315 Plaza alteration permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NERT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2228
Job Type: RESIDENTIAL ALTERATION
Description: New kitchen cabinets. Install recess lights in Dining Room
(additional permit to be pulled by electrician.) Side/entry door TBD. NEED 2017 BTR.
Estimated value: $13,500.00
Issue Date: 10/11/2016
Expiration Date: 4/9/2017
PROPERTY ADDRESS:
Address: 315 Plaza
RE Number: 169992-0000
PROPERTYOWNER:
Name: MULLANEY ET AL,SCOTT & ELIZABE,
Address: 315 PLAZA
GENERAL CONTRACTOR INFORMATION:
Name: FISETTE CONSTRUCTION & REMODEL
Russell A. Fsette,CGC1511819
Address: 193 19TH ST CIA RUSSELL A FISETTE
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $117.50
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $58.75
STATE DBPR SURCHARGE $2.00
Total Payments: $182.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
S BuildingDepartment p (To be assIigned by the Building Department.)
i 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5828 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: (O/Da01(o
City web-site: http:11w .wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: J' IS Piazo. D ent review required Yes No
Building
Applicant: _ flf�y Ca'lS�nectl�n �n. 2 Zoning
Tree Administrator
Project: Li ` Public Works
d Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Anny Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPYCATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING 'O"Alk�
PLANNING &ZONING Reviewed by: Date: I
TREE ADMIN. Second Review: ❑Approved as revised. [—]Denied'
.
PUBLIC WORKS Comments:
r
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
FILE COP'
m
BUILDING PERMIT APPLICATION -
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(9004))247-X58266 - Fax:(904)247-5845
Job Address: 315 am jwadIy&adNII Permit Number:
Legal Description $-(09 Qk�n++'E;0 Q.Pny� I of gl �# )bgg91- t7tX)o
Valuation of Work(Replacement Cost)1 015�Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition <Ahemtion Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esideatial
• If an existing structure,is a fire sprinkler system installed?(Cir( one): Yes N 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 work to be performed: 4w w wOte, ep ktofie 9 and Sale „GJ,,,f51-.✓ 60
Sw9W f4.CCw Ii in de ` , ,T'""'
Florida Product Approval# for muttiitLgrr��q p (-
Property Owner Information ----�
Name: vt Address: 1SEP 21 2016
City State Zip
1521M Phone
E-Mail
Owneror Agent (If Agent,Powmoftsume, rAgeacyl.ateraaroimi
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 NOTIdE OF COMMENCEMENT.
Contractor Information:
Name of Company; �I A F a I Quali n gent. I 1
Address: 193 I A S City ?State Zip LL
Office Phone Q _$91" _Job Site/Contact Number - (-
State Certificat!i--1gistration# r,&,ISI 1 iN9 E-Mail s s
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
xempt nsuser Lease cop oyees I bxpuration owe
Application is hereby made to obtain a permit to do the work and inslalkdons as indicated. l rerbjy Jhat w work ar ins[a!lation has commenced
yrvor w[he issuance oja permit and tM1m ol(wark will be performed to meet the standards oja(l lows regulating consuucHon in this jurisdiction.
%hu permit bewmes nu[(and troid ifwnrk is m1 rommence2 wi[hm sir(6)months,ar if conslrvcNan ar work[.s sus nded o abandoned/or a
period o((six(6 months at any lime offer worku commenced. lunderstand fhat separate permits must be Beare or /eGrica/Work,Plumbing,
Signs, We/Is,Pools,Furnaces,BoUers,Neafers,Taroks and Air nda(oners,efr.
r
Signature of Property Own + G//t Signature of Contractor:
Before me
[his7�I)ay of ? B me Z 1
r'll'a"�\.\\1 /� x• Notary Public State of Flaritla
AN A.sNYDEfl
Notary Pu 0.Q 1 •My Comm.Expires Aug 20.2pJtie '*` �'•v 4 Notar ubllc-sale of
`;:�ummuslon-s-FF_15@a44v - rex EOte
" ,� POIIdDtl?Haugh Nnimal Ndary As , d•' COmmlaalonl FFFF 10, d
75292g 2006
Ndsy Assn.
7 hereby es govt at I have read and examine this app motion and oro the same to be lore and coo 0
ordinances governing this type o(work will be complied with whether spedlr'ed herein or not. Th g n o a e d does not
presume m give authority to violate or cancel the provisions ofany other federal, slate, or loco/law regulating construction or the
performance ofconstructian.
Rev.3/14/16