701 BEACH AVE #204 - ALTERATION l'ss\ CITY OF ATLANTIC BEACH
ri" f 800 SEMINOLE ROAD
tj' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\JF3l>r
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2211
Job Type: RESIDENTIAL ALTERATION
Description: repair fire damaged exterior; repair fire damaged decks
including new sliding-glass doors; includes some concrete repair
Estimated Value: $63,450.00
Issue Date: 1/30/2017
Expiration Date: 7/29/2017
PROPERTY ADDRESS:
Address: 701 BEACH AVE 204
RE Number: 170237-0716
PROPERTY OWNER:
Name: VERMILLION TST,CHARLES & SALLY, *
IAddress: 704 BEACH AVE APT 204 704 BEACH AVE #204
GENERAL CONTRACTOR INFORMATION:
Name: Acon Construction Co., Inc.
David Martin Sypniewski, CGCO22916
Address: 3653 Regent BLVD
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $166.90
BUILDING PERMIT FEE $333.80
STATE DBPR SURCHARGE $5.01
STATE DCA SURCHARGE $5.01
Total Payments: $510.72
iii PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r ±_., l _ City of Atlantic Beach APPLICATION NUMBER
j o. Building Department (To be assigned by the Building Department.)
1� 800 Seminole Road `
fiv/ii," .. - �,, Atlantic Beach, Florida 32233-5445 1 A Pk�--'3:a 1
Phone(904)247-5826 • Fax(904) 247-5845 r-
\oi31 9r E-mail: building-dept@coab.us Date routed: oei lI 3 bl i V
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 10 t a. . IN Au_ - Q01-4 Department review required Yes No
uilding-----)
Applicant: kC D j ) e.o nstIL tiv A CO . Planning &Zoning
Tree Administrator
Project: f e_ '♦( tic'@. dLL(fla `Q-X--(u t Public Works
Git ( Public Utilities
LX_ Sg� 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: I lApproved. Denied.
(Circle one.) Comments: �foG t S n-' -e „f�/ � 4-hrl P.4", '� ..—
BUILDING ! '
PLANNING &ZONING Reviewed by: el Date: / 2 2
TREE ADMIN. Second Review: npp A roved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
�Q�1 BUILDING PERMIT APPLICATION
�° CITY OF ATLANTIC BEACH FELE COPY
OO 216 :10 Seminole Road, Atlantic Beach, FL 32233
sty '3 •ffice(904)247-5'826 Fax(904) 247-5845
Job A r : • each Aven ateau Unit 204 Permit Number: no—12..A A 02_.'aa 11
.-2S-29E LE CHATEAU OF ATLANTIC BCH CONDO
Legal i es '• •r - Parcel #
63,450.00 Floor Area of Sq.Ft. Sq.Ft 140
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration ( pair , . .. • Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercialnti
'esidea N
If an existing structure ,is a fire sprinkler system installed? (Circle one): `es No /A
Florida Product Approval# FL 251.12
' For multiple products use product approval form
Describe in detail the type of work to be performed: Repair fire damaged exterior. Repair fire damaged decks to include new
sliding doors at Unit 204 embilloallfoollikaiNIS
y Also includes some concrete repair made necessary by fire as indicated on plans.
Property Owner Information: rnv /��y /6
Name: Charles Vermillion Address: 701 Beach Avenue
City Atlantic Beach State FL Zip 32233 Phone 904-813-4065
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: ACON Construction Co., Inc. Qualifying Agent: David Sypniewski
Address:3653 Regent Boulevard, Suite 401 City Jacksonville State FL Zip 32224
Office Phone 904-565-9060 Job Site/Contact Number 904-813-4065 Fax# 904-565-9080
State Certification/Registration# CGCO22916
Architect Name&Phone#
Engineer's Name&Phone# Construction Solutions Inc. 904-261-8703
Fee Simple Title Holder Name and Address
Bonding Company Name and Address N/A
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 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 herebycertify 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 of ork 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 OwnerZAa2____ _ c __ ___________rt Signature of Contractor
Print Name
e.- 41)-1-1 .....,'/ - , ''J / J/j,-r Print Name David Sypniewski
Sworn to and subscribed before me Swo and subscribaftefore me
this Day of ,20 this Day of ,20(LP
Notary Public •,#,y��-,,_., WILLIAM HALE l�o�aryqiib is
1' 7% MY COMMISSION#FF 960988
j r'; ;., :'' EXPIRES:February 16,2020 ;., 'oi?�; CATHERINE R.WATSON Re sed 01.26.10
`R'.wy Bonded Thru Notary Public Underwriters
7. MY COMMISSION N EE 884870
'' r•. 1c;, EXPIRES:April 27,2017
•: ifS'1;1 Booed Thru Notary Public Underwriters