1026 BIG PINE KEY - INTERIOR REMODEL �SrL��rJJ ,
'ss CITY OF ATLANTIC BEACH
rl
r 1 .2s-) 800 SEMINOLE ROAD
`j ATLANTIC BEACH, FL 32233
\.N INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2020
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL
Estimated Value: $43,965.00
Issue Date: 8/28/2015
Expiration Date: 2/24/2016
PROPERTY ADDRESS:
Address: 1026 BIG PINE KEY
RE Number: 172027-5060
PROPERTY OWNER:
Name: BARON, PIERRE A
Address: 1026 BIG PINE KEY
GENERAL CONTRACTOR INFORMATION:
Name: SHAYCORE ENTERPRISES INC
Address: 11235 N ST JOHNS INDUSTRIAL PKWY N CT STE 4 10
Phone: 904-551-2592
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $269.83
STATE DCA SURCHARGE $4.05
PLAN CHECK FEES $134.91
STATE DBPR SURCHARGE $4.05
Total Payments: $412.84
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
01.41�i:,,, City of Atlantic Beach APPLICATION NUMBER
F Building Department (To be assigned b the Bu'Iding Department.)
. ,� i 800 Seminole Road --/zed- Z o ��
�, -0 Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 /6 ���"'
Fax(904)247-5845 D 2 6 Per;3 �� E-mail: building-dept @coab.us Date routed: Q 6 Cit web-site: htt ://www.coab.us
City http://www.coab.us
REVIEW AND TRACKING FORM
Property Address: /6T2 G ,g in E key De artment review required Yes o
Building
Applicant: _-11r; I ,/ _ /t / 1/'' arming &Zoning
Tree Administrator
Project: l (E[ /Q e /L i/kQ J,s 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: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: / Date:�,'c 6'/5
ill
TREE ADMIN. Second Review: ['Approved as revised. ❑Den d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
OFFICE COPY F_ [ ON/ E
BUILDING PERMIT APPLICATION �
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1026 Big Pine Key Permit Number: /5'— R A Ali` ad)
Legal Description 41-55 17-2S-29E SELVA LAKES Parcel# 172027-5060
Floor Area of Sq.Ft. Sq.l"t
Valuation of Work $43,965.14 Proposed Work heated/cooled 1466 non-heated/cooled 300
Class of Work(circle one): New Addition Alteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residenti...
If an existing structure, is a fire sprinkler system installed? (Circle one): No N/A
Florida Product Approval#
For multiple products use procproval form
Describe in detail the type of work to be performed: See attached scope of work 'erkr l' Q-ewofieI
Property Owner Information:
Name: Steece Stegall Address:1026 Big Pine Key.
City Atlantic Beach State FL Zip 32233 Phone 704-8405145
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Shaycore Enterprises, Inc. Qualifying Agent: David Monk
Address:11235 St Johns Industrial Pkwy N City Jacksonville State FL Zip 32246
Office Phone 904-551-2592 Job Site/Contact Number 904-237-9553 Fax#
State Certification/Registration# CGC1520488
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 for a_period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical. 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 provisions of laws and ordinances governing this
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 cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Ow • L/m`.'., .-�►���1 Signature of Contractor al
e
7Print Name k_43 j r �Cce , A ' 146,j I Print Name M\(
Sworn t and subscri•ed efore me Sworn to and subscribed before me
this 2S-Day of /,, •, CV , 20 1 S this '-Day of c Ulik- , 201
Nota \ Pu '' Notary ' :QL
Revised 01.26.10
ei ,. BENJAMIN RIENDEAU " •
BENJAMIN RIENDEAU
'el MY COMMISSION 0 EE172929 if 1, •O= MY COMMISSION#EE1729
••,�o,*t�. EXPIRES February 26,2016
.�,� %i,.��• EXPIRES February 26,2018
(407)388-0133 FioAd_Notery_enke.00m J (Am 39&-0153 FlorldeNowfeeniccecen
o�_..J
Doc # 2015196455, OR BK 17281 Page 1273, Number Pages: 1 , Recorded
08/26/2015 at 09:24 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
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