130 CLUB DR REVISION Jr3
e sl , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j V ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 15 -SFR -2327
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME
Estimated Value: $350,000.00
Issue Date: 11/13/2015
Expiration Date: 11/5/2016
PROPERTY ADDRESS:
Address: 130 CLUB DR
RE Number: 170319 -0000
PROPERTY OWNER:
Name: Shields, David
Address: 53 Oceanside DR
GENERAL CONTRACTOR INFORMATION:
Name: ELITE CUSTOM HOMES & RENOVATIONS INC
Address: 2304 Peach DR
Phone: 904 - 686 -4818
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $615.00
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,230.00
STATE DCA SURCHARGE $18.45
STATE DBPR SURCHARGE $18.45
WATER CROSS CONNECTION $50.00
Hill WL l AIAN IJBMIcTClAbANCE Safi@ ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r � ` , CITY OF ATLANTIC BEACH
� , J 800 SEMINOLE ROAD
j V "` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Total Payments: $2,131.90
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
, it'
l 800 Seminole Road
ff. � � ' Atlantic Beach, Florida 32233
b `, FILE COPY Telephone (904) 247 -5800
FAX (904) 247 -5845
REVISION REQUEST SHEET
Date: `/ b °'I L' Received by: Resubmitted:
Permit Number: /5-- 6 -. .23
Original Plans Examiner: A r1 Tone-6 Project Name: Mf / t - �rdc" c
Project Address: 1 3C� G 1 �� �J n, r
Contractor: Zot.r , ' X' e -/, 6 , , ,, , ontact Name: 1 iraJ yw 10 1 `� �,e j,
Contact Phone : lj} -,6q - � -- �y �,�
0 C ontact -mail: K , . ut, r. 6 so /
, , CX1h.
Revision / Plan Check / Permit Fee (s) Due: $ S CD = - � r t a e v t e
Description of Proposed Revision to Existing Permit: `�� Sc, E7m `Q /' 4 ' 6' - O t� ( �
Gc.- �'. Ooo v
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- 1 O ore
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Additional Increase in Building �� v
g V alue: $ �� Additional S.F. �
Site Plan Revised: Public W / U Approval:
By signing below. I (print name) 3- wz S'✓ , ,AC //'/' affirm that the above revision
is inclusive of the .roposed changes.
A llir ;°P V--
Signat , -e o ontractor / Agent (Contractor must sign if increase in valuation) Date
Office Use Only
Date: ,5 — 3 lb Approved: rn Rejected: A E C WYE n
1
Plan Review Comments: APR 2 6 2016
.r Q' d - 0 k -v, S io- - ^ ' '
p I-- \ ro ,e,k / r
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Department review required Yes No
anr11 8, Zoning in)
`
Tree Administrator
Public Works
Plans Examiner
Public Utilities 5-- 7 -16
Public Safety
Fire Services Date
Created 8/20/15 Rev. 2
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CITY OF ATLANTIC BEACH
� --�- ,1; �'_` 800
ra
�, t Seminole Road
l FIE A tlantic Beach, Florida 32233
® Telephone (904) 247 - 5800
FAX (904) 247 -5845
r
REVISION REQUEST SHEET
Dater - / 2 / a \l, Received by:
Permit Number: \ Resubmitted:
Original Plans Examiner: N\\ kP bye < Project Name: \ \ 53 3 C S c \tc - \e ,
Project Address: \ - 10 \-\ k\ c ,,,` \ N m,,, n \, c" \ v C
Contractor:Q',vn Ze uc„,.t, Q.C.- Contact Name: . .. \ \
Contact Phone : \ - o p. -1,\, A — `- Vg�\,\ Contact e-mail: 0 �e \\ j e .,
Revision / Plan Check / Permit Fee (s) Due: $ �r ova c 5 : \ te e home ,cow
Description of Proposed Revision to Existing Permit:
C_ \t\cwynr r GA,r\vc ,fe cvC / )U ‘ O `\ YJ�
c,,-, c �cnt, e • /
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W / U Approval:
By signing below. I (print name). 2c,-\" 2 \>.�� affirm that the above revision
is inclusive of the proposed changes.
911014r— [- Ai P / ?,o \
Sign Ire of Contractor / Agent (Contractor must sign if increase in valuation) Date
Office Use Only ' � ( L I t E
Date: 5 /h Approved: ' / Rejected: Notified b
VJJ Y:
APR 18 2016 DI
Plan Review Co moments:
I ail , a 't Se, _ C . )1
De..,_.. -nt review required Yes No
manning & Zoning / jJ
Tree Administrator • v Plans Examiner
Public Works
Public Utilities 5- /
Public Safety
Fire Services _ Date created 8/2w15 Rev.2
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THIS REVISION IS IN CONJUNCTION WITH
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ENGINEERING DRAWINGS BY APEX TECHNOLOGY. FILE COPY
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FIRST LEVEL STRUCTURAL PLAN Z
FASTEN BEAM PLIES TOGETHER • 2x10 NO 2 SYP RIBBON BOARD.
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MODIFIED BY APEX TECHNOLOGY ti s� ,� , � ,
RIVERSIDE HOMES '', °�; •. • ;� 0P ". %
APEX A TLANTIC BEACH COUNTRY CLUB, LOT 118 14'1 :,ss • o • i ll p, •
FLOOR BEAM AT STAIRS • III to
04 -18 -2016
APEX TECHNOLOGY IS A FICTITIOUS MANE OWNED BV JAX APEX TECHNOLOGY INC., A FLORIDA CORPORATION FLORIDA ENGINEER BUSINESS NO. 7647-4745 SUTTON PARK COURT SUITE 402, JACKCONNNIE.FL. $2114 -1104.621.12110