2329 FIDDLERS LN - BATH REMODEL ' ,. ' CITY OF ATLANTIC BEACH
1SS`'
J 800 SEMINOLE ROAD J'J
fT %' ATLANTIC BEACH, FL 32233
� INSPECTION PHONE LINE 247-5814
- / J ii 19'.
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2750
Job Type: RESIDENTIAL ALTERATION
Description: BATH REMODEL
Estimated Value: $30.000.00
Issue Date: 11/30/2015
Expiration Date: 5/28/2016
PROPERTY ADDRESS:
Address: 2329 FIDDLERS LN
RE Number: 169463-0118
PROPERTY OWNER:
Name: SCHECHTERLE, BRIAN & DOROTHY J. *
Address: 2329 FIDDLERS LN
GENERAL CONTRACTOR INFORMATION:
Name: CORNELIUS CONSTRUCTION CO.
Address: 71 19TH ST QA MARGARET S. CORNELIUS
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $100.00
BUILDING PERMIT FEE $200.00
STATE DCA SURCHARGE $3.00
STATE DBPR SURCHARGE $3.00
Total Payments: $306.00
il PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
( ), City of Atlantic Beach APPLICATION NUMBER
6, Building Department (To
r , ,n ( be assigne by the Building Department.)
.'s.•; 800 Seminole Road / 14 ,ge I 27,5�
r4 Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 /417/1c on �% E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6.93.2 g 62? /S15 --A Dement review required Ye No
Buildin.
Applicant: y ,/ / Ct JQ Pranning &Zoning
Tree Administrator
Project: ___ Sir / �i iLi �g L Public Works
Public Utilities
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: li pproved. ['Denied.
(Circle one.) Comments: ,o �r
BUILDING 4�
PLANNING & ZONING
Reviewed by: Date://'p7 y''/S�
TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni .
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
\lb BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 232 q r10D1.E ,5 ,LAJ. Permit Number: /S'-kA/le-427
Legal Description 14 2'-1 oil - 2$ -- 261E OCRo9JVtgi..,K fA;jj(Parcel #
Valuation of Work$ . 1) 000,—I Proposed os d Work heated/cooled t
P ooled 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): Commercial :esidential _
If an existing structure,is a fire sprinkler system installed? (Circle one): •es t►• N/A
Florida Product Approval# N ft
For multiple products use product approval orm
Describe in detail the type of work to be performed: RE.-i1100 i L TB1'j11M
Property Owner Information:
Name:j�lnN, DbRon+Y S01EC ITER ,LE Address: 2.3211 FIDDLE 41 ,
CitYA—lw(J-r-ie. ct-i State Fl Zip 322ss Phone qb4- 2,9 363
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:Cr,QuEi_►US 6.1;5tp AO Qualifying Agent: MAR6PRE 6RNF LIQ5
Address:,- - � - 2l g BAY St', City P1 U LIE BCi-4 State rl Zip ��-2b�o
Office Phone 249 • 4-70IP Job Site/Contact Number 2qq- �r1C - Fax#
State Certification/Registration# C B C O 4 gq b 7
Architect Name&Phone#
Engineer's Name&Phone# --
Fee Simple Title Holder Name and Address SRI ALi Sc*+(EC .tTE ILE
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 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 certify 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
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner/�f 1( 1 j�Q Signature of Contractor/ Ii/�//,,/ �✓J /,/
Print Nam- 13,-14,,, Se h e c ire d e Print Name
3ef• - II
his �. P.
• .
/ r^t,: Notary Public State of Florida p;� ',eta u,`c
�_��. l e• .. .ham . y •
V I. F 086990 nr'otary Public �• •r _ I-. ",- u li.#161.-/"VI,,' Sows,0211 2018 � •02/14/2018
I
/ d Revised 01.26.10
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