Permit 31 Royal Palms (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACHt FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-deptgcoab.us
Application Number .. . . . . 07-00001726 Date 1/09/08
Property Address . . . . . . 385 ROYAL PALMS DR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
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Application desc
COLUMNS IN CARPORT
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Owner Contractor
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WALTON, JOHN E. ANDERSON BUILDING RESOURCES,
385 ROYAL PALMS DRIVE LLC DAVID ANDERSON
ATLANTIC BEACH FL 32233 7625 ALTUS DR S
JACKSONVILLE FL 32277
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Permit . . . . . . BUILDING' PERMIT
Additional desc . .
Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50
Issue Date . . . . Valuation . . . . 2500
Expiration Date . . 7/07/08
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 45 . 00 4S . 00 . 00 . 00
Plan Check Total 22 . 50 22 . SO . 00 . 00
Grand Total 67 . 50 67 . 50 . 00 . 00
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 07- t J -I
800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233
P OFFICE:(904)247-5826*FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
)ON 01 4��QW��
3195' ?10'//t eMkAtla..tic Beach, FL 32233
A
A77777777 F.
''I ltUSSIO WORK
77�DESCIRIFT10I i-""!
LOT BLOCK SUB DIVISION 11 NEW BUILDING 13 DEMOLITION USE RESIDENTIAL
13 ADDITION 11 CONVERTING COMMERCIAL
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VALTERATION 0 ACCESSORY BLDG COMSPIRINKLER.','15
0 REPAIR 0 POOLISPA OYES P1 N/A
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P tOPIEMY,, R 4,
CONT—CT,0I
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
AV%1DAZ501I`/96 RJ950(ECLS
16,NAME: 24.LICENSEE NAME:
D,+L),P 4r1dQ?3rQ1((
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
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18.ADDRESS: 26.ADDRESS:
A-flAo.cl 32273 -7&2,'� 41ftT4Pr
JA-,or, 1�4 3ZZ7-?
1 11.OFFICE PHONE: —T7�71NO.: 19.OFFICE PHONE: 20,FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
-70 -7 -C1-7 03
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30,EMAIL ADDRESS:
bA-VIbill 100';&C�OA5TAXT
"',86 61
111I RRIV
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31.NAME: 33,NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
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
judscliction. This permit becomes null and volid 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,Heaters,Tanks, AJr Conditioners,etc.
OWNEWS AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.-,,
R
0�' :1
1150 W"A'
W'Awmw or 40 -N�
Si 17 -20-07 sigrie���� Date: 17--2 0-c>-7
Before me this 'Z511)day of C)ec— 2007 in the county of Before me thisc-0 6ri"'day of r)ec em fy�>(N ,2007 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
\t� i \\e-sT er YJ c,-�Ao t!, X::)ov ')A
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that A statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of ()r*IACI ,County of 1)Lh L)Q Notary Public at Large,State of F (b et 1D,County of kk\7)c4
ED-Personally Known 1251-Flarsonally Known
0 Produced ldentificatipn- 11 Produced Identification
Notary Signature: &41� "'SC44ZAeze— Notary Signature: '0 4
4p Notary Public State of Florida
4e h Notary Public State of Florida Gerondal.Bamss
;r _ ff My Commission OD727811
y�Gnda L Sarriles
'"i3gion D0727511 togjal Expiros 10/22/2011
COAB FORM BLO AV:1 VkW1 0/2212o I I
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CITY OF ATLANTIC BEACH
PERMIT
BUILDING / ZONING DEPARTMENT APPLICATION
0 800 Seminole Road
Atlantic Beach,Florida 32233 -76
\A (904)247-5-000
(904)247-5845 Fax
www.coab.us
APPUCATION TRACKING FORM
REQLRRW DEPT:
_y PLANNING
Property Address: L 14 BUILDING
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P: PUBLIC WORKS
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C) REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE
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