330 19TH ST - RESIDENTIAL ALTERATION 1Jj-\-1`1 f .
f� � 'f- 9\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
.... '` `_r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
1 Job ID: 16-RAAR-466
Job Type: RESIDENTIAL ALTERATION
Description: DRYWALL CEILING ETC
Estimated Value: $4,249.00
Issue Date: 2/23/2016
I Expiration Date: 8/21/2016
PROPERTY ADDRESS:
Address: 330 19TH ST
RE Number: 172020-1208
PROPERTY OWNER:
Name: MARKEE JOHN A & CHRISTINE L, *
Address: 330 19TH ST
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $71.25
Total Payments: $75.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CiTY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 330 )94/1 , r C/ N iC 5 d Permit Number:
J0 63'OI 0215�� 1�/ `f/ ;14
/2
arcel#
Legal Description f
,,n loor Area of Sq.-t. q.l•t
Valuation of Work$ yt9�l f m Proposed Work heated/cooled bin() non-heated/cooled U
Class of Work(circle one): New Addition Alteration •epair Move Demolition pool/spa window/door
Use of existing/proposedstructure(s)(circle one):. Commercial r
i
if an existing structure,is a fire sprinkler system installed?(Circle one): • •es No N/A
Florida Product Approval#
For multiple products use product approval form l
Describe in detail the type of wor to b performed: .. �. f A,/A
4rkr gkI X.i(Ai Vd S
Pro re ' lwnerinfrrnf Lion:
Name. /J/11i17kaii ii!' Address: 33044 4
City Litt mini tt• Stat _Tip _Phone / nu-
E-Mail or Fax#(Optiona
Contractor information:
Company Nine:h ,.,>i: , • a' „r.•e ' Qualifyi g Agent: ail td %, .c'J€yAddress: rSI State p--�
Office Phone e/_t Job Site/coRt Nrber Fax#
State Certifca ion/Registration# et. 1 V
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. l 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(6f months,or if construction or work is suspended or abandoned for gperrod 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 Ali 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 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 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 l 1-" Signature of Contractor
Print Name `�``-A`tom— Q -y"1' Print Name Jp�( /19tn/ CJlley
Swo to and subscriber fore me Sworn to and •rscril�before me
this Da of 20 this 2.3 D .f "c 20(-C
Allilv
Notary Pub is Not. 1 J .-10C 03404/1.- &Obs7 O
Revised 01.26.10
BRIAN B.WHITE �, JEREMY POMBIER
Pr" Commssiiort#FF 168705
Y Commission#FF 907292 1,..it,...„6:zs
Expires December 202018• ; Expires August 5,2019
7' AR—, Bonded Tiro Troy Fen ypuence 800.x.7079 d:'�
Bonded TAtu Trey Fin Insurance$00485.1019