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85 W 9th St 2012 siding 4T, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12- )0000898 Date 7/25/12 Property Address . . . . . . 85 V 9TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO E UPDATED -----Application-valuation . . . . --2109 Application desc siding --------------------------------------- ------------------------------------ OwnerContractor ------------------- ALVAREZ ANDRES THD THE HOME DEPOT AT-HOME 85 W 9TH STREET SERVICES ATLANTIC BEACH FL 32233 207 KELSEY LANE SUITE K " TAMPA FL 33619 (813) 402-3700 --------------------------------------- ------------------------------------ Permit SIDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2109 Expiration Date . . 1/21/13 --------------------------------------- ------------------------------------ Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL PAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --------------------------------------- ------------------------------------ Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STA E DBPR SURCHARGE 2 . 00 --------------------------------------- ------------------------------------- Fee summary Charged --- aid Credited Due ----------------- ---------- ------ ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 50 101 . 50 . 00 . 00 I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION # (03( -530q CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: Permit Number: Legal Description - -aS 4, l Parcel# - 'zy-Y luation of Work S o� Class of wont(circle olte)• New Addition v olition poll window/door Use of esti ro sa�ure(s,}[cmcle one . rc' de If as is a fire sprinkler system ?( oma): es�o N/A Florida Product Approval# rt 13 )q'• •a For multiple products use product approval form Describe in detail the type of work to be performed: t f 1 ` i Property Owner Information: r7i€ i FIL COPY -, Name:_ '-S A1 vh''e c�� Address: 4H--4S S�9 C✓�h State, Zip L 32-Phone ';.0�4 6 ,6 Z CP D - � ,,t. �,��:,, .M,.�.r• E-Mail or Fax#(Optional) Contractor Information: r i s � �39 t`"1 d ��_ . Company Name: r� Qua ifying Agent: )OIP �1 Address: City. State Zip Office Phone Job Site/Co State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# OF Al"LANTIC BEACH Fee Simple Title Holder Name and Address 5SEERMIT F Bonding Company Name and Address Mortgage Lender Name and Address !Oommencedprior to t issuance of a permit and that all work will be performed to meet the standards of all s regulating construction in this jurisdiction. This permit becomes n• and void f work is not commenced within six(6)months, or if construction or work' su ended or abandoned for a�eeriod of sixmonths at any time afi work is commenced I understand that separate permits must be secured for Work,PTit►nbing,Slgnsy Weft Pools,Furnaces Rollers,Heat Tanks andAh Cona�tioners,eta WARNMG TO OWNER: YOUR FAILU TO RECORD A NOTICE OF COMIVVII;N MAY RESULT IN YOUR YING TWICE FOR 110PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO TAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO RECORDING VO'Vi NOTICE OF COMMENCE NT. .1here certify that 1 have read and examined this plication and know the same to true and correct. All provisions of laws and ordinances governing 11 type o>Ywork wiU be complied with whether specifd herein or not. The granting ja permit does not presume to give authority to violate or cancel t provisions of any other federal,state, or local law regulating construction or the perf mance of construction. Signature of Owner Signature of Contractor 6 ftj a. 4e, � Print Name 4,jp R7E-5 Name �v Zt�- t _.._......_......_......... _..___.._.._.............._.... ._...................._....._.._..._._..... ��....__ � _........................... ...._._ Sworn to and subscribed before meom t and subscribed efore ibed bme this Day of 20 is of ")k,1�, 2.0 7� i Notary Public otaryftbKc ruunuuuu• wuuouu..n...nuuu• ,� RONALD ALLEN REEDY ,. Revised 01.26.10 uurr �� 1"V y `) i 1E„ ,,•�ao.a�;�, Comm#DD0847844 � Expires 12129!2012 ;- -�'r �� Florida Notary Assn.,Inc irykpp�� 1M � 1f allies bM�3ex ■....ef.i. � City of Atlantic Beach APPLICATION NUMBER Building Department le (To be assigned by the Buikfing oeparbmnp 800 Semir� Road 0 / 0 Atlantic Beech, Florida 32233-5445 2 Phone(904)247-5626 • Fax(904)247-5845 g E-mail: building-deptQcoab.us D�row: / 12- City web-site: http:/A~.coab.us w APPLICATION REVIEW A D TRACKING FORM f r� 4 Property Address: S�ej` Department review required YW No D � wld'n Applicant: �--I�6 m 6 anning&Zoning _T Tree Administrator Project: Public Works Public Utilities Public Safety r Fire Services Other Agency Review or Permit Required R eview or Receipt Dab of Permlit verified B Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Amey Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed ' by: Date: TREE ADMIN. Second Review• . [-]Denied.DApproved as nevi PUBLIC WORKS Comments: I PUBLIC UTILITIES i PUBLIC SAFETY Reviewed f y: Dom: FIRE SERVICES Third Review: []Approved as revi4d. ❑Denied. Comments: k i F Reviewed Date: Revised 07/27/10