1041 Little Cypress Key - Siding 3 'ss� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- SIDE -91
Job Type: SIDING PERMIT
Description: SIDING
Estimated Value: $2,499.00
Issue Date: 2/1/2016
Expiration Date: 7/30/2016
PROPERTY ADDRESS:
Address: 1041 LITTLE CYPRESS KEY
RE Number: 172027 -5834
PROPERTY OWNER:
Name: LYONS, JAMES L TRUST
Address: 1041 LITTLE CYPRES KEY 1041 LITTLE CYPRES KEY
GENERAL CONTRACTOR INFORMATION:
Name: NELIGAN CONSTRUCTION (BLDG)
Address: PO BOX 49249 QA BRIAN NELIGAN
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $31.25
BUILDING PERMIT FEE $62.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $97.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i Q.1:r, City of Atlantic Beach APPLICATION NUMBER
J� �? Building Department (To be assigned by the Building Department.)
800 Seminole Road /// _ S' Q 9/
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
'7,11 E -mail: building- dept @coab.us Date routed: / / 9
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Lim C r De artment review p y ddress: � P i5 � �y p required Yes No
/ uilding V
Applicant: f / / Planning & Zoning
/ Tree Administrator
Project: /69 ‹I / Ql //mil' 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: FOKDProved. ❑Denied.
(Circle one.) Comments:
:UILDINel
PLANNING & ZONING Reviewed by: /7 l Date: /
TREE ADMIN. V.
Second Review: nApproved as revised. (Denied.
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
_ B TILD Nc PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
200 Seminole Road, Atlantic Reach, FL 32233
Office (904) 247 - 5826 Fax (904) 247 -5845
Job Address: 10 1 1_4 c A SC P `C Permit Number:
Legal Description Parcel 0
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S - . _ Proposed Work heated /cooled non- b.eated /coaled
Class of Work (circle one): New Addition Alteration 42 Move Demolition pool/spa window /doter
Use of existing/proposed structure(k) (circle one): Commercial - idcatial
If an exiting structure, is a fire sprinkler system installed? (Circle one): Yes gip N /A
Florida Product Approval # FL- 1 _ 3 2
For multiple products use product approval form
Describe in detail the type of work to be performed: Rc
c.!Y d-' ripf(xCC 1
,‘. cu. r\.9 - . -
pronerty_Oiriker Information: j[,.
r Name: a L-- ' 0 fl 5 Ad 4 . s: 10 4 I L c .s i - J
cit i t i I t,"' . ip 4! *hone • a 3
E - Mail or Fax # (Optional) 1.•'ri r + ji V ClOi. C W\
Contractor Isf[ermatiom: Ni e t 1 C. an oo. .
• rK ?0 3 t"1
Compan name: I ~ k / a A Quadfr_AAge
Address: ~ • *>ta�M iIOF City (d1 . 'y State Zip
Office Phone ° S"11201W! Job Site Contact Number Fax # _
Stage CertifleaticnJRegistration # .
.kroliitect Name & Phone #
Engineer's Name & Phone #
Pee Simple Title fTolclerName and Address
Bonding Company Name and Address
'T.vlortgage Lender Name and Address
Application is hereby made rro obtain a permit to do the work an Installations as indicated. 1 riot no work or inatafldtion has rommencedprier to the
;ss illi and veuancp of ld a Mo k i c s ad o the t all cammenee work d wit will h in sex (4 m'nth he p,erfa m d ro a, or tfc meet the onsrru srand crinn or work is vrds of ail laws r or cans a d i4rr h jwf a ' six (t n. T I m onths et permit fr o
m n air'
a� er work is caranenced, 1 understand that separate permits nears be ,secured for Eiocmc ar P�iereblitg Sting, Welk Posts; ,F*rn i sars, a
Neeters, Tanks and Alr Conditioners, ens, etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. W YOU INTEND OBTAIN FINANCING CONSULT WI
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TH
NOTICE OF
COMMENCEMENT.
I hrrehy aerrify that I have read and examined this application and know the same ro be true cod correct A11 provisions (paws and ordinances governing this
hype ai work will be complied with whether specified herein or Ant. The granting f a permit doss not presume to grvs ardhorety to violate or coned the
provisions of any other _Adored, state ar local law regulating construction or the performartee ofrorittructlo' .
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Signature of Owner 4. r+�4 --_ i ' Signa irc of Contractor /OAP
1 Name .al.h. e. S _ L.iO -5 Print Name .
swopi and subscribed beforefi'c Sworn o attd subscribed before m
thi Jay of �"1lAIN this 'Day of L& A ! CO
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Ago �� i 14 �
N i : Public • r Public
Revised 01.26.10
i Y '' JENNIFE WALKER 0
?o ,� '' Notary Public Slate of Florida MINIM WALKER
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