2001 Mipaula Ct 2013 siding C� " CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001907 Date 1/04/13
Property Address . . . . . . 2001 MIPAULA CT
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
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Application desc
REPLACE SIDING AT CHIMNEY
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Owner Contractor
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FISHER GLEN G AND IRENE M ARMSTRONG CONSTRUCTION
2001 MIPAULA COURT 1414 BIG TREE RD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 241-7949
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Permit SIDING PERMIT
Additional desc . . Plan Check Fee . 00
Permit Fee . . . . 55 . 00 1000
Issue Date Valuation
Expiration Date . . 7/03/13
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--------------------------------
----------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
_ ________ -----
Fee summary Charged
Paid Credited ----Due---
_ _ ------ -
---------- ----------
00 . 00
Permit Fee Total 55 . 00 55 . 00 00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
59 . 00 59 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 /
Office (904) 247-5826 Fax (904) 247-5845 9Q 7
Job Address: D Permit Number:
Legal Descriptions f/�!e �N I�D� '� �P4- Parcel# R0"
p DFloor Area of t. q. t
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration 6� Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esid
If an existing structure,is a fire sprinkler system installed? (Circle one): es No /A
Florida Product Approval#
For multiple products use product approva orm ,, a
Describe in detail the type of work to be performed: kt&1 t
r 6.1-t4-ft- /A-0)&YV �O1P�fi
Property Owner Information:
Address: � ��IA`'
Name:
City 1 1 � Stat1,Zip Phone
E-Mail or Fax#(Optional)
Contractor Informatio'nI:
Com an me �t ILS N fi l a/J Qualifying Agen�
Addressy7 4 X �rl"l Ci Vi,.�� State Zip
Office Phone v`t� - Job Site/Contact Number o? l-7Cl�l Fax#a?5�/��??�
State Certification/Registration# �S?�o�
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 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 thisjurisdiction. This permit becomes null
or and work void if
ommenced.not Icommenced within six understand that separate permits muor st be secuconstruction or work is suspended or red for Electrical Work,Plumbing,Signs,aWe11 6 lseriod of xPurnaces,Boilemonths at r,t Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR U4RE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND4 N FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTO NEY BE EM RDING YOUR NOTICE OF
I hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of s d ordina a overning this
type of work will be complied with whether specs sed herein or not. The granting of a permit does not presume to a au rity to A 1 or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
4
Signature of Owner V 1"i'-y Signature of Contract
� ANav� S-{flarlG-
Print Name �A.)e- f1 S�le/Z Print Name � .......................................................................................................................
.........................................................................................................................................
Before e ` t� Before me J�>M-At 6� 201 i
this Q1f Day o - 20 1 2' this�� ay o
ARGADONNA
Notary Pu is A Nota Publi !�/„ My COM�SSI,28t 2014 CO.
MY COMMISSION 1i DD986981 'd' U�
ENpII�;,,,pr„28,2014 1 Re l
op I,ngp.J.1JpTARY FI.Notts'Mmnt Aswc.Co.