Permit ResAlt 456 Irex Rd 2013 1j X
-Ie-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
............
........... ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00002144 Date 2/27/13
Property Address . . . . . . 456 IREX RD
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
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Application desc
2 Bath Renos & drywall repairs
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Owner Contractor
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CORNERSTONE HOMES LLC CORNERSTONE HOMES LLC
8323 RAMONA BLVD W STE 6 10250 NORMANDY BLVD STE 702
JACKSONVILLE FL 32221 JACKSONVILLE FL 32221
(904) 813-2867
--- Structure Information 000 000 BATH RENO & DRYWALL REPAIR
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . 2 BATH RENOS & DRYWALL REPAIR
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2500
Expiration Date . . 8/26/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
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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 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 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 I
800 Seminole Road, Atlantic Beach, FL 32233�f FILE COPT
Office (904)247-5826 Fax(904) 247-5845d
3 - �
Job Address: I�Wz xb�l Permit Number: /3 cR/z/V
<__ 4100
Legal Description P-elel Parcel#
Floor Area of Sq.Ft.
Valuation of Work$a,`5_�nO Proposed Work heated/cooled I;W �Ll-heated/cooled
Class of Work(circle one): New Addition Alteration Move.-Dwolition pool/spa window/door
I---
Use of existing/proposed structure(s)(circle one): Commercial Hpsidential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes
Florida Product Approval #
For multiple products use product approvarTo—rm
Describe in detail the type of work to be performed:
Property Owner Information:
Name: ef��A� Address: e5?
City State,-V Zip .9,�/ Phone -Vn 79a 74�90
E-Mail or Fax# (Optional
Contractor Information:
Company Name: Qualifying Agent: >7
Address: -city State Zip
Office Phone Fax
State Certification/Registration# cah1w ana gn-- ---T
Architect Name& Ph �,"JLI %likilvilrLLANCE n ['9 P m n m m ml
Engineer's Narne & P 4 CM OF ATtANMC U Ui G
F L SP PERMfTSFORAD rrio
ee Simple Title Hold ame an ddressgp NAL n r-r-M
A( -()X 11R Rh4EK1',`*ND CONDITIONS FED 12 2013
Bonding Company Name andl Ad ess
Mortgage Lender Name and Add REVIEWED BY.- M 1 :2 -1
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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.
I hereby certify that I have read and examined this application and know the same to be true and correct. .411 ion laws and ordinances governing 1his
�work ivill be complied with whether specified herein or not. The granting of a permit does not pr a4uthorilo te or cancel the
01pe 9 ?,sruovies
provisions ofany otherfederal,state, or loc e ulating construction or the peFformance ofconstruction. g,
or
Signature of Owner Signature of Contracil5r_
Print Narne Print Name
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......................................................................................................................................... .................. ...
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Sworn to and subscribed belore me Sworn to and subscribed before ane
this Day of 20 this —Day of 20- -_
7WA 41 , -Fa-wt f I CW TARA N CHASTAI
Notary Public va K C"WAN Notary Public
MY COWASSIM#DO 848585
WCOMOM#W 848585 01
4,2013
EMS:4wamy 4,2013