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1305 Seminole Rd 2013 foundation repair CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003727 Date 12/02/13 Property Address . . . . . . 1305 SEMINOLE RD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1879 ---------------------------------------------------------------------------- Application desc HELICALS TO SUPPORT SLAB ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OAKLEY, MICHAEL D RAM JACK 1305 SEMINOLE RD 2075 US HIGHWAY 21 S ATLANTIC BEACH FL 32233 RIDGEWAY SC 29130 (904) 579-7133 ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1879 Expiration Date . . 5/31/14 ---------------------------------------------------------------------------- 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 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. [FNOV (� �] BUILDING PERMIT APPLICATION Ca VVI(l,Q n Ro (J`I 21 2013 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 11 CJ Office (904) 247-5826 Fax (904) 247-5845 Igo Job Address: pooG nPermit Number: t 919%_ a� Legal Description or3'q m arcel# ao0Floor Area of Sq.Ft. q. t Valuation of Work $ U _- Proposed Work heated/cooled non-heated/cooled 500 Class of Work(circle one): New Addition Alteration Cepai)r Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercialsi If an existing structure,is a fire sprinkler system installed? (Circle one): No N/A Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: ios-m k l S I di CCI is to Su.dooa -LaXIL )ao SkC.b G(QY0.0� Property Owner Information: _ - .�+��TRia Name: DoAddress: 05 ml le City State&Zip 39d33Phone w2 ' E-Mail or Fax#(Optional) Contractor Information: br:.rua:xrw. x r- . Company Name: f2am aQualifying Agent: A, T b�1�y)6 Address: 0 in SAYgej. City LI�CkL soyl VI 11 P_ State P—Zip a/ Office Phone (M3`5 Job Site/Contact Number Fax# State Certification/Registration# C.GC I S) S 9 a Architect Name&Phone# Engineer's Name&Phone# X 012 Z, 3Q- I(o 90 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 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 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 for a period of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical'Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters, 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 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 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 Owner e-14W� � Signature of Contractor - Print Name 11 l..I.�GI�. .I........ .............................................................. Print Name A,......s&.0-71 ......_E.061M nl�............................................ Sworn to and subs r be bef re me Sworn to and subscribed befo e me this Day of 20 t 's Day of N1�' 20 k3 Oa ublic PHY Ot ry PU 1C MY COMMISSION#EE872623 MY COMMISSION#EE872623 EXPIRES:gory 07,2017 OF EXPIRES:Per,nwr 07,2017 R City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Z 2 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � �71d1� De artment review required Yes No Building ' Applicant: ��� mg oning Gam-,_ Tree Administrator Project: y1 �►// l7 f l iew Public Works �PG �4 n Public Utilities ,© Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or ReceiptDate 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: E pproved. ❑Denied. (Circle one.) Comments: UILDING 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