1227 VIOLET ST - FRONT PORCH -j1,-A1,1 ,
SI\ CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
\v :" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ADDITION
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RADD-1697
Job Type: RESIDENTIAL ADDITION
Description: *REPLACING PERMIT #16-RADD-488* new front porch
roof
Estimated Value: $5,000.00
Issue Date: 7/28/2016
Expiration Date: 1/24/2017
PROPERTY ADDRESS:
Address: 1227 VIOLET ST
RE Number: 171009-0000
PROPERTY OWNER:
Name: HSBC BANK USA NA, hsbc
Address: 385 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: BUILDING UNLIMITED ROOFING & SOLAR
Address: 12620-3 BEACH BLVD # 181 JACKSONVILLE, FL 32246
Phone: 954-235-8307
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
I'ERMII IS APPROVED ONLY IN ACCORDANCE WITH AI,I. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'., r -•_:,)T r LJl-4
BUILDING PERMIT APPLICATION
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CITY OF ATLANTIC BEACH
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800 Seminole Road,Atlantic Beach FL 32233
��r1;ilJ' Office: (904)247-5826 • Fax: (904)247-5845
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It e.E4t-n al
Job Address: (Z 2 7 vJ O J'e l" s,4(1 A-1-144-•-44_ iSettkA Permit Number:/(O RIA D If 0 S
Legal Description RE#
Valuation of Work(Replacement Cost)$ 5-000 Heated/Cooled SF Non-Heated/Cooled ZOO
• Class of Work(Circle one): New Addition f lteratioi) Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial Cesidential
• 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
Describe in detail the type of work to be performed:
N4•-i r -4 Po A 4115
Florida Product Approval # for multiple products use product approval form
PropertyOwner Information n
Name: I'4-Mt ill pe�, Pie.f�0'ird�ddress: 0 0 S ,�,,, � 44-d
City /40,-e5464-4 / St / J
ate{t Zip 33v 3 5 Phone � 5'�j- J Z 3 S-S 3c)-7
E-Mail T) G.c 64e q-o L. (47---- ,�//
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) iC..�jf/I►n. IAA/ r;W.L.
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:13.; !de...j O,vL41....i I-8-/ 01,...•, Qualifying A ent: dt' r L-- i"'•' 54,/-
Address:2 3 s SE 17 .- l! City Na,,...e 5 rf-c1 State Zip 3 303 S
Office Phone 5 S k 2 3s-i330-7 Job Site/Contact Number 5 5-'1 2 3 r g.3v-7
State Certification/Registration# C6 ( 06616/ E-Mail It '- t✓> 7 7,`,@ SD /a.r i ,t/Coo 14; U---_
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 ork and installations as indicated. I certify that no work or installation has commenced
Tpor to the issuance of a permit and that all work wi .e performed to meet the standards of all laws regulating construction in this "urisdiction.
his permit becomes null and void if work is not •.mmenced within six(6)months, or if construction or work is suspended or.. ndoned for a
period oJ'six(6 months at any tune after work" ommenced. I understand that separate permits must be secured for Electri • ork,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,He, •rs, Tank • id Air Conditioners,etc.
Signature of Pr..- O � Signature of C.. or:
Before e
thisZDay of IPA `, i _CD 11 - Before me this L`►Z all2_o
yr 1Notary Public: _' ■6,,,A____IRNotaryPubli • _WI!
irAllbh. Ii
_ � Y
TONI GINDLESPERGER
I hereby --- .. - min this .. ication and know the sam ¢, i•,• ;'lis . . laws and
f"-•-:;_... ?�, '•�r'fR"(� „! ;�aplt��lAMt6i�1QN�l`f"' �`. •CI�
ordinanc s i" •in. . y`�; ,<
presume �.`�t.i_; 'r h. i�' '1 '"'•' �g�5Wt1 ' e complied with whether spelled f%:c.�,,,.�`-noGXP1�#lS:�OClvh�t.^26'n pa nit does not
p _ , d, l :&, g,�pDWtnc the provisions of any other federal S" fir l wddhon. . 'OW '•y':1 1-action or the
Performa -...; ;.:r. sirK''
3 P„bk underweters
'4,0,-./ Bonded ru Pbtary
Rev. 3/14/16