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880 BEACH AVE SIDING CITY OF ATLANTIC BEACH AN 800 SEMINOLE ROAD 1wATLANTIC BEACH, FL 32233 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-2049 Job Type: RESIDENTIAL ALTERATION Description: REPLACE SIDING Estimated Value: $23,300-00 Issue Date: 9/3/2015 Expiration Date: 3/1/2016 PROPERTY ADDRESS: Address: 880 BEACH AVE RE Number: 170320-0000 PROPERTY OWNER: Name: HINES, ROBERT &VICKIE, Address: 880 BEACH AVE GENERAL CONTRACTOR INFORMATION: Name: CLADDAGH CONSTRUCTORS, INC. Address: 3997 AMERICA AVE A MATTHEW FRANCIS FENNELL Phone: - - PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $166.50 STATE DCA SURCHARGE $2.50 PLAN CHECK FEES $83.25 STATE DBPR SURCHARGE $2.50 Total Payments: $254.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: !�Z-E> /L57D City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: SSO_ e)P1AQAA_ �\\rc_I , treviewrequired Yes No Applicant: Liz�Qb PqtA K)S-1 Plannin Zoning g T Tr ree Administrator Project: (c) (7t,6_F7 Public Works W P-0 r, To Public Utilities _,,,,,_,,,Eublic Safety ts 4 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: VApproved. OlDenied. (Circle one.) Comments: P/ 0 PLANNING &ZONING Reviewed by: IT Date: TREE ADMIN. Second Review: ElApproved as revised, F]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. F]Denied. Comments: Reviewed by: Date: Revised 07/27110 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTic BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 15-WI Q 20-7 Z Job Address: 880 Beach Avenue Pertnit Number: /7 FT 1 Legal Description r,64.cj_ C(IIF- lq-6(. CLUL YIPIATIkIll? Parcel # Floor Area ot Sq.lt. Sq.111— Valuation of Work$4"14-61 Proposed Work heated/cooled non-heated/cooled I - 77-3,30c> Class of Work(circle one): New Addition Alteration CED Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial -IMM�identia� If an existing structure,is a fire sprinkler system installed? (Circle one): Florida Product Approval# 13 z y 5- For multiple products use product approval for Describe in detai I the type of work to beyerformed: Property Owner Information: Name: Bob Hines Address: 880 Beach Avenue City Atlantic Beach -State FL Zip 32233 Phone(904)626-329� E-Mail or Fax#(Optional Contractor Information: Company Name: Claddagh Constructors, Inc. Qualifying Agent: Matt Fennell Address: 3997 America Avenue City Jacksonville Beach—State FL Zip 32250 Office Phone 904-241-1012 Job Site/Contact Number Matt 904-813-1728 Fax# 904-242-9344 State Certification/Registration CBC 058367 Architect Name&Phone# N/A Engineer's Name&Phone# N/A Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A lical is he eb made I bla,-n a ermi'to do the work and installations as indica or installation has commenced pri6r-to the P he e 0 d to in the an a ds a thisjurisdiction. This permit becomes null 0 0 PP io r r i y dh ' ork i me r iss a e ape an a a s 0 k i s aWeriod of sixP6)months at any time after n or od u f nc r s 0,Z' s '�eo or EjectrIca h struct r t i- 6 m nt n u 0 wo, m w w ' Po 0 Ohe secur d and vol'd 1� k Is not commenced wi hin s work is f "nced I understand that separate pernui s inu t Ms,Pools, Urnaces,Boilei-s,Heaters, co Ta jr Co tio tc. nks an4A n.�r ners e 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 oj work will he co�nplied with w er s e ifTed herein or not. The granting of a permit does not presume to give authority to violate or cancel the Provisions ofany otherfederal,state r cal a re ulating construction or the performance ofconstruction. Signature of Owner Signature of Contractor Print Name _z) Print Name ��r F........................................................................... Sworn to and subscri§ed before me Swornjo and subscrib of Ad before'Ir this.2(t-Day of JUAA.—� 20 1Y this Day - 20 1 Notary PuUc Notary Public 1.0000 - - - - - - - - Revised 0 1.2 - 0-a ot.,y Pu Nc� ALYCEN M.KWG stw I�, � r#0 P�_t'4.tNotary PubNC VMS Of R-W8 BUILDING PEP-MIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 3';2233 Office (904)247-5826 Fax (904) 247-5845 Job Address: . 880 Beach Avenue Legal Description L, j6zo cp Permit Number: Valuation of Work$ Floor_A�reao sq. t. Parcel 4 Proposed Work heated/cooled non-heated/cooled z 3' s 0 (2) -014 - Class of Work(circle one): New Addition Alteration Move Demolition Pool/spa window/door Use of exi�ting/proposed structureQ)f�ircle one): QED If an existing structure,is a fire sprinkler system instal Commercial ___�7e�sidenti�a Florida Product Approval# led? (Circle one): --re7—No For multiple products (ED use Ill Oduct approval for Describe in detail tl�e e of work to be performe shingles; mak -repair d d: Remove exterior Shaker Town sidin amaged sheathing where necessM new cedar Prop art An Qsr 5j,94 __y Owner Information: Name:-Bob Hines ddress: 880 Beach Avenue City- Atlantic Beach State-EL Zip.32233 Phone(904) 626-3299 ----------- E-Mail or Fax#(Optional Cont-actor Infor nation: Company Name:- Claddagh Constructors, Inc. Qualifying Agent: Matt Fennell Address: 3997 America Avenue City- Jacksonville Beach -State FL Office Phone 904-241-1012 Job Site/Contact Number Matt 904 —Zip 32250 -813-1728 ax# 904-242-9344 State Certification/Registration# CBC 058367 Architect Name&Phone# N/A— Engineer's Name&Phone# N/A Fee Simple Title Holder N Bonding Company Name and Address Mortgage Lender Name and Address Atinli—ti— ;� L---L___-- I . I .