Permit ResAlt 315 Plaza 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002023 Date 1/18/13
Property Address . . . . . . 315 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
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Application desc
bath remodel
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Owner Contractor
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MULLANEY SCOTT ET AL & ELIZABE FISETTE CONSTRUCTION & REMODEL
315 PLAZA 2336 PINE ISLAND COURT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 992-4782
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 7/17/13
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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
A 4ll
Job Address: _3)_'� P)o-m A-flaeliz, &nd , 127 .1 Permit Number:
Legal Description Floor Area of sq.Ft. Parcel N Sq.Ft
Valuation of Work$ 14<�)n "Ir Proposed Work heated/cooled non-heated/cooled
I
Class of Work(circle one): New Addition Alteration R6p��r Move Demolition pool/spa window/door
(Ep�ir
Use of existing/proposed structure(s)(circle one): Commercial ""Residentiat.-Z
If an existing structure,is a fire sprinkler system installed? (Circle.one): No N/A
Florida Product Approval#____ k< I
For multiple products use proddct approval form
Describe in detail the type of work to be per rmed: t%ll 0 0�SIVIA&La k&/
F_L,-&A�y J/13k din '5�1_& ol W96-1
Property Owner Information:
Name: P-,0-4 6 a 4�kj —Address: Ala,,Lrz, 6eacX1
City "74 St4e fAzip Phone
E-Mail or Fax (Opti,o-n
Contractor Information:
Company Name Qualifying Agent:
Address: A ity 4_0 At—Idy, State zip 3zzsy
kh-A C ;Y�s b
OfficePhone Job Site/Conjact Number Ac;q1-0&6k Fax
State Certification/Registration
Architect Name&Phone#
Engineer's Name &Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address IX
Mort-age Lender Name and Address
A a hereb de a ermit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
i 1 be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
I f six(6)months at any time after
p
a to o't'
ic "o is Y"d t all wo k w
d �thin six(6)months, or if construction or work is suspended or abandoned for eriod o
or Electricar Work,Plumbing, Sijns,Vells,Pools, Firimaces,Boilers,Heaters,
p
issuance 0 a Perm t an t�m""
and void work is not co
War is, ,m"c' . I u 's t t s
k i d nde tand a eparate permits must be securedf
Tanks andAir 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
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and exam ined th' plication and know the same to be true and correct. Allprovisions of laws and ordinances governing this
'is a
type.IlMrk will be complied with whether ecir?zed herein or not. The granting of a permit does not presume to ive authority to violate or cancel the
provisi.ons of any otherfederal,state, or localsfc w regulating construction or the performance of construction.
Signature of Owner Signature of Con to
fr . :::; -All
Print Name
Print Name
......... ..... ... .......... .................................................................
Beforepe B�fqepe
tilis f o Day or 0 tills Day of UdA.,_ 201
TAD
L15A M HEINSTAD
te of Florida
Notary Public-State of Florida ESSIE MERRITT
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My Comm.Expires may 11,201 -y P UU1 le Notary Public e 0 orl a
N61hi
0 889126
Notary Public
Commission#DO D889126 My Comm.Expires Feb 9,2013
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