2216 Alicia Ln. RES19-0081 Demo Stucco, repair rotten woodp i
r`' RESIDENTIAL PERMIT PERMIT NUMBER
J i
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" CITY OF ATLANTIC BEACH RES19-0081
�r �" ISSUED: 3/19/2019
800 SEMINOLE ROAD
401119r ATLANTIC BEACH. FL 32233 EXPIRES: 9/15/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF 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:
2216 ALICIA LN RESIDENTIAL ALTERATION demo stucco, repair rotten $8900 00
RESIDENTIAL wood, stucco, & deck
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169519 0820 TIFFANY BY THE SEA
COMPANY: I ADDRESS: CITY: I STATE: I ZIP:
Bluewave Builders Inc. 822 A1A North # 310 Ponte Vedra FL 32082
OWNER: i ADDRESS: I CITY: STATE: ; ZIP:
DEPADUA VIRGILLO G 2216 ALICIA LN ATLANTIC BEACH FL 32233-5974
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 CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $146.64
Issued Date: 3/19/2019 1 of 2
1.-A11lyt, City of Atlantic Beach APPLICATION NUMBER
o Building Department (To be assigned by the Building Department.)
'' 800 Seminole Road f ^�
1r� Atlantic Beach, Florida 32233-5445 `C�_ '
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Phone(904)247-5826 • Fax(904)247-5845 Si, II L
..�, s; E-mail: building-dept@coab.us Date routed: �( l ( 9
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: c,- U. li C c L✓\ • D_eartment review required Yes No
Building _—
Applicant: a LlQ,W 0.vt �u ,\.6,1-( 5 Planning &Zoning
i Tree Administrator
Project: &t. U S\U C C 1 (�# -(\ 0(1— Public Works
t SCLC C� 4 AC-G Public Utilitiesf
`Lty
1 Public Safety
Fire Services
Review fee $ Dept Signature
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: [✓Approved. ['Denied. ['Not applicable
(Circle one.) Comments: 0 /
BUILDING /U Ci
PLANNING &ZONING 3)/q/201q
Reviewed by:
/ , `� Date: /
TREE ADMIN. Second Review: ['Approved as revised. ['Denied. ❑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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''(=:�'�,,, Building Permit Application OFFICE COPY Updated 10/9/18
'; City of Atlantic Beach Building Department
**ALL INFORMATION
,,;, y 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
—t� IS REQUIRED.
Phone: (904) 247-5826 Email:
Job Address: 2216 Alicia Lane Permit Number: 12--L—S i l_eD 8I
Legal Description Tiffany By The Sea Lot 22 RE# 1695190820
Valuation of Work(Replacement Cost)$ $8,900 Heated/Cooled SF NA Non-Heated/Cooled 128 SF
• Class of Work: ❑New ❑Addition ❑Alteration repair ❑Move :Memo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): DCommercial 'Residential M A Di 1 1
2019
• If an existing structure, is a fire sprinkler system installed?: DYes ❑No c
1
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Pergit) I/�N1
o
Describe in detail the type of work to be performed: Z N.4t 1 c
Demo Stucco, replacing rotten wood behind stucco, stucco repairs, and replace rotten wood at dear0 r 0 \''
LZ. cCp
NA z LU O ti tii
Florida Product Approval# for multiple products use product epngvatfarm
Property Owner Information 0 0 c 8 0
Name Virqillo & Pamela Depadua Address 2216 Alicia Lane CI
City Atlantic Beach State FL Zip 32233 Phone 270-9710 0 < 0 Q
E-Mail julie@thechildersteam.com ¢ I- H r
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) w
LI
Contractor Information O _ w w
Name of Company Bluewave Builders, Inc. Qualifying Agent Paul Zebouni CBC12628ig >- 11 ¢ m
Address 822 Al A N suite#310 City Ponte Vedra Beach State FL Zip 3a8t w 0 w
Office Phone 904-248-0395 Job Site Contact Number Paul -904-248-0395 W CI) I w
State Certification/Registration# CBC1262894 E-Mail PZ@bluewavebuilders.com 5 5
W w
Architect Name&Phone# NA CC pr
Engineer's Name&Phone# NA
Workers Compensation Insurer Auto Owners OR Exempt❑ Expiration Date 12-01-19
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 PA ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINAN I G, CONSULT WITH YOUR LENDER OR AN WORN EFORE
RECOR G Y TICE OF COMMENCEMENT. q ---
(
(Si nature Owner or Agent) (S' ature of Contrac,Sar)---
Signed and sworn to(or affirmed)before me this day of Signed��sworn t&{eraffirm before me this I 1 day of
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` �� STATE OF FLORIDA ••,R4:1 . Bonded Tan,Troy Fee Insurance 800385.7019
�•..ara Comm#GG012916
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