1550 MAIN ST - PERMIT RES18-0160 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0160
Description: bath remodel
Estimated Value: 14968.14
Issue Date: 5/22/2018
Expiration Date: 11/18/2018
PROPERTY ADDRESS:
Address: 1550 MAIN ST
RE Number: 1723800000
PROPERTY OWNER:
Name: BIDLACK GORDON W
Address: 1550 MAIN ST
ATLANTIC BEACH, FL 32233-1939
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PIL QA PETER ANTHONY CAFARO I I I
ORLANDO, FIL 32812
Phone:
PERMrr INFORMATION:
Please see aftached 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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 Dep6rtment.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Daterouted:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: at" Department review required Yes - No
icuildi
Applicant: in 4k-I Planning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
j Public S fety
Fire Services
Review fee $ Dept Simatur
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: WAPproved. E]Denied. ONot applicable
(Circle one.) Comments:
(—BUIEDING--)
PLANNING &ZONING Reviewed by: Date: (f
TREE ADMIN. Second Review: [—]Approved as revised. OlDenied. F]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
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Permit Number.�L_k_-L_ S
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gal.Description,_/J% tlez��elf &W,4 5781'
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Va luation of W (ReOla�ement 5ov..i� .,.:. .. .
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Class of Work(Circle cm �RePpali -lvloivii
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1 0
Use of kiistihig/prop6se'd structd'ie(s)*(CIrcIe onp): 'Co
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... ... existing.structurejsa fires. -installed?(Circle one)� --yes :No
.... .... p#nIder system
Submita:TreeRerridvaI,PerM'ifA' v.
pplicaVon if any trees,are to be reiril r-Affidavit
of No Tree Removal
Describe In detall tI*type�of work to be�PRrformecl-
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... .. ... for multiple produ'cts.use product all form
Pr eirinformatiblin' p
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�Narne: 1�71 AL ama.
Address, 145�23 114A;-Iij ;51-::: .... .... ....
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City
State L ZIP - Ph
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nercrAgpril Agent,Power ol"Attdril OrAgencV Letter Required)
Cointractor:Infilirmatioin. ... ... .
... .... ...
Name of Company: li H
nma rantam 1 1
Address PO BOX.781993 _7 Qualifying Agent: Pete Cafaro
City Ortdndo
OfficePli (904)� �793 State' FL
�2878
Job Site/ tact mi m ber Dan SIrAth(W4)53S.3793
State Certification/Regittratioij CG CitO(147 E-Mail da
_pem*ir - - - . . . - - -
Archifect Name t Phone# NIA
Erigirieer's Nami Phone WA
Workers CoMpen's6tion .. .... WCM162416 EXP.04101/2018
'Exempt/.Ifiiwiei/Lease:tinp'loyees eupiration Date
Application is hereby.made to obtain a permit t
o do thework and instalilatiorli as Indicated.,llcertifytihatno work or installation-has
commenced prior to the issua
ace-of a permit and thatall worli be performed to meefthe�standarclri of all the:laws regulationg
a
construction in this JUT.1sclictioll 1-:0clerstairId.that a se
p
WELLS'POOLS,FUR 4rate perlirrill must be secured-for ELECTRICAL WORK,PLUMBING,SIGIl
NACES,.BOILERS,,HEATERS JANKS
:and AIR CONDITIONERS"ete.
OWER'S AFFIDAVIT: I certify-that ail the- -and that.all'Workwill-bedone-i' c
fdregoft inform.ationis accurate n Qmpliance,with all
applicable laws regulating cnnstrucik'on-and zoll
a
WARNING.TO OWNER: YOUR FAILURE TO-REtORDA NOTICE OF COMM
ENCEMENT'MAY- :,-
:AESULION YOUR. PAYING,TWIMFOR-111111PROV-911101ENTS TO-YOU
RPROPE -IF YOU INTEND
:-TO OBTAIN FINANCING:
.,:CONSULT WITKYOUR LENDER:OR-AN :BEFOR E:-
' -RECORDINGY0
.... IJIR NOTICE CWCOMMENCEMENT.
ps (SigNture of Own&or AgeriOnclu
ding contractor) c
:Sigr d :(Sil ontra-tor)-
;and swom to -affirine b6fdre 'a this.. d an sworn to(or affir.med efore m thi
ay,of SignAd*
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DEBRA LEE CARTER
X. 1!?A LEE CARTER
Notary Public.,�tate 0
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Doc # 2018102824, OR EK 18370 Page 1844, Number Pages: 1,
Recorded 05/01/2018 02:59 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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