374 8TH ST - HANDRAIL C
�s\ CITY OF ATLANTIC BEACH
"' 800 SEMINOLE ROAD
-0__ . ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
N,..s________y
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-RAAR-3585
Job Type: RESIDENTIAL ALTERATION
Description: add handrails to existing staircases
Estimated Value: $2,400.00
Issue Date: 4/6/2017
Expiration Date: 10/3/2017
PROPERTY ADDRESS:
Address: 374 8TH ST
RE Number: 169942-0000
PROPERTY OWNER:
Name: 374 8TH STREET LLC
Address: 1750 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA INTRACOASTAL BUILDERS INC
Michael H. Straker, CBC1260337
Address: 1614 Cocoanut DR
Phone: 904-677-6709
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $31.00
BUILDING PERMIT FEE $62.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $97.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WW'I"Ill ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
S�ra,i Citi of Atlantic Beach APPLICATION NUMBER
Js r 4 e Building Department (To be assigned by the Building Department.)
r A '�` 800 Seminole Road
�..._ Atlantic Beach, Florida 32233-5445
Phone(904)24,7-5826 • Fax(904)247-5845
o• E-mail: building-dept@coab.us Date routed: 0 3 k
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3-1-"- S . De. ment review required Yes No
Building V
Applicant: P L \niI COuS*4 Q\d.(S • Planning &Zoning
Tree Administrator
Project: a ud. h.am.(oL,' S - Q.X t Sin J Public Works
Public Utilities
5"\-0`"`r COLS Public Safety
Fire Services
1Rt t'i
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: liKproved. ['Denied.
(BUIL
(Circle one.) Comments:
DING
PLANNING &ZONING Reviewed by: f'1 Date: 3/70//
TREE ADMIN. Second Review: Approved as revised. nDeni d.
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
,
p -.-r Building Permit Application
Wy,
. City of Atlantic Beach F!LE COPY
800 Seminole Road,Atlantic Beach, FL 32233
"`'r! Phone: (904)247-5826 Fax: (904)247-5845
Job Address: 3.7 1 D 4----11 $+-r`tJ A t 16.---k`, .fit ''' 5 5
C 1' Permit Number: ri- A -- . -S--
Legal Description
5 - 0 q !6 --2 g - 2 q t LOT 3S, Al 3F T LOT 36 ELK'I
RE#
Valuation of Work(Replacement Cost)$ 2 Y D0• Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercialesid nt a
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No /A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: 1
bJ,1d 1,1,.A.41./.:1_t./"., X 3 or, ef.: ',^n ..-Tl; Ae STAI.rl4Sef
Florida Product Approval# for multiple products use product approval form
Property Owner Information f
Name: 31 I S+7 Stvcc'I• LLC Address: 600 I /f'\Ca.4:%< .411.." y
City -1-.,.--v... State Ft- Zip 3 3 6 IS Phone q d Y74 C - (G 7°1
E-Mail C p e r 61 (a a o(. C o‘.'^ /���
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) l - V. p cj'a(--fi
Contractor Information c k a-lel , ' r`„" 46e'
tt",0
Name of Company: f�f X;GIa.�N'tCri►C,4Sla/ 941 Qualifying Agent: e/ #- 5'my)/a,L
Address /&/// Ce)ccol:Arvr City 374&,eSr4Vil/4 State /eGM Zip 342LGq
Office Phone ?eV G77-- G7o7 Job Site/Contact Number H M
State Certification/Registration#CeL/249 0937 E-Mail f/o,44/4in✓fMG44.gr4/bvi/e/Lit tog ./, 40•••7
Architect Name&Phone# Q
Engineer's Name&Phone#
Workers Compensation eXtrir, -
Exemp /Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to o e 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 the laws regulationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUN4UIN , IG [ ,17
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. MVI HNn� LCuu
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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. /
Ojk /' PAa°:a(1>.., A
(Signature of Owner or Agent including Contractor) (Sig -t. .of Contractor)
Signed and sworn to(or affirmed)before me thisj),D day of Si iI ed aan�swor to r affir' -df)b-fore e t,i , day of n
t\ .a,(ch, --Lo n , b 0",(,, Pe•.- ,;,,-. Si
�-,by d ,I a I
� a .CS
(Signat re o ADUKIEWICZ
navida.ali
:N MILLER Q� N.!- ' Notary Public,State of Florida
tary �',r.c •State of Florida Commission#FF99341
; ,Cc' =•:fres Nov 23.2018 '' " My comm.expires Apr. 10,2018
[”rPersonally Known 0c- • •^ I `F 157643 [ j rsonally Known OR[ j Produced Identificat ,,-_. •a1 Notary Assn. Produced Identification �� ��
Type of Identification: ..-� Type of Identification:
iht• Mi. 111 i / 1 '
f" ' • • ,.s.." )
• 36. —
1 '1)1444100. iiii'i it, .
IA IN 1 fl . 1 4 I t ri4 : , • . .
, ..,,.
e i Ill
4-111,
(/ 0
_ t A
ammallid IP-4
r4I Illr r.1
i
or
t/ 01
t lir It
• •
0 •
-,..,
0
ci, 4
NI*.
i , I
1 •
A Ft:8711.44 .
, lie
, 0
A
,..., s ;..
r . ,.. ., ,, _„.. z.___ _ . _ _____ , • . _
- ' • '- -------:---- :: -- --. -'-. --'c_ --
e SEE P:R MITS FOR ADD1110 :',L 11' -':.:-'- :' '‘- -- ''. , •''''-.!.: ...-• '
.,
Ipiv
REQUIREMENTS AND CON DT ENS
-
_ REVIEWED BY: DATE
: 7
._ ...
,.
xf.'4A.0 OA cete#E 5*r•I;et c#I se
0 yfe°4 / fffops a '( /At q /1.4:1 R/14.4%**s efilopr potts mici
, itryi
1 II
0 3aik41es.5 31, oa ce•Pick /oft Gocrtaii /://43
/-
4 fie AA 4 44,42 //
5 Ar Pte b't $utt fit 66
I il 1 ®aCo:if
2
pailoacrdt Aelams 1
D4/
z A.440feit. x k4; /414; ligishet
4 Bettor% 141+1 flpeoriesi ft cimutitEdt...
ANdetialt 11 4llesici5 57r 97.4 Sireet
Atslii e Fe 4e4