2233 SEMINOLE RD UNIT 27 - DECK REPAIR \s 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
JOB INFORMATION:
Job ID: 16-DECK-1538
Job Type: DECK/PATIO
Description: REPAIR DECK - LIKE FOR LIKE
Estimated Value: $7,000.00
Issue Date: 7/19/2016
Expiration Date: 1/15/2017
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 027
RE Number: 169519-0152
PROPERTY OWNER:
Name: TRITT ET AL, ARNOLD
Address: P 0 BOX 2399
GENERAL CONTRACTOR INFORMATION:
Name: CONTEMPORARY CONSTRUCTION
Address: 147 BARONY DR CHARLES K WETTSTEIN
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $42.50
BUILDING PERMIT FEE $85.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $131.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
S1a,�% City of Atlantic Beach APPLICATION NUMBER
Ja ri Building Department (To be assigned by the Building Department.)
,),,,,-.4i1., 800 Seminole Road 1 / `C E-A' _1 536
�J- _r Atlantic Beach, Florida 32233-5445 �O
;�� Phone(904)247-5826 • Fax(904)247-5845 �7 f
•• - E-mail: building-dept@coab.us Date routed: ` 7/ / , '
City web-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
'4a--7
Property Address: 22. .2.) S M IAx .E R0 Department review required Yes No
uildi
V
Applicant: ee,.,-,-Eiy,popike.„( epos 1 •�&Zoning
Tree Administrator
Project: �K — L( -C
er- L 1 kc 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
—
.11 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: /proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: PI Date: '7 IQ
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
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
•
r``A.''' BUILDING PERMIT APPLICATION FILE COPY
(-- S\
. c, CITY OF ATLANTIC BEACH
x
800 Seminole Road,Atlantic Beach FL 32233
'-':::".°;tier' Office: (904)247-5826 • Fax: (904)247-5845
j
bvDecK-Is3ej
Job Address: 02233 S i,Jo l t i2t o2 7 Permit Number:
Legal Description 09-)S-. 5C' Cke.,,,Vi i 0,,t- C"j4v RE# /67 /579-0/5-2
Valuation of Work(Replacement Cost) $ 7 000. Heated/Cooled SF 1U0 Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial estd� en— t
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes o N/A •
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Res`,(- rfor Decd' ) a tekcA U decJJO.Si' i, JL,&.0 4..;01 1,Ui(47c . /U�10 P4-
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: -c, .So...J►c,� Address: z-/' 7/ 4,‘Vec dr, t
City c.G�.so• FI►uel 1•C State Zip 3Zz07 Phone ' • -- . ' 19(0 3
E-Mail .0.. % • 1 .w, A . , . ^ I— r— I . , _
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required IIl1!`--i�Lei li✓aLAM H
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF I :i MENCEMENT MA
YO �N
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO' ''TY.JITO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A ' I. TTORNEY IO' :
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Information: t �1 //� /�
Name of Company: �, +, Cd iaj-s Qualifying Agent: �p,/L kko S}'cli
Address: f�7 ctr'oJ City �c,�c. F i State Zip 37 2Z5-
Office Phone 010`{- 35'-SSr5`/ Job Site/Contact Number eloy-S3S"--$8'5'y
State Certification/Registration# c.8c 1 2.5i 3 '5' E-Mail -3'q4. 1,0 i/01.4.e. '3v ii•cis s-t
Architect Name & Phone #
Engineer's Name & Phone#
Worker's Compensation
OP> Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the work and 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 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 sus.e .• or abandoned for a
period o/'six(6)months at any time after •rk is co, r: ced. I understand that separate permits must be secured fo %' •lee,rk,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers, .eaters, •. and Air Conditioners,etc.
�' �:
Signature of Property Owner: - Signature of Contract' `_
Before i mosomo—
`�r1
•_P a � �w_� e 6 Before me this 2� Day of � _
ill
�� •ZO'I mak: JENNIFER L.PPATHER
.,
....-4.• ary 'u it tc: I ...��.: Commrssbn if FF 031595 Nota Public• r/iii41j/i •',��r''..�� ., PACOX
h Notary ;: • tiF0i139d
'Rt: • 9cnh0'v; o,Fzr.Irc,rane8OO.857G19 ,.-� ' EXPIRES:August et,M17
.. 44 ,:'' :' •Thu . r Pitar w Beta
I hereby cert that I have read and examined this application and know the same to be true and correct. All p . - .
ordinances governing this type of work will be complied with whether specified herein or not. The grinning of a permit oes 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