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337 PLAZA RES ALT PERM RESIDENTIAL PERMIT PERMIT NUMBER r J RES19-0050 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 2/13/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 8/12/2019 MUST CALL INSPECTION • • 1 • ; • BY • PM FORINSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, OF BEACH CODEOF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 337 PLAZA RESIDENTIAL ALTERATION REPLACE SIDING - TOOK $4500.00 RESIDENTIAL OVER RES18-0231 TYPE OF • ZONING: :D • • • GROUP: 1700010000 ATLANTIC BEACH COMPANY: ADDRESS: ASSIST 2 BUILD INC 4081 CLIFFORD LN MIDDLEBURG FL 32068 • ADDRESS: MALZAHN PAUL NELS JR 337 PLAZA ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF . . 'Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 45S-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $59.00 Issued Date: 2/13/2019 1 of 2 Building Permit Application Updoted10/9/18 1 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 3 ) - I( 61 71, A71e.,i tic 17 Ot( 1f Permit Number: Fc—s Q t " oQso Legal Description `� ( `� / C,� Z 5 `� `f��„-{i'Cy ��1 c'L 417 RE# _61A I Valuation of Work(Replacement Cost)$ y Heated/Cooled SF _ Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door J • Use of existing/proposed structure(s): ❑Commercial ©Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes Efto- • Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit El No Describe in detail the type of work to be perfprmed: T_ t, S� 0 Florida Product Approval# � for multiple products use product approval form Property Owner Information Name ✓If I ) + L AI,, t,j f' Z.A-14 A/ Address 33 7- F/lo Zoe .')`f/a✓7=i'G ( r�[ L— city f Jc. -Y r C G r", State (_ Zip _3t2_ 53 Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company A SS;5'7` 2 /CA1 Qualifying Agent1t4✓11,e5 Address G,1- City o,2^7 State iCC Zip 3;?c- o Office Phone yo y- Fi> -''16,5 Job Site Contact Number ;�• i- nz w State Certification/Registration# C/3t- i 2_&Z6, Y q E-Mail �•`n� `J $.iS>s y 'Z Jc,,!c l �+:^a. Architect Name&Phone# --- Engineer's Name&Phone# Workers Compensation Insurer OR Exempt 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 regulating 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. 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. 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 LENDEROR AN ATTORNEY BEFORE RECORDING YOUR �tl OF COMMENCEMENT. (Signature of Ow r or Agent) ! (Signature of Contractor) Wr,eJ d(and sw-o�rn.,toor affir )before e this 11-1y of Signed an sworn.�to (or affi d)before me this day of 0 natur No ry) ign ur .o...... TONI GINDLESPERGER MY COMMISSION#FF 9 * F R S Octo 6,2019 [ ) rQn�ln� r� Undenvrters Personally Known OR TONI GI S ER dd [ I Produced Identification ` Type of Identification: m 47iJ- L�-��- 4-57- Type of Identification: MEXPIRE&Getobm 0,2o 19 Y COMMISSION#FF 924951 Bonded Thru Notary public Underwriters Gindlesperger,Toni From: NelsChristina Malzahn <nelsandchristina@gmail.com> Sent: Tuesday, February 12, 2019 3:48 PM To: Building, Dept Cc: jim@assist2build.org Subject: 337 Plaza - Siding Permit Contractor Change Attachments: IMG_20190212_131620jpg;IMG_20190212_131545 jpg Permit Department: R P'Sl S — DZ We would like to change the name of the Contractor on our open siding permit. The previous Contractor's business shut down and did not complete the job. A new contractor is taking over the permit to complete the job. Previous Contractor: Durabuild Solutions (remove from permit) New Contractor to Complete Work: ASSIST 2 BUILD Inc. 4081 Clifford Lane Middleburg, Florida 32068 Phone: +(904)413-7114 (0) (904) 738-0770 (C) Email: Loassist2build.org Attached is a copy of the permit in progress. Please let us know if you need additional information from us. Thank you! Paul and Christina Malzahn Property Owners 337 Plaza, B, FL, 32233 ;�Y'Py•, TONI GINDLESPERGER :.: MY COMMISSION# FF 924951 = • = EXPIRES:October 6,2019 Banded Thru Notary Public Unde verde s 1