1340 Ocean Blvd RES18-0292 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 41PIM FOR NE)(T DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0292
Description: INTERIOR RENO MASTER BATH
Estimated Value: 2600
Issue Date: 8/24/2018
Expiration Date: 2/20/2019
PROPERTY ADDRESS:
Address: 1340 OCEAN BLVD
RE Number: 1718480000
PROPERTY OWNER:
Name: COONEY MATTHEW R
Address: 1340 OCEAN BLVD
ATLANTIC BEACH, FL 32233-6744
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name; Sun Tech Industries of North Florida
Address: 5203 Cruz Road
Jacksonville, FL 32207
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 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$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 0z
Phone(904)247-5826 Fax(904)247-5845 Date muted: E3 7-2, 1
E-mail: building-dept@coab.us
Cityweb-site: http:/Avwv,.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: B40 C)ocz- ais? 6LV-D De rtment review re uIred Y No
Applicant: 0 (--A I A'D fPFlannng ti,'Zom�ng
,a Adrm "tr'
Project: Public Works
Public Utilities
Public Safety
Fire Services
FM
Other Agency Review or Permit Required Review or Receipt
of Permit Verified 8 Date
Florida Dept.at Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Manag nut District
Army Corps of Engineers
ion of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: Wp'proved. []Denied. E]Not applicable
(Circle one.) Comments:
(S��
PLANNING&ZONING Reviewed by: Date:R/2 3,11
TREEADMIN. Second Review: [JApproved as revised. E]DenZ. El-
Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised OW1 9/2017
Building Permit Application Updated 12/8117
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,R.32233
Ph 47-5826F..:(90 )247-5845
Job Address: mitNumber: RESjA - 0-z9z
4
Legal Description S RE#
Valuation ofWark(Replacement Cost)$ Z:4a()-�— Heated/Cooled SF.Non-Heated/Cooled—
• Class of Work(Circle one): New Addition Alteratiol epal Move Demo Pool Window/Door
• Use of existing/proposed structure(s)IC!rcle one): Cc endal fa
enc, si nt
If an existing structure,is a fire sprinkler system installed?(Circle oi�
n.)r 0 N/A
Submit a Tree Removal.Permlt Application If any trees are to be removed or Afficla,H If No Tree Remove
be In detail the type of work to be performed:
�Rk -w;'Itscr 11: a- � LD�er 4de
Florida Prod�ct Approval If for multiple products use product approval form>-
Property Owner Inform n
N ie: aw Address: INC ()CfA B61 ALJ,t Be- 95
CJ7 State=ZIPUG�Phone Ifif - C $*j - y1t;C-7, C
E-Mail.
Owner or Agenlrfif Agent, power ofAttomey or Agency Letter Required)
Contractor Infornmation
NameofCompany: 49W QualifyingAgent &WW
Address CIZ, 9e4e State jO/, Zi
Office Phone I/ Job Site/Cc
State Certification/Registration If li=Aff 7t E-Mail 414~ai.
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 142W zolf xem t surer1Laa�EmPIcyaxs/ftpxationcxne
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instimillation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws r�Pationg I.,
construction in this ju risdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLU M BI NCRIC*S , 0
WELLS,POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requireffritnf'o!z
permit,there m ay be additional restrictions applicable to this property that may be found in the pu blic records at this c —a&
there may be additional permits required from other governmental entities such as water management districts,state
federal agencies.
00
OWN EWS AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliancl 0 a
applicable laws regulating construction and�onlng. 0 Z 0
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 0 _j - !
M%� Z�
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU @TIE@V
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE aw �0 MW C�c :M�:
RECORDING YOUR NOTICE OF COMMENCEMENT. lu M a
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