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1789 BEACH AVE - DOOR (;,:fi.,tvi-, CITY OF ATLANTIC BEACH Atlir800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 "..J;3 !.) INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: 17-WIND-3829 Description: Estimated Value: 25000 Issue Date: 5/22/2017 Expiration Date: 11/18/2017 PROPERTY ADDRESS: Address: 1789 BEACH AVE RE Number: 169678 0000 PROPERTY OWNER: Name: Address: GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. I I I r51.Aiv;.�' City of Atlantic Beach APPLICATION NUMBER it. -- Building Department (To be assigned by the Building Department.) 800 Seminole Road 67_ ` ' 1(00 - N O ` 3� Z I ---)-r,? Atlantic Beach, Florida 32233-5445 Vv Phone(904)247-5826 • Fax(904) 247-5845 1.-.j E-mail: building-dept@coab.us Date routed: 4 (zs i i 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 17 P7c1 3€ Q Av-e-- pepanitTent review required Yes No Buildin Applicant: U\.) 0 21 1-tC� i2�C Plc c--CTS -Planning &Zoning \j\..) n � Tree Administrator V Project: v 1 iU pC[,c)SAJC {s�)(] R. Public Works t Public Utilities S (, p ( G, 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: 'Approved. I !Denied. (Circle one.) Comments: Ste,k.,,,(-4.71,:_p G L C-L. BUILDING A o -r S v-) 5 k.4-1--i A L. •. tsiLv./c'—,1-4e—A T—' PLANNING & ZONING Reviewed by: Date: 510 9[t1 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 I BUILDING PERMIT APPLICATION CiTY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 1789 Reach Ave,Atlantic Reach,FT 1771 i Permit Number: Legal Description 15-10 09-2S-29E N ATLANTIC BEACiI UNIT NO I PT LOT 39 Parcel# 169678-0000 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 's non Proposed Work heated/cooled 7175 non-heated/cooled 3595 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa wiafinn.lee; Use of existing/proposed structure(s)(circle one): Commercial li+sit]rn.ial If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed- Replace windows,doors,and siding according to plans. Replace deck hoards and cable railing Property Owner Information: Name: Kevin and Rhonda Stennett Address: 1789 BEACH AVE City Atlantic Beach State ELZip '0731 Phone 404-290-9499 E-Mail or Fax#(Optional) kstennett pacemgmtgroup.com Contractor Information: Company Name:Workhorse Projects.LLC Qualifying Agent: Darryl J.Smith Address- 6510 Columbia Park Drive Suite 701 City Tacksnnville State FT. Zip 12258 Office Phone 904 465-6115 Job Site/Contact Number Fax# State Certification/Registration# 1518448 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 In obtain a permit to do the work and installations as indicated. I certify y that nn work or installation has commenced prior in 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 sic(h)months at any time alter work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Sailers, eaters,Tanks and Air Condmoners,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. ti I hereby certify that I have read and examined this application and Lwow the same to be true and correct. All provisions oflaws and ordinances governingth s type of work'will be complied with whether specified herein ora t. The granting of a permit does not presume to give authority to violate or cancel the Nor '� rn s- provisions of any otherf -rad,state,or local law regulating cons tction or the performance of construction. 2 Z yti Signature of Owne r Signature of Contractor C s ce AN J5 Print Name 4.. n �ii'�y fiY Print Name y e4 J $ Swom to and subsc i t cd be c me iK Sworn to and subsc,jj��'be��,d before me � f� � ei� 5. this IL/ Day of f—/yJYI M r7 this / Day of ,ori -20 17 _,. I a , , . A &it g Notarya tc ' No bit m Revis.t t .26.10 o�,.r JOYCE CONWAY :/j\fit+ MY COMMISSION#FF921647 ���J EXPIRES:SEP 24,2019 Bonded through 1st State Insurance . . . V "d a. a. p �0 00 -J Q\ V, . W N O\ Cn . W N .- ep G .7c3 .8 fD f9 0". or cm r a E. o- aha• O a ..•� crQ 'T� . CD C (2- CIQ °Q C7 aro Z. CD O `$ 50 0 0 z 4 oo 1/4o o N coo t- `. O .- N 5 74 ta. o , eco C w a 0 •o 0 �. 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