1890 LIVE OAK LN - ALTER rj r,J\
�� , • \I, CITY OF ATLANTIC BEACH
fi SEMINOLE ROAD
A4jT ATLANTIC BEACH, FL 32233
l`,, " /
\ ,\ / ~ INSPECTION PHONE LINE 247-5814
\J131>'r
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1505
Job Type: RESIDENTIAL ALTERATION
Description: MOVE CLOSET WALL
Estimated Value: $350.00
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 LLC
Address: 404 N Harbor Lights DR
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
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:/VT O / VC- Oak 401C,, /¢TL 4jE'elCf erdritNumber•
Legal Description Parcel#
alb Floor Area of Sq.Ft. q. t
Valuation of Work$3. ' Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Repair • - P emolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residentia
i
If an existing structure, is a fire sprinkler system installed? (Circle one . e o N/A
Florida Product Approval#
For multiple products use product appr l orf
Describe in detail the type of work to be performed:Afoue /6 J— G./ 1.1 774,1-y— c-',4S /yIOi/67,
�y P/��`viows Aleig
eHG/f � OiQ16/s).sL 4o c/+r0:J It N Pei? S�-c04-/
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Property Owner Information: ) L � �'° S90 441/67- 06-/,x,
Name $r 1( o,-9T7 Cro`"' Ct'� ddb
ress:
City tats LZip 524P5 Phone 0
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: 4/..o/isJ 4,COQS'r/1LOd
/►1?-/
Company Name:Z06.57-4L- v t 1fx� i anc_ C>�C -r,y
Address: "ft) 'U r /f 4Z %A I C a12 ty
//W State Zip3je
Office Phone' OV-3 03— 7526,Job Site/Contact Number 9u`e-303 —�S5Z(�Fax#9' / -9 20 Z
State Certification/Registration# la4 e:, C312 20 3
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and AddressXo 3 o v/.-4O7 Z' 5'4-70-7
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 Electrical'Fork,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 certib,that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances govern :
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or ca el the
provisions of any other federal,state, or local law regulating construction or the performance of construction. o
m
er. a
15 8
Signature of Owner Signature of Co act E W '
(75 12 ol
Print Name w As 611"..,) Print Nam a j I o
BefA a Befo :�"}}�!� , t o'
this L.Day of �t^e`'� ,20fS this.o/�ay if ,. / 20(. z i�
Notary Public • .-ry Fug is �, .ti► d
�H n*N
Revised 01.26.10
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