99 Beach Ave siding permit CITY OF ATLANTIC BEACH
c1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
j INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0087
Description: REPLACE SIDING WITH HARDIE BOARD
Estimated Value: 0
Issue Date: 7/14/2017
Expiration Date: 1/10/2018
PROPERTY ADDRESS:
Address: 99 BEACH AVE
RE Number: 170222 0000
PROPERTY OWNER:
Name: WEISS FREDERICK S ET AL
Address: 1402 THIRD AV SUITE 601
SEATTLE,WA 98101-2118
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ARMSTRONG CONSTRUCTION
Address: P.O. BOX 5700 CIA SHANNON PAUL ARMSTRONG
JACKSONVILLE BEACH, FL 32250
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 assi ned by the Building Department.)
800 Seminole Road 1 �` , hO
Atlantic Beach, Florida 32233-5445 11 V
Phone(904)247-5826 Fax(904)247-5845 /
E-mail: building-dept@wab.us Dale routed: &i z P, l
City website: http://www.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( / IV C—,P e R 1)\/ C_ Deant review required Yes No
s� . �C uildin
Applicant: HRrnS'i2oA)C �OrW � &Zoning
�1 Tree Administrator
Project: c7 f0 l� C R�pL.Ae� Public Works
Public Utilities
j Public Safety
Fire Services
Review fee $ ' Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: V9pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
I 84ST*..ti^-c'1 o.1
BUILDING aa 1T Z L C-A4 S. Tt
PLANNING&ZONING
Reviewed by:_ 2DINLIl — Date: O s�
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 05119/2017
7 BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: 1a 2l
rPermit Number: RESI7-0087
Legal Description FOA(•/ NQE16g AJ a 7 11A8 81—K Parcel# /9 —
Valuation of Work Obo 1
Floor eau t
Sq �t
*-9 2 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition Pool/spa window/door
Use of eristing/propused structure(s)((circle one): Commercial esxd
If an existing structure,is a fire sprmkler system installed? (Circle one): es No N/A
Florida ProductApproval#
For multiple products use pr uct approve orm
Describe in detail�the ntype of work to be performed:_ 0
Property Owner Information•
I
CiTy Sta Zip Phone D Ali/— / '
&Mail or Fax#(Optional) �
Contractor Information: CO/nN�TRACTOR EMAII. DRESS: �^,``
Compan�,Nam_e:�A `' U: r UI'1 uali m A enT �r
Address �{ '7Q ( �4 --Q q � g p State L Zi
Office Phone _ Jrwb Site/Cnni_act Na_yer �f/) _-�r�!ej Fax#q(��� _fj'7
Siaic CeriificarioNxe�stration# -
Architect Name&Phone# `,
Engineer's Name&Phone#
Fee Simple Tide Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
issunceApplication, is hereby made to obtain a pl be to do the rk and inrm(lalians as indicated. I cert; that no work or installation has commenced prior to the
issuance ffa permit and that a!!work wi!!be r ormed l uwu��u^. „ate f egultd ornfruclion in this jurisdiction. This permit becomes nut!
pe •iso 'in "a',
android fwork is not commenced within six(6 months, or ifcons motion or work is suspended or abandoned jor o_periotl ofsis//6)months at any time aper
work is commenced. I understand that separate permits must be secured for Electric./Work,Plumbing,SYg or W¢!!s,Pauls, Furnnces,Boilers,Herslns,
Tanks rtmdA(r Condltionera,etc
G TO
COMMENCEMENT MAY RESULTUR YOUR FAILURE
AYITNG 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.
T hereby celltfy that l have readandessmtnedthis plication and knew the same to be true andcorreci. Allprovisio iV. nd dirmnces governingthis
type o..11 work will be complied with whether sr�ci ted herein or not. The granting of a permit does not resume to
provisions ofany other federal state, or luta!iaw mgulah'ng construction or the performance ofcoms ction. g ort to violate Tern the
Signature of owner z. Signature of Contror
11
Print Name �.��.._„_.�
.... 1�5. ...._..............._....._.................._........ Print Namef1t'i:/):4�.
. . .. ... ..`..... .........
Be me Before13
this dti Da of 20 I ne
his D .20
{,,.. eaaevaneoosxe utssusatnona
y}x.”
dP Ff 1611W
NO CFXPIFlES:Seplembet 16,2018 CES: S%Idli FF 161gW
n„v .aaew,e,,,„ Notary EXPIRES:Seq
� man 16.
rise 01.26.10