2236 Barefoot Trace alteration permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r j
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
306 INFORMATION:
Job ID: 17-RAAR-3293
Job Type: RESI DENTAL ALTERATION
Desaiption: repairs from tree damage - repair chimney &firebox, fence,
replace drywall & insulation, &electrical work NEED NOC
Estimated Value: $20,000.00
Issue Date: 2/27/2017
Expiration Date: 8/26/2017
PROPERTY ADDRESS:
Address: 2236 BAREFOOT TRAC
RE Number: 169463-0588
PROPERTY OWNER:
Name: MONS,NARAYAN C & JENNIFER LYNN,
Address: 2236 BAREFOOT TRAC
GENERAL CONTRACTOR INFORMATION:
Name: BRC Restoration
Scott Arthur Hennigar,CGC034014
Address: 2730 NE 26th Street Lighthouse Point, FIL 33064-8312
Phone: 904-355-5757
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $75.00
BUILDING PERMIT FEE $150.00
STATE DCA SURCHARGE $2.25
STATE DBPR SURCHARGE $2.25
Total Payments: $229.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
HOLDING CODES,
City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 1q- (-AA9-
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed:
City web-site: http://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: aZ6 Sto Q)04C�DZ,� _4CLCL '.Le p!�renrlew required Y No
U19
_Idi�g
Applicant: F-A-L USAID106z,(N Planning &Zoning
Tree Administrator
Project: 'S 0.�)'L_t -V-LL "pv.(k(-- Public Works
Public Utilities
(-V,M 4\1 641J W kV1 CV001411 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: MApproved. ElDenied.
(Circw�� Comments: /V0
(::::B�UILDING
PLANNING&ZONING Reviewed by: Pr oj�� —Date: -2�2-?-Z'2
TREEADMIN. Second Review: F]Approved as revised. F]Dez.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DAppraved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised OVIV09
* -SAGi fr\
k-H'Y OF AXLANTIC BEACH
OFFICE COPY 800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 11- �-AA(2-
Job Address: 2236 Barefoot Trace.Atlantic Beach, F1 32233
L Description 42-13 0&2S-29E Oceanwalk Unit 2 Lot 43
----------=5or Area of Sq.Ft Sq.Ft
Valuation of Work S 20K Proposed Work heated/cooled non-heated/cooled—
Clan of Work(circle one): New Addition Alteration epai.r.,,l Move Demolition pool/spa window/door
Use of existing/p and structure(s) ircle one): Commercial iden '
If an existing strao3ore,is a fire spriW
Florida Product Approval 4 ersystmmstaBed?(Cimleone).:*-�elm���o ��N/A
For multiple products use-Pr&FU-Ct-WP—Pr—Q-7T0—M
Describe in detail the type of work to be performed: Repairs ftom,a tree,Strike -k') C ZN-
91211k-e E���0 '\Z,!zi?
Prona"Ovruer Information:
Name: Jermiler Lynn Mom
City Atlantic Beach State
E-Mail or Fax#(Optional) nn�l M 8 riT-PIA rY YL 1 1. C r) -Y-I _R.Zip__-12_233Phone 904-955-2
Contractor Information:
Company Name:BRC Restoration
Address: 11630 Columbia Park Dr.E City Jacksonville—Stift FL—
Office Phone 904-355-5757 Job Site/Contact Number 904-300-4785 Fax#
StateCertific�on/Registration#rAC034a14
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain apemir to do the work and installations=indicated. Imtwfythwnow�k�imealladmhoemmmedpri�tot�.
issuance%apemit and that all work will be"071r.-ed rower the standards ofall laws regulating cqes�caqn in thisjuresdictim Thuptrodibecoeresnu
andwid workisaotcaarwacedwUhut�f%(O Ontbs.o,ife����w�kissradedorabad�.�df�ooen d f .65).rethsat, a 1,
workisco.enced 1.�d�,am�dftls�p��pe�in..16ese�edfoEkcW, WakP&."qS1iiaW
AM=Fw.=Bad%,zg
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU MEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING%Vi NOTICE OF
COMMENCEMENT.
fhe,v:cepl6thWlh�madandexamimdfhis plication and know the saw to be"s andcorrect. Allprovisions oflaws and ordiaaacesgo�crrdrg th.
V lregm,aing of apemitdots norjnw�log
ure
pe work will be coMlied with whethe,twct red herein or net 7
prenuion,ofany otherfed.eral,state, or Ineal ac regulating constaction s,dw pfformance ofconstructlaa.
Signature of Signature of Contract,
PrimNameo]RL�__�,�n Print Name
Swom�4?and subscribed before me Sworin to and subscribed before me
thisL=Dayof [ghrlinHI . 20 1'7 this M_Day of
SHERYLKILL
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