1878 BEACH AVE - SIDING PERMIT r
f; 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: 15-SIDE-1841
Job Type: SIDING PERMIT
Description: SIDING
Estimated Value: $20.000.00
Issue Date: 8/6/2015
Expiration Date: 2/2/2016
PROPERTY ADDRESS:
Address: 1878 BEACH AVE
RE Number: 169542-0606
PROPERTY OWNER:
Name: WALLS, THOMAS D
Address: 1878 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: WCI GROUP. INC.
Address: 1100 SHETTER AVE STE 203 QA JOSEPH D WILSON
Phone: --
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $75.00
BUILDING PERMIT FEE $150.00
STATE DCA SURCHARGE $2.25
STATE DBPR SURCHARGE $2.25
Total Payments: $229.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FILE COPY
Used for Florida Product Approval
FL13192.3 and FL13192.4
HardieShingle® Siding
• For use outside of HVHZ,
o HardieShingle Siding fastener types, fastening schedule, and installation
shall be in accordance with Engineering Evaluation Reports RIO-2555-15
or RIO-2557-15. Consult the HardieShingle product installation
instructions on the follow pages for all other installation requirements.
James Hardie
A smarter way to build
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road, Atlantic Beach, FL 322»
Office (904) 247-5826 Fax (904) 247-5845
19 U . Permit Number: � SJ/)L_ —/ /
Jb Address: 1� Rctc)i� each _ De
Legal Description q
t 3 3 Sr(I Parcel#
2-�' /14 �� -2:5 --2�� F Sq.Ft
Floor Area of S9• t non-heated/cooled
Valuation of Work$ '20/d v Proposed Work 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 Residential
i
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form 745/0 j/ r � � j
//arble Ar
Describe in detail the type of work to be performed: p
f�ar�)1 e S70'celcrA edge -CeatCc-- c°k'iericr 1 online
Property Owner Information:, �. ¢"74140 /�G 4 ��
�iOu/ Address: l� �/
Name: 2.-Z.9 --City f f)a.vt+Cc- gee.t k Stater/Zip ii233 Phone -' .1
E-Mail or Fax# (Optional) Oar c i5) Luc i &c Co ill
Contractor Information:
L✓CJ & to U ) Qualifying Agent: M/Sbi
Company Name: /_ City lax ��.� State Lip Address: /100 e. Her R W� ri l Fax State
Z z- p
0 f1 ice Phone 2c/ — `1�9 4 4 Job Site/Con act Number $O 7-- '3 3R.' y 3
'mate Certification/Registration# L 6C / 50 1'M 2.
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 permit made to obtain
l work will be performed to meet he installations as indicated. I standards of all laws regulating construction in this jurisdiction.on. Thist permitdbecr prior
issuance ofw permit of commenced tha /� months at
and void omnenced.ot/understand that separate permits or must be secured for Electrical- Plumbing,Sig for aWells.rPools.,Furnaces, Boilersrtheaters.
work is commenced.
and Air Conditioners,etc.
WARNING TO OWNER: TO YOUR FOAUIRL PRYING TWICE F OR IMPROVEMENTS
COMMENCEMENT MAY RESULT
YOUR PROPERTY. IF YOU INTEYDBE ORE RECORDING YOURN OTICE OF WITH
YOUR LENDER OR AN ATTOCOMMENCEMENT.
I hereby
of work will be complied with xhetherd tleciatedl herein or not.know The granting of a permit correct. to laws and
authority torviolategor cancel oh
provisions of any other federal.state, or loca aw regulating construction or the performance of construction.
Signature of Owner II Signature of Contracto
Print Name f'ktltn,(e Ot.1 Q.(i,r(.J Print Name jo `�'
"worn to and subscribed-befor me Sworn to and subscribed before me �0/
Day of J U iC ,20 /c this ? Day ofJU`�I �� ,�
C c/ 4� ---
:r77:::=::1,!. ::!:=C N Notary Public ;�'"''4;;: 8ENIAMIN C REBMAN
• c' MY COMMISSION A FF241271
ev1sed 01.2
6.10
1ati EXPIRES June 17,2019 „���.,• EXPIRES June 17,2019
1.0113 !•C'SJ no,wwottrs,N,ee.con, x.0713 Cl 53 oAdeNotayServ.cecar
•
�. :, ,,. City of Atlantic Beach APPLICATION NUMBER
r Building Department
800 Seminole Road (To be assigned by the Building Department)
' Atlantic Beach, Florida 32233-5445
S� O /
Phone(904) 247-5826 - Fax(904)247-5845 �r
�•, if E-mail: building-dept @coab.us �®
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: a a fee LOA %Lv i De eartment review required Ye
1- No
/� /) 1 9r6i d :uldin•
Applicant: �v (� /�(/ Planning&Zoning 9 Tree Administrator
Project: 7 r) 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:
APPLICATION STATUS
Reviewing Department First Review: I Approved.
['Denied.
' (Circle one.) Comments: A OC-
BUILD'N. �/
PLANNING&ZONING
Reviewed by: Date:
TREE ADMIN.
Second Review: ❑Approved as revised. ❑ enied.
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