RES18-0176 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: RES18-0176
Description: interior remodel-flooring, kitchen, bathrooms
Estimated Value: 60000
Issue Date: 6/18/2018
Expiration Date: 12/15/2018
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 11
RE Number: 169519 0122
PROPERTY OWNER:
Name: Thomas&Linda Huntley
Address: 2233 SEMINOLE RD UNIT 11
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Casa Design Build Management, Inc.
Address: 415 23rd Street
St. Augustine, FL 32084
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.
NOTICE: In addition to the requirements of this pennit, 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$7,500.
S1v City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
ri Atlantic Beach,Florida 32233-5445
V Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed:
City web-site: hup:1wrvv.wab.us
APPLICATION REVIEW �AND TRACKING FORM
Property Address: aa33 .Jerntnolo E-u. #IJilepartment review reuired Y No
Applicant:
Tree Administrator
Project: l nf/� �Q � I Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
Sl.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:/ NQG U Pi*V,(A4 tVo#&kJ+S Com f.. or nroo-f o-,f—
:BUILDING .Q)Gom�id't`/✓�
P G &ZONING Reviewed by: Date: 5 -27.2p
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017
OFFICE COPWIL ding Permit ApplicatioRECEI ED/t2
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone;
�
oonPhone;(904)2,47.-5826 Fan(904)247-5845 pMAY 16
Job Address: aaa'5'5 S'm',n4e Q . Vr'",1iII Permit Number. F-ES I pI (ih
Legal Description �i r ) tll ,Q
6 ' _a taa —
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Cit WaTt_9FL—
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application H any trees are to be removed or Affidavit of No Tree Removal
Describe indetail the type of work to be performed:
1-f+1��L7'r remodel - �lDar�Y.�) ��1-ohen/ V.�alt�F-cx:�ra
Florida Product Approval# for multiple products use product approval form
ProuperlbrOwnerinformati It ` tt
Name: [ F7ll Address: .02.23 \PAltly`f�/V ��
City state Zip 3213 , Pone
E-Mail 1*
Owner or Agent(if Agent,Poi Atto ey or Agency Letter Required)
Contractor Information ((tt /',, ,,t
Name of Company: • LY' ualityln ent: tat17 1c l
Address - City StateZip ',x264
Office Phone lob Sne/Contact NumlZer
State Certification/Registration# (05SE-Mail Q(jr-)aC Q) CAS( =C(jr) 1>n4 !f''h✓1
Architect Name&Phone It
Engineers Name&Pho
.Workers Compensatio
ase r-niaMy-5 Exparatron Dale
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal lation 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.1 underrtand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.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 entitles such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance w ll
applicable laws regulating construction and zoning. =Q L
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT IVY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I r7-
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O N ATTORNEY BEFOREst
m .
RE RDING YOU NOTICE OF COMMENCEMENT. < ; a
s ^ m
Sig ature of ner or Agem) (Sgnatrof Comrctor)ue _
(including contractor) �c� =
Signed and sworn to(or affirmed)before me this L/ day of Si ned and sworn color affirmed)before me thiA N
Ma&j �1Oj Cf .by�nreV,-s Q.Vk� A-%c.l � .°�o r 3c-y,b-y C..,lo$
� Y
�``!ff ary (Signatureof Notary)
p] ersonally Known OR = I IP nally Known OR
[ Produced identification �n9laatj;m; �I 1 4Produced Identification
Type of Identification: r'N rI Type ofldentifcation: FC bL SL�O )o/ 7Z '&4'D
v+:?`g•'�emmmuwo ptlelpdiw&n' G.". IZ/24 24