1050 MAYPORT RD - COMMERCIAL STUCCO REPAIR ,, •- v-
�- �S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j r ATLANTIC BEACH, FL 32233
N. INSPECTION PHONE LINE 247-5814
9 B 19'r
COMMERICAL ALTERATION/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-CAAR-2125
Job Type: COMMERCIAL ALTERATION
Description: STUCCO REPAIR
Estimated Value: $950.00
Issue Date: 9/9/2015
Expiration Date: 3/7/2016
PROPERTY ADDRESS:
Address: 1050 MAYPORT RD
RE Number: 170778-0000
PROPERTY OWNER:
Name: FIRST BAPTIST CHURCH OF AB INC
Address: 1050 MAYPORT RD
GENERAL CONTRACTOR INFORMATION:
Name: STYLES CONSTRUCTION. INC.
Address: 1537 PENMAN RD SUITE A QA DARRELL GLEN SMITH
Phone: --
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $59.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 1 tJ -@.A A (.-Z t as
Job Address: /O.fv moll,_or 1?4(, Permit Number:
Legal Description Parcel #
Valuation of Work$ t's'p, i� Floor Area of Sq.Ft. t
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): ' ommercia Residential
If an existing structure,is a fire sprinkler system inst.. •• '• c e one): Yes (S N/A
Florida Product Approval #
For multiple products use product approval ram
Describe in detail the type of work to be performed: Aros4,•0• S ice o
Property Owner Information:
Name: ,C ,jr/ iLeNe le ar ra 4 of" Address:s �li�•.
Address: /O f O /�w10,-- f dal
City ,f,6 Z 4.4../4.€ 00A State�f.Zip 7$s rf Phone
E-Mail or Fax# (Optional)
•
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 5')4 Ai. e•G.,1/a-e d i..,.. ��e... Qualifying Agent: 1)Ar•re/i
Address: /S jr rive.„,i+'iQ.•i Aril. Ca, Srs,
Office Phone 24e/--y'J/ City '���• State , e0,,, Zip ?��i-o
�' Job Site/Contact Number s^y it- Ti • 7 Fax#
State Certification/Registration# L •.fie /21-0 Le 7
Architect Name &Phone# ,w #
Engineer's Name& Phone# ,v/i9
Fee Simple Title Holder Name and Address ,404
Bonding Company Name and Address ,.7,9
Mortgage Lender Name and Address ,.. A
Application is hereby made to obtain a permit to do the work and installations as indicated. I certi&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 f 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-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 cert�that I have read and examined this a plication 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
'rovisions of any other federal, te, or local law regulating construction or the performance of construction.
signature of Owner �� �
--40- s�'- re" +r
Signature of Contractor Amparee.," Iay�
Tint Name 4 ere,/ G cr, • • Print Name P4 r rt// G, se, , /
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Tot i Sit-y L Gra --- m,�.-r-rr.ri∎wow
Notary Public
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ley L Graham
o,* ' Expires 02nar2 o� . . ,ommission FF 08 9
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