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28 17th St 2012 handrail deck repair SS� CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 4 Application Number . . . . . 12-00001070 Date 8/20/12 Property Address . . . . . . 28 17TH ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO EE UPDATED -----Application-valuation- . . . . 2000 ------------------------------------------------- Application desc repair fascia, handrail, deck --------------------------------------- ------------------------------------ E Owner Contractor ------------------------ ------------------------ GAY CATHY DUSTIN MATHIEU BROWN INC 28 17TH ST E 15899 SHELLCRACKER RD ATLANTIC BEACH FL 322335810 JACKSONVILLE FL 32226 (904) 813-3661 --- Structure Information 000 000 FASCIA HANDRAIL REPAIRS Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------- ------------------------------------ Permit . . . . . . RESIDENTIAL AT/OTHER Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 2/16/13 --------------------------------------- ------------------------------------ Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL EAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --------------------------------------- ------------------------------------ Other Fees STA E DCA SURCHARGE 2 . 00 STA E DBPR SURCHARGE 2 . 00 ----------------------------------------I------------------------------------ Fee summary Charged laid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 160 . 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 E PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFA rLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 FILE C Office (904) 247-5826 Fax (904)247-5845 Job Address: 28 17th Street Atlantic Beach Florida 32233 Permit Number: l2— l070 Legal Description Ocean Grove Unit No 1 S/D Pt Lot 7 Parcel# 169590-0010 Floor Area of q. t. i Sq.Ft Valuation of Work$ 2,000.00 Proposed Work heated/cooled 0 non-heated/cooled Class of Work(circle one): New Addition AlterationRe it Move Demolition pool/spa window/door Use of existing/pro osed structure(s)(circle one): Commercial esidenti If an existing structure,is a fire sprinkler system installed?(Circleone): es No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed:l �S e_� r `I�SG��ta�'10l raa� Aec._ A)d ler cla /- `l air le`i6 rn ai�I Property Owner Information: afeti c6(e,c-e aCceSs �xiSfi�yorEe�w ��w Col��ea( E Name: Cathy Gay Address: 28 17th Street City Atlantic Beach State FL Zip 32233 Phon 703-850-3927 E-Mail or Fax#(Optional) Contractor Information: Company Name- 0u5741� 1*71�/eu, /g/'dlJ�l,l✓1L Qual Eying A ent: �e,S1 Address: 177e- �Cea�l ��/�- r City Rllet jc G� State FL Zip 32,z– Office Phone 904-813-3661 Job Site/Contact Numb u4-813-3661 Fax# State Certification/Registration# Architect Name&Phone# Ye Sc>/1 Engineer's Name&Phone# OF ATLANTIC BEACH Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITI Bonding Company Name and Address NCS AND CONDITIONS. Mortgage Lender Name and Address MA F Application is hereby made to obtain a permit to do the work and insta a s nced prior to the issuance of a permit and that all work wrll be performed to meet the standards of all da s regulating construction in this juris action. :is permit becomes null and void if work is not commenced within six(6)months, or of construction or work as uspended or abandoned for a_period of six 16)months at any time after work is commenced. !understand that separate permits must be secured for Elect at Work,Plumbing,Signs, Wells,Pools, urnaces, Boilers, Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILU TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOf E RECORDING YOUR NOTICE OF COMMENCEP IENT. I hereby certify that I have read and examined this application and know the same to b true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether specified herein or not. The granting a permit does not presume to give authority to violate or cancel the provisions of any other feder , tate, o ocal l regulating construction or the perfo mance of construction. 6 Signature of Own- r Signature of Contractor. _ PrintName ............................................................................... Pfint Name Sworn to and subscQc�''abed be re me Savo and s scribed eke me this Day of Ul l�A u.Dt ,20 �- Day �S l�/Lc 5 7— .20 .172 - i City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Std*g D ) 800 Seminole Road ABanbc Bead,,Florida 32233-5445 /Z - /O 70 Phone(904)247-5826 - Fax(904)247-5845 E-mail: buikling-dept@coab.us Daft : / /Z. City web-sib: MlpJlwww.eoab.ug APPLICATION REVIEW AI D TRACKING FORM Property Address: c;�JQWrMnnt review required Yes No �/ uikiing Applicant —,LDST7-7, a y-A f,Gt.s i'a n Planning&Zoning Tree Administrator Project: Cv / �r`� t: ��C s Public works �� /9+ S Public Utilities Public Safety Fire Services OtltetR view or Receipt Agency Review or Permit Required of F ermit Verified B Dab Florida Dept.of Environmental Protection Florida Dept of Traraport"m St Johns River Water Management Di&id Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STJkTUS Reviewing Department First Review: 034roved. ❑Denied. (Circle one.) Comments: :'LD'N G PLANNING&ZONING Reviewed P71 q Dom: Q TREE ADMIN. Second Review: QApproved as nevi ODeni . PUBLIC WORKS Comments: z PUBLIC UTILITIES F t PUBLIC SAFETY Reviewed b :_ Date: FIRE SERVICES Third Review: QApproved as revi . ❑Denied. Comments: Reviewed b Date: f Revisod mmrio