The URL can be used to link to this page

2235 W Oceanforest Dr 2013 chimney repairs 3 _ • , CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 1 Application Number . . . 13-00002773 Date 6/03/13 Property Address . . . . . . 2235 W OCEANFOREST DR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15450 -------------------------------------------------------------- Application desc CHIMNEY REPAIR ------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- DEVAULT, KENNETH R & SHELLY N TAYLOR CONSTRUCTION CO 2235 OCEANFOREST DR.W. 3617 CAPPER RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 --------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 15450 Expiration Date . . 11/30/13 -------------------------------------------------------- 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 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 199 . 00 199 . 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 F?14A 800 Seminole Road, Atlantic Beach, FL 32233Office (904) 247-5826 Fax (904) 247-5845Y 12 1 Job Address: w —Permit Legal Description Parcel# Floor Area o q. t. q• t Valuation of Work Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration 6 Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Re ' 1•� , If an existing structure,is a fire sprinkler system installed? (Circle one es No Florida Product Approval# For multiple products use product approva orm Descri e in detail the type of work to be performed: C� i NsL tj Property Owner Information: Name: Address: City S t ipPhon E-Mail n or Fax#(Optioal) Contractor Information: Company Name: Quali gent: Address: Ci I State Zip Office Pho Job Site/Cot umbe Fax# State Certi icatio egistratioTi# 1 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address N BEACH ; Bonding Company Name and Address ONAI. Mortgage Lender Name and Address CONDMONS. kI&VIEWEDBY. x'1.1 Application is hereby made to obtain a permit to do the work and i erg t no as m ceirrrgr t issuance of a permit and that all work will be performed to meet the standards o a s it es u and void if work is not commenced within six(6)months, or if construction or work is suspende or abandoned or a pe nt t e t work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, urnace offers; , Tanks and Air Conditioners,etc. I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE O 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 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. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, tate, oc 1 law regulati g construction or the performance of construction. Signature of Owner Signature of Contractor Print Name A Print Name Print. .......... ..........D:t..... .....P- .. ......... //.............. ..... ....` � +f :...:c,J...... .... Before me Befo me this ZO Day of 120/3 this D y of 20 Notary Public o� 1 PAM MMUMUMMr-111 Notary PublinDD9605n6 :;�;"r rY�, LYNDA SIGND. # 18 Commissised 10.24.12 ..= MY COMMISSION M EE 183884 as EXPIRES:June 26,2016 My comm.ex nd 1 Bonded Thru Notary Public Underwriters City of Atlantic Beach APPLICATION NUMBER Js s� Building Department (To be assigned by the Building Department.) I s 800 Seminole Road 1-3 -12773 �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 -01 E-mail: building-dept@coab.us L__Dat.routed: City web-site: http://www.coab.us ej� I APPLICATION REVIEW AND TRACKING FORM Property Address: Z� -Department review required Yes No 7 Building Applicant: i�#� g &Zoning Tree Administrator Project: /h12 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: Approved. ❑Denied. (Circle one.) Comments: (BUgp PLANNING &ZONING Reviewed by: Date:__5 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 05/14/09