1751 Sea Oats Dr 2014 siding CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIDING PERMIT
JOB INFORMATION:
Job ID: 14-SIDE-254
Job Type: SIDING PERMIT
Description: siding for addition
Estimated Value: $15,000.00
Issue Date: 10/28/2014
Expiration Date: 4/26/2015
PROPERTY ADDRESS:
Address: 1751 SEA OATS DR
RE Number: 172020-0444
PROPERTY OWNER:
Name: GROSS, JASON D
Address: 1751 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: FUTURISTIC HOMES, INC.
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $62.50
BUILDING PERMIT FEE $125.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $191.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMITfoolr """�"�'r"+ -+e•. ..,,-`.Y,..
APPLICATION
CITY OF ATLANTIC BEACH 1iFILE f
800 Seminole Road, Atlantic Beach FL32233 COPY
t
Office (904) 247-5826 Fax (904) 247-5845"
Job Address: Sa C f s Permit Number:
Legal Description Y 4V1 111( 1 Parcel#
Floor rea o q.Ft. �t
Valuation of Work$ 150110.Qp Proposed Work heated/cooled nonheated/cooled
Class of Work(circle one): New Addition Alteration 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 installed? (Circle one): Yes No N/A
Florida Product Approval# ja n 14,2/
For multiple products use product approva orm � ��
Describe in detail the type of work to be performed: SIJ J Y1�1J u W 1'6 fi
Property Owner Information•
Name- (A-� &N-b-S Address: 7 ��
City State ip hone adAt - sr 21
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Na e: ��$�t& 6l7Cj 4 rk t- Qualifyin Age t: �A4i y) J . fla
Address: qtr. City [ t � State Zip
Office Phone - Job Site/Contact Number 716 - so Fax# �-
State Certification/Registration# la1S-
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void o work is not commenced within six(6)months, or if construction s work is suspended or abandoned for a period of six-(6)months at any time after
work is commenced. I understand that separate permits must be secured or Electrical Work P/untbing,Signs, Wells, Pools, PFurnaces,Boi/ers,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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herebycertify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of ork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner r» �'-7 Signature of Contractor ¢
Print Name &fs r
............ .......... ............ ?.pva ....................................................... Print Name �. Tec -l�
........................................ ......... .....�..................................................................
Before me Before e
this Da of 20
�'' this ay of C, 2014
P Ll� ;,, :c t Fiotitla
Notary Public t�sly., 7e 18 2018
Notary Public-State of Florida Notal a ;r'' Commission I FF 124116
My Comm.Expires Jan 27,2017
' e IS
6.10
Commission#EE 862763
t '
? �,y City of Atlantic Beach APPLICATION NUMBER
�s Building Department (To be assigned by the Building Department.)
>- 800 Seminole Road
S/d ��
"- Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
Y. City web-site: http://www.coab.us L Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 7.5-/ SU 475 � Department review required Yes No
uildin
Applicant: �tLL /*S Planning & Zoning
Tree Administrator
Project: .h Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS _
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: proved. ❑De-pied.
(Circle one.) Comments:
:BU:lDIN
PLANNING &ZONING
Reviewed by: Date: /O'�22/�
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review: ❑Approved as revised. ❑Den
i
Comments:
Reviewed by: Date:
REVISED 09252014