1165 OCEAN BLVD - ADDITION / REMODEL 0 rev'
CITY OF ATLANTIC BEACH
ilk j 800 SEMINOLE ROAD
1340- 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-1645
Job Type: RESIDENTIAL ADDITION
Description: remove one exterior wall and extend living room to include
148 s.f. currently under roof, remodel kitchen, new flooring, trim, and painting; new sgd
Estimated Value: $73,500.00
Issue Date: 8/16/2016
Expiration Date: 2/13/2017
PROPERTY ADDRESS:
Address: 1165 OCEAN BLVD
RE Number: 170276-0010
PROPERTY OWNER:
Name: JASKIEWICZ , ADAM
Address:
GENERAL CONTRACTOR INFORMATION:
Name: NEW LEAF CONSTRUCTION INC
Address: 4348 SOUTHPOINT BLVD STE 210 LEE F ARSENAULT
Phone: - -
PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS:
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1
concrete box with metal lid. Cleanout to be set to grade and visible.
All silt must remain on-site during construction.
Roll off container company must be on City approved list and container cannot be placed on City Right-
of-Way. (Approved: Advanced Disposal, Realco, Republic Services,Shapell's,Sunshine Recycling and
Waste Pro).
Full right-of-way restoration, including sod, is required.
FEES:
ENG REV RESIDENTIAL BLD $100.00
1'I;R11T1" IS APPROVIF OUY IN ACCORDANCE `'1"1'11 E, CI'rl' OF ATLANTIC BEACH ORDINANCES AND 'IIIE FLORIDA
BUILDING CODES.
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�" `1'' CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
J . `; ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $374.00
STATE DCA SURCHARGE $5.61
STATE DBPR SURCHARGE $5.61
Total Payments: $722.22
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.