1960 Beach Ave - Remodel f' ✓�i
r_" f= ' \s CITY OF ATLANTIC BEACH
•
r j 800 SEMINOLE ROAD
---a �'' 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-1215
Job Type: RESIDENTIAL ALTERATION
Description: REMODEL - INTERIOR AND EXTERIOR HANDRAIL, NEW
BATHROOM, INSULATION AND DRYWALL
Estimated Value: $100,000.00
Issue Date: 6/3/2016
Expiration Date: 11/30/2016
PROPERTY ADDRESS:
Address: 1960 BEACH AVE
RE Number: 169525-0050
PROPERTY OWNER:
Name: FARRIN, JONATHAN S & ANNA L, *
Address: 1960 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: ELITE CUSTOM HOMES & RENOVATIONS INC
Address: 2304 Peach DR
Phone: 904-686-4818
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $480.00
STATE DCA SURCHARGE $7.20
PLAN CHECK FEES $240.00
STATE DBPR SURCHARGE $7.20
Total Payments: $734.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
6.,,,/:0-q,,./-,------ Building Department (To be assigned by the Building Department.)
sl
r J ` 800 Seminole Road
4;�� - - � Atlantic Beach, Florida 32233-5445
\ Phone (904)247 5826 • Fax(904)247-5845
,` SZ���oli19%- E-mail: building-dept@coab.us Date routed: (Q
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I e G O I CH q VC— Department review required Ye . No
ppf uilding 1/
Applicant: EL( T C— QQ7Qf HOiYI.e.-S arming &Zoning
Tree Administrator
Project: IIvrG-12-tp(- RG SOD Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required 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: /Approved. ❑Denied.
(Circle one.) Comments: ji, OC
:UILDING u
PLANNI &ZONINGfrri
Reviewed by: 4) Date: 5-'4)6'/-6)
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
FILE COPY
, rte%%;,
s BUILDING PERMIT APPLICATION
J � jd
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
�y°'i19r Office: (904)247-5826 • Fax: (904)247-5845
! 6,-R(AaR -1ZL5
Job Address: if 6e Lk AJ e— Permit Numbsr:
Legal Description o 9 s-a E. t FT Goo zo -. ori # ` frise3 r;z3g.7.
Valuation of Work(Replacement Cost) $ IVO/000 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial es" en to
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal 4/4"
Describe in detail the type of work to/be performed: /t i,. ,4� Fj,Ah ,t/"td / kz i')
die le) 6L4 g�k, 3�-Zp/ 4& Jp 5 4c.)1ov, /Uek) . D Rqtt f/i-p✓,00- # eiI✓f-
Florida Product Approval#_ /Y.4 for multiple products use product approval form
Property Owner Information
�
Name: 70‘11)44-6,,,t rave � Address: ( `6V !3e-4./1 A -�
City /414-/q4 v 13 V—ii State //Zip 32.3. Phone "p` 9 ',65"" AI g ---
E-Mail
E-Mail 3- a, /4 ' -ei A) r,t-, , G,„ 1,yt
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: �� C Ctr'44 / L15,44 �`�� Qualifying Agent: `4'6'5 /5eX,/4/-
Address: .2 3O I Pe4cM gr- City . ate/ ef+oit1r.. State Zip P/p,1-
Office Phone P74- a3 3-4'13 Job Site/Contact Number FY - 6 fel-4/V/
State Certification/Registration # YJ54- /aG61127 E-Mail _1x � '17 Pie 1 ke,
Can
Architect Name & Phone # J
Engineer's Name &Phone#
Worker's Compensation
xempt / surer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the wo n installations as indicated. I 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 constriction in this jurisdiction.
This permit becomes null and void if work is not commenced within six(6 tnonths, or if construction or work is suspended or abandoned for a
period o(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, aters, T kss and Air Conditioners,etc.
Signature of Property Owner: !(/ Signature of Contractor: e•-•••1'7 .,,p�%
Before me
g /i i7 �
this I Z Day of MA- 2 0( V1R1en aaiFFIN efore me this i/( Day of a. - 2p�
Notary Public.State of Florida ril4
NotaryPublic:
• Commission#FF 163906 �' rRIA GRIFFIN of
— ���— �� AAs Oq 14,2018 otary Public: , ./.../W__.. ,/_ P . c,State of Florida
k mission#FF 163906
/ ^�� My•.. m.expires Oct.14,2018
I hereby certO th•t I have read and examined this application and know the same to be true and correct. rovis ..
ordinances governing this type of work will be complied with whether specified herein or not. The gr. • . 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.
Rev.3/14/16
I
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