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2337 SEMINOLE RD # A - ADDITION PERMIT r--. f \s� CITY OF ATLANTIC BEACH .r �� 800 SEMINOLE ROAD 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-2346 Job Type: RESIDENTIAL ADDITION Description: bath addition Estimated Value: $8,000.00 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 $45.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $90.00 STATE DBPR SURCHARGE $2.00 STATE DCA SURCHARGE $2.00 Total Payments: $189.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL (TTY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING CODES. C ity of Atlantic Beach �� APPLICATION NUMBER , Building Department C'j� �`` (To be assigned by the Building Department.) 3, 800 Seminole Road ��i / _ �n 2 �� Atlantic Beach, Florida 32233-5445 OCT �'� / /� r d �0 \ Phone(904)247-5826 • Fax(904)247-5845 u ?415 / ///.5 •L�; E-mail: building-dept@coab.us Date routed: ! d (� Cit web-site: http://www.coab.us -- City `` APPLICATION REVIEW AND TRACKING FORM , A Property Address: X337 jkikiAkii ICS D= : : : 4t review required Yes No P. Applicant: 4 I C� ddgl..S tri•.••._& •••-• � - =.ministrator Project: WA- T7-7' /4 �I _ ep-, _- , 'ublic Works '__:ai[..r. y Pu• c a ety 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. Denied. /✓/A (Circle one.) Comments: ' 14/044,A �s BUILDING /l/0 /�c�D L • G S C1�+�C � lliv 3 o.C_ (.p. w Al� 7'S PLANNING &ZONING /,� L-- / Reviewed by: A Date: /� /J TREE ADMIN. Second Review: Approved as revised. Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [1]Approved as revised. 1 ]Denied. Comments: Reviewed by: Date: Revised 07/27/10 ?s 1J:r City of Atlantic Beach APPLICATION NUMBER Building Department (To t,� R be assigned by the Building Department.) �j Atlantic tic Seminole Road Ac.- h 0 J`..> tir Atlantic Beach, Florida 32233-5445 p(.S Phone(904)247-5826 • Fax(904)247-5845 / //iE-mail: building-dept coab.us Date routed: i City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM A Property Address: X337 cjileAtiAkk Id efiitrtmlin e revie w required Ye o �t g Applicant: // 471 Cf.. rX-7.0/dg& aZzg -z°r+i WA- administrator Project: 17i / �� ,�'�-, •ublic Works .•__:.nc�l�liltiy Pu. a ety 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: proved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING Reviewed by: Date: /a-10./— TREE ADMIN. Second Review: roved as revised. ❑App ❑De ied. 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 r 1..i. `J City of Atlantic Beach / - �� .� APPLICATION NUMBER .1 Building Department �'';, S,% r (To be assigned by the Building Department.) j � 800 Seminole Road ry T �I �/Q -J,. a ,r Atlantic Beach, Florida 32233-5445 v�/ 0 4, /�. " 02.50 �, Phone(904)247-5826 • Fax(904)247-5845 �Q/S \0;119%' E-mail: building-dept @coab.us ;� Date routed: /� lQ //..5 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM A Property Address: X 3 3 7 jlearova`i' i d D= : : - : 1t review required Yes No rillill :. . Applicant: Ai / 477 Cf., / • _ ` .o i .. -- -•ministrator Project: Ab., ' T7-1 /4b)--"! /-yerY) rrublic Works Pus a ety Fire Services Review fee $ Dept Signaturer- 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: __ APPLI TION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING / L� �/! Reviewed by: Date: /077/14r--t TREE ADMIN., Second Review: A roved as revised. ❑ pp ['Denied. ow C OR; Comments: 1BLIC UTILITI . 0- 7- I5 PU: - Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 rig City of Atlantic Beach APPLICATION NUMBER J' - 1\ Building Department (To be assigned by the Building Department.) s 800 Seminole Road Atlantic Beach, Florida 32233-5445 f _ r Phone(904)247-5826 • Fax(904)247-5845 / vr J E-mail: building-dept @coab.us Date routed: ld (O fr..5 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: X c 337 ooA/ /1 Id meRt review required Yes No Building Applicant: CE, / �ZO • �ministrator Project: 17� /�� 7') p 'ublic Works Pupnc 5a—fety 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: XJApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b TREE ADMIN. Second Review: I '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 800 Seminole Road,Atlantic Beach, FL 32233 �r r-r.+ �wvt, l�7 Office(904)247-5826 Fax(904)247-5845 Job Address: 2337 Seminole Road. #A Permit Number: / / D-d.3 y6 Legal Description 37-2S-29E BLUFFS CLUSTER HOMES CONDOMINIUM Parcel # Floor Area of Sq.Ft. Sq.l t Valuation of Work$ $000.00 Proposed Work heated/cooled 6 • non-heated/cooled Class of Work(circle one): New Additio Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial •eside If an existing structure,is a fire sprinkler system installed?(Circle one): 'es No N/A Florida Product Approval# /■f o?•S For multiple products use product approval form Describe in detail the type of work to be performed: Bath addition Property Owner Information: Name: Sarah H.Bohr Address: 2337 Seminole Road City Atlantic Beach State FL Zip 32233 Phone 904-472-6252 E-Mail or Fax#(Optional) sarahhbohr@aol.com Contractor Information: Company Name: ■ i I ' . ' 4" 'Qualifying 'gent: n, 4r/ No) £tc Address: kWi :i. .it City :mil • e - .tate_ ip Office Phone 'n1FJE7f - Job,,ite/ ;intact m Fax# State Certificatio •egistration • A C, /5d 2-4-5 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 certify 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 rf 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 a placation and know the same to be true and correct. All provi�s'• ,, •ws and ordinances governing this type of work will be complied with whether spec:red herein or not. The granting of a permit does not pr=...„•,_ i� ?• a a, .ority to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. lit Signature of Owner (% �/ kt .,,,,, /" — Signature of Contractor pvlki, Print Name Sarah H. Bohr Print Name Vim ' / Sworn tc and subscribed before me Sworn to and subscribed fore me re this oritff Day of 5e fre,.Fbec , 20 5 this O 5 Day of ,_20 IS ■.• ff. (,�.fiGi^•^- , i • •�i r 1. J,I i PAOLA A-1O isiotary '1 blic Not,lhion;c s` ,o yF1%., DAYNAH.WIWAMS ' ' .�.k Notary Public,Stale of Florida =.r ;! :.: MY COMMISSION t FF 217841 11—'' ►Z-\, S�ViiiPs'9�R�E{Fr 81314 • ;'�4t EXPIRES:August 7,2019 '�y Comm,e�p+ns f♦.10+6 "'R; �' Bonded Thru Notary Public Underwriters ��o.. .......w