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1890 Beachside Ct 2012 stucco ` 3 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ' INSPECTION PHONE LINE 247-5814 s'r JJ3 Application Number . . . . . 12-00001111 Date 8/24/12 Property Address . . . . . . 1890 BEACHSIDE CT Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 6500 ---------------------------------------------------------------------------- Application desc STUCCO REPAIRS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SMITH THOMAS S AND SARA ANN RICHARD BELL BLDG CONTRACTOR HOLLOWAY-SMITH 1952 BEACHSIDE COURT 1890 BEACHSIDE CT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 322335954 (904) 249-0131 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . STUCCO REPAIR Permit Fee . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6500 Expiration Date . . 2/20/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 89 . 00 89 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A YLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT PPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlant c Beach, FL 32233 Office(904) 247-5826 lax(904) 247-5845 Job Address: 1$10 61C, Permit Number: Legal Description L-o-T ( (31,ocx I Ge44 rft A1Z4WrX1.sWA Parcel# a, Floor ea o q. t. _7q-TT Valuation of Work$ 6500 Proposed Work heats /cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Re air Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercialelide . If an existing structure,is a fire sprinkler system installed? (Circleone): es o N/A Florida Product Approval # For multiple products use product approve-FY-5-7m Describe in detail the type of work to be performed: SSU C. 0 Property Owner Information: Name: 5 . 51'1'1 t T Address: 66AC A -6 pl~ GT, City 4 L State-(%Zip 3ZZ3r3 Phone -71 G) $Cab Z- E-Mail or Fax# (Optional) Contractor Information: /fJ Company Name:-R j&,.gAkD &,A` &ALDI u(L Co ual fying Agent: ONIC -Ftfl-•D r EU— Address: h�CSZ- �✓e,�t.,c,1- Gr_ City 7 State. 4c�t_ Zip 53 Office Phone�2#j a o 131 Job Site/Contact Number 04- &10-4, Fax-# State Certification/Registration# 2 Architect Name&Phone# 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 cert that no work or installation has commenced prior to the issuance of a permit and that all work wtll be performed to meet the standards of all la s regulating construction in this jurisdiction. This permit becomes mill and void if wot k is not commenced within six(6)months, or if construction or work is uspended or abandoned for a_period of six 16)months at any titne after work is commenced. I understand that separate permits must be secured for Electri al Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaiers, Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILUIbu TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P PING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENT) TO O TAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE Off' COMMENCE ENT. I hereby certify that I have read and examined t is a plication and know the same to b true and correct. All provisions of laws and of dinances overning this >)pe of work'will be complied with whether s eci ted herein or not. The granting o a permit does not presume to Wvle-or provisions of any other fe al,state, or!p al gulating construction or the perfor ante of construction. 4 Signature of Owne ; Signature of Contractor Print Name -Th v N� S f Prit Name .................. ....._......................... fit- S S30- Gi-3?- �-gyp-y� �'L-3�L '9400�`'1�� '1 -boa-0 Sworn to and subscribed before ine S rn to and subscribed before me this Day of �l+ulusf 201?- thi )g4l'Day of 41 y /.t � Notary Public State of Florida No ary ubllc Dayna H WilRMS NoPryprublic W +J�� My commission EE119575 y, < My Commission EE119675 �?a Expires 08107/22015 '�l add Expires 08/07/2015