337 7th St 2012 - Siding Permit ,�� ) iel
IA CITY OF ATLANTIC BEACH
.S 800 SEMINOLE ROAD
j Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
'''-art L
Application Number . . . . . 12- 00000356 Date 4/05/12
Property Address 337 7TH ST
Application type description SIDING PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 3500
Application desc
siding
Owner Contractor
CATRETT, MICHAEL PHILLIPS BUILDERS LLC
337 7TH STREET 1250 SELVA MARINA CIRCLE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 349 -2999
Permit SIDING PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . 35.00
Issue Date . . . Valuation . . . . 3500
Expiration Date . 10/02/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL 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 70.00 70.00 .00 .00
Plan Check Total 35.00 35.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 109.00 109.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r (To sL..as .- City of Atlantic Beach APPLICATION NUMBER
1 � . t, Building Department
be assigned by the Building Department.)
�
800 Phone Seminole
247 Road 5826 7 — 3
v `� Atlantic Beach, Florida 32233 -5445 Fax (904) 247 5845
G J;i o E -mail: building- dept @coab.us Date routed: 29 Z
4
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property ddress: 3 3
7 p sr Department review required Yes No
Ciuilding v
Applican : P � //1 -s '''t4 / 164 f-Vid n &i Zo
Tree Administrator
Project: S 6 / Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ ' ° ,, µ `"bee t Cigna t a re
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: El4proved. ❑Denied.
(Circle one.) Comments: /2 A /
(
PLANNING & ZONING Reviewed by: / " Date: 3 ^ y 1 Z
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied.
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
1 BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 3 7 7724 'I- Permit Number: / 35
Legal Description Parcel #
oor A ea o q. t. q• t
Valuation of Work $ if 0 • Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration ' epair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercia Residential
If an existing structure, is a fire sprinkler system i talled? (Circle one): Yes No N /A
Florida Product Approval fir- T
For multiple products use product approval form
Describe in detail the type of work to be performed: S7 /7497- � . Leif
T/ // 2,, 1 wr
Property Owner Information:
Name: e % it ir Add 3; 7 Iii 4-
City State F - 2Z hone
E -Mail or Fax # (Optional) 1
Contractor Information:
Company Name: , ?1 //i s 5 W' t /cii4.5 Qualifying gent: �� J /i ip 5
Address: /2- . p _ k v ,� r 7i&' _ E--- City State F( Zip 32Z.3
Office Phone - — - -_; #
State Certification/Registration # „ !: ty y x ; ; _ f r o a ' ry
Architect Name & Phone # ,�„
Engineer's Name & Phone # 1 i a�� -� i A -1 ►f 1i;[�;i �/ �y �
Fee Simple Title Holder Name and Addr. _ ,, ' ' ' `
Bonding Company Name and Address - � ' Itillarliliffil
Mortgage Lender Name and Address . ,l;7��/iz;'/v�7;1•�/� MO" Zip,
Application is hereby made to obtain a permit to do the work an' insta at as in'tca es. ' ui „u ivy, installation has commenced prior to the
issuance ofa 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 . work understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNING T() 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 l have read and examined this application and know the sane to be true and correct. All provisions of laws and ordinances governing this
type of work will be conzplied with whether sseci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner Signatureoof Contractor
Print Name P t r --'
Sworn to and subscribed before 1 Sworn to .ii s sit ibed before me
, 2 this
this Day of
t f
, y , 20
Notary Public Notary Public
Revised 01.26.10