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1946 BEACHSIDE CT PERMITS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 W��W1 it Application Number . . . . . 11-00001712 Date Property Address . . . . . . 1946 BEACHSIDE CT Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc ADD 120 SF ADDITION TO DINING ROOM IN REAR OF HSE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POWERS SHIELA ANNE ALESCH CONTRACTING INC 1946 BEACHSIDE COURT 1946 BEACHSIDE CT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 613-6517 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50. 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 8/28/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination in needed, call 247-5834 . Roll off container company must be on City approved list and container cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 .00 ENG REV PRE APP > 3 HRS 25 . 00 STATE DBPR SURCHARGE 2 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITYWIATfLMYCWLJRAI�HP&RIN�A*ENPA§D THE FLORA' 00 BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 11-00001712 Date 3/01/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50. 00 . 00 . 00 Other Fee Total 54 . 00 54 . 00 . 00 . 00 Grand Total 204 . 00 204 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 "le Application Number . . . . . 13-00003463 Da Property Address . . . . . . 1946 BEACHSIDE CT Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 150000 ----------------------- ----------------------------------------------------- Application desc addition --------------------------------- ---------------------- --------------------- Owner Contractor ------------------------ ------------------------ POWERS SHIELA ANNE ALESCH CONTRACTING INC 1946 BEACHSIDE COURT 1946 BEACHSIDE CT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 613-6517 --- Structure Information 000 000 ADDITION Construction Type . . . . . TYPE S-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------------------------------------------------------ ---------------------- Permit . . . * " * RESIDENTIAL ADDITION Additional desc . . Permit Fee . . . . 205 . 00 Plan Check Fee 102 . 50 Issue Date . . . . Valuation . . . . 150000 Expiration Date . . 4/02/14 ---------------------------------------------------------------------------- Special Notes and Comments Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. --------------- ---------------------------------- ------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 08 DEV REVIEW-SINGLE & 2-FAM 50 . 00 )P(4RD NA�d��D THE FI_Ot�PV '0 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CI BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 T, '10 INSPECTION PHONE LINE 247-5814 it Page 2 Application Number . . . . . 13-00003463 Date 10/04/13 -------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DBPR SURCHARGE 3 . 08 UTIL REV PRE APP >3 HRS 25 .00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- - -------- Permit Fee Total 205 . 00 205 . 00 . 00 . 00 Plan Check Total 102 .50 102 . 50 . 00 . 00 Other Fee Total 106 .16 106 . 16 . 00 . 00 Grand Total 413 . 66 413 . 66 . 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 I FILE COPY Office(904)247-5826 Fax(904)247-5845 t lzz 1� Job Address: 1946BEACHSIDECT PermitN..,.5;, 1-3*3y&'ff­ Legal Description 42-14 09-2S-29E BEACHSIDE Parcel# LOT 26 Bl­�� Floor Area of Sq.Ft. Sq.Ft Valuation of Work S 150-000/00 Proposed Work heated/cooled 1300 non-hented/cooled- Class of Work(circle one): Ne),N C�Alteration Repair Move Demolition pool/spa .vindow/door Use of existing/proposed structure(s)(circle one): Commercial <jRc�sidentiaj� If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed:ADDITION TO EXISTING SINGLE FAMILY RESIDENCE PER PLANS Property Owner Information: Name:SHEILA POWERS ALESCH Address: 1946 BEACHSIDE CT Cit.,, ATLANTIC BEACH State FL Zip 32233 I'llonv,904-247-9330 E-Mail or Fax#(Optional) Contractor Information: Company Narne:ALESCH CONTRACTING,INC Qualifying Agent: THEODORE W ALESCH Address-1946 BEACHSIDE CT —City.ATLANTIC BEACH_State FL Zip 32233 Office Phone 904-613-6517 Job Site/Contact Number 904-613-6517 Fax# State Ccrtification/Registration#CGC1 516238 Architect Name&Phone# SCOTT DARNELL,RA NCARB (904)382-2694 Engineer's Name&Phone# APEX TECHNOLOGIES (904)821-5200 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address BB&T 13443 ATLANTIC BLVD JACKSONVILLE,I'L 32225 A n,,he by de b, n o d h work a ,a a ed er a n a ,,.Ia'co j i "a"ans nd wOr or �d, c s Zi "d r raid _11 ren a, e e d he st.d� - d- ba in orif'o_ r_ 'k Z ,q n on n n 6 a I C, r P1. s pa pe 06 C g' g_ 'a a' a Tit A b 0 r.,- ina""�'c"�d ,E P"ca"o re d that all work will "-'a- "110.-vo"n'�an " , ni� b d d k a '.-- ced w' s be e— work, " ced. I d h e ksiin C. T dl B dA" . 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 cerrifv,that I have read and examined this I lication and know thesame to be trwe and correct. All pruvisions oflaws anti ordinances governing this tMx ofw6rk will be pwinplied with 'i ted herein or not. The granti resume to give authority to violate or cancel the whether spec7l' nAofa permit does no!,p fca it fic lon jorr,vistoru ofany otherfedet:ai,state.or local laA,rckulating coaviruction or the pe.ormance a n r mom Signature o fONN:�r Signature of Contractor CD 9 . CD H POWERS ALESCH Print Name THEODORE A SCH m, Print Name S er" -n Swom tQ,and subsc d Swo d sub s' �Pc thisc-7% ,�ao f --22 '2�fflDaypf ( p 'M m thi 'f nlXe I,, C7— -20/ '3 0 XM R N 0�P'uVl't 5 76 U) 6.10 M z 0 ruary 1 I� Pj W"'N Public V"'d BUILDING PERMIT APPLICATIO-, CITY OF ATLANTic BEACH 800 Seminole Road,Atlantic Beack F1,32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 1946 Beachside Ct Atlantic 13cach —Permit Number: Legal Description 42-14 09-2S-29E BEAC1­1SIDE LOT 26 BLK 1 Parcel# LOT 2613LK 1 Floor Area of Sq.Ft. Sq.Ft Valuation of Worki6ow-- Proposed Work heated/cooled im non-beated/cooled 40 /of class or Work(circle one): New E�tcration Repair Move Demolition pool.'spa Use of existing/propomA structure(s)(circle one): Commercial sidcnti;!,. ti., s If an eidsting structure,is a firt sprinkler systent installed?(Circle one):li;6W. N A Florida Product Approval tt For multiple products use product approval form Describe in detail the type of work to be perforrned:Extend Dining room gn back side of house PrqMM Owner Information: Name: Sheila Powers Address:1946 Beachside Ct City Ad tic Beach State__MZip 32233 Phone 904-463-6989 E-Mail or Fax 4(Optional)sheila(a-).tensalon.net Contractor Inforination, Company Name: Alesch ContractinjL Inc Qualif6ng Agent:Theodore Alescli Address:1946 Beachside Ct —City antic Beach __State Fl, zip 904-613-6517 Fax Office Phone Job Site-,Contact Number State Certification/Registration# CGC 1516238 Architect Name&Phone ft A16$ Engineer*s Name&Phone# -TkFIP 4-1vt-LEXIS. PE q2i) 21X. -045qLA Fee Simple Title Holder Name and Address Bonding Company Name and Address N41- Mortgage Lender Name and Address WA ,4pplicano" ;:r Eat 1. Of d .7V d eat. T h C 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. ere ce ' tharI ere andexandne this ication aWknow the same to be true and correct .411 provisions oflaws and art*nmcm gove ' h * be co ipli d with whether cz , herein or not The g ti 0jr *t doe or to authoritr to W to or=nit t is uvrk ther; ran ng a Perm 5=Znume he om of 0 edffr�4 state,or local aw regukiting ..or the peiformaox oftonm f Signature of Ow� /JV� Signature of Contractor Print Name ... Print Name n e— ............................................................................ Sw d subscribed re me Sw r4iltibsribed f me thi v of 20// n Notary Public Notary Public Revised 01.26.10 A�62_���f/ 9 6 9,-L,-) J&jP,%n I #I;U W412b ilk, (_1( ,t MY,WM *wry Piibk UndbNMON V FILE COPY Fly, -2 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 V fit IT Application Number . . . . . 09-00000041 Date 1/13/09 Property Address . . . . . . 1946 BEACHSIDE CT Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc KITCHEN REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ E-4 ELECTRIC, INC. Q/A: BEHNCKE, JAMES 1247 BOCA GRANDE AVE. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 .00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09- 80D SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233 OFFICE:(904)247-5826 0 FAX NO.�(904)247-%45 BUILDING-DEPTGCOAB,US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 2.IS THIS A SUB PERMIT: 3.DATE 1.JOB ADDRESS: ONO I' OYES PERMIT* PROPERTY OWNER: 4.NAMfL� S 5 ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE� ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY 8.ADDRESS.: C-- Ll e C C' 'i/-C� �A/ 9.STATE OF FLORIDA L CENSE NO: 10,CELL PHONE 11.FAX NO.� 4 3 1/- 7Y 6Y C), C) 12.EMAIL ADDRESS: 13,OFFICE PHONE: 14, 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMBER: 11 MULTI FAMILY-*OF UNITS: :F9�ESIDEN�TIAL 2(sINGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL 11 ADDITION 0 TRAILOR 19.BUILDING: 19.CURRENT CODE: 0 ALTERATION 0 SIGN 0 OLD 0 NEW 0'05 NATIONAL ELECTRICAL CODE El REPAIR 0 POOL/SPA 10 REWIRE El OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: OOVERHEAD gOUNDERGROLIND 0���D�UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASEJQbL\­/"�ER I§-ON'T 0 POWER IS OFF 22.SIZE OF CONDUCTOR: �Q AMPACITY: 2-� OCOPPER ;J�ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS:- PH: W: VOLT:_ RACEWAY SIZE: 24.EXISTING SERVICE SIZE: Amps: 2 0 n PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: OF__a AMPS: #OF- AMPS:- #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT. FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: 0 YES -UNO 29-31 DO NOT A PPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADD-ITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 3 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: - 2- 31-100 AMPS: OVER 100 AMPS. 32.AIR TO-NDITIONING- #OF UNITS: COMP. MOTOR HP RATING: AMP& HEAT KVT #OF UNITS: COMP. MOTOR HP RATING.- AM-PS. HEAT KW� 33.MOTORS: NUMBER: VOLTAGE: HP:- KVA: NUMBER VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 600V'. NUMBER: KVA:- 35,MISCELTkN-EOUS REPAIRS: DESCRIBE IN DETAIL: K'i f C(V 11 �e M 0 d",L BLDG02 Pennit Application Elec:REVISED:12118/2008 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000019 Date 1/12/09 Property Address . . . . . . 1946 BEACHSIDE CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ---------------------------------------------------------------------------- Application desc move wall in kitchen ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POWERS OWNER 1946 BEACHSIDE COURT ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 7/11/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 It Application Number . . . . . 11-00001708 Date 3/01/11 Property Address . . . . . . 1946 BEACHSIDE CT Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2500 ---------------------------------------------------------------------------- Application desc REPLACE ALL WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POWERS SHIELA ANNE ALESCH CONTRACTING INC 1946 BEACHSIDE COURT 1946 BEACHSIDE CT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 613-6517 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . SO Issue Date . . . . Valuation . . . . 2500 Expiration Date . . 8/28/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ----- ----- ---------- ---------- Permit Fee Total 65 . 00 6S . 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. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003694 Date 12/18/13 Property Address . . . . . . 1946 BEACHSIDE CT Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 22745 --------- ------------------------------------------------------------------ Application desc new pool -- --------------------- ----------------- ------------------------------------ Owner Contractor ------------------------ SURFSIDE POOLS POWERS SHIELA ANNE 313 BEACH BLVD. 1946 BEACHSIDE COURT ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (904) 246-2666 ---------------------------------------------------------------------------- Permit . . . . SWIMMING POOL Additional desc 16S . 00 Plan Check Fee 82 . 50 Permit Fee . . . . Valuation . . . . 22745 Issue Date . . . . Expiration Date 6/16/14 ------ ------------------------------ ------------- ----------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) SWIMMING POOL SAFETY INSPECTION REQUIRED ------------------------ ---------------------------------------------------- GE 2 .48 Other Fees . . . . . . . . . STATE DCA SURCHAR ENG REV PRE APP > 3 HRS 25 . 00 STATE DBPR SURCHARGE 2 .48 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ---- ----- --- Permit Fee Total 165 . 00 165 . 00 . 00 . 00 Plan Check Total 82 . SO 82 . SO . 00 . 00 other Fee Total 29 - 96 29 - 96 . 00 . 00 Grand Total 277 .46 277 . 46 . 00 . 00 PERNMIT 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 Job Address: 19 Permit Number: 7-4, f�,ZC� Parcel 9 1-3 -C)t Legal Description Sq.lt IC r i u u i 7a"ea-oT_ S q.P t- Valuation of Work$ 0-2_-jj��Proposed Work heated/cooled� non-heated/cooled_ Class of Work(circle one): CN=ew) Addition Alteration Repair Move Demolition pooUspa window/door Use of ey,sti ng/p ro posed structure(�) (circle one): Commercial �_—�_!�e�sidential­�' -Yes No em installed-9 (Circle one): If an existing structure,is a fire sprinkler syst F da Product Approval 4 ILE CO lori F For multiple products use product approval ful 111 Describe in detail the type of work to be performed: �5(,,_� Pro er Owner Information: Address: P2 CAC—LA . &Le:5C_i,4 � Name. F --Zip 3 city 2ee"_State% _,Z�Phone E-Mail or Fax-4(optional Contractor Information: Quality"Ir, ,j 11 a C S -T'T Company Name: C City St ate Zip Address:—.3 Site/Contact Number t�- ���Fax 9 9 CFA--_J_�Lg Office Phone q 04 a416- LLt,�13 �ob State Certification/Registration 4 Architect Name&Phone# Engineer's Name&Phone 4 Fee Simple Title Holder Name and Address— Bonding Company Name and Address Mortgage Lender Name and Address permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the mit becomes null 4ppucatzon is hereby made to obtain a,,71 be pe�formed to meet the standards of all laws regulating construction in thisjurisdiction Thisper at any time after or aWeriod of sixg months,oilers, Issuance ofa permit and that all work ii months, or if construction or work is su ended or abandonedf ells, poois, urnaces, Heaters, its must be securedfor Electricar, Signs, and void if work is riot commenced within six(6) Work, Plumhing, work i's commenced. I understand that separate perm Tanks and Air Conditioners,dc. FAILURE TO RECORD A NOTICE OF WARNING TO OWNER: YOUR AYING TWICE FOR IMPROVEMENTS IOMAIENCEMENT MAY RESULT IN YOUR P TAIN FINANCIN43 CONSULT WITH TO YOUR PROPERTY. IF YOU INTEND TO OB YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOVk NOTICE OF COMMENCEMENT. te and correct. All provisions of laws and ordinances governing this -tif _xamined this. 7cation and know the same to be tri �.presurne to IV late or c I the reby cel y that I have read and e er s eci The granting of a permit does no,on. Ihe Fie§11herein or not. ce of constructi ,7 n ot pre �'v 'Ll'e or c 'et'ler S ec�egulating construction or the pe�forman ction. typ Of work will be complied with wh h e,isions of any otherfederal,state, o� A proi Signature of owner Signature of Contra .......................................... Print Name .......... Print Name ....... A ................ sworn to arid subscribed before me sworn to and subscribed before me 20%3. this Lxf-Day of 14 0SI e W t_4y__ 120-1-5 this /'N Day of__0_CA_Q-iQ1L C 41A Notary P ic Nota Pub cl.'%'K". Z% cyo ISS11 N#EF 186 C 1AGRAVENOR vised 01.26.10 Myc My COMMISSION#EE 090186 I E ay 3,2015 public Underwnters .......... Bonded NO EXPIRES:May 3,2015 Bonded Thru Notary public Undemnim 0.4.