Loading...
1076 Hibiscus St 2013 siding CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 13-00002244 Date 3/01/13 Property Address . . . . . . 1076 HIBISCUS ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ------------------------------------------------------------- Application desc Hardie siding ------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- MILLAIRE JEFFREY S & ANNE R PLUMBING BY JOSH 1076 HIBISCUS ST 5677 FLORAL AVENUE ATLANTIC BEACH FL 322332652 JACKSONVILLE FL 32211 (904) 237-5706 -------------------------------------------------------- Permit SIDING PERMIT Additional desc . . Permit Fee 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 8/28/13 ----------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------- 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 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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 l�l� 800 Seminole Road, Atlantic Beach, FL 32233 s2 Office (904) 247-5826 Fax (904) 247-5845 Job Address: (� S V S s l Permit Number: f ,Z�-� Legal DescriptionParcel# oor ea of q. t. q. t 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 structure(s) (circle one): Commercia 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 app_rov­alfform Describe in detail the type of work to be performed: -as,AIS � +v2 oJe/� FX S7�IT -r PIy I,�vO .9.,►a il+cQ ,it d AW Property Owner Information: /I n ,, Name: J�'� M) l/i4;t�C_ Address: 41D ga` CO9Ac),4 CT' City �,�-S� StateeZip j Phone 3 8 6-7 Q 4 — Z6 C6 E-Mail or Fax#(Optional) Contractor Information: I D Company Name: V � Qualifying Agent: �oS ��T� 1 Address: S6 /9 Ci State L Zip 3.�t I Office Phone 24.5-3330 um e — # State Certification/Registration# + + FOR Architect Name&Phone# CITY OF Ail-A bM. C,BEACH Engineer's Name&Phone# SEE P Fee Simple Title Holder Name and Addr s REQUIREMENTS AND Bonding Company Name and Address _ EEWW 13 199 Mortgage Lender Name and Address DATE 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 rction or work is segulating construction in thisjurisdiction. This permit becomes null six and work er void commenced.work is not Icommenced within understand that separate permits must or be secured for Electrical Workended Plumb ngor , Signs,or aWells,Pools,period xFurnaces,Boilers,months at tHeaters, Tanks and Air 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 BEOR ERECORDING YOUR NOTICE OF COMMENI here b certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type ojywork will be complied with whether speci eed herein or not. The granting of a permit does not presumZR;. rityto viola or c cel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner ^��� KL Signature of Contractor Print Name (I Print Name / "IO ........ ................� .................... BeforBefo ,7e 201 this Day of�Gt 20 this vv�� Da3 � Notary is ,.n1't'� !k. MEUSSAA HART Notary IC My86t9 *. ;: MY CAMMISSIOpNu�IfrEE}�86�19t3p5n "- ., C; EXPIRES; lTr�env�iT 2 .12 EXPIRES:January 1,2017 yt .• Bonded Thru N eis .t,.. Bw4ed TMu Notary Pte*Urderwr8aa City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D 7�Q 14t 1015CLt o S-�' Department review required Yes No N Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: MApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING3-- / '/3 Reviewed by: � 1 Date: TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10