1952 Beachside Ct res alt permit �3 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30BINFORMA17ON:
Job ID: 16-RAAR-1879
Job Type: RESIDENTIAL ALTERATION
Description: REMOVE AND REPLACE SIDING
Estimated Value: $2,000.00
Issue Date: 6/23/2016
Expiration Date: 2/19/2017
PROPERTY ADDRESS:
Address: 1952 BEACHSIDE CT
RE Number. 169542-0590
PROPERTY OWNER:
Name: BELL, RICHARD A
Address: 1952 BEACHSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: RICHARD BELL BLDG CONTRACTOR
Address: 1952 BEACHSIDE CT CA RICHARD FORD BELL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $30.00
BUILDING PERMIT FEE $60.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
600 Seminole Road I / -REAR-1 Cy -7c)
� Atlantic Beach, Florida 322335445 lCJ U ! /
Phone(904)247-5626 - Fax(904)247-5645 f�
"Z7r;v� V E-mail: building-dept@wab.us Date routed: 8
City web-site: hdp:/Av ;w.coab.us
APPLICATIONREVIEWAND TRACKING FORM
Property Address- l 1 CJ z L. �j4SJCEC7 Department review reclukmd Yes o
j� (� /� wilding
Applicant: �IC64A{L(JFJE(.(_ ua'. r� l oiJ7 9 &Zoning
�--
Tree Administrator
Project: KF_-Ivlr7Vc— £ 1'CEPCACF Public works
Public Utilities
I p 7 N_-) - Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Dale
of Permil Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: PALI/pproved. ❑Denied.
(Circle one.) Comments:
UILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION FILE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904)247-5845 16 _RAAR_( g79
Job Address: /452 -Tl"6/ Cr Permit Number:
Legal Description x.07 ZS 61-001- C 9E¢4 yElDE- Parcel# '1�695427-0590
Floor ea or—Sq.rt. Nq.rt
Valuation of Work$ 7-000 Proposed Work heated/cooled A//&— non-heated/cooled VLA
Class of Work(circle one): New Addition A teration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Resid
If in existing structure,is a fire sprinkler system installed?(Circle one): es No N/A
Florida Product Approval #
For multiple products use product approval torm
Describe in detail the type of work to be performed: Remove EXt 5T. %�Tir�mo➢�y �
��YwaaD rte/%� 4,/Cy, 12-`lOL7/h� ✓/fid e9 Q%e�5�y �ai�s.. lSW/e k-Lt�ke//nrs"A8 ceder la/�
��'SdB•-E�' SL tA9�' IDE W/)w of SJe✓y fr"x RES,
"A-
Property Owner Information: �// �� ��""
Name: Rf�Hl k/JJ�l1i Address: IgSz 60,,6944 d-,
CiTyyfl�c#r ta StateFLZio 7Z 3 Phone Sof- 7fol— bSn5
E-Mail or Fax d(Optional) jy�/�1 &,., ➢. ,oP e-r
Contractor Information:
Company Name: lQuamg Age t: G�u' d�✓C/
Address: SiTy��
l�a/ti
State F-1,- Zip 3!7-233
Office Phone %4 !' D%'k Job Site/Contact Number 7o 4- 7a4-G¢oS Fax#
State Certification/Regisnation# -r-6c- o 933
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address &Yard
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. /rerfify that no work or installation has commenced prior to the
issuance ofapermit and that all work w+//beperformed to meet the standards ofd/Laws regulating construction in thisjurisdiction This permit becomes null
and void if work is not commenced within six(6)months, or ifconsnuction or work is suspended or abandonedfor ageriodp��/�)mmont at any lime oRer
work is commenced !understand that separate permits most be secured jos Elttlrica/Wo*PWmbing,Slim, Ma'' F Boilern,N[alers,
Tanks aadAtr Conditioners,ae
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.
!hereby certify that!have read aM ex�np'ned this plication and brow the same to be true arN correct All provui laws a wdiw es caverning this
type of work will be complied yith wh a+er soeci red herein or net The granting oja permit does not presume t out ity to v e or canoe!the
prov+amm ofarry other jeder tale,a local v regulatir rsomcfion w the peformance ojconenuction.
Signature of Owner /� Signature of Contractor n
Print Name ........lit "(-d-C_4�._....._..f..%............ .._....._.... Print NameL..._.. Olel'.. .........f.,cF(�_...__.....___._
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