1971 Mipaula St 2014 deck patio CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-DECK-677
Job Type: DECK/PATIO
Description: ADD SMALL COVERED PATIO TO SIDE OF HOUSE
Estimated Value: $5,000.00
Issue Date: 1/2/2015
Expiration Date: 7/1/2015
PROPERTY ADDRESS:
Address: 1971 MIPAULA CT
RE Number: 169506-1028
PROPERTY OWNER:
Name: FULTON, STEVEN CRAIG
Address: 1971 MIPAULA CT
GENERAL CONTRACTOR INFORMATION:
Name: RJ VINAS CONSTRUCTION
Address: 2215 LAUGHING GULL CIR QA RICHARD JAMES VINAS
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $37.50
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $116.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
DEC 1 2014
800 Semino
F I L F C le Road, Atlantic Beach, FL 32233
-5826 Fax (904) 247-5845
Office (904) 247
JobAddress: Permit Number`��H_ DI-Or-_ 6-1-7
Legal Description Parcel# 1,6 �
r loor Area of Sq.Ft. Sq.Pt
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled I Vd
Class of Work(circle one): New ��dd�ition C�erati Repair Move Demolition pool/spa window/door
.................
Use of existing/pro osed structure(s)(circle one): Commercial tesident*
ure,is a flre sprinkler system installed? (Circle one): s N/A
If an existing strucr,
Florida Product Approval # -2 is
For multiple products use approval form
Describe in detail the type of work to be perforrned: lo
0(_ �c,-�4-
Property Owner Information:
Name:4�4,41 71�I i-py, Address: U t(1
City I VAI;-CO State tl Zip '31-0?z Phone 11�,-
E-Mail or Fa:.#(Optional
Contractor Information:
Company,Name: P, .'T. Qualifying Agent:
Address: :7,2-(5- City e,_t
State Zip
OfficePhone Job Site/Contact Number Fax
State Certification/Registration 6(,C 3-1 f-91i y-
Architect Name&Phone#
Engineer's Name& Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address Al�/-4_
Mortgage Lender Name and Address 4409,
A I it here ade ana e o d the workand n olla ns ind cgd ertify that no work or installation has commenced prior to thf,
s j t, 111
rmit t 0 i st tio c
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�p na_ 1 11 be e 0 ed to m t the sta� a s a a_s e ul'a ng construction in this jurisdiction. This permit becomes n I-
rk
is su 'd i d or abandoned for eriod qf six t6)months at an e a ict
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or is c, c, , t .us t
k d. I ,de,stand that sep, pe b d E""ca or
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
lhere certify i hat I have read and examined this lication and know the same to be true and correct. All provisions of laws and ordinances governing i.17
�1_ 1�work will be complied with whether eci 70 herein or not. The granting of a permit does not presume to give authority to violate or canc�l 117,
provi.st.ons ofany otherfederal,itate, or local"raw regulating construction or the pe�fbrmance of construction.
Signature of Owne,4,L(,G Signature of Contractor
PrintName L-�tl
Print Name ............................
......................................... .......................................................................................
Sworn subsqribed be e Swo&),and subsc6�me
an' tt i S Day of 20
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
DEC 1 20
800 Seminole Road, Atlantic Beach, FL 32233 14
Office (904) 247-5826 Fax (904) 247-5845
JobAddress: fMcav_ (__Jr- Permit Numbe D1_rJK_
Legal Description 6/,. 5�e&" i�Zo( l_ 04' Parcel# 1,6 '7 S—D 6—
r loor Area of 5q,Tt_. Sq.F-t-
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled—L—d—
Class of Work(circle one): New ��d�dition �Zerat�i� Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(�)(circle one): Commercial 8,esident*
s
If an existing structure,is a fire sprinkler system installed? (Circle one): N /A
Florida Product Approval # i'2 a -(-
For multiple products use produ t approval form
Describe in detail the type of work to be perforrned: 7�
0 [_ /I-—� 0—
Property Owner Information:
Name:<::�;4q i
I - Address:
City
State F1 Z i p 31 L4 Phone '-P�,'
E-Mall or Fa:.#(Optional)
Contractor Information:
Company Name: QUalitying Agent:
Address: -717--(5— 6 /1 :r, tl City State Zip 5 2-L-3t�'
OfficePhone Job Site/Contact Number —Fax#
State Certification/Registration
Architect Name& Phone#
Llnloineer's Name& Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address /V til-
Mortgage Lender Name and Address .114"ga
lical h e ade 0 a a ,ermit to do the work and installations as indicated. I certify,that no work or installation has commenced prior,o thi;
11 be pe�formed to meet the standards-of all laws regulating construction in thisjurisdiction. This permit becomes nidl
t o't p
"pp io s e er by ml th I
'ss. eo a "nit an at a I wo k w
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d s not om ed_,th,_six(6)months, or�f construction or work is suspended or abandonedft)r C eriod ol'six(6)months at any time afic.
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'."'4 is'. "'ened I "derstand 1h.t separate permits must be secured Electrical Work, Plumbing,Signs, ells, Pti6ls, Fur iaces, Boilers, ffeale.-
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certijv i hat I have read and examined this qpplication and kno)r the same lobe true and correct. Allprovisions oflaws and ordinances governim-
�vpe of work will be complied with whetherspecijied herein or not. The granting of a permit does not presume to give authority,to violate or cance'l,
provisions qfany otherfederal,�tate, or local law regulating construction or the pei.lbrmance ofconstruction.
Signature of Owner�_�'�_
Signature of Contractor
Print Name Print Name
.......................................... ................. ...................................... ........... ......................................
S",orn to and subscribed befq,rd rde Swon nd subscrd2ed before me
is Day of f
tv,�14 20 tj iway 0 P<T-C--
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My Commission FF 086990 EXPIRES:Aprii 214�2017 Revised 01.26.10
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Suffding Departmej.-ij.-Ij, APPLI
. I 1�1 �6 be CATION NUMBER
800 Seminole Road assigned by the Building Departm. ent-)
Atlantic Beach, Florida 322:333-5445 dw
Phone(904)247-5826 - Fax(904)247-5,945
City web-site http:Hwww, �
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TREE ADMIN. Reviewed by:—/91 Date:/2-c:21
Second Reifie�qr:
r -0ved as revised.
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FIRE SERVICES
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Reviewed by:___ te.,
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