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155 Levy Rd 2013 siding CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002680 Date 5/17/13 Property Address . . . . . . 155 LEVY RD Tenant nbr, name . . . . . . REAR BUILDING Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 ---------------------------------------------------------------------------- Application desc SIDING REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CERQUEIRA, ATTILION & CATHERIN RADON PROFESSIONAL SERVICES 25 W 6TH ST 336 14TH AVENUE NORTH ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (904) 246-8970 ---------------------------------------------------------------------------- Permit SIDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3000 Expiration Date . . 11/13/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 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: Permit Number: 12-026 ,?o — 91ir79_ y�/"Parcel# fif:-? /?,�233c? —0/00 Legal Description /�til Ze7 /V Afen Flobr-Ax-ea of I sq.111. -Sq.Ft Valuation of Work$ ProposedWork heated/cooled no'n-heated/cooled Class of Work(circle one): New Addition Alteration� Repair ' Move Demolition pool/spa window/door Use of existing/proposed structureQ)(circle one):. ( C Residential-----, If an existing structure,is afire sprinkler system instleT? (Circle.one): Yes ��o N/A Florida Product Approval# 0 c) For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: V Name: R-7/L-0 Address: - ,s-�_ city fi-In— o CtA/ State/a.Zip _Z Phone '79E ? _312 3_ �Fa �Z- -33�1- E-Mail or Fax#(Optional Contractor Information: Company Name: fia af) 1)4&F- izi Qualifying Agent: W J,?-J I&.R_-T Address: 336 ztz 1�"Ifl Citv State Office Phone �?�(6- IK2 7 0 Job Itel 10—niac—t L—NumDeir __S _77 91 `9 State Certification/Registration# 0 6> 5 : D FC%E01kLCQMK0,j A wcv Architect Name&Phone# 4 T1_4 Nmn 1M]WIR CMOF ILI " Engineer's Name&Phone# SEE MR M feNAt Ell IFVL I a L. L Ul I Fee Simple Title Holder Name and Address REQUIREMENTS A N[n CON D-M-R-4-N-S. Bonding Company Name and Address .411 — - Mortgage Lender Name and Address DA'M- W" a d a n e d n a di �ons as Kicated I or installation has cnmmencedprior to the "stall " a i`1�w thisjurisdiction. Thispermit becomes null "m c '0 t at� v i a 'i t 1or" ' f k i s aWeriod of sixj6)months at any time after A r p lib e 0 ed to m�t t tanga 0 �'a al" k e 'ic 'io i s'ere' 0 d rm e s ix , t , Or, c or t 6 n t, ct, n r u 0 f I I e s urnaces,Boilers,Heaters, 0 0 pp is i t t 0 p)�e per its must be secured or E ectric Pools, issuance o a p, m d hi,s and"idi�O'k is not co mewce wit "'k c� ",cd I understand that sepaa Tanks andAir 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 FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUi NOTICE OF COMMENCEMENT. I herebl 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 y to violate or cancel the P.work will be coTplied with whethersfecifz'ed herein or not. The granting of a permit does not presume to give authorit provisions of any otherfederal,state, or loca aw regulating construction or the pei�`brrnance ofconstruction. Signature of Owner /"7 zz� Signature of Contractor Print Name Print Name .... ................ 1................................... .....k 3 ............................................. Bi fore me Before me tz is ay of .20 i( � this��ay o LLEEN A.KEELING HAM fill My Comm C ublic SSION DD 957760 Expires Ue Nota EXPIRES-Feb,"a 9448404 14,2014 commis �.4 4 Bonded rhnj underwriters ReXis�g IQ I I P, " Notary blic Page I of I 310 210 IM it" law ins --A i ON Lai law ms um Im L T- am ............ 7 17M in ............... um 15M is . ............. law LIS 1 32010 23 m Sal 41n 411 $40 4W 00 I'm /w 72 .......... ............ AIA 3" im I Ins 1 1"2 Lug IU4 Is 1200 43 1447 1302 1305 1361 131B C""Wvlv.(C) cft� i2*6 LFILE COPY �L, a http://maps.coj.net/ou�put/DuvalMapsSQL itdgism5147211203802.png 5/15/2013 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 13 -, ?Wa Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM IA ldlot - Property Address: /60�� Z v V -F-D-O, ment review required YevNo ,,Builqing __,) V Applicant: _Ma�nning &Zoning &607 Slas Tree Administrator Public Works Project: 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: (Approved. E]Denied. (Circle one.) Comments: (:B:U I:L:DI!N� PLANNING &ZONING Reviewed by: Date:__��—/ 4f TREE ADMIN. V Second Review: ElApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09