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2058 Beach Ave 2013 bath remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 '��ryJ131�� Application Number . . . . . 13-00002889 Date 7/02/13 Property Address . . . . . . 2058 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 ---------------------------------------------------------------------- Application desc BATHROOM REMODEL --------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WAGONER LARRY D & JANELLE D CUPECOY CONSTRUCTION INC 2058 BEACH AVE 204 CYPRESS RD ATLANTIC BEACH FL 322335935 ST AUGUSTINE FL 32086 (904) 418-3272 --- Structure Information 000 000 TERMITE DAMAGE REPAIR Occupancy Type . . . . . . RESIDENTIAL ----------------------- Permit . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . Valuation 6000 Expiration Date . . 12/29/13 ----------------------------------------------------------- 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 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 124 . 00 124 . 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: Aoe.4A Permit Number: / l—2_CQ Sr1 C1 Legal DescriptionParcel# oor ea o q. t. Sq.Ft Valuation of Work Is Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration <Cepair) Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): CommercialRe ial If an existing structure,is a fire sprinkler system installed? (Circle one): e No N/A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: �� f`- ory �� i Property Owner Information: _olName: Address: DS City H4�� StatZip � Phone E-Mail or Fax#(Optional) Contractor Information: t/ t G o C 5'� Qualifyin Agent: Company Name: Ls. Cit} /� State / Zip Z a Address: 0 Fax# Office Phone D Job Co tact Number State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# C OF MIC isPt Fee Simple Title Holder Name and Address SFE PERMFFS FOR7M)DT17MNAL Bonding Company Name and Address PEeONt3ii Mortgage Lender Name and Address KEVI D BY: Jcaed. IDe llation has commencedprior to the Application is hereby made to obtain a permit to dorisdiction. This permit becomes null issuance of a permit and that all work will be performed to meet the stan ar s o p six months at an and work void o�imenced.otcommenced within six I understand that separate permits muor st be secuconstruction or work is sitsred for Electrical Workd Plumbing,Signs,a ells,Pools Furnaces,Boiler,tHeate s, 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 OECODYCONSULT OUR H YOUR LENDER OR AN ATTORNEYCRRERING NOICE OFMENMENT. 1 here b certify that I have read and examined this a plication and know the same to be true and correct. All provisions of law d ordinances governing this type ofYwork will be complied with whether speci ted herein or not. The granting of a permit does not presu41, . ority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Signature of Co ractor Print Name D. .p,..f ............. Print Name � � ..!� ......................................... ........... 4.hQIle.......D......... q. Before me Befor 20 this D y of 20 ( thi Day of / ,••p�P'•' D W G.LORENTZ u '; •;x� n�v �ot� tsstoN#DD95 ary Public a' °ay': a=*: : e rx Feb!uary 14,2014 Notary Public-State of Florida 3, 9•, e 24.12 Commission#EE 120983 Z``•1, oFF ' HondedThmNolaryP ,Ep`�?oP° My Commission Exp.August 11,201511 Bonded Thru Pichard Insurance ' City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Z 8d r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 t v� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C�d Department review required Yes No Building Applicant: IL C� ing &Zoning Tree Administrator Project: m/.� /�h Q 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: BUILDIN PLANNING &ZONING Reviewed by: 177 Date: TREE ADMIN. Second Review: ❑Approved as revised. RDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10