1733 E Park Terr - Foundation Repairs s CITY OF ATLANTIC BEACH
) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\J131
RESIDENTIAL ALT /OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -RAAR -380
Job Type: RESIDENTIAL ALTERATION
Description: FOUNDATION REPAIRS
Estimated Value: $14,400.00
Issue Date: 2/18/2016
Expiration Date: 8/16/2016
PROPERTY ADDRESS:
Address: 1733 E PARK TER
RE Number: 172020 -0406
PROPERTY OWNER:
Name: COONAN TRUST, JOHN J
Address: 1733 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: FOUNDATION SYSTEMS & EQUIPMENT
Address: PO BOX 50545 PO BOX 50545
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $61 00
BUILDING PERMIT FEE $122.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $187.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
, er City of Atlantic Beach
�� ;� Building Department APPLICATION NUMBER
T.
.: I � 800 Seminole Road (To be assigned by the Building Department.)
i:iv r Atlantic Beach, Florida 32233-5445
16 _ F' /g_e 3(
Phone (904) 247 -5826 • Fax (904) 247 -5845
\finis ` E -mail: building-dept@coab.us
Date routed:
City web -site: http: / /www.coab.us
r
APPLICATION REVIEW AND TRACKING FORM
Property Address: 123 3 1 76 1_.. ment review required Y
f O Building q es No
Applicant: j 4 �� %)'l nnn & Zoning n � -
�� ��l,J • anning
Tree Administrator
Project: /(4,`X C/4-17 y /Hz Public Works
Public Utilities
Public Safety
Fire Services
,Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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:
APPL STATUS
Reviewing Department First Review: I Wicproved.
(Circle one.) Denied.
Reviewed by: /1)0 ` CUILDING l/
PLANNING & ZONING
TREE ADMIN. Comments:
Second Review: UApproved as revised. I (Denied. Date:
PUBLIC WORKS Comments:
PUBLIC UTILITIES
•
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: 1 'Approved as revised. I 'Denied.
Comments:
Reviewed by: Date:
devised 07/27/10
i
I
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: / 7 3 3 t. art R 14 TEseX4 CE Permit Number: A, RhA
Legal Description 3 -6'5 - Z-S 094 4075 /3ic !y Parcel # SEL ✓A Mi,L /•vA (J a
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ !4 '-lao Proposed Work heated/cooled non - heated/cooled
Class of Work (circle one): New Addition Alteration 4 e . Move D: t • • • • . • oor
�i c E: I V
Use of existing/proposed structure(s) (circle one): Commercial Residenti.lir•
en
If an existing structure, is a fire sprinkler system installed? (Circle one): • es • N /A
Florida Product Approval # FEB f f
For multiple products use product approval form
Describe in detail the type of work to be performed: 40 ivb 47a -0 R , ; / - . - 4 ' / -�! -
Property Owner Information:
Name: GA Twit 4.4./ Coo it/A/!/ Address: / ZV6 ( G47L 4y /RD. S . '324 K. 3 Z Z a S'
City 7 1 7 ) 9 . . State(- c..Zip i zzi Phone
E -Mail or Fax # (Optional) /3i // / Ala /4 6041/4„ .7iimiSYSTE.41S.G.tx.. Co •r+
Contractor Information:
Company Name:v,t. 4 o n..) S7 S �'ti� Qualifying Agent: 2,./ // y C. /14clii0/I4
Address: 7.4 95-. L E be 4Q Si . City /J?Le ti ? C. Bell. State F•-c Zip 3z 2 3 3
Office Phone f z y/ — tiry z i Job Site/ Contact Number fa y- zq sf- Zg8 f' Fax #47044 2'v7 -g cS3
State Certification/Registration # C 6C o S' 30 0
Architect Name & Phone # °VA
Engineer's Name & Phone # /3/// N1N / i.v 374 CC. t q277 - 40 tf- OW- Y YZ C
Fee Simple Title Holder Name and Address 41/4
Bonding Company Name and Address 11,4
Mortgage Lender Name and Address j1/1
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 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 thateparate permits must be secured for Electrical- Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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.
1 hereby 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 ofwork 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 federal, state, or local law regulating construction or the performance of construction.
Signature of Owner C Cittfii■.,..4. ( Signature of Contractor
Print Name < A /2 / 4J ?. L' o d,(/,W Print Name g//jy e. /4c/
Sworn to and subscribed before me Swo tand subscribed before me
this ant Day of AE,S�QuiV 2r , 20 / 6 this ( Day of Fe k71 2t , 20 / (o
Notary P ic - `!wry Pu s ic
; y� B LL C MCMAHAN
: -' MY COMMISSION 8 FF230903 Revised 01.26.10
's
"V, EXPIRES May 13, 2019 — --
_,;v .... N. POWERS
14C?) 3510 63 fbW ks.
tleotaryServoon .1 `: MY COMMISSION 0FF897944
EXPIRES: July 12, 2019
fl , Bonded ThrU Notary Pubic Undetwribn