Permit ResAlt 592 Royal Palms Dr 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002046 Date 1/24/13
Property Address . . . . . . 592 ROYAL PALMS DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
----------------------------------------------------------------------------
Application desc
dry wall repairs
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
CARTLIDGE, ELIZABETH R YOUNG AMERICAN HOME INC
592 ROYAL PALMS DRIVE PO BOX 24076
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241
(904) 759-9302
--- Structure Information 000 000 DRYWALL REPAIRS
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . I
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 7/23/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
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: Rwcd TOMS A —Permit Number:
j-P�AParcel I 'D t9 -OCW
Legal Description �J -PT Pdj
F I o o—r—A i 7a-—o f Sq. Nq.lt
Valuation of Work$ 1 '5'00 —ProposedWo--ir heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door
Use of existing/proposed structure(�) (�ircle one): Commeercia Residential
If an existing structure,is a fire sprinkler system installed? (Circle.one): Yes No N/A
Florida Product Approval#
For multiple products use product approvalform Y bo e.
Describe in detail the type of work to be performed:
Property Owner Information: vv-k S
Name: Address.
Sta e Luip-3-
Phone
City
E-Mail or Fax#(optional
Contractor Information:
Company. a CtLyl. bmus_ _Quali ngAgent: G
ty in
Address: �ci State Zip
Office Phone ob te/Contac Number -I 5CI -C1 -Fax 4
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address_
Mortgage Lender Name and Address
ade an er do e work d nsta n 11 a ndCal d, C h n k or installation h asconimencedprior to the
y t a 0 wor this jurisdiction. This permit becomes null
h e a 0 ssd s 1 11' s I a ertf u
m a 11 m it to 0 th' to,� t es, tiod I a' e ul ting con tt' ctio n f 5) f
be e ed h n a
to 0" ' p rm s t t d r r 0 rk is W d or baszdorzed�or aW e ri'o d o. s ix PU months at any time a ter
'ic io 's er d th rk , f h , or str"t, 0 0 s' Plu
Pp w r
an )
(6 on n S
p
s" 0 Wd w hi,S,, f
t at 0
and idf ok ot om nc, Ing, , S,
w','is'o me,is' I"me st" t it at sep 'a Permits", 'o,"cur on 0 ec or Mb gn ell Pools, urnaces,Boilers,Heaters,
k d der d h a te t b ed rE ca k
Tanks andAir Conditioners,eta
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
111�work will be com�lied with whether specifz'ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local law regulating construction or t peFformance of construction.
Signature of Owne Signature of Contractor
:00
Print Name E I Print Name
..............................................................
.......... ................................
Befo e Be e
this 0 120 this Day of 200
Lin, a
P ate U k...4-C iv!f
M c r vanoven Notary WN 1"qWN 45nol4i PW09
. OrrimissiOn EEI 307015
-f Expires 09/15/2015 Otte tZ 33#U01921"03 4.12
9l0Z,jZ5nVs9jjdX3-WW0:)A
MAN 10 sills-*11qnd AR)ON
3NO11VO I