Permit Siding 298 Pine St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002164 Date 2/19/13
Property Address . . . . . . 298 PINE ST
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
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Application desc
siding
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Owner Contractor
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BERNSTEIN FRESCO CONSTRUCTION INC
298 PINE STREET 13703 RICHMOND PARK DR N
ATLANTIC BEACH FL 32233 #3407
JACKSONVILLE FL 32224
(517) 819-3772
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 8/18/13
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 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: S-� Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel# Sq*Ft
Valuation of Work Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structurcQ)(circle one): Commercial 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 approval f5orm
Describe in detail the type of work to be performed: �SJ d"A!E7 /!Q_pc&�;`� 0/1 �;C,-_ �-I_ (7, 4C.'e—k
Property Owner Information:
Name: vaic-a _&VTO-tayl Address: 2A9 PLYv-, -S+
city 1�e� StateV!,,Zip -32Z*33 Phone -16bo -32,151 e4o-3
E-Mail or Fax# (Optional) &;��,5 1113 6 an
Contractor Information:
de
Company Name: Fff-s[_c) , (_otS+f-LV&N T,4 C QualifLing Agent: Scoff Z1.4
') State /-71—
Address: C —City � C, Zip
Office Phoi Site/Contact Number 5'1-7 - g-7-7,q.
Fax#
State Certification/Registration# C_ I 9�s 6
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
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod of six(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, Ms,Pools, Ftirnaces,Boilers,Heaters,
Tanks and Air 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.
I here certify that I have read and exami.ned this a plication and know the same to be true and correct. All provisions of laws and ordinqnces governi.ng this
'p
t 7'l k will be coTplied with whether ecified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
ype.).wor
provisions of any otherfederal,state, or localsf1w regulating construction or the peFformance of construction.
Signature of Owner Signature of Contractor
Print Name ............................................................................................................................
Print Name
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V.. 5 EY L.GRAHAM
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P SHIRLEY L G;RAHAM
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MY COMMISSION 0 DD 957760
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