836 CAVALLA RD - FLOOD DAMAGE REPAIR S r\J\.l\
__, S, CITY OF ATLANTIC BEACH
f 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-2830
Job Type: RESIDENTIAL ALTERATION
Description: FLOOD DAMAGE REPAIRS
Estimated Value:
Issue Date: 12/8/2015
Expiration Date: 6/5/2016
PROPERTY ADDRESS:
Address: 836 CAVALLA RD
RE Number: 171717-0280
PROPERTY OWNER:
Name: ROWAN, KRISTIN E
Address: 836 CAVALLA RD
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
/ . BUILD CPLL /�f/Sp�c �
BUILDING PERMIT APPLICATION /
CITY OF ATLANTIC BEACH • 6c).)
800 Seminole Road, Atlantic Beach, FL 32233 i7.... �
Office (904)247-5826 Fax 904
( ) 247-5845•
5845
Job Address: i ,''
Permit Number:
Legal Description
oor Area o q t Parcel#
o
Valuation of Work$ Proposed Work heated/cooled nn-heated/cooled
t
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one):Res YeS tiallo N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: /;eE ,q/l £E ,
Property Owner Information: ti cs N'E.Nle,�� O
( Z J t 1-3--Name:
City Address:
E-Mail or Fax#(Optional) State Zip Phone
Contractor Information: CONTRACTOR EIVLA TT,ADDRESS:
Company Name: • : ifying Agent:
Address:
Office Phone '1t' State Zip
State Certification/Registration# rob Site/Contact N •er Fax#
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 cert fy 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
andvoid f work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora_period of six(6)months at any time aver
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,.Furnaces,Boilers,Healers,
Tanks and Air Conditioner,,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF f
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 cert fy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with wheth- 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 j,cal law regulatin construction or the performance of construction.
Signature of Owner
Signature of Contractor
Print Name C/(lq- ' '/t
Print Name .
Before '
his P: o f 14�tl, J � Before me
this Day D.( k-a" ..%•�e3��"�
„j jr °ut Notary Public State of Florida Q`■�1 MIK__ �.:-'_ ^ Shirle L .1.11
Votary Public ';. My ommiss,,2 :;
for cov Expires 02/14/2018 Notary Public
Revised 01.26.10