1637 BEACH AVE - PERMIT 1'/ �� 1,-A1 Jif J+,0`
ry G , CITY OF ATLANTIC BEACH
I800 SEMINOLE ROAD
3 ;X ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1-'4 D1319 '
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2774
Job Type: RESIDENTIAL ALTERATION
Description: MAIN HOUSE - REPLACE THREE SECTIONS OF
EXISTING FOOTERS
Estimated Value: $2,500.00
Issue Date: 12/27/2016
Expiration Date: 6/25/2017
PROPERTY ADDRESS:
Address: 1637 BEACH AVE
RE Number: 169652-0000
GENERAL CONTRACTOR INFORMATION:
Name: STYLES CONSTRUCTION, INC.
, CBC1250669
Address: 1537 PENMAN RD SUITE A QA DARRELL GLEN SMITH
Phone: 904-545-9107
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $31.25
BUILDING PERMIT FEE $62.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $97.75
II
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rs vi:,..., City of Atlantic Beach APPLICATION NUMBER
(6' �, Building Department (To be assigned by the Building Department.)
� 1 1RR
�
• 800 Seminole Road
J r /^� n
Atlantic Beach, Florida 32233-5445 Rr` 774
Phone(904)247-5826 • Fax(904)247-5845
�`! v Email: building dept@coab.us Date routed: z 1 /
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 12 3 EE.A,_,,, . V e Department review required Yes/Io
Buildinj? L/
Applicant: S`T"y LE S CO, sT Pln ' &Zoning
Tree Administrator
Project: REPLACE 3 rbo i e/2 S Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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:
APPLICATION STATUS
Reviewing Department First Review: [ AST pproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date: /)-'2 2.1 (.
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I !Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
4,0/44 BUILDING PERMIT APPLICATION OFFICE COPY
"""� CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 J 6,--/AA K. 277 4
Job Address: le'17 i3' cl a v<- Permit Number:
Legal Description Parcel#
Valuation of Work$ �• , Floor Area of Sq.Ft. Sq.Ft
.,25',9 ' Proposed Work heated/cooled iAo,. non-heated/cooled
Class of Work(circle one): New Addition Iteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Resi ial
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval# /Y,9
For multiple products use product approvaform
Describe in detail the type of work to be performed: AA`- \(t. No aS€
rda/elcc 3' 5.t<4(v�✓5 oe rXJs ?:',...S Foo4-,-s
Property Owner Information:
Name: J 4'e Ec%s'ir.;✓ Address: 7 6"„e- /,,,/i/
City J�vr dc_1. State, Zip 702st, Phone 9 rS" -/yy/
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 5i'4/Ys ,,,,,i(rr,.f.".-✓ 2T c, Qualifying Agent: J.c rre/1 G. -5,n,4/4
Address: /5-3 7 /Y,,,,,,r,., ,./.../, City 7 ac/, State j%, Zip 722s-o
Office Phone .zyi v/7/ Job Site/Contact Number 53's- War-7Fax#
State Certification/Registration# e€c /,1-5-,9 z`/
Architect Name&Phone# 7..,.. /lo,.,A/5, Qs�,c/.fr f
Engineer's Name&Phone# 2 92- 908'
Fee Simple Title Holder Name and Address ./,9
Bonding Company Name and Address 'v/i9
Mortgage Lender Name and Address N/may
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 abandonedfor a period of six6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters,
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 herebycert that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofworkwill 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 Owne w�.
�� Signature o ntractor Zet,,,,,_ze/-0
Print Name * i s26/� Print Name ' 1
Before me
e me
this g' Day of 174- = i3 i,t• S/ 20 16 Bethis r 1 Day of ! . ! 20 Lo
A N
Notary PuI ' 4:,,,��e,, ublic /,
,• 8. ARLENSCOTT GAY �, '�: Notary Public-State of Florida
:: • '`% Commission 1 EE 869251
n•% Expires January 28,2017 Commission # FF 229545 Revised 01.26.10
'?«;„° awed Fanlnsuracel0038iT 9 _ '°; My Comm.Expires May 1 2Oiu
• Bondedthror 1.1' mal^lotaryAssn.