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2337 SEMINOLE RD UNIT A - POOL DECK PERMIT - \i'] " ' '` S, CITY OF ATLANTIC BEACH z :;,. .• ) 800 SEMINOLE ROAD 'i ��' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RADD-2344 Job Type: RESIDENTIAL ADDITION Description: 2 pegolas at pool deck Estimated Value: $2,000.00 Issue Date: 10/12/2015 Expiration Date: 4/9/2016 PROPERTY ADDRESS: Address: 2337 SEMINOLE RD UNIT #A RE Number: 168846-5002 PROPERTY OWNER: Name: BOHR, SARAH H Address: 2337 SEMINOLE RD UNIT A GENERAL CONTRACTOR INFORMATION: Name: ALLIANCE BUILDERS GROUP Address: 543 PELICAN KEY VALERIY FEDOROVICH KNODYUKOV Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $30.00 BUILDING PERMIT FEE $60.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,,,51.A,� City of Atlantic Beach APPLICATION NUMBER , ` Building Department (To be assigned by the Building Department.) r '' ;,`� 800 Seminole Road /5S�Jj N — 23 , Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �t /! �� r E-mail: building-dept@coab.us Date routed: (/ cJ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 33 ? JIAt i A/d/F d Department review required Yes No .din Applicant: ' • / _ oil,/ • F / Ore / tanning &Zoning Tree Administrator Project: i e a its 6,1 Public Works / Public Utilities 'Tod G 2iicI6 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 i 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: � vi/m Date: AVykr. TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 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 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) v 800 Seminole Road /5-1,1941 _ d 2 ?9g) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 ,{ /! -0111�'' E-mail: building-dept @coab.us Date routed: v �! City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:c:,233 ? Si At WO ) 'd ,yDepartment review required Yes No • V�1llldin Applicant: / � 4lanning &Zoni Tree Administrator Project: £eio !Qs Q-,, Public Works Public Utilities T G G G 'EC/6 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. nDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: [Approved as revised. ❑Denied. 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 • BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ` y .nY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: 023.37 SCAVAAPLE LQb P S c/I _�3 yy ermit Number: / -Pa Legal Description 31-,2 S 19F ,5 c 66110- 4 1-161111. varcel #Ai)via., Floor Area of Sq.F't. Parcel # S FF't Valuation of Work S A ,W Proposed Work heated/cooled O non-heated/cooled c2 3P Class of Work(circle one): d - , Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial If an existing structure,is a fire sprinkler system installed? (Circle one): es o CCE) Florida Product Approval # h f q For multiple products use product approva orb Describe in detail the type of work to be performed: C D itt-i-e LA.A1-'Ion o,, two e.2}iee- Js on "AD 1 d eeR. /� Property Owner Information: Name: SAW /f, Io)IZ Address: oZ 3 31 ..SE.m:,vot..4 /eoA.b City R7t.n,.tic BEAcit StateEkZip ..7233 Phone C• o 4L) it 7.1 .6 aS-02. E-Mail or Fax#(Optional) sav'aJiAkoAl..pao/ cm Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name / : t a a . 1 Qualifyi�!Art: Address: 51 �1 il 4-11/ City � G Office Phoned.3 7 ... / 7 9 Job_Sit /Cont ,Qt Nut r State Zip State Certification/Registration# 6 & Cg /5 0,2-&-5 Fax# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address andApplication 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 vo d ff work islnot commenced within six performed 6) onths,orr f standards of all is suspended regulating r construction bandond for ahpe period of six jurisdiction. s 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 hereb certify that I have read and examined this a placation and know the same to be true and correct. All provisions aws and ordinances governing this ape of work will be complied with whether specified herein or not. The granting of a permit does not presum• . :u e a, •'ray to violate or cancel the 2rovisions of any other federal,state, or local law regulating construction or the performance of construction. v >ignature of Owner "2#/il1"--- Signature of Contrac • ,lt• 'rant Name S4 4H H• I'• 8olik Print Name ` e",ie-04ite X-2-0/ 1 efo :.y; Before me .� Da of__ .Ar.. : _fti_ . 20 LS. this Qs_ Day of • ...►j,7,;._ PAOLA i y(5 ��+fir _ 11-100 A rotary ublic ' /(l�� IBC,,,,. CommitrsiortttEEt3a3aa2 ND Cori tit, Notary Public State of Floridallo.1 ry Pub' sas�� •• 'V .16 ' Shirley L Graham My Commission FF 086990 or Expires 02/14/2018 Revised 01.26.10