246 OCEANWALK DR - INTERIOR REMODEL S ly'���J�
, ,\
f.)" ' \s CITY OF ATLANTIC BEACH
'�-'„""”,r f 800 SEMINOLE ROAD
K ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-RAAR-3064
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL AND WOOD ROT REPAIR
Estimated Value: $50,000.00
Issue Date: 4/24/2017
Expiration Date: 10/21/2017
PROPERTY ADDRESS:
Address: 246 S OCEANWALK DR
RE Number: 169463-0506
PROPERTY OWNER:
Name: Bredesen, Michael Hunter
Address:
GENERAL CONTRACTOR INFORMATION:
Name: Sea Level Design & Construction, LLC
, CBC1253916
Address: PO Box 330772
Phone: 904-521-4858
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $150.00
BUILDING PERMIT FEE $300.00
STATE DCA SURCHARGE $4.50
STATE DBPR SURCHARGE $4.50
Total Payments: $459.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
�+ , t• `• Building Department (To be assigned by the Building Department.)
800 Seminole Road I -
;A _30(o4-
F.! Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 ii
" n j' E-mail: building-dept@coab.us Date routed: l Z�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 74C0 QC,EANWq-lk< 02 Department review required Yiey No
.ui ding
Applicant: S�cA E�IF.L. F S(C11� 'lanning &Zoning
Tree Administrator
Project: P`->re(Z-1 o(Z,. RE./vAc3(>E L- Public Works
Public Utilities
\i)C) . _CD o T 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: oved. ❑Denied.
(Circle one.) Comments: 0
BUILD NG
PLANNING &ZONING ) Reviewed by:
TREE ADMIN. Second Review: ['Approved 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
t'Lllk. OFFICE COPY
sr�
BUILDING PERMIT APPLICATION
rJ - ri
,� CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
`"- ;ti>` Office: (904)247-5826 • Fax: (904)247-5845
i1 — RRnR - 3064(
Job Address: off'* 0 1M 5/ 5,-2, Permit Number:
Legal Description let- 02, 0/tA.tuto till 1/(4.4-t-toRE# 16 Q 1/4 3 -(zg*
Valuation of Work(Replacement Cost)$ 50 0 0.'p Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration 'ep.it Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercialid n ien Ie
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes
• 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 .erformed:
Wtr&ID I ,, , ' ' l 0.4dt 161: �.6. )4- be
Florida Product Approval# for multiple products use product approval form
Property Owner Information
i �/
Name , ' , 0. . _A: t ! .1.. Address: -1�, OC► Dg./4? ( 1 ,
City At, I, , (,C. 8.,►44, StatefLZip 3a,),3 3 Phone qOt{- ei Q3 -- 9 ?23
E-Mail i1 Loki-eft Lope 4Q,A-QVnautt , CMIA
Owner or Agent (If Agent,Power of Attorney or Agency Letter Re )
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.
Contractor Information:
Name of Company: 2 ► • /' 0ualifying A_ent: Lint, Si P,.) • .I
Address: 0 e 330 'j City g ,,,i/. , ir_' ; ,, tate ip .r .
Office Phone -?O 5'a (- 3N Job Site/Contact Numberco - ��1- 4
State Certification/Registration# (1 15(1 / 3 q i 0 E-Mail ,s yeJ tit i [di i- 4). 94i4u.t. cA-14A
il Architect Name &Phone #
Engineer's Name &Phone# ( it
Worker's Compensation -Qire_AA1-17Exempt / Insurer / Lease Employees / Expiration Date
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. 1 understand that separate permits must be secured fo Electrical 'rk,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers, eaters, Tanks and Air Conditioners,etc. / ,.
Signature of Property Owner: Signature of Contractor: L=j/lite 'y ,_-
Before ne 1
this aY Day of 2Orariv.G.0% \ A1 Before me this /6Day of \0 ki_A'� dr•
J e /�
Notary Public _pT, Notary Public: ,.�/ lLt%Il/, '!.
I hereby certifi,that I have read and examined this application and know the same to b • ,. . : • .. '•' . laws and
ordinances governing this ' • . , i whether specified here,t ct±,l9 t,, !sate 's. � � i does not
presume to give authorit . �. - ,iii - r,; •f. •-sroii. f any other fe eral, stat ._ 'sail la w.,r� a g ruct n or the
performance of construe
' MY COMMISSION OFF 141315 d-. __,;;rrntriay 2017
• EXIMRES:August 12,201 '``' ;.,G:Aewn.361Ok./i116
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