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699 BEACH AVE - SIDING �� St1 CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD v ATLANTIC BEACH, FL 32233 '1.011 r� INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0136 Description: replace siding with hardie shakes, paint, & soffit Estimated Value: 50000 Issue Date: 8/17/2017 Expiration Date: 2/13/2018 PROPERTY ADDRESS: Address: 699 BEACH AVE RE Number: 170119 0100 PROPERTY OWNER: Name: SMITH WILLIAM T JR Address: 699 BEACH AVE ATLANTIC BEACH, FL 32233 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. C��r, City of Atlantic Beach APPLICATION NUMBER '• , Building Department (To be assigned by the Building Department.) 2 800 Seminole Road S I 3 --'-t--'-',-, Atlantic Beach, Florida 32233-5445 12-C Phone(904)247-5826 - Fax(904)247-5845 ;319: E-mail: building-dept@coab.us Date routed: /I `( I I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKCNG FORM Property Address: • (eq Ci (je-LLA /\'k _De ent review required Yeses No C. Building Applicant: OSLO k`& (lb Oo��kt d5 Planning oning 1_ Tree Administrator Project: ( .� 1ti t 5t t n J �f W \(, t Sntt�e. Public Works Public Utilities `3 S 0,MA 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: I `'lApproved. Denied. ❑Not applicable (Circle one.) Comments: OC:UILDIN ili PLANNING & ZONING Reviewed by: Date: P .15 77 TREE ADMIN. Second Review: ❑Approved as revised. Den ed. ❑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 ri'�''''isis % Building Permit Applicatio9 _, [ (� ' Q [ ' OFFICE C City of Atlantic Beach .) F- 800 Seminole Road,Atlantic Beach, FL 32233 AUGill i 1 4 2017 Phone: (904) 247-5826 Fax: (904) 247-5845 , 1 iir I Job Address: 699 Beach Ave , Atl Bch, 32233 Permit Number: g e-S )1 — t l 3 (o Legal Description 5-69 16 2s 29E W9Oft lot 6 blk 15 RE# 1 iU I 19 - 0100 Valuation of Work(Replacement Cost)$ 50,000 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration( Repair ove Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential' • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Nt 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: Remove existing siding and water proof, Typar side walls, Then instal new Hardie Shakes and paint. Also redo soffit with Hardie soffit. Florida Product Approval# rL-1 i4-1"1/ FL 1.3 07-- for multiple products use product approval form Property Owner Information Name: Bill. Lisa Smith Address: 699 Beach Ave City Atlantic Beach State FI Zip 32233 Phone 904.716.2092 E-Mail lisathompsonsmith@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Bosco Building Contractors Qualifying Agent: Todd A. Bosco Address 2158 Mayport Rd., City .lax State Fl Zip 32233 Office Phone 904.241.0320 Job Site/Contact Number 904.422.8060 State Certification/Registration# 1250212 E-Mail Dale@boscocbc.com Architect Name& Phone# Engineer's Name& Phone# �g! 3 7�2 Workers Compensation 10 '/i g , //,c! / 24I •-0 z t.2 S Exempt/Insurer/ ase Employee /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 il TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. . /.‘1L, ___Zv,izz , z 1 -------- (Signature of Owner or Agent including Contractor) (Signature of Contractor) Si ned and sworn to(or affirmed) before me this 4 day of igned and sworn to(or affirmed before me this k day of • 20 11 by '—' 5.- __ r'(\ t k.),__ -a°1,'1 by —7c68 'rte, _&C.,(3 (Signature of Notary) (Signature of Notary) Denise A.Ennis . , Denise A.Ennis IN. NOTARY PUBLIC NOTARY PUBLIC _ STATE OF FLORIDA '.•�! j STATE OF FLORIDA \ {J] Personally Known OR ,• ,,' t•]Personally Known OR -••rf,.,,.�� Coma*FF966426 Produced Identification :�=•�• Conxn#FF966426 Produced Identification ( ] Expires 3/1/2020 ] Expires 3/1/2020 Type of Identification: Type of Identification: