1890 LIVE OAK LN - SIDING f' Jr\
r� s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
3OB INFORMATION:
Job ID: 15-SIDE-1504
Job Type: SIDING PERMIT
Description: T-11
Estimated Value: 8200.00
Issue Date: 6/24/2015
Expiration Date: 12/21/2015
PROPERTY ADDRESS:
Address: 1890 LIVE OAK LN
RE Number: 172020-1418
PROPERTY OWNER:
Name: FEDERAL NATIONAL MORTGAGE ASSO
Address: 3900 NW WISCONSIN AVE
GENERAL CONTRACTOR INFORMATION:
Name: COASTAL CONSTRUCTION COMPANY
Address: 404 N Harbor Lights DR
Phone: 904-303-3526
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $55.00
Total Payments: $59.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
„- BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: f r t7 i Lie /
/ G�/l� i��iJE� �TL•� rmit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. q, t
Valuation of Work S Z QO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial '
If an existing structure,is a fire sprinkler system installed? (Circle one): •es No ' N/A
Florida Product Approval #
For multiple products use product approval-of rm
Describe in detail the type of work to be performed: /re-mac/‘ ATTE-p T/jj 5-/,9//•16
/9.-42 f 2e,Dj 4Cc IA)/i-H A).c4J -T-///
Property Owner Information:
�p��., Lire eehe‘40,J6—
Name:f�0, - �7 t// TV+J Address:—!
City ,W7c. IC#9 State Zip,3 Phone
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAILL ADDRESS: 8GIILP/d6$y COgts' 9Lad/On& .c
Company Name: 4047-41- 77GfC77t- (,O i, ing ,Agent:0969-6,e A.1' JC P`7,ri✓�
Address: L/04 fJ, /1 8a2 L/G$'Y 17' City � State Z. Zip324°V
Office Phone 10�/-3o3-. 24 Job ite/Contact Number ?Q ' 3U 352.(? Fax#90 g-1 Z.pZ
State Certification/Registration# O!Z 0
Architect Name&Phone#
Engineer's Name& Phone# _
Fee Simple Title Holder Name and Address f . A I - ■04) — /7'1 - �..
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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for ElectricallWork, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, 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 hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinan ,- - his
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to grv' • ority to viol)e or c r e
provisions of any other federal,st r local law re•Mating construction or the performance of construction. _
�r t-. •
Signature of Owne Signature of Cont / mss'�- -
s a'LLo
Print Name AO // ' 7 r J Print Name ..9 4/l ,S/ '
_ i e-.Eo
Be
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No-ary l,.'' '°' Nota �"i�bli — -
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IC My Co mission FF •c•• 0 U
" ,,0a•• Expires 02/14/2018 ( 0 Cr/_ _ Revised 01.2+ .00. '�
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