150 Sherry Dr 2014 siding CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000673 Date 5/05/14
Property Address . . . . . . 150 SHERRY DR
Tenant nbr, name . . . . . . BOY SCOUT HUT
Application type description SIDING PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
COMMUNITY PRESBYTERIAN CHURCH MALLEN CONSTRUCTION INC
150 SHERRY DRIVE 10702 HOOD RS S STE 8
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 219-3647
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 1000
Expiration Date . . 11/01/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
FINAL INSPECTION REQUIRED CALL WHEN JOB COMPLETED
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 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
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 A PR 2 9 2014
L - t
Lhpr- lq— 6?j
Job Address: I �;-o E:�ke�vtA �,')N',,W— c- 6e c.,(t- F �'-,'Permit Nu
Legal Description C? Parcel
Valuation of Work$ k0C)0qc,_ FloorAreaof Sq.Ft. Sq*_�'t
Proposed Work heated/cooled non-heated/cooled.,
Class of Work(circle one): New Addition Alteration 1�' Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system instaQ? (Circle one): Yes No: N/A
Florida Product Approval#
For multiple products use product approval rm QC,�V�,C C
Describe in detail the type of work to be performed:_'t-��O(,��'4
Re-12�ct C C
Property Owner Information:
Name:Q2fflftkWi V Address:l`;C, -��Vz v4,),
city -)I��co� State L.Zip ��,-2 z Phone e"
E-Mail or Fax#(Optional
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: ")CkX�e*\ C U'CNS-NN O-rN —Qualify,�ing ARent: �kk C,-k\�,
Address: k010-t -Wf6 Citv —State VL- zip
Office PhoneqC4 _j I e ................15, liQ 0
RM9MD PAR COP I
State Certification/Registration -4 C(
Architect Name&Phone 4 404F-1-
�70 CM OF ATt*A 7 -
Engineer's Name &Phone IL- ULALM n iks
SMPEMffspo IIJONAL
Fee Simple Title Holder Name and Ad!dres R EQT ijR_EMMb= "Qu'u I I r lnflr T
Bonding Company Name and Address AND EiONDMC)Ns.
V 0 -
_fj
Mortgage Lender Name and Address rREVBjW7aD BY:
4pplication is hereby made to obtain a permit to do the work and ins;a—l-laiizony ajqlrated I certify that no work or installation has commenced prior to the
issuanceo a permit and that all work will be performed to meet the standards of all laws regulatini construction in thisjurisdiction. This permit Necomes null
and void work is not commenced within six(6)months, or if construction or work is suspend-I or abandonedfor aWeriod of six_(6)months at any time after
work is commenced I understand that separate permits must be secured j
Tanks and Air Conditioners,etc. fir Electricar Work,Plumbing,Signs, ells,Pools,Furnaces,Boilers,Hea ers,
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 certi is a ication and know the same to be true and correct. Allprovisionso zws ant,oAnances governing this
j fy that I have read and examined th' I (I d
a
work will be complied with whether eci TO herein or not. The granting of a permit does not presume to give author olate or cancel the
provisi.ons of any otherfederal,state, or localsf,w regulating construction or the performance of construction.
\4
Signature of Owner,4�11. Signature of Contkactor
Print Name cn Print Name
........................ ............................................................. (.L ..........[I. ........................................
Before me Before me
this Iti-v'%Day of qq —)Day of 20
, 2014 this 2 3,
Notary Public Notary PuNic State of Florida N&ary�lbll il�,,w4kw
Sharon P Smith comwe"N&ffew Revised 01.26.10
My Commission EE098526
j Expires 05t31/2015
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
"P, 800 Seminole Road
t antic Beach, Florida 32233-5445 64
Phone(904)247-5826 - Fax(904)247-5845
I r E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
BJY 15efur 6 r
Property Address: Department review required Y No
uildin-q
Applicant: e 01).6 r'e it cy�ie r) Planning &Zoning
Tree Administrator
Project: 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: BA' pproved. FlDenied.
(Circle one.) Comments: 4-o wnova_ pe#,^4 f4e _1 op,
-PA,r-t 4
PLANNING &ZONING Reviewed by: )Ir 00 Date:
TREE ADMIN. Second Review: F]Approved as revised. F—JIDS/hied.
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