1878 BEACHSIDE CT - BATHROOM REMODEL -j Lj�yrivl
CITY OF ATLANTIC BEACH
1j . s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
,,,,,)
"!013 9' INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0320
Description: BATHROOM REMODEL
Estimated Value: 10000
Issue Date: 12/22/2017
Expiration Date: 6/20/2018
PROPERTY ADDRESS:
Address: 1878 BEACHSIDE CT
RE Number: 169542 0546
PROPERTY OWNER:
Name: TAYLOR FRANKLIN R
Address: 1878 BEACHSIDE CT
ATLANTIC BEACH, FL 32233-5954
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: R F CARTER CONTRUCTION, INC.
Address: 1872 BEACHSIDE CT
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$7,500.
11ANY. BuildingPermit Application
Updated 5/5/17
pp
City of Atlantic Beach t ..q�� ZAZ:24
800 Seminole Road, Atlantic Beach, FL 32233
x `''t>>' Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 1 81 C 4 't�� C-i Permit Number: f7 - 073—a0
Legal Description 47-- t4 - -2-5- 2- 4CttSu1 RE# r6j(42.-" 054ta
Valuation of Work(Replacement Cost)$ I v, oo Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Iteratio Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial cgesidential}
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes ecb 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: -"?j t} 2-avtvW-L) FtYL4�� �•i►5 i�.( ,
Ft*b-r-..) S /149'it c , DSC. o E -7-7
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: -TjA-jL t - Address: t 81 t Za4C-i+5tDC C-7—
City 1-Tuart1 k-- —c 4 State Zip z zy"2" Phone Loo-) L4 t- 404V
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) DwrtET2--
Contractor Information
Name of Company: r=, C97`tEc2- 44C- Qualifying Agent: 1Z-AG,t444> C$n-Tette
Address ► ?t_ y'D Cr" Ctt State a—k- Zip 1-2...--2-377
Office Phone(9c4142--142 ' Job Site/Contact NumberLqC+ ) 14 2- - 'l4z�
State Certification/Registration# C F2c o 4b11(- . E-Mail g*It-N-ANI.A,0442-1-Ce3c U�5o -fl± ►�C
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation E--1-Ew-4r i 2-- -- to t ct
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.
(LLILC-40-Jt
(Signature wner or Agent) (Signature of Contractor)
(incl' ing contractor)
Si ned and sworn to(or affirmed) befo e me this day if Si ed and sworn to(or affir.•-d) before me this ay f
De...L. V) , by • pI •n :� O e(- .\t 1fl , by _
\,
'(Signa •a �tary) • (S j ature : , ,
State of Florida ,` (( Notary Public
My Comet slon Expires 11/30/2021 State of Florida
Carolinian No CSG 155172 ,`,•j ° My Commission Expires 11/30/2021
[ ] Personally Known OR [ ] Pyrsonally Known OR Weis
No.GG 155172
1[..)"oduced IdentificationC��/ [j,}'produced Identification, r�V Q�s
Type of Identification: `— 4l. D
3 LLL Type of Identification: C
1)