Permit RES ALT 248 11th St 2012 CITY OF ATLANTIC BEACH.
rj s) 800 SEMINOLE ROAD
J =-` ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001567 Date 10/29/12
Property Address . . . . . . 248 11TH ST
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
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Application desc
column replacement
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Owner Contractor
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MCKNIGHT GERTRUDE S JOYNER CONSTRUCTION
732 NE VINEYARD LN GROUP INC
BAINBRIDGE ISLAND WA 98110 1845 LEEWARD LN
NEPTUNE BEACH FL 32266
(904) 477-0484
--- Structure Information 000 000 COLUMN REPLACEMENT
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2500
Expiration Date . . 4/27/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid 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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH COPY
800 Seminole Road, Atlantic Beach, FL 322331 : FILE
Office (904) 247-5826 Fax(904)247-5845
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Job Address: & 0sh,-e-1 Permit Number:
Legal Description Parcel#
, �Uy
Floor Area o q. t. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled Q non-heated/cooled�
Class of Work(circle one): New Addition Alteration Repair`� Move Demolition pool/spa window/door
Use of existing/proused structure(s)(circle one):. Commercial Resid
1b If an existing strucFure,is a fire sprinkler system installed? (Circle one): es No N /A
Florida Product Approval #
For multiple products use product approve orm _
Describe in detail the type of work to be performed: 4Ve 4 e ce >'
Ael�2I IF ,,, a,,�j�/
.,Xoee "/&I aV I ( o! sr Ti t t o
Property Owner Information: AW,7�
Name: ri %ML f-- 14G&0Address: � e 114k S)
City AtAh "C, ,i eta e h State f,Zip :32.2. 3 Phone ;�Ip 9-YF
E-Mail or Fax#(Optional)
Contractor Information:
/' 1tVG "'
Company Name: SA Y'u Qualifying Agent: � � aJ f .I,P
Address: 5 Lc�e.rrt City ` z,A State_ rL Zip '5226
Office Phon ) 417710!Xeg Job Site/Contact Numbe
� ' 9v` 77-c:;,yWV Fax#
State Certification/Registration# C- 2>Ze'
Architect Name&Phone# r/e 6-iat^ rk2- Q�ap 1jg6
Engineer's Name & Phone# 1 76
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 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes mill
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of siJ6)months at anv time after
work is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, FFurnaces, Boilers, Heaters,
Tanks and Air Conditioners,ere.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 herecertify that 1 have read and examined this
plication and know the same to be true and correct. All provisions of laws and ordinances governing this
by
hype o work'will be complied with whether speci led herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner - v '44-L "'� Signature of Contractor
Print Name 61cv_ Sll '� t frll..:. .............................................Y..r ..... ..... � Print Name ..................5.':.:T. ..... Dr�1 '.1�,......................................-._.
Swor a su seri e eco e the Sw -n/ an subs ri d bef t e
t i ay o C 202— is ® y of 20
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r ti 800 Seminole Road
j3 Atlantic Beach, Florida 32233-5445 / UJ
Phone(904)247-5826 • Fax(904)247-5845 � �-
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Ca �� � c� / DapartmLent review required YeV No
uildin
Applicant: �fT- 0-17 anning &Zoning
—az Tree Administrator
Project: `��1�� Public Works
T Public Utilities
Public Safety
Fire Services
.yg }
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: FfApproved. ❑Denied.
(Circle one.) Comments:
BUILDI
PLANNING &ZONING l0.-' �_- L
Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. RDenieiV
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09