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
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'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.
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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
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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.