136 Beach Ave 2013 termite repair carport CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . . . 13-00003387 Date 9/16/13
Property Address . . . . . . 136 BEACH AVE
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 2100
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Application desc
REPAIR TERMITE DAMAGE IN CARPORT
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Owner Contractor
------------------------
LANG' S GENERAL CONTRACTING LLC
MILESTONE STANLEY G 2201 SAWGRASS VILLAGE DR
136 BEACH AVE FL 32082
ATLANTIC BEACH FL 322335213 PONTE VEDRA BEACH
(904) 422-6690
--- Structure Information 000 000 CARPORT TERMITE REPAIR
occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc - - 32 . 50
Permit Fee . . . . 65 . 00 Plan Check Fee 2100
Issue Date . . . . Valuation . . . .
Expiration Date . . 3/15/14 ----------------------
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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
-- -------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 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
SEP J02013 800 Seminole Road,Atlantic Beach,FL 32233 7SEP 10' 2013
1 Office(904) 247-5826 Fax(904) 247-5845
I'A Q�
By 4:2V By
JobAddress: /-5 (,o —Permit N
Legal Description 9-6 2--5' --�L9,4� C /5,4,4c- Parcel#lo 7 S
Floor Mea 4;orAii S S 11t
hq.Ft.
Valuation of Work$ 9, Proposed eated/cooled ���Cooled
Class of Work(circle one): New Addition Alteration <!E� Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): 0 N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Info ation:
Name: S7291/ AIVLSrolva Address: 136Z�` C/
city State/"4 Zip 3jLr_, Phone 9e-- 4:3
E-Mail or Fax#(Optional) NMI
kj JL. L. WWI ll � ;
Contractor Information:
11,01'61�1,4 dt:
Company Name: Qualif
ying Agent:
Address: 3 5,9 ez' z�� citv ,,gL
-State /'Z- Zip 32-,1=73
Office Phone &-'l 0 Job Sixrl Ciintar.,t r�[Umber yej�4 JZ& 7
State Certification/Registration NAWW" 1'"K UVIDE COMI
Architect Name&Phone# CITY OF AILANTIC REA
Engineer's Name&Phone SEE PERMITS Fni ADDLI-10-N A-1—
Fee Simple Title Holder Name and Address REQUIREMENTS AND CONDMONs.
Bonding Company Name and Address ij BY: 4' A DATE. ? 9!M-1
Mortgage Lender Name and Address f7"
A aq he e ade ta n e i do he work and insttal �s a nd'c rk or installation has commencedprior to the
in t ' 0 j I law thisjurisdiction. nis permit becomes null
v wi t to 0 e to mZt t F 0 fsixp) fter
an c f rm d he t r' a k Iss a period o months at any time a
r
p 6 mont or I ns c n�r wor 11 Porols, urnaces,Boileiw,Heaters,
co
to 0' p
PP c c 0 s r by"d ha a 0 k
Iss' '0 a Perm t an t I
and id f'ok s ot com en e n sl it t e
" vo 1 7 1 in c 't x0 or c nc s ul
rk is commenced. understand that separate per,�s inu t be cured E e
Tanks andAir ConMoners,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.
flaws and ordinances governing this
I hereb�ce?jify that I have read and examined this application and know the same to be true and correct. Allprovisionso thority to violate or cancel the
o work will be cotnplied with whether specified herein or not. ne granting of a permit does not presume to give au
provi.si.ons of any otherfederal,state,or local law replating construction or the peiformance of construction.
Signature of Owner Signature of Contracto� -4
Print Name
Print Name lel'.11. ....................... ............... ................................................
Sworn to znd subscrib efqT�� S -4 — -A jaef"w-
AV thi Wo ,
this 20/3 0 20/3
N ry Piklic-Stj4e of,Florida
MKftkj�2016
Toff M
-T—7
1992 Bor"Through Naftal Notary Assn.
loadal Through National Nollary Assn. 01.26.10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
-5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845 Date routed: zz.3
E-mail: building-dept@coab.us
City web-site: hffp://MW-coab-us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /.3/,o kakl'v 'AlE Department review required Yes
13ui!.ding
A Planning &Zoning
Applicant: Qenii4Z Pid '__ <�-_
I ree Administrator
Public Works
7
Project: z Public Utilities
C&rpo Public Safety
tT 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: OApproved. E]Denied.
(Circle one.) Comments:
C�
PLANNING &ZONING Reviewed by: fil Date: 9-9-tri
TREE ADMIN. L/
Second Review: FlApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05/14109