1845 Hickory Ln remodel permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
^- INSPECTION PHONE LINE 247-5814
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RESIDENTIAL ADDITION
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RADD-1853
Job Type: RESIDENTIAL ADDITION
Description: NOC REQUIRED - remodel hall bathroom -demo, frame
tub surround, reinstall flooring, vanity, top, plumbing
Estimated Value: $10,700.00
Issue Date: 8/19/2016
Expiration Date: 2/15/2017
PROPERTY ADDRESS:
Address: 1845 HICKORY LN
RE Number: 172020-1436
PROPERTY OWNER:
Name: MCMENEMY, THOMAS M & PATI J, '
Address: 1845 HICKORY LN
GENERAL CONTRACTOR INFORMATION:
Name: ATLANTIC COAST RENOVATIONS, INC
Address: 904 16Th ST
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $51.75
BUILDING PERMIT FEE $103.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $159.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233 FILE COPY
Office:(904)247-5826 a Fast: (904)247-5845
Job Address: if Yr µ7ckO N [.c» C Pennit Number: Ib"�kCp"I YS3
Legal Description32-25 alt Z5-2S I: delK A �. -c RE# 1 20 ZD -l y 3(o
Valuation of Work(Replacement Cost)$ /n�Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No 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 wor to be performed:
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ru 81 bd r' .A-.4 v,'^ n �cA a &4t:%rA Il Fico.• ' y r W., f1h �4. ,-3
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name:N t.,/ /ton. c AICA.,e.re,., d Address: Ib' HS 14.oleory le -0
City A})c„).c $.ecc 1, State l� 2L > hone'
E-Mail
Owneror Agent (If Ageat,PwmrofAaom,,m Agency Letter Requi,Ml
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: �or,S�f�R-Onpth�)/kl'ar�ualifying Agent: a,n:,el FA-ecl f 3f
Address: 50q )L _ 53 e{ Otiy iz City Ncy /3-kc ti State Zip 372 Std
OfficePhone Job Sitc/Contact Number Z
State Certification/Registration# <4c I6*2,034o5' E-Mair /11c 3.t [Ocsl- Jcor`
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
t nsuar mp oyees puanon ate
Application is hereby made to obtain a permit m do the work and installations as indicated I certify that w worker installation has commenced
pnor to the issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating com erectian in this jurisdiction.
This permit becomes null and void if work is not commenced within six(a months, or if construction or work is snsppe,Ned or abandoned//o'r a
period a((sis(6)months atony time after work is commenced. l understathat separate permits must be secured for B'lecnlca!Work,Wumbing,
Signs,We!!s,Pools,Furwees,Boilers,N , Tanks and Air Conditioners,We
Signature of Property Owner: ✓ tare of Contractor.
Befo me —1�—" w+—� "_�—
this�DayofQ� IS, �� �rt efore me this�pr�_Day�o/f �ft�y� �{/.rrlr' Lµ(�
Notary Public: C.t " ` �" "'�t•sem Notary Public: "�l� L`�1'(/1 AA,
I hereby certify n r r��zf�aXi}� t s (ication and/mow the same to trr d e rec� l r yj�ol' s and
ordinances goy q 1 r7lh 04 9Am ied with whether specr�ed her l 11 es not
presume to gtv t ty,/1,l.� c�/�hep isions otomy other federal, sta 1 r rJlucti or the
performance of o a /o'E+a+rawaate toffs , a�:«oaro.tzo+e
City of Atlantic Beach APPLICATION NUMBER
�4 Building Department (To be assigned by the Building Department.)
800 Seminole Roadp
Atlantic Beach, Florida 32233-5445 (b—f— I) r i J S 3
Phone(904)247-5826 Fax(964)247-5845
WP E-mail: building-dept@wab.us Date routed:
City web-site: http://v .mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: j $ L.1 15 �(—"I Ltip Q De artment review required Ye No
il
A1Ir �1 u
Applicant: AAA& '�L �OASk F- WIAA 4DAS Planning &Zoning
Tree Administrator
Project: haat ba-molin Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review of Permit Verified or ReceiptB Date
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
M
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments: A56-
PLANNING
56
UILDIN V
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