77 Shell St alteration permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r 11
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECrION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2309
Job Type: RESIDENTIAL ALTERATION
Description: install bathroom with shower in existing laundry room
Estimated Value: $6,500.00
Issue Date: 10/20/2016
Expiration Date: 4/18/2017
PROPERTY ADDRESS:
Address: 77 SHELL ST
RE Number: 169582-0000
PROPERTY OWNER:
Name: WHITE REV TST ET AL, ELIZABETH,
Addi,ess: 1510 EAST RD
GENERAL CONTRACrOR INFORMATION:
Name: THOMAS SILVER CONSTRUCTION INC
,CBC056157
Addmss: 2846 SAN FERNANDO RD THOMAS C SILVER
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $41.25
BUILDING PERMIT FEE $82,50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $127.75
PERNIEF IS APPROVED ONLY IN ACCORDANCE WFLH ALL CrFY OF ATLAN'EIC BEACH ORDINANCES AND THE FLORIDA
BIJILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coalb.us Daterouted: J
City web-site: hftp://�.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11- SINLA a. :nenl review required Yes IlTo
-TIft0r,\V_S S-wa ZH ;;z;i_ _)7
Applicant: k Planning &Zoning
Tree Administrator
Project: bicrtw(Doirn o cyiAfu4 Public Works
Public Utilities
WxA" Man Public Safety
Fire Setvices
Review fee $
Re low
Other Agency Review or Permit Required of Pve.it=PB'y Date
Florida Dept.of Environmental protection
F�Iorlda Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
EFivision of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: U?Approved. ElDenied.
(Circie one.) Comments: poc,
(ED31
PLANNING &ZONING Reviewed by: Date: /0-19-16
TREEADMIN. Second Review: [-]Approved as revised. [-]DenieW
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: DApproved as revised. DDenied.
Comments:
Reviewed by: —Date,—
Rmsed OW14109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic neaten Fl,32233 OFFICE COPY
Office: (904)247-5826 - Fax:(904)247-5845
JobAddress: -77 -`96cU -<�treet AF-1, 327--&3 Permit Number: IV ?-Ajkt-QLUri
Legal Description RE#_
Valuation of Work(Replacement Cost)$L(P 500 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition rA=ltemtio. Repair Move Demo Pool Wi1dw/Do.r
• Use of existing/proposed structure(s)(Circleone): Conarnercial q��
• If an existing structun:,is a fire sprinkler systern installed?(Circle one): Yes (:3) N/A
• Submit a Tree Reinoval Pernin Application if my trees are to be mmoved or Affidavit of No Tree Rernovid
Describe in detail the type of work to be performed:
tA 5-f-CA j),tht..W VVOM� Aak� U)" lryr5b-�^s
Florida Product Approval# for inutiple products use product appuwal f�
Property O,itlner Information
Nante: JL9i Z"L" [ZW LL Address: 2 1'5 M li
W4c4i
City Stat6FL-Zip 322DZ-Phone (-q D4 ) 3n-,j j
E-Mail aR-
OwnerorAgent (UAg�,P.�.ofAtW��Ag.�L�.P�ui�.dI NIZQ6&,�i wwt--
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 NOTfft OF COMMENCEMENT.
Contractor Information:
Name of Company: A"y&j . 7
QIXJAW4��ualifyin Agent: -��j 'S I 414r--
Arldrew A;�eAW�4 AM.., City Z=;/Zs�statc zip o%- -TZ7r2
OfficePhone Job Site/Contact Number 7 T-V-?,
State Certification/Registration# E-Mail 7:Z=vedAAS dX V0d-. Cc�"
Architect Name &Phone#
Engineer's Name&Phone#
Worker's Compensation
insurer Employees Expinstion Date
,mmr,ms,d
donsd .1
Plan. -. 91
I herreby cerT6 that I this application and know....sameto bell...". 0 w and
ir -� , A .
a,d,r,ez'n,csrgg rru. 11 e complied with whether spe dhereinornot. Thegianfingofallerm doesnot
pr u cte
me'a ive out ri 113)1� ncel theprovisions of any otherfee eral,state, or local law regulating construction or the
P pc�agrs
,�..e once a cc c on.
Rev.3/14/16
OFFICE COPY
CA
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Sent fimml Samsung tablet
—Original message—
From Alicia Schell<alicla@kbrdesIgnsirc.com>
Date:09/15/2016 11.46 AM(Gmr-woo)
To sheplaw@aft.com
Cc Allan Galliher<allangailiher@gmallcom>
Subject Atlarilic Beach Bath
Hl them,
My name is Alicia Schell and Allan Gailiher asked that I send yen the plan for the bathroom that I crow.
I have included a linen cabinet next to the vanity for tovels that has the option of a hamper in the bottom secLon,
Please take a look and let me know your Mughts and if yw'd like to gal together to look at finishes and doo,,
Havea�iaatdayl Alicia
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NOTICE OF COMMENCEMENT
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