533 SEASPRAY AVE - SIDING CITY OF ATLANTIC BEACH
IJ 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SIDE-2861
Job Type: SIDING PERMIT
Description: siding
Estimated Value: $2,500.00
Issue Date: 12/15/2015
Expiration Date: 6/12/2016
PROPERTY ADDRESS:
Address: 533 SEASPRAY AVE
RE Number: 170703-0312
PROPERTY OWNER:
Name: OETJEN ET AL, ROBERT J
Address: 533 SEASPRAY AVE
GENERAL CONTRACTOR INFORMATION:
Name: MARTIN HOME EXTERIORS
Address: 5749 HAVEN RD QA KENNETH BRIAN MARTIN
Phone: - -
PERMIT INFORMATION:
FEES: -- - --BUILDING PERMIT FEE $62.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $66.50
PERI1111 IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
>,`J 4J City of Atlantic Beach APPLICATION NUMBER
'\S\ Building Department (To be assigned by the Building Department.)
800 Seminole Road / -1/4 - 02((O /
•� Atlantic Beach, Florida 32233-5445 /
Phone(904)247-5826 � Fax(904)247-5845
J���) Email: building dept @coab.us Date routed: /��� ��
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: b :33 f Q- i'T ,IVL Apartment review required Y es o
�uildin
Applicant:-27) "/7 7) Any- Piiii 42S Planning &Zoning
Tree Administrator
Project: 57,4-4-7-)9 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: oved. ill Denied.
(Circle one.) Comments: J 0 C
PLANNING &ZONING Date: 1; l y�S
Reviewed by:
TREE ADMIN.
Second Review: 'Approved as revised. fDenie .
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 OFFICE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 533 SEASPRAY AVENUE Permit Number: /5 Side "a786/
Legal Description 35-64 17-2S-29E SEASPRAY Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 2500.00 Proposed Work heated/cooled 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 Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: INSTALLATION OF HARDIE PLANK SIDING AND
PAINTING
Property Owner Information:
Name: ROBERT J. OETJEN Address:533 SEASPRAY AVE.
City ATLANTIC BEACH State FL Zip 32233 Phone
E-Mail or Fax# (Optional)
Contractor Information: CPtir "
2 -
Company Name: MARTIN HOME EXTERIORS Qualifying Agent: /7) /16 6
Address:5715 HAVEN ROAD City JACKSONVILLE State FL Zip 32233
Office Phone 904-794-3070 Job Site/Contact Number 904-626-1661 Fax#
State Certification/Registration#
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, Healers,
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 thisplication 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 fed• al al,state, or local law re? • ng construction or the performance of construction.
Signature of Owne /, ':.�L'r�� Signature of Contractor ->"
Print Name r 0 Print Name
fe.4/44447.7,
Sworn tend subsc before ine Sworn tend subscribed bef• e me
this ' ray of (4.4irx,.-zeA ,20/C this FThtDay o t X44.A i 20
•
otary Publi s SUSAN M.HALL co .,# : 33
:., as :•'_ Commission#FF 046233 .,. :: Expires August 24,2017 Revised 01.26.10
ah. 'a Expires August 24,2017 ?. '' ®iee.eTMuiroyFarM.um..900-385.7019
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