Loading...
Permit Summer kitchen 372 5th St 2012 �` \? CITY OF ATLANTI C BEACH A v ►� k r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 JI3L' Application Number 12- 00000404 Date 4/23/12 Property Address 372 5TH ST Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 Application desc SUMMER KITCHEN Owner Contractor SCOTT BRIAN AND KAY ELITE HOMES INC. 2078 BEACH AVE 357 12TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 349 -2803 - -- Structure Information 000 000 SUMMER KITCHEN Construction Type . . . . . TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ALT /OTHER Additional desc . SUMMER KITCHEN NEW Permit Fee . . . 69.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 1000 Expiration Date . 10/20/12 Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE Other Fees BD PLAN REV. 2ND SUBMITAL 50.00 STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 69.00 69.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 54.00 54.00 .00 .00 Grand Total 123.00 123.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. IAN'a City of Atlantic Beach Building Department APPLICATION NUMBER i 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 7 G r.. » E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: r� / r Department review required Yes No �ui .'.. Applicant: /i T t //2 m S - tanning & Zoni � �- ree i�dministrator Project: { /72/21 ,� F i r eA6 Cpublic Works, _ u is Utilit ei s � Public Safety Fire Services _> to r .:'t :. :� enter^ "' : '�t�.. -1 o ra¢ F ., K J'm., ,r. 3:[• 7 S �' �'�' P C9K Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: BUILDING P NNING & ZONIN / Reviewed by: Date: 1 /0 /t TREE ADMIN. Second Review: []Approved 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 07127/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 4 .s. , 800 Seminole Road, Atlantic Beach, FL 32233 C tJ te Office (904) 247 -5826 Fax (904) 247 -5845 -4P i U U 0 ':; It Job Address: 5/ 2 x . '7( y Permit Number" Legal Description y/ut_ (A) Floor Area of Sq.Ft Parcel # Sq.Ft ` � Valuation of Work $ o15N,.Q Pelti, t t- • Proposed Work heated /cooled /' n - heated /cooled Zoo --1-7 _ ii-30/0 Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial e�s , If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No Florida Product Approval # fr1 1V / For multiple products use profit approval form Describe in detail the type of work to be performed: , v,,,,, - ci /e / j Property Owner Information: Named � f74 . , - Address: � 7 7/ & . „4 City 4✓ c iQ Staten— Zip 3 3 3Phone ft 3A--goo‘ E -Mail or Fax # (Optional) Contractor Information: Company Name: �7 k /- es , vim Qualifying Agent: C Z,,,,,&,- Address: '.57 J Z.•4 S/; City Afte6, -4c tic State f - Zip 3 Office Phone 31(T Job Site/ Contact Number 3'15 - Z&o3 Fax # L /- State Certification/Registration # (.& (3 S 5' (1. 97Y� Architect Name & Phone # {A./ 6.. 07 - 2 t Engineer's Name & Phone #‹ Fee Simple Title Holder Name and Address r ;q,,.) .s�.tr Bonding Company Name and Address Mortgage Lender Name and Address y,¢ issuance permit hereby nd that all obtain ok will bezperfo the ed work and installations as meet the standards of all laws on on in this jurisdiction. This permit be omes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six 6) months at any tune after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, 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. 1 hereby certify that 1 have read a examined tlyis application and know the sanze to be true and correct. All provisions of laws and ordinances governing this type of work' will be complied wit �7 :-they s eci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal. st �.,ocal law regulating construction or the performance of construction. Signature of Owner � S ignature of Contracto ,,� ✓ Print Name t2` 5CO Print Name Sworn • an • subscrib • • - ore me 1 Swo this `� Da, . ,�� ,L 201f L, this �tsubscribed . -f, e me � _` _. , Day of ��or, 20 �— SHIRLEY L GRAHAM # No7iy IC �* t r. 1,11 ' ••, 1 • � � "", a t XPiRCS: February 14, 2014 otary P , " p ` ° • ' :qF F g` 9 mded Thru Notary Public Underwriters z 41'Y* v MY.-m» SSION # EE 057349 r Th � t R , Eri Y 21 4 1.26. 10 LAN y Bu il din of g D Atlantic artment Beach APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Dep artment.) Atlantic Beach, Florida 32233 -5445 } Phone (904) 247 -5826 • Fax (904) 247 -5845 / �� A !), E -mail: building- dept @coab.us City web site: http: / /www.coab.us Date routed: ir APPLICATION REVIEW AND TRACKING FORM Property Address: c.2 7Z 4 -'77t $r D partm nt review required Yes J � q No Applicant: D /77c s fanning & Zoni /2/ i fministrator Project: c.4 m / ,�? ren 7) Public Wor u is Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: �'I n Date: 4 e -- /O - 12.- TREE ADMIN. Second Review: ['Approved 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 t_ Office (904) 247 -5826 Fax (904) 247 -5845 Ap 1 J Job Address: y 0 - h. I '12 % c c Permit Number / 02 - D 7 Legal Description ra Floor Area of Sq.Ft Parcel # S Ft X' Valuation of Work $ r wok Perm, Proposed Work heated /cooled n - heated /cooled Zov _ I ( -38/© Class of Work (circle one): Ne ) Addition Alteration Repair Move Demolition pool /spa window /door Use of existing/proposed structure(s) � - (circle one): Commercial l' If an existing strucure, is a fire sprinkler system installed? (Circle one): Yes No Florida Product Approval # ,4/74 For multiple products use product approval form Describe in detail the type of work to be performed: A , ,,,,,,, 4 __. k c -4,,) Property Owner Information: Name: f i 5 � - City _ Address: ,���i L)�a, "47,-(C E -Mail or Fax # (Optional) Stat L Z ip 3 2 3Phone �dt { - ��� -8006 1 Contractor Information: Company Name: � � '{e //,, jj Address: , '357 � Z.. "4 es c_ Qualifying Agent: C�i G. /� e��,, Office Phone 1 (T -Z 3 Job Site/ Contact Number ., ity 3 '/ y 3 , State 1 Zip 32 -2-33 State Certification/Registration # �.8C (� 5 7 t '9v S`' Fax # Ldf / - 97Y� Architect Name & Phone # Engineer's Name & Phone # - " " Fee Simple Title Holder Name and Address ' r ;,4,,) • • , III Bonding Company Name and Address i M Mortgage Lender Name and Address _ Application is hereby made to obtain a permit to do the work and installations as indicated 1 cert fy that no work or 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 of six (6) months at any time after work is commenced Air Conditioners, C ed. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, We / /s, Pools, Furnaces, Boilers, Healers, Tanks aconditioners, 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. l hereby certify that 1 have read an! examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied wit i -ther 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. st, ,r: ocal law regulating construction or the performance of construction. Signature of Owner Rik �- !� Signature of Contracto rL ;% ( � ---� 2 . Print Name cC ' `.c Print Name Sworn • an 20 / subscrib-.� ore me SW01 this Da, .f J��.AWL- 22- gbscribed . f• e me 20 4 - ■ e...,, this Day of ,r k 49 .. i � � SHRLEY L. GRAHAM (r� Not fy ' b is '"a :.. aa . 2-447 e! 1�e.6re -- — -- j � r . t:XPiREs: February 14, 2014 Notary P °' a 7, :' , v ∎EP r!•nded Thru Notary P WO ' v . M Yy # EE 057349 - � mow soa e E xp1R MB f ' 1.26.10 q 0