477 Sailfish Dr 2013 siding CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00002815 Date 6/11/13
Property Address . . . . . . 477 SAILFISH DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8756
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Application desc
siding
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Owner Contractor
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POTTER, MICHAEL J LOWES HOME CENTERS INC
477 SAILFISH DRIVE 4948 TELSON PLACE
ATLANTIC BEACH FL 32233 ORLANDO FL 32812
(904) 486-4701
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Permit SIDING PERMIT
Additional desc . -
Permit Fee . . . . 95 . 00 Plan Check Fee 47 ..50
Issue Date . . . . Valuation . . . . 8756
Expiration Date . - 12/08/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 95 . 00 95 . 00 . 00 . 00
Plan Check Total 47 . 50 47 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 146 . 50 146 . 50 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
06/05/2013 16: 10 3524733167 KEYSTONE DOORS & ETC PAGE 02/09
BUMPING PERMIT APi>j,ictTj(?N
CITY OF ATLAN'nu HrACII
800 Road,Adan�r,Beach,r-L.32233
OffiOV(904)247-5826 17aX(M)247,SS45
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REQUIRE�,IENTSAND CONDITIONS. FILE COPY
REMVVED BY: DATE: 6)
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 13 - 210
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
E-mail: building-dept@coab.us
City web-site: http://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: uired Yes No
Building')
Applicant: Z e/1) -PM—n-ning &Zoning
Tree Administrator
Project: Public Wor(s
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: [?A"'pproved. DIDenied.
(Circle one.) Comments: 11106,
(E��)
PLANNING &ZONING Reviewed by: Date:
-]Deni
TREE ADMIN. ]Den?i
Second Review: FlApproved as revised. FnDeni
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
06/11/2013 14: 51 3524733167 KEYSTONE DOORS & ETC PAGE 02/02
Doc # 2.013147059t OR EK 16404 Page 1511 , Number page*; It Recorded
06/11/2013 at 08-50 AM, Ronnie 'FUSBQll CLERK CIRCUIT COURT DUVAL COUNTY
RF,CORDING 6,10 .00
2013-05-31 12-04 9044864710 10§-IMSTALLED�SALES P 9/9
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