509 CAMELIA ST - RESID ALTER PERMIT f
s,\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J r ATLANTIC BEACH, FL 32233
11 cc`` INSPECTION PHONE LINE 247-5814
,..J1l1%)r
RESIDENTIAL ALT/OTHER
• MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-RAAR-2112
Job Type: RESIDENTIAL ALTERATION
Description: remodel interior only
Estimated Value: $30.100.00
Issue Date: 9/4/2015
Expiration Date: 3/2/2016
PROPERTY ADDRESS:
I Address:
RE Number: 509 CAMELIA ST
170899-0800
PROPERTY OWNER:
Name: MCKENZIE, DARRELL J
Address: 509 CAMELIA ST
GENERAL CONTRACTOR INFORMATION:
Name: BEAT CUSTOM CONTRACTING INC
Address: 10175 FORTUNE PKWY STE 201 QA JODY MARK BARRY
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $200.50
STATE DCA SURCHARGE $3.01
STATE DBPR SURCHARGE $3.01
Total Payments: $206.52
limmimmilminmillimilimomilPERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
J. 1 JLV.YA.4..1 .C1A 11114 Li.LIMN
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: SOq C im ( ` Permit Number:
Legal Description$ fl p F LOo 'Y AI 20 F-74445; Z-3 i �x/ l Parcel#
o 'l4or Area of /Sq.Ft. Sq.Ft
Valuation of Work S /Ot.----Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration 'epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 'esiden
If an existing structure,is a fire sprinkler system installed?(Circle one): 'es o
Florida Product Approval#
For multiple products use product approval form e leC-�' cc)
Describe in detail the type of work to be performed: re H 0`-b #- D-/AS
Property I • l er Information:
Name: IPH )- .1`I SSA[ s E.-LC Address: 0300 Al/" p4c-.11L.4 Swi1O' Arts
City AU S 1'• State? Zip 7i755 Phone 5/2.-05/1-- tgco1
P.,--Mail or (Optional) 5i Z - g5/- 05O --
Contractor Information:
t \) m . t-r
Company Name: '�' ,_ -TV,� e� � �ualifyCing Agent:
.A.ddress: a `1 or _• ' . + ity c k `c nvtL L State 'PL Zip-`
Dffice Phone °L SLt -7 30-5(. / Job Site/Contact Number`1,0,f -Fs33 3 Fax#
state Certification/Registration# _G. 0
architect Name&Phone#
Engineer's Name&Phone#
ee Simple Title Holder Name and Address
3onding 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
ssuance 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 rf'work is not commenced within six(months, or if construction or work is. ended or abandoned for a period of six(6)months at any time after
vork is commenced I understand that separate permits must be secured for EleWork,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
ranks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EYIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certify that I have read and examined this aappplication and know the same to be true and correct. All provisions of laws and ordinances governing this
ype of work will be complied with whether •'citiied her,n or not. The granting of a permit does not presume to give •• •rity to violate or cancel the
'rovisione of any other federal,state,or local re_ • construction or the performance of constructio
signature of•• I ,/ Signature of Contractor
Arleir- ,A
'riot Name � //� �, _��_� ,_ Print Name (��AMP
C
lwort0o and subscr ed b- ore in Sworqp9 and subsc 'bed before m
his }'`'t`'"--DDay of L-Y ,i _',#2 ,20/� this- -Day of s�G/7� ,20 e
AO SW.
•otary Publi 1111.. Notary Public
4lick RENATA H GOMZALEZ RENATA H GONZAWEE 01.26.10
1". •'z MY COMMISSION#En83450 : '~ MY COMMISSION 0 EE8d3450
-. EXPIRES EXPIRES March 13,2017
' 11111 March 13,2017 r.• 1s3
• DO NOT 'L BELOW- OFI 10E USE ONLY
1.pplicable Codes:2007 Florida Building Code wf2009 Revisions
Zeview Result (circle one):,
Approved Disapproved Approved wl Conditions
R_eview Initials/Date:
Development Size
Elabitable Space Non-Habitable
Impervious area
•
R.adon/DCAJDBPR$
Miscellaneous -Information
Occupancy Group
Type of Conscti.on •
Number of. Stories
•
Zoning District • •
Max. •
Occupancy Load. .... .
Fire Sprinklers Required
Flood.Zone
•
Conditions/Comment:
•