Permit Siding 146 W 14th St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001987 Date 1/11/13
Property Address . . . . . . 146 W 14TH ST
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
siding repair wood rot
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Owner Contractor
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BENNETT THOMAS J BOSCO BUILDING CONTRACTORS
385 5TH STREET 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 24 1-032 0
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 7/10/13
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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 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 00 64 . 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
Job Address: A&=& ieem,_Wl' Permit Number:
Legal Description Z-7-2-- - �Z9C 4� �Y, /Aw0parcel #
— TTo-or Area of Sq.Ft. Sq'P't
Valuation A Work$ 2f7 Propos rk heatt-4trooled non-heated/cooled
Class of W(rk(circle one): New Addition Alteration (�� Move Demolition pool/spa window/door
Use of exist ng/proposed structure(s) (circle one): Commercial
If an existir g structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product app_r_o_v_a1To_rrn
Describe in detail the type of work to be performed:
property Owner Information:
Name: J 139VAIC- iT J 1Z Address: ��g5
City yq;7114�V7_1(f 1�6;9CAJ _ Statez�7ip 3'7,2-3,3 Phone
E-Mail or Fax #(Optional
Contractor Information:
J'O
Company N,�me: Agent: VZ& V dd
Address: / 5 J City State /'Z —Zip 3 3,
OfficePhone 9J2f - 2-f'1-037G Job Site/Contact Number 7d 240t-1 3
State Certifi wion/Registration # 2-S-612-1 -L-
Architect N me&Phone#
Engineer's T lame&Phone#
Fee Simple"itle Holder Name and Address
Bonding Coi npany Name and Address
Mortgage Lender Name and Address
Application is ereby 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�ap rmit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null
'a
'a
and void 'a is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod ofsix
PO)months at any time after
work is comme ced I understand that separate permits must be securedfor Electricar Work, Plunthing,Sikus, i4ls, P661s, urnaces,Boileis,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YO R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined th' a U know the same to be true and correct. All provisions of laws and ordinances governing this
'is _pp ication and
type qj work w'll be coTplied with whether eciftied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofat y otherfederal,state, or localsf1w regulating construction or the peiformance ofconstruction.
Signatureof wner4_2��_ ��� Signature of Contractor
Print Name 7;4�wpsv
........................................... Print Name dr C'O
.. ..............dew
..... .......................... ..........................7�0,0 1:7.......e.....................................................
Sworn to anc subsc ed before me Sworn to and W*kMl;&8Mre me
this Day I nn-- this VNSV80blic,State Of Florida -4:6 ev-P
M PC Stara Of Florida ---My Comm. 8 Oct 19,20-15
Expo es art 10 Wu. ssion No.EE 1297AR
comml
Notary Public "nission lk EE 126oj'w'� Notary Public
Revised 01.26.10