le one): Yes No N /A
Florida Product Approval # ? 8 5 C. '
For multiple products use product pp r 5,/ns 5
1 r pp a rova form
Describe in detail the type of work to be performed: /�-
n
Property wner Information: 7 J
Name: / C� /�1 r E 4/64 Address: f? / 3 Tel e iYrce
City .IA. _1 ' State ��Zip Phone - Z r- Z l �
E -Mail or Fax # (Optional) f � - 7 C
Contractor Informattion: �� '' - �--�/ O
Company Na •- � �►, - Ta _ 1/ 7 ' ,m /� gent: . �4v /:i y l / Il .� ,.m.�.., ,,..,�.. •
r
Address: • / City State 1 Z ...
Office Phone Job Site / C• . - _,
State Certification/Registration # l �' N ti , _ „ <. _ qY
Architect Name & Phone # 1 (�`1 ' .
Engineer's Name & Phone # C1i11)1 l A1S ' • a ( `
Fee Simple Title Holder Name and Address StE PERMITS FOR ADDITIONAL F
Bonding Company Name and Address Mirlielt
Mortgage Lender Name and Address • 1 , / .: /
j h6
Application is hereby made to obtain a permit to do the work an, insta ataons as in' rcaled. -- 'c tiifir mar ' . '.. ."": "" . • " ' comma. o l ea
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This pe . ,V b >:l}14
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) monthf_r any time ajte
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, BP rs;• Henters
Tanks and Air Conditioners, etc. ' 0 ..vpdx.°w
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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be co �r, ied wit whether specified herein or not. The granting of a permit does not presume to gi e authority to violate or cancel the
provisions of any other fe kal, .1. or local law regulating construction or the performance of construction. `
i A 1IA f.
Signature of Owner ,I 1i►>i I ...ACM Signature of Contracto -' a�
/4 t AAP
Print Name C.Vvl l k"
A Print Name \ • .- —
Sworn to and subscribed before me Sworn to and subscribed before me
this Day of , 20 this Day of , 20
Notary Public Notary Public
Revised 01.26.10
, ifir, City of Atlantic Beach APPLICATION NUMBER
1� .\ Building Department
, ,� (To be assigned by the Building Department.)
t 800 Seminole Road ?Z
a Atlantic Beach, Florida 32233 -5445 G
Phone (904) 247 -5826 - Fax (904) 247 -5845
,,,, ,, $)11 19:- , E -mail: building- dept @coab.us Date routed: JA/A2..
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � 4 L' p Y /lJ Pro 7 � C 2)- mi. .ing ent review required Ye No
Applicant: (11p7'-4 (1/ i . . P lanning &Z Tree Administrator
Project: ./ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
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:
BUILDIN
PLANNING & ZONING /,
Reviewed by: / ( t r Date: 3-2 Z_
TREE ADMIN. Second Review: A
n pproved 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 07/27/10
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