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2233 Barefoot Tr 2013 WDO CITY OF ATLANTIC BEACH \ ii1 J 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 13-00003673 Date 11/18/13 Property Address . . . . . . 2233 BAREFOOT TRAC Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 2300 --------------------------------------------------------------------- Application desc termite repair ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SCROGINS WILLIAM C & VALERIE A BUILDING DYNAMICS INC. 2233 BAREFOOT TRAC 33 FAIRWAY LANE ATLANTIC BEACH FL 322334565 JACKSONVILLE BEACH FL 32250 (904) 813-4890 ------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . Valuation 2300 Expiration Date . . 5/17/14 -------------------------------------------------------- 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 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 d 800 Seminole Road,Atlantic Beach, FL 32233 NOV 14 2013 Office (904) 247-5826 Fax (904) 247-5845 Y Job Address: Z � I�Q Yt-- &j 1 T VMCCS Permit Number: _ Legal Description NL /3 OCAU4 wci�a� ld.7:k .2 Parcel# /(09 f6 3 " GG 3P Floor Area of Sq.Ft. /2o S F Sq.Ft Valuation of Work$ 460'00 Proposed Work heated/cooled non-heated/cooled�_ Class of Work(circle one): New Addition Alteration a air Move_ Demolition pool/spa window/door Use of existing/pro osed structure(s)(circle one):installed?If an existing structure,is a fire sprinkler system nstalled? (Cirel 0G) Florida Product Approval# For multiple products use pro Tuapprova orm Describe-in detail thte'type of work to be performed: // 1`ri '•� V e One) didj C 04tILL•ilrt•:, •vim E Pro SIU Owner Information: ' 1 C SCw�l (�S Name: W \(1 AA Address: e ore �[ G 2-'-�6 City Na �>Ni' �� State(LLZip 3 22 Phone E-Mail or Pax#(Optional) Contractor information: Company Name: l Qualifying Agent: Address: ___City 31 6�,k State 1"t- 32250 Office Phone - i - Job Site/Contact Number Fax#. 2y/-?Ao 6, _ State Certification/Registration# i Architect Name&Phone# ---- Engineer's Name&Phone# T Fee Simple Title Holder Name andIREEVIEWED CITY OF ATLANTIC PEACH Address — Bonding Company Name and REQUIREMENTS AND CONDITIONS. Address '— Mortgage Lender Name and Address BY: DATE: t 3 A,q� lication 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(or a period of six( months Boiler,1 Heatfters,Tanks commenced. nd m C d. Liounderstand d e sta d that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces, 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 and ordinances governing this type of a illlebr becomplied sd wit or et h [awes specified g cohost unction o the per�ormapermit cee f coonstrnuoct presume to give authority to violate or cancel the Signature of Owner I Signature of Contractor S vu ' lti Print Name ... ..._....... ..�''ti�_✓ .._. �� C g _ PrintName L ...:.q AN._................_............_......................_..____.._........_...... Sworn to and subscrib d before Swonpx�andsubsc ' foree26 th' Da of Q a-4�'- !-3 this [� No Public Notary tc evised 01.26.10 11PY P b =05n7/2016 ate of Florida , r SHIRLEY L.GRAHAM AhN, bito !!COMMISSION#DD 957760 1 ,g7 s t?(PIRES:February 14,?.01a EEltG Y Sond?d Thru Nntary Public Underwriters018 tzsi; City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 pfi E-mail: building-dept@coab.us L & z fA_ Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 Z 33 AKDepartment review required Yes No Building Applicant: 2)V/2/ anning &Zoning //�� CC Tree Administrator Project: Q /Cd G Public Works Public Utilities Public Safety Fire Services 010 A slow 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: Wpproved. ❑Denied. (Circle one.) Comments: UILDIN PLANNING &ZONING Reviewed by: � Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 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