2303 FIDDLERS LN - SIDING .S yLyr.
;'� r ''4, CITY CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7_5111 �~ ATLANTIC BEACH, FL 32233
();;..9V INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0118
Description: REPLACE SIDING (200 SF)
Estimated Value: 2000
Issue Date: 8/3/2017
Expiration Date: 1/30/2018
PROPERTY ADDRESS:
Address: 2303 FIDDLERS LN
RE Number: 169463 0126
PROPERTY OWNER:
Name: EBERT WILLIAM P J
Address: 2303 FIDDLERS LN
ATLANTIC BEACH, FL 32233-4681
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD
ATLANTIC BEACH, FL 32233
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.
ri�n,y;ly City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
`� 800 Seminole Road ESI _ / , l I
Atlantic Beach, Florida 32233-5445 / l
Phone (904)247-5826 • Fax(904) 247-5845 " 7
-",z0.709:- E-mail: building-dept@coab.us Date routed: ! /3 ( / 17
City web-site http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z3D3 Ft 0 OLEOS LN De rtment review required Yes—No
Building {/
Applicant: 8 aSCO ing &Zoning
Tree Administrator
Project: R EPL 1\C& ( D(('OG) 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: "Approved. Denied. INot applicable
(Circle one.) Comments:
BUILDI 0,
PLANNING & ZONING Reviewed by: / Date: P c2 -/ 7
TREE ADMIN. Second Review: I 'Approved as revised. ❑Denie. nNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. I (Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
%S,,'r, Building Permit Application OFFICE COPY
Al sr, City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233 R /` �\
`'st`•) ' Phone: (904) 247-5826 Fax: (904) 247-5845 E S -/7- v 1 V
Job Address: 230 5 f t QQL.(ZR 1. , ASL t. ) f Permit Number:_ (i `"C"(p 3 -- °‘-2".C°
Legal Description 42-1 o4 - 2 3 1 e, Ocu.Autt,icr(44_L 1; tat (v I RE#
Valuation of Work(Replacement Cost)$ 1(200' Heated/Cooled SF Non-Heated/Cooled ill
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door Z y
• Use of existing/proposed structure(s)(Circle one): Commercial Residential J I Q ZZ N
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A 0. U Z F- Lso
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal 0 CO xO Z uj
Describe in detail the type of work to be performed: .S2/-Gteie _o!l'sr, 5 „47-„,/ ,--cv44eeJUV V QD-
a
Florida Product Approval# for multiple products use product aPr llefll
N
Property Owner Information4L0 ,c([ m W
Name: 1/f/i s, 9-44'8"-44-- Address: 2 92( T `
' .0'ael S' Art-�- Li. ¢ 2
City A'TL1 Tl L /jr-W State PL Zip -j24-3'' Phone c O aW _� m
E-Mail W D
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Wll/i414-- '�/� iL W U Lill u 0
Contractor Information W cc
Name of Company: �t7 ?uA.(c(:.vim a"'� ualifying Agent: er�d � EE
cc
Address 216 $11444 p001--1.-- City f✓ Vi(/ State t%� Zip 32233
Office Phone ' ,(7(1.--- (— O'iQ Job Site/Contact, Number - LL -r--- -. .-q�`-(
State Certification/Registration# E-Mail�C�A 1 a, 44%,G -- ..GO-'''r'
Architect Name&Phone# P.4)-----
Engineer's Name&Phone# 0.0)411-47/1RECEIVED
Workers Compensation - -
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 standinch oelth,tivis regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL ORK, PLOWING,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 worlaklildiageDepefitineRth all
applicable laws regulating construction and zoning. City of Atlantic Beach, FL
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. I
--1,71 El.o.4., ,/ i.
( gnature of Owner or Agent including Contractor , (Signature of Contractor) ��/�
Signed and sworn to(or affirmed)before me this, day of Signed and sworn to(or affirmed)before me this g.t lay of
TKL' , ,,o)(7 , by • •1/ '&-'t G'Qfr?f ANG)/ , 2,9 r7 ,by
tfAditt; /41 ti.(‘/afoc: i *
Si nature of NOV ) (Signature of Notarr) -
Agger , MY COMMISSION t.pc 242630 ;" WILLIAM L.POPE
iti t" '3• ' ; MY COMMISSION R FF 242630
� EXPIRES:October 19,2019 t` EXPIRES:October 19,2019
Personally Known OR Orn Ba'OedThmN:6110 141)^dorwNMt Personally Known OR '.c, � Bonded ThniNmyypublic ud.nwdters
[ Produced Identification [ )Produced Identification �_—�-----
Type of Identification: Type of Identification: