The URL can be used to link to this page

275 Beach Ave 2013 siding CITY OF ATLANTIC BEAQ1 s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003816 Date 12/12/13 Property Address . . . . . . 275 BEACH AVE Application type description SIDING PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 7500 -------------------------------------------- Application desc siding ------------------------------------------ Owner Contractor - ------------------------ ----------------------- HOLMES MARK H LIVING TRUST J S BUILDING CORP 275 BEACH AVE 13058 TALL TREE DRIVE SOUTH ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 509-7048 ----------------------------------------- Permit SIDING PERMIT Additional desc . . 45 . 00 Permit Fee . . . . 90 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 7500 Expiration Date . . 6/10/14 --------------------------------------- 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 90 . 00 90 . 00 . 00 . 00 Plan Check Total 45 . 00 45 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 139 . 00 139 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. '? , A► ►n� BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH CDEC� 10 20V 800 Seminole Road;Atlantic Beach, FL 32233 Office(904) 247-5826 Fax(904)247-5845 Job Add By us Permit Number: Legal Description L.a-r- q —kWl Parcel# t Valuation of Work$ 7 ,-SOO � Proposed Work heated(cooled non-heated/cooled .b......., Class of Work(circle one): New Addition - Alteration Repair Move Demolition p ►oVIL Ido >� I Commercial esidentia Use of existing/proposed structure(s)((circle one : installed? t „ rt If an existing structure,is a fire sprinkler system (Circle one): es o NFA: Florida Product Approval# W For multiple products use product approval form /17'Describe in detail the type of work to be performed: RF-d A S1D//Y� 51ZI �1L^- � N Property Owner Information: ll q Name: wwd /UlKAk j4nL L&& Address: 05 City Stater4,Zip Phone CS E-Mail or Fax#(Optional)------------=— Z z Hw Contractor Information: g �, �• w Company Name: a •►t.D1 Mcv- G�irLQ00.>ATt�l�1 _Qualifying Agent: 130 Address: City V 1 Fax#tate Office Phone Job Site/Contact Number ►.✓w_ w a A State Certification/Registration# — Architect Name&Phone# C Engineer's Name&Phone# 1P► Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address HSA Application is hereby made to obtain a permit to do the work and installations as indicated I 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 thor iisjurisdiction. This permit becomes null and work isdcommencednot I understand xthat separate perms must be secutred for Electricalion or work is pWork,Plumbing,Sigended or fns,or aWells,Period o ls,XFurnaces, Boilemonths at rs,tNealime ersr Tanks and Air Conditioners,eta 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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of OwnerM--� Signature of Contractor Print Name �_dr/L....... V Print Name OMfR......1"'1�.......... dT'.t ....... IN ..'" 3.................................... Sworn to and subs ibed before Vie Sworn me_ 20 — this Da of I -Q 20/ this ,PRA1144RI.FFIN = �� t Y P li��t�e of Florida Nota o ry Pu My Comm.Expires Oct 14,2014 ,,all.;,,`',` CQ i Sion�DD 986504 =� oCommission�EE 34559 26.10 ��•° � ��`, Bonded Through National Notary Assn. City of Atlantic Beach APPLICATION NUMBER \JS cd 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 E-mail: building-dept@coab.us Date routed: /07 I� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: o� 73"' ,fie CAj 4vf- rtment review required Yes No I Buildin Applicant: S GIi 1=14 rl c� Planning &Zoning Tree Administrator Project: SPublic Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: E pproved. ❑Denied. (Circle one.) Comments: BUILDING 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 05/14/09