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330 Aquatic Ln Siding 2013 v� CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002915 Date 6/21/13 Property Address . . . . . . 330 AQUATIC DR Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ADAMS CHRISTOPHER BLAIN ARMSTRONG CONSTRUCTION 330 AQUATIC DR P.O. BOX 5700 ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32240 (904) 241-7949 ---------------------------------------------------------------------------- Permit W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 12/18/13 ---------------------------------------------------------------------------- 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 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 330 AYE ` Or Permit Number: Legal Description Parcel# Floor Area of Sq.Ft. Sq. 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): 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 approval form Describe in detail the type of work to be performed: 5+j++n Property Owner Information: I ' Name: C�T-11lo er to i ne Alok s Address: 3o Inao City 14r ;o Cac 9 State -L Zip 3.1 .3 Phone 70 f- (, 73—70k.3 E-Mail or Fax#(Optional) G�.c (a wes a �7 a of �o ril Contractor Information: Company Na e: QualifyAgent: lv r�/? Address: / /' City State jE Zip Office Phone Job Site/Contact Numbgr f Fax# State Certification/Registration# 27 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 do the work and installations as indicated. 1 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 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 a eriod of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, Furnaces,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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws ordi gover g this type o1 work will be complied with whether specified herein or g of a permit does not presume to give aut ity t late o c cel the provtsrons of any other federal,state,or local law regulating cons ction or t e rformance of construction. '- O 0Q �' Signature of Owner a w o Signature of Contrac a. Print Name ��r,J�b��,Pr...S/CA,�1:�. :... z o w Print Name ►►1rS.......... ..Z...o.. Sworn to and subscribed before me a Z I_ 0 Sworn to and subscribed before me this 7 Day of ,Avg 0 13 20 `" this Day of . 20 N ublic Notary Public Revised 01.26.10