333 5th st job cancelled HIGGINBOTHAM
CUSTOMHOMES
February 17, 2015
To: Shirley Graham, Building Department
City of Atlantic Beach
From: Roger A. Higginbotham
Higginbotham Custom Homes, LLC
Re: Building Permit
Dear Shirley,
This letter is to advise you that the owners of the property at 333 Fifth Street,
Atlantic Beach, FL 32233, have decided to not move forward with their renovation project.
Therefore, it is not necessary to proceed with the application for the building permit that
I submitted to your department. if you have any further questions regarding this matter
feel free to call me at (904) 219-9144. Thank you.
Sincerely,
Roger A. Higginbotham, Manager Member
Higginbotham Custom Homes, LLC
CBC1258306
2418 Stockton Drive, Fleming island, FL 32003 hchiaxL@gmaii.com (904) 651-8774 www.hchiax.com
of Atlantic Beach AP i PLICATION NUMBER
City Y 55
(To be assigned b th Building Department.)
Building Department
800 Seminole Road
A tic Beach, Florida 32233-5445
tlan -5845
Phone(904)247-5826 - Fax(904)247 LDate routed:
E-maili building-dept@coab-us
City web-site. http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t ired Yes No
ell'anning &ZODA
Applicant: ��clministrator
Project: 47. Az 1 M� 4ubl1c ubhtie�2
-F-Ublict9f-e�y
Fire Services
Review fee $ Dept signature-
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLI TION STATUS
Reviewing Department First Review: pproved. DDenied.
(Circle one.) Comments:
(2��3D Reviewed by: Date: led.
PLANNING&ZONING
TREE ADMIN. Second Review: nApproved as revised. DlDenied.i�/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach AP-PLICATION NUMBER
(To be assigned by th Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Fax(904)247-5845
0 3
Phone(904)247-5826 Date routed:
E-maiL building-dept@coab.us
cityweb-site. http�//wwwcoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: r Buildi ent review required–1 Yes No
Applicant: .&b - ? ing &Zon'
n�Xew
dministrator
Project: 47. ublic Wor
U lic Utilities
P-0 l5lic–Saf ety
–Vire Services
Review fee $ Dept Signature
— Review or Receipt
Other Agency Review or Permit Required of Permit Verified By e
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: E]Approved. X)enied.
(Circle one-) Comments: CL�
BUILDING
Date:
PLANNING &ZONING Reviewed by:X
TREE ADM IN. Second view-Approved as revised. DDenied.
PUBLIC WORKS Comme ts:
PUBLIC UTILITIES
Reviewed Dat�&
PUBLIC SAFETY
FIRE SERVICES Third Review: FlApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 3 3 3 451 rrlt r rxzocl� &4c� a 1'.x X 4? Permit Number:
Legal Description 1o-rS Iq le, &OCK -7 A54" Parcel 9 16 7162 - 00400
Valuation of Work$ Floor Area of sq. t. Sq Ft ed W
_ 1(4 000 Proposed Work heated/cooled 7(,o)L no*n-heated/cool
Class of Work(circle one): New Addition �� Repair Move Demolition pool/spa window/door
esidentia
Use of existing/proposed structure(s) (circle one): Commercial (gz�i�
If an existing structure,is a fire sprinkler system installed? (Circle one): es 0 N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: A&Irto" AA`) 4'
C-Ax 101-r 7-c>
Property Owner Information:
Name: AUAA/ —Address: 3 3 J 4!'A`1-#
city Arc*,-nc- 1344c& State r-1-Zip 3 X Phone (q I.L J 6/,0 -7 3 9
E-Mail or Fax#(Optional) 41 i4SAA yltAll' 106- COm
I
Conti-actor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:#1641A-,601z6w^e5'vj-,-V— PplhfS' LZIC. Qualifying Agent: ?vaeA /+. kkiCe, %,SorA"h"
Address: '4'416 �roctmA-, DA I v6 10 City ffL-+2 —State J:::�c Zip 3
Office Phone (I 0q) 65-1 -J917q Job Site/ContactNumber (J&44) ;X1'I-9/VY jax
State Certification/Registration# (f& I X TO 3 0/- .
Architect Name &Phone# Xf-VFA--' &P-41 (q0q) 37A -qJS-0
Engineer's Name&Phone 4_Bp-y.4A.� InIAA41 6100 ILI-2-
Fee Simple Title Holder Name and Address 06L;A/15�&—
Bonding Company Name and Address
Mortgage Lender Name and Address A�,/6+
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance of a permit and that all work will be peiformed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work i's suspended or abandonedfor a eriod of sixP6)months at any time after
work is commenced I understand that separate permits must be securedfor Electrical-Work,Plumbing,Sikns, V�lls, Pools, urnaces, Boilers,Heaters,
Tanks andAir 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.
Ihereb certify that I have read and examined thi,,ap lication and know the same to be true and correct. All provisions of laws and ordinances governing this
,f -esume to give au
17�ork will be complied with whether s ,', thority to violate or cancel the
14 pe 0 herein or not. The granting of a permit does not pi
provisions of any otherfederal,state, or local aw regulating construction or the performance of construction.
Signature of Owner'(; WVO�r ��Mx Si nature of Contractor iom
9
Print Name . ......��L-"A-1 6A- Print Name e, K
.... ............................................ .............. ......... ... ........ ................... .... ...................M .............................. . .........
Before rne Before me
this 0 11 Dav of TN� - 20 IS- this 4�,Day of 20
Notary Public ROM A.HIGGPO07HAM otary Public
My CMUSSIM#EE 1NO
EXPIRES.OCIDW23,2M LEE Y.AVIZINI 034513 evised 01.26.10
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Z,-" ExDires Seotember 26-9017