832 CAVALLA RD - FLOOD REPAIR r ''c; \S f CITY OF ATLANTIC BEACH
J < ;� 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
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\ INSPECTION PHONE LINE 247-5814
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RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2889
Job Type: RESIDENTIAL ALTERATION
Description: FLOOD REPAIR - FIRE WALL
Estimated Value: $5.000.00
Issue Date: 12/14/2015
Expiration Date: 6/11/2016
PROPERTY ADDRESS:
Address: 832 CAVALLA RD
RE Number: 171717-0240
PROPERTY OWNER:
Name: BLAKEMAN, JUSTIN M & CAROL, *
Address: 1451 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: SOUTHERN CONCEPTS CONTRACTING
Address: 4063 GRANE BLVD EZEKIEL STEWART
Phone: - -
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 I -- R(\P(. -2-53c)
Job Address: 832 Cavalla Rd Permit Number:
I.euil Description 31-16 38-2S-29E .10 RIP OF PT OF ROYAL PALMS UNIT 2A Parcel# 03123 ROYAL PALMS UNIT
02A3.00
Floor Area of 1128 Sq.Ft. Sq.Ft
Valuation of Work$ U C Proposed Work heated/cooled 1128 non-heated/cooled
Class of Work(circle one): New Addition Alteration CRepair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial c esidenti
If an existing structure,is a fire spnnkler system installed?(Circle one): es No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Repairing damage due to flooding including replacing drywall on_
the firewall.
Property Owner Information:
Name: Justin Blakeman Address: 832 Cavilla Ln
City Atlantic Bch State FL Zip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Southern Concepts Contracting Qualifying Agent: Ezekiel Stewart
Address: 2825 Treasure Cove Ln City Jacksonville State FL Zip 32224
Office Phone 904-470-0282 Job Site/Contact Number_904-470-0282 Fax#
State Certification/Registration# CBC 1259345
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 if 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 ooplication 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 sppeci ied 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, , ' al low regulating construction or the performance of construction.
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Signature of Owner ` Signature of Contracto . - ALL i
Print Name eau ) C 1(�n £ C J
S war-t-
Swo + .nd subs 'bed bef• e me r' Sworn to and subs 'bed before me
this kapay of Mt'_, s:. 20 1 5 this k� Day of L) - - - - - - ��- -
Ai l • ormipm ERIN F.KELLY -1 LA, " ALICIA M COLLETTE I
_ *ANY NW-State ni Florida
No . . blic �, Commiss1on#FF 0107fl10 No ry u. ic, r Commission#►FF 2�400t
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I.12010 sised8 . ites Jul 26,2019
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