1753 Seminole Rd alteration permit VII&I
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-S814
JOBINFORMATION:
Job ID: 16-RAAR-2181
Job Type: RESIDENTIAL ALTERATION
Description: REPLACE INTERIOR STAIR RAILING
Estimated Value: $600.00
Issue Date: 1014/2016
Expiration Date: 4/212017
PROPERTY ADDRESS:
Address: 1753 SEMINOLE RD
RE Number: 169639-0010
PROPERTY OWNER:
Name: BROWN, HOWARD & HAZEL TRUST,
Address: 1753 SEMINOLE RD 1753 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: TURNKEY CONSTRUCTION RUBEN LAVARIAS
TURNKEY,CBC057917
Address: 5991 Chester AVE STE 105
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55,00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PEMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Semmole Road
.5445
Atlantic Beadi,Florida 32233
Phone(904)247-5826 - Fax(904)247-5845
Date routed
riol,
E-mail: building-dept@coab.us
City web-site: http://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property AddressA 7S-:�) Sp-m w0U. In nt review required Yes No
Applicant: PJ\3k_EC� ra*,� -T Plai–n-5mg7rZoning
I Tree Administrator
Project: RPPLA0_& S,�-CtcwrA Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review=P.'y Data
of Permit
Florida Dept.of Environmental Protection
F71-0–nda Dept.of Transportation
St.Johns River Water Managment District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLIPATION STATUS
Reviewing Department First Review: [gApproved. E]Denied.
(Circle one.) Comments:
EED:iNG)
PLANNING &ZONING Reviewed by:— /-,1,7 DateV!bIL16
TREEADMIN. Second Review: DApproved as revised. F]Deniecf./
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: ElApproved as revised. []Denied.
Comments:
Reviewed by: —Date
Rwlsed05/14109
�-s BUILDING PERMIT APPLICATION
11 r CITY OF ATLANTIC BEACH 2:6-Of rQ5
COPY
80D Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 - Fax:(904)247-5845 -z
Job Address: 1753 Sap�&D(e '�A Pertnit Norther:
Legal Description 6302Z ?Z9&m (.?OY- fba-nZ —RE# LG%.32-0010
Valuation of Work(Replacement Cost)$_=±LHested/Cooled SF Non-Heated/Cooled
Class of Work(Circle one): New Addition (� Repair M Demo Pool Window/Door
ent
Container, 'dent�lt
Use of existing/proposed structure(s)(Circleone): -ial �d
If an existing structure,is a fin:sprinkler system installed?(Circle one): Yes No N/A
Submit a T�Reanoval Permit Application if any trms are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: 66�.rcoGt_- fa:.1�5
Florida Product Approval# fm multiple products use product approval fkartat
Property O�er Information
!�(WA��S I LL.C-
Name: !SVP-1335P- Address: Lj3jq 6eAO-N. ;kVe—
City 3��\l"I\e- Statet Zip_3ZZAaPhcme '1CQ-7_ZG-01r,3
E-Muil.,��
Owner gent (Ift PowerofAftomeymAgwcIcucr
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 NOTOF OF COMMENCEMENT.
Contractor Information:
NmeofCompany: JAIC
.Qualifying Agent: AU800
Address: L�2?q/ IDS city JA,)( StateZA, -YZ'ZJ-7
ione �V-906,go( % Job Site/Contact Number fo!� - Lf- I
-tification/Registrati CaC 06-79/7 E-Mail 66-0��_ C14-ac,567ag�V 06"
Architect Naine&Phone#
Engineer's Name&Phone#
Worker's Compensation A71499WCA-Al /A/K!w rogr
.X.pl(
alMl. . losse Employees / Expiration Date
.,a.a
i lion is emby made to obtain a permit to do the u 'a a tow as indicated. I certify that no work or installation has ecommenced
,a,to the issuance c ftassdthatedlwakill�r�dlm maderali �.11 laws regulathig ce.tructio.in thisjtaiseficli.
0 ... N,.11shis, if constriction or work is ess tided or abandoned a
is mit cement flandiandi work is n lic or
rindo j& man s ataiiydese. er cressereced. a tharseparate irniumosibesecorse/jm, &icai Work,Pfus,
I s, ols, nassm, o. cat T. le Co. inners,ek.
Signature of Pro r: SignatureofConunctor: )I//, —
Before me
this"Day of t" 40/ 1, efore me this_Q,,&�Dy of
Notary Public: Notary Public:7_—u__& yvlp-�_t-A�
I hereby certify that I ham and Nz meandcorrect. Allprovisions laws
ordinances ?verm.7 his 'sptc�iaemdetorbeien' 101, does
,s zad,
g Pe 0 vo e cc
in r 4
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a e
Pr��oomeabcgo 0 o ate or corn, 05, 0 erfe eral, state. or local law
pe n e 7.0U.'hrsct`wtn0 v'
Rev.3/14/16
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