1735 BEACH AVE - DECK -j r�,y\
cipikJi'.
rf CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DECK-1577
Job Type: DECK/PATIO
Description: REMOVE AND REPLACE DECK - LIKE FOR LIKE
Estimated Value: $33,800.00
Issue Date: 7/19/2016
Expiration Date: 1/15/2017
PROPERTY ADDRESS:
Address: 1735 BEACH AVE
RE Number: 169668-0000
PROPERTY OWNER:
Name: LANE III, EDWARD W
Address: 1735 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: MCANENY BUILDERS LLC
Address: 1010 EAST ADAMS ST LEONARD W MCANENY
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $109.50
BUILDING PERMIT FEE $219.00
STATE DCA SURCHARGE $3.29
STATE DBPR SURCHARGE $3.29
Total Payments: $335.08
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BJ.II.DING CODES.
,,:o, prif, City of Atlantic Beach APPLICATION NUMBER
�S � Building Department (To be assigned by the Building Department.)
i c800 Seminole Road C
Atlantic Beach, Florida 32233-5445 l LJ—be QK --I S7 7
Phone(904)247-5826 • Fax(904)247-5845\ 2
9;119' -7
' E-mail: building-dept@coab.us Date routed: [ 1 3 f i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1735 ,,,, VG- De. . ent review required Y7- No
1
Applicant: M,C PtV CNS ia UIC - .I '.-• - •••
Tree Administrator
Project: 1Th 1TFe. - L l 'or Like 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: 1 pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 719A6
TREE ADMIN. Second Review: Approved as revised. OD nied.
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
I
Orii� �LtrJ'` � BUILDING PERMIT APPLICATION i!
,<`' CITY OF ATLANTIC �t+in� COPY
�� BEACH
800 Seminole Road,Atlantic Beach FL 32233 I (O
J;if�' Office:(904)247-5826 • Fax: (904)247-5845
) Co -D -c,c - 15 77
Job Address: /77 A's t4 y /14,v 'F ITA---4C;zzjPermit Number:
y-Z,-z?E'- 4r&..q,eoc-dsf411 gev rNv / Pr'
Legal Description,41724 Lerz.7CrX S.roq)0A.03,4ciaS-;7t;«?3- RE# /6966 S - DOOp
//ofValuation of Work(Replacement Cost) $�5gOa— Heated/Cooled SF Non-Heated/Cooled
1
• Class of Work(Circle one): New Addition AlterationRepair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial aesiclential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
, r01 . i ii ,../74r6 ,�:�v ) L.< <{e 4 c. Li kc
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: l�jfi'� LW, Address: i �5 • � /510E4,0","
City /` gesleYr Stated Zipc, Z 3. Phone
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Informatioon: /
Name of Company m4,7 T,, LeL %
S
e_. Qualifyin Agent: O.t/ %I* iq
Address:/We 4 ..7eEilf- 0€11 /// City01.-4- State Zip Tz 3ZLo'E---
Office Phone fl'- 3. 99- /770Job Site/Contact Number /
State Certification/Registration#e'eC/5$ J,Z- E-Mail 14/..fe/reit✓.E.Yy 'riiGpri45.Cir+
Architect Name & Phone#
Engineer's Name &Phone#
Worker's Compensation
Exempt / 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 suspended or abandoned for a
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,rHeaters, Tanks and Air Conditioners,etc.
Signature of Property Owner: '"�(�(/Vl�.� /'� G 2___
i J� P w Signature of Contractor
Before me 2-
this C Day of 7vYhQ 01(.0 . },N4, JENNIFER i t I Before me this _3 1�t Day of :fe JENNIPERWILLU1r1S
- 4. - - * _ * MY COMMISSION/FF 158293 * , * MY COMMISSION#FF 158293
�, EXPIRES:September 9,2018 - T� EXPIRES:September 9,2018
Notary Publi f _ .r '"r 4' .,,,., IF : ,, ,.„ otary Public s,� e�.a ofr Hooded Thru Budget Notary Benita
I hereby certi&that I have read and examined this application and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisi
ons of any other federal, state, or local law regulating construction or the
performance of construction.
Rev. 3/14/16
COPILANTIG OGEAN
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