Permit Deck 1855 Hickory Ln 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
oil
Application Number . . . . . 13-00002161 Date 2/15/13
Property Address . . . . . . 1855 HICKORY LN
Application type description DECK/PATIO
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
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Application desc
DECK REPAIR
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Owner Contractor
------------------------ ------------------------
MAIN EDNA DEWEY TRUST NICHOLAS CAIN CONSTRUCTION LLC
C/O EDNA DEWEY MAIN TRUSTEE 13047 BENTWATER DR
1855 HICKORY LANE JACKSONVILLE FL 32246
ATLANTIC BEACH FL 322334548 (904) 476-6912
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Permit . . . . . . BUILDING PERMIT
Additional desc . . REPAIR EXISTING DECK
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . valuation . . . . 4000
Expiration Date . . 8/14/13
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND T14E 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: I-It e-ke r r 4A e— Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel# Sq.Ft
Valuation of Work$ 4-460,60 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
GD
Use of existing/proposed structure(s) (circle one): Commercial 4Re 'dentiaj)
es N(
If an existing structure,is a fire sprinkler system installed? (Circle.one es No
Florida Product Approval#
For multiple products use product app—ro—valf'orm
Describe in detail the type of work to be performed: kep2lr
f
Varjou5 r66,n /n eln,6e-rs
Property Owner Information:
Name: Jvl�e_ Address:
city A 4(c 9—ea-d. , State E.Zip.&A_3 3 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:-A/,C'U1P5 Qualifying Agent: 4&L6,�
Address:130f7 City jao<, State F( Zip 322j-6
Office Phone Job Site/Contact Number ax
State Certification/Registration# �f 1:�L, t 516 o 2-3
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
d an a e a d he wo nd n Ila a nd cat d 'hat no work or installation h as commencedprior to the
y i
f
e e a e r, i sta ion erti
7 nstruc'io n this jurisdiction. This permit becomes null
, 0 or
co
p ic y m r m t)o 0 d to M�t t s n� d s ipng
P' 'io r 'and tha to o't rk p e e e e ta or s aw e
an a perm t
ss e a' w wi rm S,or, c h strcto 0 0 s s ud a 0,ab d ned� aWeriod of sixji�)months at any time after
ix h k i n e
r
(6 m nt n n
u c 0 i t 0 p
and old work is not commenced within s 0 0 or u S.
I u rst" t at s p r, p _is m r, f
�t u t s, u d or Electia ork ImbIng, ig's, ells Pools, urnaces,Boilers,Heaters,
'or f me c d de d h e a te e be
k is co' n e n
Tank,andAj,Co, i ioner"'ta
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 examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
111work will be co�nplied with whetheyfecifTed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.si.ons of any otherfederal,state, or loca aw regulating construction or the peTformance of construction.
Signature of Owner Signature of Contracto(��
Print Name Print Name . .......
az�..............................................................
Be orej= Before.,ine
thiO' Day o 6AAA- 20/3 thi s /5 Dav of 6AAA 20
MEUSSA A.HWr
Jot a PJ b;I i c MY COMMISSION#EE 861935 Notaryf ublic
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EXPIRES:January 1,2017
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Bonded Thru Notary Pubi Underoatters
4W EX IRES:January 1,2017
%7RION B=WpThru Notoy Rft Undwflfters