740 Sailfish 2013 Stucco CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ro ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�Ji31 r
Application Number . . . . 13-00002770 Date 6/03/13
Property Address . . . . . . 740 SAILFISH DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1600
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Application desc
NEW STUCCO
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Owner Contractor
-
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COGORNO, GINO NPS INC
8802 RUNNYMEADE RD 7442 SILVERLAKE TERR
JACKSONVILLE FL 32217 JACKSONVILLE FL 32211
(904) 860-7126
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1600
Expiration Date . . 11/30/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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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 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.
e BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address:
90 S"4l L'-lS'g Permit Number: 13^ 7 CJ
Legal Description Parcel#
t
151".11,7111''11 0
Valuation of Work$ -�8 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 �esidentil_33
If an existing structure,is a fire sprinkler system installed? (Circle one): ��te' N/A
Florida Product Approval#
For multiple products use product approya orm 4_�j C_C'J17
Describe in detail the type of work to be performed:
Property Owner Information: n
Name: �v� Address: —7City �c S O�U StatZip— Phone 14
E-Mail or Fax#(Optional)
Contractor Information:
� � , Qualifying Agent: �=�-C..� .�tnq
�1�
Company Name: State Zip zz y[
Address:4 b 3'3 j-' v- CA4 P D d City ' A ,1f& Fax#
Office Phone �2'� �/uT 91 J ,
State Certification/Registration#
Architect Name&Phone# F
Engineer's Name&Phone# SbEPfiRMITS F
Fee Simple Title Holder Name and Addre E1�I'S AND
Bonding Company Name and Address t
Mortgage Lender Name and Address RD _
'nstallation has commenced prior to the
Application is hereby made to obtain a permit to do the wor an urisdiction. This permit becomes null
issuance of a permit and that all work will be performed to meet the standards of all laws rion or work is spegu J. 1months
and work void
o wmenced.of commenced understand within
t hi separate permimont ts mu
or t be secuonstructred for Electrical Work,Plumbing,Sigended or ns,aWells,Pools,XFu�naces,Bone s meafter
Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF.
COMMENCEMENT MAY RESULT IN YOUR OBTAIN FINANCING, CONTWICE FOR SU
LT WITH
EMENTS
TO YOUR PROPERTY. IF YOU INTEND
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that I have read an whether this
i i{a�edlhertein or not.o The granting of pew the same to be true a doesnd cnot. Aprll provisions f laws uthority to l violatences gor cancel this
type olYwork will be complied re Latin construction or the performance of construction
provisions of any other federal,state, gu g
Signature of Owner Signature of Contract .
�o -
�-. ... Print Name �ct/��t2�t
PrintName ............. .........................................
..................................................................
.
Before me Before-me 20 r 3
this- ,Day of e_
20 13 this Da of
EA I BOHANNON »,,ti• BOHANNON
Nota ubl �t: r.18,2015 Notary ires Apr.18,2015
MY Comm.Expires Apr. My Comm.Exp P
Commission No.EE 83338 Commisli[en'L�e�Q •12
City of Atlantic Beach APPLICATION NUMBER
. r
Building Department (To be assigned by the Building Department.)
800 Seminole Road / 2 .2770 O
Atlantic Beach, Florida 32233-5445 -�
Phone(904)247-5826 • Fax(904)247-5845
rjt �%' E-mail: building-dept@coab.us Date routed: d
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �fh • ent review required Yes o
Building
Applicant: Qz®S nning &Zoning
Tree Administrator
Project: Public Works
P D
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: roved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: S - l"/3
TREE ADMIN. Second Review: [-]Approved as revised. ❑Denie .
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