880 SAILFISH DR INTERIOR RENO ?i'"1111 r�
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
-J;1 S),
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
70b ID: 15-RAAR-1301
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR RENO WALLS DOOR OPENINGS
Estimated Value: $1,000.00
Issue Date: 6/3/2015
Expiration Date: 11/30/2015
PROPERTY ADDRESS:
Address: 880 SAILFISH DR
RE Number: 171162-0000
PROPERTY OWNER:
Name: GARVIN JR, EVERETT E
Address: 1738 E HOLLY OAKS LAKE RD
GENERAL CONTRACTOR INFORMATION:
Name: SIWELL BUILDERS INC
Address: PO BOX 442015 DONALD LEWIS
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $55.00
Total Payments: $59.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORRIA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH /�
800 Seminole Road, Atlantic Beach, FL 32233 kE4 17 //
I �t) �'
,
Office (904)247-5826 Fax(904)247-5845 V J
Job Address: gpd 33
Permit Number:
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Legal Description 7,�- bd 'I� l�s '" a� C once(#
oxo_'-door Areao Wit. � t
Valuation of Work$�'�Proposed Work hated/cooled non-heated/cooled
/poo . pfrPon�ld Itois
Class of Work(circle one): New Addition Alteration Re ai Move Demolition poollspa window/door
Use of existing/propused structure(s)(circle one): Commercial Res.
If an existing structure,is a fire sprinkler system installed? (Circle one): Y,e�se N/A
Florida Product Approval# p+�}INeunav
For multiple products use product approya arm �^J
Describe in detail the type of ark to be performed:�a l s
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Property Owner Information: /'T^ J5 fthd r y rid W r orr Z'r�e�5
p� tTi#•,�// d�EntaRS
Name: Address:
City State��Zip�7ZZS Phone 9Fl - S—O =yam,_
E-Mail or In#(Optional)
Contractor Information: // CONTRACTOR EMAIL ADDRESS:
Company Name: �, A� I�dY/lS Quali 'ng A lent
Address: C' State
Office Phone ^- 9�' Job Site/C tact Number - - ' Fax# �
State Cert ification/Registration#�,
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 a 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 pe armed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null
and void fwork is not commenced within six months, or if construction or work is suspended or abandoned for a pe lad afsix/6)months at airy time ager
work is commenced. I understand that separate permits most be secured for Electrical Work,Plumbing,Sism, WAIS,Pools, Furnaces,Boilers,Healers,
Tanks and Air Conditioners,eta
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 herebp certify Thal!have read and examined this o plication and know the same 10 be true andcotrect. All provisions oflaws and ordinances governing this
type o)work will be complied with whether spped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state,or local!ew regulating construction or the performance ofconstruclion.
Signature of Owner ((��/r!04wlz Signature of Contracto
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Print Name l.'vCRC79_..� .MARY/ _.. Print Name ♦�Gd! f(p� ...
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� « EXPIRES.Apnl 24,2017
r`td'h e""assn"rvNo1ryeed`uan Revised 01.26.10