Permit Porch Addition 1116 Linkside Dr 2012 77 ,..-- -
6 OW „ '� , CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
\\\„,,,,..
Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000361 Date 5/08/12
Property Address 1116 LINKSIDE DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 25400
Application desc
INCREASE SIZE EXISTING SCREENED PORCH
Owner Contractor
WHEELER JAMES D FISETTE CONSTRUCTION & REMODEL
1116 LINKSIDE DR 2336 PINE ISLAND COURT
ATLANTIC BEACH FL 322334387 JACKSONVILLE FL 32224
(904) 992 -4782
- -- Structure Information 000 000 ENLARGE EXISTING SCREENED PORCH
Occupancy Type RESIDENTIAL
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . ISLAND ELECTRIC OF THE FIRST C
Permit Fee . . . 58.60 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/04/12
Special Notes and Comments
Full right -of -way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Contact Public Works (247 -5834) for Erosion and Sediment
Control Inspection prior to start of construction.
Paver driveway must be constructed in conjunction with this
project.
Full right -of -way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Contact Public Works (247 -5834) for Erosion and Sediment
Control Inspection prior to start of construction.
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
PERMIT APPROVED' ONLYIN ACCORDANCE WITH Al L T'T Y GrATLANTIC BEACH 01MINANCa AND THE FLORIDA
BUILDINESummary Charged Paid Credited Due
t !.a.vlr
4 \ `> CITY OF ATLANTIC BEACH
]. ' " f as S l). iii 800 SEMINOLE ROAD
t..)-4''':'M . z ,,; ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Page 2
Application Number . . . . . 12- 00000361 Date 5/08/12
Permit Fee Total 58.60 58.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 62.60 62.60 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: / / 6 1_1 N K S /At L . PERMIT # 1 Z -- 3/
JEA INFORMATION REQUIRED ON ALL PERMITS Z°° AMPS 1 'x/ O VOLTS / PHASE
VALUE OF WORK $ 1/1I ° ' a tP
NEW SERVICE ❑ Overhead n Underground ❑i Underground up Pole
❑Residential (Main) Service
❑ 0 - 100 amps ❑ 101 150amps ❑ 151 200amps ❑ amps # of Meters
.J Commercial (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑ CT Service amps
Conductor Type Size
❑ Multi - Family (Main) Service
❑O - 100 amps ❑ 101 150amps ❑ 151 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps ❑ CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD - OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 3 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 3
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑ Other: EP/1)Q ,Fx, S T J lJ & Qofzc: H
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. /
Property Owners Name V QI S t1) /4E/-E Phone Number
Electrical Company 1 S LA ►') fl t- Tle-1L Office Phone 2 `1'O - 7° r Fax ``(( S z lAi
Co. Address: 6 5 Atli. )J: City JOX. ge t') • State F4 Zip S'z
License Holder (Print): JbIA N So N E3 . 16 State Certification/Registration # a / /?L(5
Notarized Signature of License Holder ' • I - .
• ,, ,v ;Pl;% SHIRLEY L GRAHAM
_ 4 - MY CO - V-_ t or y m nd subscribed b: 'ore ' e this (✓' i ay o ,l/ 20 /
"' EXPIRES: February 14, 2014
IF d` Bonded ThruNotay Public S ;5 eof Notary P *lie 4 ,- ! _
alh
"f.. CITY OF ATLANTIC BEACH
"` ;'' ` ) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
�J11 9.
Application Number 12- 00000361 Date 4/23/12
Property Address 1116 LINKSIDE DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 25400
Application desc
INCREASE SIZE EXISTING SCREENED PORCH
Owner Contractor
WHEELER JAMES D FISETTE CONSTRUCTION & REMODEL
1116 LINKSIDE DR 2336 PINE ISLAND COURT
ATLANTIC BEACH FL 322334387 JACKSONVILLE FL 32224
(904) 992 -4782
- -- Structure Information 000 000 ENLARGE EXISTING SCREENED PORCH
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ADDITION
Additional desc . PORCH ADDITION
Permit Fee 180.00 Plan Check Fee . . 90.00
Issue Date . . . Valuation . . . . 25400
Expiration Date . 10/20/12
Special Notes and Comments
Full right -of -way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Contact Public Works (247 -5834) for Erosion and Sediment
Control Inspection prior to start of construction.
Paver driveway must be constructed in conjunction with this
project.
Full right -of -way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Contact Public Works (247 -5834) for Erosion and Sediment
Control Inspection prior to start of construction.
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.70
ENG REV BLDG MOD OR ROW 50.00
STATE DBPR SURCHARGE 2.70
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORD NC AND THE ORIDA
BUILDINe )E .ummary Charged Paid Cre ite D ue
rt
rL � J r f rl
�' CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
j ,• , ; r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814 •
lOi3l'
Page 2
Application Number . . . . . 12- 00000361 Date 4/23/12
Permit Fee Total 180.00 180.00 .00 .00
Plan Check Total 90.00 90.00 .00 .00
Other Fee Total 55.40 55.40 .00 .00
Grand Total 325.40 325.40 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
� ; /LAn City of Atlantic Beach APPLICATION NUMBER
0 _ Budding Department - � (To be assigned by the Building Department.)
A 800 Seminole Road /Z
Atlantic Beach, Florida 32233 -5445 MAC a u .u� .
" far
Phone (904) 247 -5826 Fax (904) 247-58g5 2 9 / /2_ Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
bi- D t review required Yes No
Property Address: ��/ � i � /C � / ,C� f
uildin
Applicant: 9 anning & Zoning
JAd.rninistrator
Project: / 7)Crif1fe 2 g Xl S h r c Work
(Public Utilities)
4 L I C"1 - ?e Pu is Sa et;
Fire Services
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: QApproved. XDenied.
(Circle one.) Comments:
BUILDING �1l
PLANNING & ZONING Reviewed by: Date: ?.�°'�r
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS C ent C - yy4)
� _ �G � )1/4/ AINsT e L C Q r., s?7zrc , ?'C.P
PUBLIC UTILITIES
' CO w�,.NCTIoN (N) f `la- f r 'Ai) � , / Z
PUBLIC SAFETY Reviewed by: -�2 Date: 74/1
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
t .An City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /2 - & /
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
E -mail: building- dept @coab.us Date routed: /� / /
City web -site: http: / /www.coab.us JJ
APPLICATION REVIEW AND TRACKING FORM
/// Gj L K / D- • - - t review required Ye No
Property Address: � � 5 i �
.- uildin •,
Applicant: /15 , �. ' anning & Zoning)
re- Administrator
Project: �7� �Z X15 h ri2 ublic Works.,
Public Utilities
aC'l - f� 7f4 "ie Pu. -ety
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: Q pproved. ['Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: Date: 41— /O iZ
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
s =n City of Atlantic Beach APPLICATION NUMBER
A " Building Department (To be assigned by the Building Department.)
800 Seminole Road /2 .-
Atlantic Beach, Florida 32233-5445
Phone (904) 247 -5826 - Fax (904) 247 -5845
" c r l i � E -mail: building- dept @coab.us Date routed: 1/Z 'V/ 2_
City web site: http://www.coab.us
oab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /// : ' 2/ /-) Ai Af.' /i» D- . - - •• - t review required Yes No
/ :uildin, __ _
Applicant: 7-/-:91A, ( anning & Zoning
r
u e e AM.[ninistrator
Project: J 27ert f/ Z f L XI .5 h /) blic Work
C' Utilities
l' 1 f' /1 f 4?O4'di) Punt
Fire Services
00:69:41"n i x . I t F .' 4 L `.�a+hr1. 44 :. )F..!.`" °' tZ ' „.,sa''"`.." t,::a
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:
APP ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
B DI
PL • NING & ZONI ► - Reviewed by: . ����� -
Date
TREE ADMIN. Second Review: Approved as revised. DDenied.
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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 1 L ;0145 ;ch Dr /v4, l vt4C baci. , • Permit Number:
Legal Description 1,04 . �PJtkl.(-:vsk5ic,P (�wi -j- �-.6 • Z # •
Floor Area of Sq.Ft. Sq.Ft J
Valuation of Work $ ( L/7 vv Proposed Work heated /cooled non - heated /cooled 9.10 0
i /
Class of Work (circle one): co Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed structures) (circle one): Commercial Residents
i
If an existing structure, is a fire sprinkler system installed? Circle one : es No N /A
Florida Product Approval # Sift► e5 ! R • iOi - 1.1 j 1 : G. J3857
For multiple products use prodict approval form
Describe in detail the type of work to be performed: /t w + O V2 SGY? P l b, x; Irl of Iv
SeA/P.ev1C� PO .(j . a�) j , r . 11 t x a.1 1 C,prv►�i nal IcI.P.W )
Property Owner Information: e
Name: r ♦ ' ' Address: ` lit, �iii 4_ Dein,
City t t�a nir . State Wip 3 1.9. Phone
E -Mail or Fax # (Optional) 1
Contractor Informmation:
Company Name: t'► (� M j it CD . Quahi�m . g Agent:
Add ess• �0 lq � City .lkJ5'a Ar State Kt. Zip 3ZZSb
Office Phone Z - 030 9 Job Site/ Contact Number sq /- p( Fax # 246- 8
State Certification/Registration #C,GC is /ell
Architect Name & Phone # 1 v►n/ ; I! 4, CA , 1 A
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. I 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 (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, 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.
/ 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 with 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. state, or local law regulating construction or the performance of construction.
y
Si nature of Owner t ,,�/ il_, � ' - (7 _ ` - Si a ture o f Co nt ractor IPA g I
Print Name V i L. ({ r (_.�- �-(. �� t r:" e_ (e' ✓ Print Name 1 i 1 .
Sworn to and subscribed before me Sworn tQ_and subs ribed before me
this „� i Day of t 'YL(C -1 , 20 I this , d Day of 1 67- '- - v 1 C-- 1- N , 20
N. ary ub h. ~ . _,P,►�, p.a., N ota �ubliq p NDY FUCHS
�� ; Notary Public - State of Florida a i ,f , ,,
.� • = My Comm. Expires Dec 8, 2014 ;:° , Notary Public - State of Florida
• My Com&& t,5 dUQd 82iolU �
4
o; Commission # EE 47966 - A 11 , • Y;
,.� ' °,• Commission # EE 47966
'.4 „( ;,a•` Bonded Through Nationa N o t a ry Assn. 1 ' - ,; rF
°'''''' ` Bonded Through National Notary Assn.
S�a,9 City of Atlantic Beach APPLICATION NUMBER
s � .* Bu Department CE���� (To be assigned by the Building Department.)
800 Seminole Road
r Z _ (.tom ' /
� y Atlantic Beach, Florida 32233 -5445 �� 2012 /
Phone (904) 247 -5826 - Fax (904) 247 -5845
r �oa 1!J/ ' Date routed: �� -
/�
� E-mail: Email: building-dept@coab.us
/ coab.us
p
City web site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / � ' L/ /7 / 'C _" A6 LJ /J D t review required Yes No
uildin _ _ _
Applicant: 149 2 . Manning & Zoning)
ire .Administrator
Project: / ?7Orefi f.• - f 'XI . S h I i2 Olio Worms
c c:Public Utilities
C-, j . /1 4 ? ti ' dJ ) 1-51-11, . is Safety
Fire Services
#p�y���r I' .� ' .N � F' - Y.t �'� k . g �P' i ��� }y yr { � nr qy ti" °h ' �
' `:00:4' ' 3C. ...f . jb .,t
7 ® �� '.:7 �(.,e.. � S
e t :..a,.^}u
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:
BUILDING ,/
PLANNING & ZONING Reviewed by: Date: 0 2- / 2----
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
P4 ' ORKS / •mments:
Air 0 : ILITI
PUB 7 IC A ETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 1 11(o 1.,;01"6;aZ Dr i ,Aavrik 1 ad% (4 . Permit Number: / - 36 /
Legal Description L,o-f 2. .10110. -%4-5; u +,1 .6e�[.L 23 � Z a rce1 #
Floor A rea of Sq.Ft. f Sq.Ft
Valuation of Work $ ,5 1400. vlf Proposed Work heated /cooled non - heated /cooled ? ID 0
Class of Work (circle one): 4120 Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residents
If an existing structure, is a fire sprinkler system installed? Circle one : es N /A
Florida Product Approval # S� FL . tG1 q,1 pit: FL. /3857
For multiple products use pro ct approval form
Describe in detail the type of work �� to be performed: ce,yv�Q el SrXpt?,,1e� Ppt/� [ ,1 .t; a ot �
. 1 ' / p . P / v i 2 d R0✓c11. U, 0 9-1 (C 6nerl n I&)
Property Owner Information:
Name: ♦ IA' Address: ` j f te 1,44e5A, brit/P,
City AIMIIIMIL State LZip 31.9, Phone
E -Mail or Fax # (Optional)
Contractor Informmation: /�
Company Name: R5G+ ( ut
c o 4 4oto ,-► �r� Cp Co . Quali ing Agent: • .. ,y
Address: to Iq S4-i.e., - try J City _ WI. State )C,. Zip 32ZS`b
Office Phone `LAG- 030 9 Job Site/ Contact Number 611— 0(004, Fax # pig,- 8
State Certification/Registration # 1 18 •
Architect Name & Phone # 1 Nni ; : , M,F'LIZ 2 i 0
Engineer's Name & Phone # ca
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. I 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 aperzod of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
Tanks and Air Conditioners, eta
•
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.
/ hereby certify, that I have read and examined this a placation 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 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, state, or local law regulating construction or the performance of construction.
Signature of Owner 7 /lam V V / / Signature of Contractor / of
Print Name t c-{ I ( wk., e e (f ,-- 1
Print Name .112u3 k,1 1 P � _
Sworn tQ and subscribed before me Sworn t and subs ribed before me
this d I Day of n' ki - , 20 1 . this �Day of C , 20 ) 'a
,, , ^ wENBV FUCMS ♦ .. I .
N ary - i �`4 z.�,'' Nota ubli y
:: q �aY p � NDY FUCHS My CommExpirs Dec 8 2014 � 1 ; , : Notar Public State of Florida Commission # EE 47966 •1 •E My ComReEKOMlDRd 826ol4 )
% � "°�'• Bonded Through National Notary Assn. ( I - :, ��� p Commission # EE 47966
.,,,,,� Bon 9 ' I ��'•'''' ; ; ° Bonded Through National Notary Assn. 0
MAP SHOWING BOUNDA R Y SURVEY OF
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2012 -04 -03 08:00 Building Dept. 247 5845 » 904 246 8038 P 1/1
.,:l'Ai , CITY OF ATLANTIC BEACH
,, ,,, Building Department
i 800 Seminole Road
Atlantic Beach, Florida 32233
,t r" r ^.. (904) 247 -5800
PLAN REVIEW COMMENTS
Permit Application # /. - 3 6 /
Property Address: / b L % 4 �- ,Salt Dr- i v4— / )7Q
Applicant: i s e 6:>#1 S T ryc Y (% n 4e RV' M pple / Hi CO
Project: FPrmove -- - ex;s A /i✓ , »J.., 5'crern ?or'r/ , 6,/,lel rAC,.
5c r Pi.7 Pore', , / ray, /7 'xi.? /'
This permit application has been: k N
❑ Approved
❑ Reviewed and the following items need attention:
o 5/7 r ' e is ' /Y , 4-1P G• 4:74 pc Y1 i "il A....
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Please re- submit your application when these items have been completed.
Reviewed 13y: 07 )., Date: 4,-2'12