464 IREX RD - INTERIOR ALTER ?# . , S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-2002
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL
Estimated Value: $7,500.00
Issue Date: 8/26/2015
Expiration Date: 2/22/2016
PROPERTY ADDRESS:
Address: 464 IREX RD
RE Number: 171426-0000
PROPERTY OWNER:
Name: PITTMAN, BLAKE CAROLYN
Address: 464 IREX RD
GENERAL CONTRACTOR INFORMATION:
Name: EMCO RAIN GUTTERS INC
Address: 404 BEVERLY LN STEVEN MIDYETTE
Phone: --
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
, !-JV.1;i3, City of Atlantic Beach APPLICATION NUMBER
S
)4/P7 s\ Building Department (To be assigned by the Building Department.)
f(4'T Atic Bc _ /J ��''�+'��� Atlantic Beach, Florida 32233-5445 ere
Phone(904)247-5826 Fax (904) 247-5845 J
��r E-mail: building-dept @coab.us Date routed: 26/ /,d
City web-site: http://www.coab.us jjj
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 ' `7 2,� ,&i + t review required Yes No
/ Buildin
Applicant: j(Yhjq-•I tV �,t,i,�c-j Planning &Zoning
Tree Administrator
Project: / T�i� �d tlr`d d L Public Works
Public Utilities
Public Safety
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:
APPLICATION STATUS
Reviewing Department First Review: I"i roved. ['Denied.
(Circle one.) Comments:
BUILDIt
PLANNING & ZONING k '45-75--
Reviewed by: � Date:
TREE ADMIN. Second Review:
Approved as revised. ❑Deniett"
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: "IVI Ir6.2 Rd , • y l i C Bea l'►J VL 32-2 33 Permit Number: /S_ gh4R-a 002.
Legal Description 1nne rt lTr veYYtQj4 Parcel#
Floor ea of Sq.Ft. Sq.Ft
Valuation of Work$ 4-1 500 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 Residen •
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 form
Describe in detail the type of work to be performed: 1 v19 r\C't.w
b6,--VVrob lm V 1 y5, Pal nfi v3 woatc, ri-e W flood
Property Owner Information:
Name:VJ%,i1 MArtnt,ua1dlrAS`-a'+ '""' C'1"Address: 923'5 Mowry tC1 + % 3°l
City_-_$}c dio C i __- ••' State('Zip 9l601# Phone (54g)392-✓ S"l to Es.f
E-Mail or Fax#(Optional) __-
Contractor Information: EMAIL: eyD eot i r y tkh0d•Low\
Company Name: EiMCb QQl (on e VS JAC • Qualifying Agent:
Address:40-( fljevecl \o..-i e. City,kieLSoemte_ State [ Zip 32764 _
Office Phone(GCt4) Lpq 'l r6"1c} Job Site/Contact Numbe0044) ' )3.21 c Fax#(gOLD 161p -1 1
State Certification/Registration# C l? C-/3a 91ek ?
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 ofapermit 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 ifwork is not commenced within six(6)months,or if construction or work is suspended or abandoned/or a period lof=(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 Alr
Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE 0
YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI :4 . YO 4'
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE •
COMMENCEMENT. LL
I hereby certify that I have read and examined this applicatio me to be true and correct. All provisions of laws and ordinanc- •av jt'•s e
of work will be complied with whether specified herein or not. The grantin:' a permit does not presume to give authority to violate or cancel e i iii a any
other federal,state,or local law regulating constructio • •�pwffma � of-construction. z_e g
�' t aTi o�•
W=U
c
Signature of Owner ,t� i�I Signature of Contractor / 6' •
Print Name frL ''/7/i2, At54
_••__ z y Print Name
0E `a (4.0
Before e E ! 3 Be
this W`Day of • / z° •y o' :.1 l t h 41ar `Ir
•
Notary Public L ,,.14011.11k-
;4..±%,/ '' .
E2
•� Revised 10.24.12
•