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178 Beach Ave deck permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 ys INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-DECK-2535 Job Type: DECK/PATIO Description: REPLACE 14-1217 NEW DECK FOR HOT TUB Estimated Value: $300.00 Issue Date: 11/30/2016 Expiration Date: 5/29/2017 PROPERTY ADDRESS: Address: 178 BEACH AVE RE Number: 170210-0000 PROPERTY OWNER: Name: 178 BEACH AVE LLC Address: 6 E BAY ST SUITE 500 GENERAL CONTRACTOR INFORMATION: Name: CANTRELL CONSTRUCTION, INC ,CGC062514 Address: 1015 ATLANTIC BLVD CIA MARK FRANCIS CANTRELL 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 890 Seminole Road Atlantic Beach, Florida 32233-5445 lJ W c.J Phone(9154)247-5826 - Fax(904)247-5845 E-mail: building-dept@wab.us Date routed: City web-site: hftp://www.coab.us APPLIC {A�TION REVIEW AND TRACKING FORM Property Address: l 78 B ;Went review required Yes o Applicant: l_ fkrJ,tF,6Ll. o 016.9S oning Tree Administrator Project: C Public Works Public Utilities i� e /QC-Q 1 l4 _ I ZI 7 Public Safety b\ t Fire Services Review fee $ Other Agency Review or Permit Required Reviewnnk 0Verr ReiDed ceiptB Date of Pe 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: APPLIC ION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: // l6/6 TREEADMIN. Second Review: ❑Approved as revised. ❑Deni PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 051N09 t�itk— BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904) 247-5826 Fax (904) 247-5845 -p CCI(_ZS35 Job Address: 178 Beach Avenue,Atlantic Beach,FL 32233 Permit Number: Legal Description Lot 5 Block 31 Atlantic Beach PB 5 a e 69 Parcel# 170210-0000 Ioor Area or Valuation of Work$ P� Proposed Work heated/cooled non heated/cooled Wrr A+ frr pf.--Vt e>,p Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)`circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one): es ® N/A Florida ProductApproval# OFFICE COPY For multiple products use product approvalform Describe in detail the type of work to be performed: I>Ca.lt R�affa, 14 - IzI7 Property Owner Information: Name: 178 Beach Avenue LLC Address: c/o David Edwards,200 W Forsyth St.,Ste 1300 City Jacksonville state F1. Zip 32202 Phone 904-699-5333 E-Mail or Fax#(Optional) dedwuds@edcolaw.com Contractor Information: q 1 ��+ Company Name: lArr✓t^ct/' (!ON PVG' io� +'%ualifyinyyAgCnt tKOW K C"*RELfi Address: to t1♦ ow:6e $ D9 City r4]SarY/e 3eL State P' Zip X2233 Office Phone S,Yr—/V28 Job Site/Contact Number Fax# State Certification/Registration# Cr,r_- 0&&51!K Architect Name&Phone# Engineer's Name&Phone It Fee Simple Title Holder Name and Address 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. 1 certify that no work or installation has commenced prior to the issuance o(a permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null and void t work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a ppeeriod of six 6( 1 months at any lime after work is commenced. I understand that separate permits must be secured for Elecnlral Work,Plumbing,Signs, Wells,Pools, es,Boilers, Healers, 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 hereb certify that I have read and examined ous7plicadon and know the same to be true and correct. All provisions of laws and ordinances governing this type aJywork will be complied with whether s ¢cited herein or not The granting ofa permit does not presume to give authority to violate or cancel the provisions ofany other federal,stale,or local law regulating construction or the performance of construction. atf Signature of Owner y��` / �7I Signature of Contractor /'l" Print Name ..t..,GL.t.Y I VI _ Print Name _. ke -...�1.!1' CL... Swoqq��,�tggand sub 'bed before ane Swo and sub bedfor me this 1'LtDay of f 20 this Day c © 20 Notary Public NOM Public %e_yAed01.26.10 5:.".*g,, MNERFIE Mly Aa astDMMMIRt FF982WB --„— F,xvaEaxyl tl,]!cot ==2&(yzEsN Efl•: t. 824%1"�.P,I.� -s" ,2019r a'i,. y,.,ya, 1 4 - I Zi ? C USI oe I I,Ooo� 4o-ler t ,s 4t� CaneelILA-