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545 CLIPPERSHIP LN - REMODEL (.'--- \ jiA?y CITY OF ATLANTIC BEACH 50.1'"" : '....: .0 800 SEMINOLE ROAD ,v.• v ATLANTIC BEACH, FL 32233 !�;� >%' INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: 0 PERMIT NO: RES17-0077 Description: Estimated Value: 50000 Issue Date: 6/27/2017 i Expiration Date: 12/24/2017 PROPERTY ADDRESS: Address: 545 CLIPPERSHIP LN RE Number: 170703 0220 PROPERTY OWNER: Name: FARACE NORA LEE Address: 545 CLIPPER SHIP LN ATLANTIC BEACH, FL 32233-4112 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BiltRite Design/Build LLC Address: 1140 Edgewood Avenue S Jacksonville S JACKSONVILLE, FL 32205 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. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 I l�s r 0°77 Phone(904)247-5826 • Fax(904)247-5845 r :::Cc),tir.P E-mail: building-dept@coab.us Date routed: 5-9-3—( City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 5150 1,( siP %la= - ment review required Yes No R � t Buildi,g Applicant: +✓3 l--(zki-e_. ' - : Zoning Tree Administrator Project: ) F(cZ)r-fJ) Csk(diNe" (�i��.� Public Works Public Utilities 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: •7; ;.'roved. ❑Denied. ❑Not applicable (Circle one.) Comments: k K "�( r.4\e_ BUILDING \—!v 2 ©.���.� S S��l�'�r� ��2 � 4 PLANNING &ZONING Date: 6 (' iReviewed by: ft-i TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rfBuilding Permit Application City of Atlantic Beach 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: t-1 6 C 1)ppe r gip Lane, Permit Number: Legal Description 3 '4PLJ I' S -, 1E seas req LOT ID bLY- RE# Valuation of Work(Replacement Cost)$ 5D1 0 00 • Q{) Heated/Cooled SF I aaq Non-Heated/Cooled 3 U Y • Class of Work(Circle one): New Additiorrlteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial(esidenti75 • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/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: leoio' f;yr;stl 14p6a4kc (ftvolvil 1+ilf1 cabivu,f s Ipaitd) + lA) At gt,11,Yjtk+• Florida Product Approval# for multiple products use product approval form Property Owner Information Name: £arI14 SaVerS IV1 . Address: 4611_- Pbi.htfaS Ti-a► 1 City 0Uin+DV\, State vg Zip 231 '41 Phone II/ 2. - %S' 3/74 E-Mail p 4.vtrail, & yahD°•CQm Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Pau 1 -ream- Contractor Information y�. (� , t Name of Company: Fi r I+I -%"l t% Desii� 1 ''1 I I� Qualifying Agent: IV, C I Mu. In...- Address 11140 ' bOG� Ave• S • City S• / • State FL Zip Z A Office Phone IC • 2102• CI i 55" Job Site/Contact Number State Certification/Registration#G I,C 0141g'7I E-Mail Mind-el 0, rpt -4-ri • VI- ('4YY1 Architect Name& Phone# n pt Engineer's Name& Phone# /R )) Workers Compensation 5-e a tFa1CLtp OL Cer+l,e► Oaf Exempt/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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS,POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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. (Sig .ture Owner or Agent including Contractor) (Signature of Contracto Signed and sworn to(or affirmed) before me this ). day of Si ned and sworn to(or affirm-dbefore me this day of �Une. , aoli ,by Pcio I Tot 0VAY1 Tran \ ;lr1r 2. ' b I Hi " L& � a 1 ir id'AViteiriikER Nota146tIkiijoure of Notary) NOTARY PUBLIC State of Florida COMMONWEALTH OF VIRGINIA MyCommission Expires 11/30/2017 MY COMMISSION EXPIRES NOV.30,2017 ommp COMMISSION r 7565737 Commission No.FF 66026 ( I Personally Known OR _ - - •— I I Personally Known OR OQ Produced Identification 4 L,t roduced Identification 1 Type of Identification: VADL 1\6005 5 Uri 1 Type of Identification: )' L- U L G L CA'7) L_