696 AQUATIC DR - ALTERATION (DURAROCK) l 'L`J
ri" e \s, CITY OF ATLANTIC BEACH
-,.. / - v 800 SEMINOLE ROAD
j v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
JF3l>r
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2290
Job Type: RESIDENTIAL ALTERATION
Description: DURAROCK
, Estimated Value: $1,100.00
Issue Date: 9/29/2015
Expiration Date: 3/27/2016
PROPERTY ADDRESS:
Address: 696 AQUATIC DR
RE Number: 171818-5232
PROPERTY OWNER:
Name: KAYE, LINDA
Address: 1830 SEVILLA BLVD APT 102
PERMIT INFORMATION: S E JONSSON CONSTRUCTION
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $55.50
Total Payments: $59.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 322
Office(904) 247-5826 Fax (904) 247-58. pai IS i
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Job Address: (.' c I.I v Per��'�`� 1 •
Legal Description SQL I Q C Parce L IV i / X111
Floor Area of Sq.Ft. mil n��./%1 turf
Valuation of Work$ 1;1 On Proposed Work heated/cooled non-h.'!.e",lc,o e
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler installed?system nstalled?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form 1
Describe in detail the type of work to be performed: tc,I()C L. C..1k0 '1`t e 1 NA S K (J1
Property Owner Information: // c�
Name: " A ' Address: v T U GI, C 0-e
City :� RiL-PC,� , State a Zip 32233 Phone OL1 - 3 2.. 9
E-Mail or Fax#(Optional)
Contractor Information:
Company N e: S L 0 U SSo ' _I 1 ' ■<Quali fying Agent: 5 Je u (i 0 K S S O IA
Address: f)-Lc ,1- c IP 1Cn re City r ay.-1ri �'0Jq State it Zip 52052
Office Phone Qt)9 —5-1/S'— Job Site/Contact Number 5--(/ v -2)) 9 Fax#
State Certification/Registration# G /5-0( 3 Q 0
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 cert(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 aperiod 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 certify that I have read and examined this application and know the same to be true and correct. All provisions of 1 s and ordinances governing this
type of work will be complied with whet • s,• (lied herein or not. The granting of a permit does not presume to give •.thority to violate or cancel the
provisions of any other federal,scat, or l• •l • regulating construction or the performance of construction.
Signature of Own —.6. 1\k\ 1 A_ti/ 4
Signature of Contractor • �l
Print Name .
"'V.� _I �J Print Name 5 V t?y & \) 0 K.s.i....2.ln.
Swo to and subs 1 . •-fore sir b
•�� , ,�_ Sworn+. •• subs gibed •-fore m-
this" Day of r <iL�rJ1i.- r 20 E hit y of %F;�... ..,_. 20 S
1...-41/111M4agri,Not. // ,l o A' �'/RIP
' M, DERICK L.DAM FRE K L.OAKE -
' -staofF • sed 01.26.10
r.i. '`s� ,Pu011e-su�a a floiM. �`•E Cary•s Commission f FF 25294
itt f. Co fission#FF 245294
JS My Comm.Expres Jun 29.2049 � P,- Y C' m•Expns dun 29.2019
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