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670 SHERRY DR KITCHEN BATH 2016 j ,.r1J � � ,w�S v CITY OF ATLANTIC BEACH ' ` ) 800 SEMINOLE ROAD j ef -:!: 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 -567 Job Type: RESIDENTIAL ALTERATION Description: interior remodel kitchen bath Estimated Value: $12,000.00 Issue Date: 3/21/2016 Expiration Date: 9/17/2016 PROPERTY ADDRESS: Address: 670 SHERRY DR RE Number: 170398 -0000 PROPERTY OWNER: Name: GORDON, JOHN W Address: 670 SHERRY DR GENERAL CONTRACTOR INFORMATION: Name: ARMSTRONG CONSTRUCTION Address: P.O. BOX 5700 QA SHANNON PAUL ARMSTRONG Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $55.00 BUILDING PERMIT FEE $110.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $169.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r r..l\Ii City of Atlantic Beach APPLICATION NUMBER � Building Department (To be assigned by the Building Department.) 800 Seminole Road A �yl� _ r Atlantic Beach, Florida 32233 -5445 /J (� 7 Phone (904) 247 -5826 • Fax (904) 247 -5845 i (,� /� \J11 E -mail: building- dept @coab.us Date routed: /� City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Addre s: 6-)6 r r� pa t review required Yes o Building MIT anning & Zoning /'�� 0-.) � �� Tree Administrator Project: . � � � t 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: roved. nDenied. (Circle one.) Comments: 0 l.. BUILD G PLANNING & ZONING Reviewed by: Date: 3 / d /6 TREE ADMIN. Second Review: nApproved as revised. nDenie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 • BUILDING PERMIT APPLICATION COPY CITY OF ATLANTIC BEACH HE 0 E Q V 800 Seminole Road, Atlantic Beach, FL 3223 = D Office (904) 247 -5826 Fax (904) 247 -5845 U A R 1 2016 Job Address: D 51- Permit III X6-/1 Age- 5-69 4i Legal Description 5AtT4( iz_ %-e_ 3 1 DT 60 Parce # - oo or ea of Sq.Ft. Valuation of Work $ a, Proposed Work heated /cooled MA LE 1 D Class of Work (circle one): New Addit••n Alterati• Repair Move D o on ka�Usp8 ow cl Use of existing /pro osed structure(s) (circle on Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: M54011 j11 MO h 1 rill he/) Cctbi ruJS J 17 S • ' �. mil' ' Property Owner Information: •" 0 `� Q0. -Ltl SGIW� 1 OC_ — p► � , Name: / C K. act Address: i I1 rY• r, Per City 4 a __• _ • - t State Zi paaPhone • D - -.2 . - E-Mail or Fax # (Optional) x (INS* ce - c ____ t 0., E kv u ( 5,- 0 h b+ yytet,, - ( LleyTh Contractor Information: CONTRACTOR EMAIL ADDRESS: Company,Name: AY rYl v- a ( S ruC1L Qualifying Agent: $ht W1 o' Ay SY©y1 Address: .O. _SO1 (p •J 0„ X $C►� City . State Z' Office Phone 69 y 7)9'19 ob Site/ Contact N tuber • MOW Fax #(91/1 p State Certification/Registration # 0 e) 1 a Sb� a 1 "' 7 " 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. I cert 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 fora period 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, 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. I hereby certify that I hay- ad and examined this a plication and know the same to be true and correct. All provisions of la . and or i . ces governing this pipe 0 work will be co is :. w h hether specified herein or not. The granting of a permit does not presune to give thori. . ate or cancel the 7ovisions of any other f . - .1, st r tr loc, law regulating construction or the performance of construction. ilk signature of Owner i kik Signature of Contractor / / Tint Name TA \ ',' 4 �, ,, Print Name �i ��,, i ,/ i /1vil A u S (�C- lefo Q its ) D • i-- :-- me Before e this lS Da , o - ' — - ' // I/ , "' ANN .., MAR • ,� F - ANN -- -- G.; . ;Y MY COMMISSION M FF 161400 MARGA ant `_tPmi MY COMMISSION #FF161400 lotar i ' rs li' / i - L - 7 ` 4 - -- — :: i N y P i _ . . Bonded Thru Noler Public UnUnderwriters • s „ � • Publ , , RF \� Bonded Thru Wotaiy c Undenvrpers Revised 01.26.10 - '