Untitled j
CITY OF ATLANTIC BEA -11
;i 800 SEMINOLE ROAD
-� ATLANTIC BEACH,FL 32233
,tr INSPECTION PHONE LINE 247-5814
Application Number
13-00002416 Date 4/12/13
774 AQUATIC DR
Property Address . . . . . .
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
8 X 16 SHED
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Owner Contractor
-
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LEBOUTON, MARDEN OWNER
774 AQUATIC DRIVE
ATLANTIC BEACH FL 32233
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Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 10/09/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
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Other Fees . .
. STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV MODIF OR ROW 25 . 00
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Fee summary Charged Paid Credited ----Due---
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Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Other Fee Total 29 . 00 29 . 00 . 00 . 00
Grand Total 119 . 00 119 . 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 BEACHFILE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number: /� �' 2�l�'
Legal DescriptionParcel#
oor ea o q. t. q. t
Valuation of Work$ J-000. 00 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): 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 approve orm
Describe in detail the type of work to be performed: 6,
Property Owner Information:
Name: M Address: L
City11 h L State ip Phone
E-Mail or FEax# (Optional) 1'L05 CA ov L10(
Contractor Information:
Company Name: Qualifyin ent:
Address: City _State Zip
Office Phone Job Site/Contact umber Fax#
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
Application is hereby made to obtain a permit to o 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 wall be pe ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for ceriod of six 16)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, ells,Pools, urnaces,Boilers,Heaters,
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 BEFORREECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb 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
type of work will be complied with whether specified herein or not. Thegranting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the pea formance of construction.
Signature of Owner 71' • A 06� Signature of Contr for
Print Name � .........!.".l.'.........k.....� Print Name
Befor meBefore me
this ay !i 20 /3 this Day of 20
„a HIRQ L.GRAHAM
Nota blic '* -;"P;REb.Fe�,uary 14,2014 Notary Pub
nded Thril Notary Public Underwriters
__ .. Revised 10.24.12