1227 VIOLET ST - REMODEL •
ss‘ CITY OF ATLANTIC BEACH
_ _ j 800 SEMINOLE ROAD
;r 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-RAAR-1696
Job Type: RESIDENTIAL ALTERATION
Description: *REPLACING PERMIT #16-RAAR-16 - remodel house
interior & exterior
Estimated Value: $70,000.00
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
PERMIT IS APPROVED ONLY IN ACCORDANCE W11I ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
NIS �`Jn
JS• �.S,
BUILDING PERMIT APPLICATION
I, CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
�`J;31>'' Office: (904)247-5826 • Fax: (904)247-5845
* Ito"t�AAQ — 1164 (.11 Q6PAA
Job Address: (Z Z 7 //o(� 5}- L 661,A
Permit Number: I4 -aatoto-I b
Legal Description RE#
Valuation of Work(Replacement Cost) $ 70 1 Heated/Cooled SF l7D n Non-Heated/Cooled /q90
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 'esidential
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes OP 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 ty e oolff'work to be performed:
""'dam-C t7DV ld rr yv-r zt,1-et,v✓
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name:`�pi's / Z-Q,l>°�V5 Address: 0 Se, "- / 4I4 '
City G p -e�j'' 1 Stat Zip 33D35 Phone '75 2 35 .3�`7
E-Mail b,q (a A vL, Iv__ ,
Owner or Agen (If Agent,Power of Attorney or Agency Letter Required) / 4e-r; v.
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: 4141-:\
Name of Company4A 1 vr1A-t , � l Quali ng Agent: Xecli w �"► -... .
Address: Z 3 c Q. SE r7 ✓ CityS , State Zip 3-30'7 ',-
Office Phone 9 6"Y - 2 ?S 0 3o-7 Job Site/Contact Number 9 5 et -a 3 S 3-30-7
State Certification/Registration # C 6--(a 5• 0/ E-Mail E"-'avfi..-.e sole,-6 I.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 the ,ork and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work wil/:a performed to meet the standards of all laws regulating construction is jurisdiction.
This permit becomes null and void if work is not .mmenced within six(6)months, or if construction or work is sus a or abandoned for a
period ofsix(6)months at any time after work i ommenced. 1 understand that separate permits must be secured ectrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Hea s, Tanks ands ' Conditioners,etc.
Signature of Prope a •• - AIIIIIIIII0 Signatu - e '. .• or:
Beface
this !tea �� � :e ore me this �� D., . =�jt 7-(==.( Sv
Notary Public: _
PrimpliFIR_ ._�I Nota Public: �'
TONIG DLESPERGER
I herebycerci
F-1,,,,,,,:r.„,,,
' MY ISSION#FF9249511laillril
'. • TONI GINDtESPERGER 1 i: ,, 1f i e.j�p1 EtStrOfctobi�t&i $t/i 1 a�p ication and know the st c?°} 11,
4'ublYi� •p FF, °3 oi,1 ions of laws and
ordinances g ', ...::.Yhi,• , :.i i* ,. , nplied with whether speci t ,1_ -sot.fdffilRE$/Qc*ti*-'t!of,�permit does not
presume to gi.i''ier,.._-r_.:__:---- ------ provisions of any other fe e L>.: er ole d•FtiuMA - i,,struction or the
petfonnance . uction.
Rev. 3/14/16