1766 Beach Ave 2014 deck repairs J is1
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J i X131>r RESIDENTIAL ALT/OTHER
MUST CALL RX 412M FOR NEXT DAY INSPECTION- 747-5814
JOB INFORMATION:
Job ID: 14-RAAR-186
Job Type: RESIDENTIAL ALTERATION
Description: DECK/ROOF REPAIRS LIKE FOR LIKE
Estimated Value: $13,000.00
Issue Date: 10/10/2014
Expiration Date: 4/8/2015
PROPERTY ADDRESS:
Address: 1766 BEACH AVE
RE Number: 169603-0500
PROPERTY OWNER:
Name: EDWARDS, DAVID J
Address: 1922 LARGO RD
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $115.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Oct 06 14 01:49p f.b.Andrews Contracting 904-724-9780 p.2
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach; FL 32233
Office(904)247-5826 Fax (904)247-5345
Job Address: --h(,(, Permit Number:
Legal Description Parcel#
floor Area of
'Valuation of Work$ Proposed Work heated cooled non heated/cooled
Class of Work(circle one): New Addition AIteratiou a air ove Demolition pooVspa window/door
Use of existing/proposed structure(s)(circle one): Commercial Res•d
If an existing structure,is a fire sprinkler system installed?(Circle one : es No N iA
Florida Product Approval 4
For multiple products use product approva orm
Describe in detail the type of work to be performed:_ _ f,96
Propem Owner info rination �T 't�►�-�j f P'��Tit(vp tj L,t E e t ,
C&Maiil
L"1</W � _Address: IC12Z (.. .r k, `ll State�FL'Z
3ZZD7 Phone or Fax (Optional) et,r�t ���
Contractor Information: CONTRACTOR EN AIL ADDRESS:
Company Name: Quali. ng Agent:
Address: ACity Ste Zi 1
Office Phone - Job Site!Con c NU er Fax#
State Certificat on, eg strauon# Z�
Architect Name&Phone �~ r
Engineer's Name&Phone#
Fee Supple Title Holder Naive and Address
Bonding Company Name and Address
itlortgage Lender Name and Address
_P
11- l
hereby made to obtoir.a aernit to do tle tirork,and ins;allatlons as indiceted 1 cert that no tivorh or installa:ian has comrrenced prior to the
irsuance ofa oern and that all work will be oerforn:ed to meet the standards ofall loris regulating construction in this;urisd coon TDtis permit becomes null
and void f work s rot coma;enced within sac('6)months; or if construction or work rs st speeded or abandoned for a__ppertod cf si�(E}worths at arty time after
ztiork u comrrenceo.'. I unazrstand that separats permits must be secured for Elec[rical flrork,P1untGittg,Signs, lselfs,Poo1.c, xiurtaces,Boilers,Healers,
Tatrks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TVVICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTALN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. Allprovisio:�s cf iaws and ordinrnces coverning this
work r
tTe :, 411 be complied with whether meci red herein, or not. The granting of a permit does no:presume to grve atiihority to violate or tante!the
provisions of'any other federal,sante, cr locrl taw regulating construction or the performance cfconsirucifon.
Sib ature of Owner Signature of Contracto
Print Name
�. 5 4SS��e. Print Name 5
Before me Before
rrI
this 't�u"Dayof- o��• •� 20Itj thisof ��- `� (
20 1
LNotary Pu (, No sblic
�J
SUSAN CASB 7p�/
BAWM L TRAM Notary Publ1aSEiWb@ Fldfid6
MY COMMISSION#FF 102953 My Comm.Expires April 9,2017
EXPIRES: 18.2ptg _ igion No FF SM
e04e.d tum ,;wows U'e