1157 VIOLET ST - NEW HOME f, JJ;
\I, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j , ;�' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SFR-1698
Job Type: SINGLE FAMILY RESIDENCE
Description: *REPLACING 16-SFR-351* new single family home
Estimated Value: $100,000.00
Issue Date: 7/28/2016
Expiration Date: 1/24/2017
PROPERTY ADDRESS:
Address: 1157 VIOLET ST
RE Number: None
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
O1.:EL,
1..,v/-2.;, BUILDING PERMIT APPLICATION
N7, CITY OF ATLANTIC BEACH
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800 Seminole Road,Atlantic Beach FL 32233
f 0'319' Office:(904)247-5826 • Fax: (904)247-5845
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Job Address: I( 51 U i 0 19 t 54- • Permit Number: ko SF e 3 I
Legal Description RE#
Valuation of Work(Replacement Cost) $ I d0, 0.)0 Heated/Cooled SF NI f Non-Heated/Cooled 70 50
• Class of Work(Circle one): grp Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial esidentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 6.9 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:
DJC✓ S,�s Le re"...„,./'� j. k 01,„.-...4,
Florida Product Approval#
— for multiple products use product approval form
Property Owner Information
Name: P44t.ck 61€6A Noe__ Address: Sb /z,t,,5 ..,./..,, ,e„,4 d
City I3P .—eS4e4-d State&Zip 3303r Phone
E-Mailt. 4 @ 4 . ._
Owner or Ageni O(If Agent,Power of Attorney or Agency Letter Required) re,/,._ `'•t,4,-;ti
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:1?ili (/,,,L. 12"lT� Qualifying Agent: klivi n„ 8A.. i41-7;t 'Si,- .
Address: 2 3 s-*b SE 17 4 _ City /43 --e57l.4d State Zip-L 3 5 o? S-
Office Phone 511 2 3 S e 3o-7 Job Site/Contact Number r 5--L{ 2 ?,5 $3v 7
State Certification/Registration# C6-C 0 S 5' O/ E-Mail it h-.Aa TiN 6)So/i•-i.v ,&0C. 4._
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 th• •ork and installations as indicated. I certify that no work or installation ha ••mmenced
prior to the issuance of a permit and that all work • be performed to meet the standards of all laws regulating construction in s jurisdiction.
This permit becomes null and void if work is '. commenced within six(6)months, or if conduction or work is suspended , abandoned for a
period of six(6)months at any time after ws ' is comm- - 1 understand that separate permits must be secured for Elec cal Work '
Signs, Wells,Pools,Furnaces,Boilers�,�..-. - • • d A' nditioners,etc. —..........•••--- ''
Signature . ' ..erty 0 Signature of •- . .c or:
Bef.this w r.y o Vra ,, Al LC() Before me this ,�Da, • 0 20 1
I f- I
Notary Public: 4111/01416,�fti TONIGINDI-ES•1•, ,i» •puic: _ • elk
�i• EXPIRES:October 6,20191 TO, ,
^ BondedTha Pu. Underwnt i $4 •Fs aryl
I hereby cert that I have read and examined t 1.—•,--:; •! be true and correct. , t•hlo" •Oi.' 0 7924951
ordinances governing this type of work will be comp met wit i w to ter.,peer red herein or not. The gr. ,:.z."*.`;'.,.-/ -`"'`.• t6 2019
presume to give authority to violate or cancel the provisions of any other federal, state, or local law reg l l�, , ri99Ye' Y r�Underwriters
performance of construction.
Rev.3/14/16