760 TRITON RD - SOFFIT & POST COVERING `' ' ''' • s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
;r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2653
Job Type: RESIDENTIAL ALTERATION
Description: COVERING SOFFIT AND POST WITH SIDING
Estimated Value: $2,300.00
Issue Date: 11/12/2015
Expiration Date: 5/10/2016
PROPERTY ADDRESS:
Address: 760 TRITON RD
RE Number: 171334-0000
PROPERTY OWNER:
Name: NARKIEWICZ, JOSEPH
Address: 105 W END AVE
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA INTRACOASTAL BUILDERS INC
Address: 1614 Cocoanut DR
Phone: 904-677-6709
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $61.50
Total Payments: $65.50
PERMIT IS APPROVED ONLY IN ACCORDANCE Will l ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,Nov. 12. 2015 10:46AM No. 1190 P. 1
' �. BUILDING PERMIT APPLICATION
G t h & \e. S'F e ���V CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 fax (904)247-5845 I Jam' RA,kg-Z
Job Address: 7Gd ! 4 N 4 • __ Permit Number:
Legal Description Parcel #
oar " 'ea o q. 1. q. 'I
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Valuation of Work S. i 360, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door •
Use of existing/proposed structure(s) circle one): Commercial '
If an existing structure,is a fire sprinklet'system installed? (Circle one No N/A
Florida Product Approval It
For multiple products use product approval form
Describe in detail the type of work to be performed:, `,I /,0,;s,# ,Q, _ w ;
J
Property 0$v ter Information:
` _ r��Name:_ � �/i _C,el__ a_: 2____Address:
City A hx____ '11*State ip,742:3 !lone '7/
E-Mail or Fax# Optional)
SC y
._...- _._ ._.
Contractor Information: CONTRACTOR)✓M AIL ADDIMS: w
Company Name: 'ohs sior" tar Qualifying Agent:_ ���G/��i� �,
Address: 0.7„,4- /t City '70.1, et ..✓t,.#//(Stale _Zip_ 22Z'�
Office Phone 7._ G 7 Job Site/Contact Number fax #
State Certification/Registration f! ! 2 ""
Architect Name& Phone# _
Engineer's Name &Phone#
Pee Simple Title Holder Name and Address _
'`bDonding 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 thisjw•isdiction. This permit becomes null
and void if work is not commenced widilu.six(6)months, or if cotctructior or work is suspended or abandoned for a period of six(6)months at wry time after
work is commenced. I understand chat separate permits must he.secured for Electrical- York, Plumbing,Signs, ))'ells,Pools, Furnaces,Rollers, Healers,
Tanks ottl 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 TINA$ CING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
/hereby certify that)have read and examined this n plicatiot and kl,ow the same to be true and correct, All provisions of laws and ordiinances governing this
type of work will be complied with whether specified herein o-not. The granting of a permit does not presume to give authority to violate AV cancel the
provisions of arp'other federal.state, or local taw r•egn{aihrg eonsh•uclig,or the performance of construction.
!/ .
Signature of Owner .. .__•_ _ , _. — Signature of Contractor // t i
Print Name 0.0 W Print Name r
•
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till . Dry a_ i r _ NOTARIJ7(�Ct/A5 1111 x, `� 14 v', iv► 1 .20
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