Loading...
1786 Atlantic Beach Dr new home permit BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1786 Atlantic Beach Drive., Atlantic Beach, FL 32233 Permit Number: 110—S F-e.—aa•gc) Legal Description Lot 67 Atlantic Beach Country Club Unit 2 67-52-08-2S-29E.165 Parcel Floor Area of Sqq.Ft. Sq.Ft Valuation of Work$ 4 , Proposed Work heated/cooled 3,553 non-heatedfcooled ?6--9 tic-0169,4„.„(9°' o c2 , 1<- -� 4/q 4/2 Class of Work(circle one): cialp Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure ,is a lire sprinkler system installed? (Circle one): N /A Florida Product Approval # See attached For multiple products use product approval form Describe in detail the type of work to be performed: New Residential Construction Property Owner Information: Name: TOLL FL VI LIMITED PARTNERSHIP Address: 160 Cape May Avenue City Ponte Vedra State FL Zip 32081 Phone 904 217-0739 E-Mail or Fax# (Optional)arogers@tollbrothers.com Contractor Information: CONTRACTOR EMAIL ADDRESS: arogers(a�tollbrothers.com Company Name: Toll Bros., Inc. Qualifying Agent: Steven R. Merten Address: 160 Cape May Avenue City Ponte Vedra State FL Zip 32081 Office Phone 904 217-0739 Job Site/Contact Number 904 386-6472 Fax# State Certification/Registration#CGC 1510225 Architect Name& Phone# 41©° ?0N6 Engineer's Name& Phone# Fee Simple Title Holder Name and C� '�3 Address Q 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. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any fime after work is commenced. /understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, //eaters, Tanks and Air Conditioners,etc. 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. I hereby certify that I have read and examined this ap lication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name Steven Mertens pi vision Sr. Vice President Print Name Steven Merten, Division Sr. Vice President Before me Before me this 20 I.y of September ,2016 this_20_Day of September ,2016 Notary/Pu i ic Nota Publi IIIJJJ Revised 01.26.10 ,fit* ASHLEY ANN ROGERS ;; '"r° ;, ASHLEY ANN ROGERS ": •: MY COMMISSION#GG019753 , .:;c MY COMMISSION#GG019753 ''-r; EXPIRES August 09,2020 :%;�:• EXPIRES August 09.2020