726 Aquatic Dr 15-RAAR-2730 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2730
Job Type: RESIDENTIAL ALTERATION
Description: FLOOD REPAIR- FIRE WALL
Estimated Value:
Issue Date: 11/23/2015
Expiration Date: 5/21/2016
PROPERTY ADDRESS:
Address: 726 AQUATIC DR
RE Number: 171818-5242
PROPERTY OWNER:
Name: YILDIZ, TEKIN & OZNUR.
Address: 726 AQUATIC DR
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C L.
BUIL /if/� Cis
DING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 �_
t k R-2730
Job Address: 2 - ,._ Permit Number:
Legal Description Parcel#
oor "Llm o q. t. t
Valuation of Work$. ZOO-Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinjuer system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:
Property Owner Infos tion:
Name: Address: �-
City State Zip 2 2 hone
E-Mail or Fax#(Option )
Contractor Information: CONTRACTOR E1 L&M ADDRESS:
Company Name: ni, ,Eying Agent:
Address: sty State Zip
Office Phone Job Site/Contact N er Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and-void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora period of sok�(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, ells,Pools,Furnaces,Bollers,Healers,
Tanks and Air Conditioner.q,etc. j
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 LENDER OR AN ATTORNEY BEFORE RECORDING YOVIi NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether sppeci led herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name ................................... Print Name SS�C � . 11
......................................................_.............................................. ................. ......................................... ..{. ................. ...._...
Before me Before me _t
7
his Day of 20 this Day:P4'� 01 j
Votary Public Notary Public
Revised 01.26.10