599 Sturdivant Ave 2014 siding �� .. CITY OF ATLANTIC BEACH
SIS
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000969 Date 6/19/14
Property Address . . . . . . 599 STURDIVANT AVE
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4300
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Application desc
siding
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Owner Contractor
- -
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WILBY, JAMES R MARTIN HOME EXTERIORS
1015 ATLANTIC BLVD #
101 5749 HAVEN ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 737-5009
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Permit . . . . . . SIDING PERMIT
Additional desc .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4300
Expiration Date . . 12/16/14
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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
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Fee summary Charged Paid Credited Due
----------------- ----------
---------- --
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 . 50 116 . 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 D �(
Office (904)247-5826 Fax(904) 247-5845
Job Address: 599 STURDIVANT AVE Permit Number: /G/— F9 9
Legal Description 10-16 21-2S-29E SoALLT AIR fSEC 3 t Parcel# 17063FloSq.Ft
Valuation of Work$ 4300.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration r Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one):, !(-�
e'
If an existing structure,is a fire sprinkler system i tailed? rcle�oLne)ZYes
N /A
Florida Product Approval# FL 13192.2-Hardi Plan "F Ll Cl
For multiple products use product approval form
Describe in detail the type of work to be performed: Replace siding with Hardi Plank
Property Owner Information: •
Name:James Wilby Address: 599 STURDIVANT AVE
City Atlantic Beach State FL Zip 32233 Phone
P y
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Martin Home Exteriors Qualifying Agent: Ken Martin Address: 5749 Haven Rd,
City Jacksonville State FL Zip 32216 Fax#
Office Phone 9047375009 Job Site�tmtact Number _M
State Certification/Registration# CRCO 57NCE
Architect Name&Phone# ;�? i
Engineer's Name&Phone# '' '
RRA CH_
Fee Simple Title Holder Name and Address Mi,ADDITIONAL
Bonding Company Name and Address RtEA-AQHjTjfL1fKrE1r1dhN YS Vdicated.
CONDITIONS.
the
that
Mortgage Lender Name and Address
llation
commenced
rior
that
Application is permit
hereby made at al work obtain will bett to do,the performed toor an meet the staallati7onm iiss -ndards of all awsregulatinconstruction in this jurisdiction.his permit becomesonull
issuance of a pe
and void if work is not commenced within
six(6)months, or if construction or work is suspended or abandoned for a pereod of six6)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 BEFR E ECORDING YOUR NOTICE OF
types,work wthat I ill be c�plied with whethespecified this lication herein o�ot.ow the same to be The granting of true o permitadoesct. All not presume1ons to o el authority to ordinancesviolate gor cancel this
the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name n/� W
Print Name ..........{,....cvV:.....................................................................................................
.................
..... .. ......................... `
Sworn to and subscribed before me Sworn to and subscribed before me 20
this 12- Day of l lY\9-, 120 ILI this -[DL Day of
;.p'•!�' HEATHER ANGELICA LUCAS ' ot .,U WEATHER ANGELICA LUCAS
Notary Pu lie �'
P MY COMMISSION#EE 140211 MY COMMISSION#EEl fW?s d 01.26.10
EXPIRES October 23,2015 o ;t` EXPIRES October 23,2015
(407)398-0153 F WWallotarySe rvice.co m ._' (407)348-0153 FWWallolaryServioe.com
City of Atlantic Beach APPLICATION NUMBER
js r i� Building Department (To be assigned by the Building Department.)
r 800 Seminole Road �. ��
j Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 �� /
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: .d 9 9 d/!•l��.1�1�r�V� Department review required Ye No
Buildin
Applicant: /�"rT7'/� in� � �i�/IJtC.s Planning &Zoning
-- // Tree Administrator
Project: �/ Nom/ Public Works
Public Utilities
Public Safety
Fire Services
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: pproved. ❑Denied.
(Circle one.) Comments: 006'
B ILDING
PLANNING &ZONING Reviewed by: / Date: 6-17
TREE ADMIN. Second Review: ❑Approved as revised. ❑Den ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114109