109 BEACH AVE REMODEL 2016 .;S CITY OF ATLANTIC BEACH
SS
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: 16-RAAR-106
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL - KITCHEN AND BATH
Estimated Value: $21,080.00
Issue Date: 1/22/2016
Expiration Date: 7/20/2016
PROPERTY ADDRESS:
Address: 109 BEACH AVE
RE Number: 170212-0000
PROPERTY OWNER:
Name: FECHTEL FAMILY JNT VENT ET AL
Address: 6830 MEADOW RD
GENERAL CONTRACTOR INFORMATION:
Name: INSPIRED HOMES LLC
Address: 2215 3Rd ST
Phone: 904-237-2711
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $77.70
BUILDING PERMIT FEE $155.40
STATE DCA SURCHARGE $2.33
STATE DBPR SURCHARGE $2.33
Total Payments: $237.76
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845 —( C7 �O
Job Address: itn Ve-" Avg Aa r=_3212-33 Permit Number:
Legal Description A pAr+ o-C L4-r I 6w c,k (o krt A`M --Parcel# 1_70247-'0022
c,ooor Area o q. t. Sq.Ft
Valuation of Work$ -/��� or
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 <.Z�-
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No (ED
Florida Product Approval# rl A
For multiple products use product a1pproval form
Describe in detail the type of work to be performed: Sl,awdr
V,-J-vQLS 1,, -TV?D &J l,s R--��
Property Owner Information:
Name: FYI�,J)L- GU t Address: 470t
City fn l State-o(Zip 7 7. Phone q04- 2-3-7-f70 1 L
E-Mail or Fax#(Optional)
Contractor Information: LL
Company Name: d'r^L4 Qualifying Agent: ild
Address: 4- 1 o City TAk State 's- Zip 32---15-0
Office Phone `10`1- 1 Job Site/Contact Number Fax#
State Certification/Registration# C,� e OS 8 e`7S
Architect Name&Phone#
Engineer's Name&Phone# AjJ 7A
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. 1 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 es not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after
work is commenced. I understand that separate per must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
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 hereb 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 speci ted 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 Owne Signature of Contractor
Print Name V e�'O� Print Name K-?s' '.
................................. .............................................................................
.............1111....... _t"'`.................................' .... ....................
Sworn to and subscribed before me Sworn to and subscribed befo e
this?.,V—Day of D9<.zzrrs ' 120 I S' this. 20
COMMISSION ti FFV116223
JEFFREY E TABS
Notary Publ' : MY COMMISSION M FF916223 Notary ' , oiss a fig„ .,,w
( EXPIRES Septembef 13.20f9 Revised 01.26.10
1 07 7POOt33 ft"U"om rvmumW
Try �f�rCity of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /�,/_
Atlantic Beach, Florida 32233-5445 f� 1� l.._xo
Phone(904)247-5826 • Fax(904)247-5845 LDate routed: -t
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6 o g &7ptQ t� y� D ent review required Ye o
Building
Applicant: 1, I\J S P i o 8Le_S ning
Tree Administrator
Project: 17 0 r_( rc-{ 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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
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