Permit Res Alt resurface balcony 298 Pine St 2012 jo
�' \y SA CITY OF ATLANTIC BEACH 04 01
800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
, '" INSPECTION PHONE LINE 247 -5814
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Application Number 12- 00000905 Date 7/20/12
Property Address 298 PINE ST
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 1900
Application desc
remove tile and resurface balcony
Owner Contractor
MCCAW KELLY M NELIGAN CONSTRUCTION (BLDG)
298 PINE STREET PO BOX 49249
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 270 -0067
- -- Structure Information 000 000 RESURFACE BALCONY
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1900
Expiration Date . 1/16/13
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.
4T ^ r` .�y� City of Atlantic Beach APPLICATION NUMBER
yyf Building Department (To be assigned by the Building Department.)
800 Seminole Road
n /�
. .z.' Atlantic Beach, Florida 32233 -5445
Phone (9 247 -5828 Fax (904) 247 -5845
� ;� E-mail: b uiidin g -deptOcoebus Date routed: 7 �O Z-
C' web -site: alwww.coeb.us
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APPLICATION REVIEW AND TRACKING FORM
Property Address: c' 9 8 -- 1 ' - = nt review required Yes /No
`"71S/,'"ft-r) Building 1/
Applicant: f d7 )-k ,, 10) ' anrnng & Zoning
� Project: Q I' � % !/z N// Public Works
Public Utilities
Ace. hi- /only Public Safety
t J Fire Services
' 3
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: I,Epproved. ['Denied.
(Circle one.) Comments:
BUILDI ► -
PLANNING & ZONING
Reviewed by: i Date: 7`7 Z
TREE ADMIN. Second Review: ['Approved as revised. ['De ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07127110
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 C if) ! , Man AG f t L Permit Number. l) — 76
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ C I(Y) . 0b Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration 41ei air Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial esid
If an existing struc is a fire spnnkklleer system installed? (Circle one): o N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Rfrnb'Je - \ -1 0-e... -\y k •pp‘" O a .
Property Owner Information:
Name: LLB file,C4tki Address: ? J CI
City _ � rijc nr(, L (1 i State PL Zip 3` j Phone a ( 3(- ; "- 35/
E -Mail or Fax # (Optional) Ka m l: f AW f ( reel') ' .
Contractor Information:
Company Name: /v t' i t7 ('/)SIr atICom. -. A i <,1 i• Qualif Agent: c+�n e'1/C�.o
Address: 7 . /aL'k C ity , /'+v '.4' , ti Zip State - Zi 3 ' 4 1 , h
Office Phone 'c'- � '$3 '47/5 - - - .....:1 ' , JGo — r „ Fax # 3'7D - /3-/
State Certification/Registration # . ti' _ . �� i
Architect Name & Phone # 1 P 91 a11UJ Il DIEM i ,
Engineer's Name & Phone # 1 ` F A , ■ _ - 11
Fee Simple Title Holder Name and Ad • I SFF PERMITS FOR ADDITinNAL FILE C
Bonding Company Name and Address ' REQUIREMENTS AND CO _ I fir �L;
Mortgage Lender Name and Address I 1 " - --R- ,
..
tt .:�.:G:' •'. , eo
c s��llr DATE:, •
...., .�.... z
Application is hereby made to obtain a permit to ,: -• ... �_.....,...._..__ :_ .. . • ... •
; prior to the
issuance of a permit and that all work will be ormed to meet the standards"' all laws regu • c •- • . rr , • ' � urstallation has commenced jurisdiction. This permit becomes null
and void f work is not commenced within six (6) months, or if construction or work is d or abandoned for gper:0d of sixl6) months at any time after
work is commenced I understand that separate permits must be secured for Eleclr Plumbing, g, , Wells, Pads, Furnaces, Bo He
Tanks and Air Cif 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 WITB
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that I have read and examined this 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 spec herein or not The granting of a permit does na presume to gyve au • - to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner 4 0 . 1 1 lll ■ Si of Contracto 1111 v Signature
Print ��= c
nt Name c � Print Name 1') M'1 /lb l 1 d : Chi^ /L
Sworn to and subscribed before me Sworn to and sub « il>ed.befot e U (/1 Y / 0 /0/.-
this /7 Day of, T
,LY . 20/0 this /1 Day of MO Ill
Y, �' ��.� 3 ' 1. — t s. _ a i iti, !! "°qry PubNc $e* o Florida • Notary Public .4-... ' SHERRI L. STEPP rotary ' -, 7/!---‘717 •
/ Commission 0 EE 2039* '
`` y Public - State of Florida c„ ..' ° t ceded i I y Assn. � ' • My Comm. Expires May 31, 2016 — — li
Commfafoa 0 EE 203994
/�` • 949019 TIM. National Notary bsn.