2233 SEMINOLE RD #19 DECK PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 16-DECK-1179
Job Type: DECK/PATIO
Description: REMOVE AND REPLACE TWO DECKS - LIKE FOR LIKE
Estimated Value: $4,200.00
Issue Date: 6/21/2016
Expiration Date: 12/18/2016
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 019
RE Number: 169519-0136
PROPERTY OWNER:
Name: SAMARA, BRENDA
Address: 2233 SEMINOLE RD UNIT 19
GENERAL CONTRACTOR INFORMATION:
Name: CONTEMPORARY CONSTRUCTION
Address: 147 BARONY DR CHARLES K WETTSTEIN
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $35.50
BUILDING PERMIT FEE $71.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $110.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
� Building Department (To be assigned by the Building Department.)
Atlantic ld Beach,ncle Road
32233-5445
Phone(969)247-5x26 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: S Z
- Chyweb-site: hltp://www.coauus
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z Z 3 5 S ElYHAX Xrz rireSewims
ent review re uired Yes No
Applicant: �OA�TP.rvtPOQ.A24 l �- 'j" Zoning
(n� / nistrator fp
Project: I k E —4 0(— �yk EC(� ks
ties
ety
s
Review fee $ Dept Signature
Other Agency Review or PermitRequired Review or Receipt Date
of Permit Verified B
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: MI(Pproved. []Denied.
(Circle one.) Comments:
BUILDIN 9/y,
PLANNING&ZONING Reviewed by: / r Date:
TREEADMIN. Second Review:
❑Approved as revised. ❑Denie .
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
.s
"`tet BUILDING PERMIT APPLICATION
•(e
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office-
(904)247-5826 • Fax:(904)247-5845
Job Address: Qu33 , u1AIQ f�Y. PemdtNrimber:
Legal Description -�.5- �� �i tA° ONe RE# 11,°1Si9-n 1�Ga
aN WIJv
Valuation of Work(Replacement Cost)$ yr olLrv, Heete led SF 135bNon-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Rep ' Move Demo Pool Window/Door
• Use of existing/proposed struchue(s)(Circle one): Commercial sidenti
• If as existing structure,is afire sprinkler system installed?(Circle one): Yes o /A
Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No ree Removal
Describe in detail the type of work to be performed:
�D �� II fi�nn// t� //r�\ ^ -I r
tAVsX- A J Il plod ( ems/ ;tx ��LX 1 / N (,Y ISTI N$� - ibrr j &V, L-J)
Florida Product Approval# for multiple products use product approval form
ProperttypOwner Information
Name: J� 2�Rl�}} S1�lM/(1Z/� Address: �3 SP ,.t
City=•Dt, I�od,D_ State[�Zip32�3; Phone U
E-Mail
GWneI OI Agent (IfAgent,rPow ,Attamey ar Agency Leper Regain
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OMMENC MMggxxT
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P RT1Sd1' IQ �1lT�1
TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR ATTTTORNEY BE
RECORDING YOUR NOTIC7E OF COMMENCEMENT.
Contractor Information: II
Name of Company: wr4JU5 Qualifying Agent:
Address: Vi-1604 -154 City State Zip ZZ.7zs
Office Phone 04 ^ - Job Site/Contact Number aN-53.5 S14'Yr/
State Certification/Registration# C'.RC 179045 E-Mail 'Ca,e
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
o azem nsurer L.Employ—em prmpon ate
Application is hereby mode to obtoirt a permit to da the wnd installations ar indicated. /rer(ify that no work ar inset/(a(ion M1 commenced
pnor to the issuance ofo permit and that a!I wod wilf be performed to meet the standards ofall kvws regu(anng constmction in
d sjurisdicor a
!'his permit becomes nail and void ijwork u rwt cammenred within six(6 momhs. or ifconstruction or work u sus d /or a
period ofsix(61 months at anytime after workis commenced. /understand that sepawte permits must be secured ec( ' rk, ! bine,
+gns, ells,Pools,Furnaces,Boile�rnrs,Heaters, Tanks andAir Condhioners,mc.
Signa[me of Properly Owner: U7lt.ls^� �CC(.Wq.�1CiSignature ofConhactor:
Before me
1hiA2A`7_Day of ZOl Before me dus Day of /{, �//�j
act LP
ka asLLrnp+xe or av
I hereby cert that/have read d the same to be true a dui laws a
ordinances governing this type e peclgqed herein ar n l s n t
presume to give authority to vio e c sJ(� r oral, state, ar(a c r ( ' 7y''y]ia'o r
perfomance ofconstruclion. m' C f �pni�•<Yl/