160 MAGNOLIA ST 2015 DRYWALL CITY OF ATLANTIC BEACH
s� 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1899
Job Type: RESIDENTIAL ALTERATION
Description: DRYWALL REPAIRS
Estimated Value: $3,000.00
Issue Date: 8/10/2015
Expiration Date: 2/6/2016
PROPERTY ADDRESS:
Address: 160 MAGNOLIA ST
RE Number: 170616-5000
PROPERTY OWNER:
Name: PASKO TRUST. PAULA & FRANK,
Address: 13692 VICTORIA LAKES DR
GENERAL CONTRACTOR INFORMATION:
Name: PRO-BUILDERS OF FLORIDA LLC
Address: 1115 S OAKS RIDGE DR LUIS EDUARDO ROSERO
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $65.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
+ BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: _ &0 IWh 5ndhct 6-tr,„ r_ 1jeAG4 d Permit Number:
Legal Description Parcel#
U a. 0� 'Proposed
ooAra o q.Ft. q. t
Valuation of Work$ 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 Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: All`"uvc( of Old /t✓wa�� �I�
(LOL64MAL 01 lujj �'r�'1 k14(' OA &oM I
Property Owner Information:
Name: Or'6 -k �O-J;A-d Address: 160 M:. t itdlw S�
City KLACL, State TLZip_Phone '{$`(-88;psi(
E-Mail or Fax#(Optional) r 1
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 'OE 1--6�',lcK Quali ing A ent: L�J'L S
Address: a f1 _ City. UW State Zip
Office Phone 41 O — 0 Job tSit e`Contac it Fax#
State Certification/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 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 fora period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,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 application and know the same to be true and correct. All provi io of laws and ordinances governing this
type o work will be complied with whether speci ied herein or not. The granting of a permit does not presume ori to viol to or cancel the
7rovisions of any Other feder ate, or local law regulating construction or the performance of construction.
t
Signature of Owner Signature of Contractor
Tint Name 6,C,4tc Print Name
....... ..........................................................................................................•..
............................
lefore for e
its D y of Kir ,45 20 r-
Da ofhoqhy
Notary Public State of Florida
�►s" o Pu ate lorid Graham
rotar Shi L Graha 1'y 11 1C J�Zn Expires 02( � ___/14/2018
c c� My C mmission 90 ]►
Expir 02/14/2 a C �U
Revised 01.26.10