660 Aquatic Dr 15-RAAR-2719 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
?� X ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r�r Mg,
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2719
Job Type: RESIDENTIAL ALTERATION
Description: FLOOD REPAIR - FIRE WALL
Estimated Value:
Issue Date: 11/20/2015
Expiration Date: 5/18/2016
PROPERTY ADDRESS:
Address: 660 AQUATIC DR
RE Number: 171818-5220
PROPERTY OWNER:
Name: MCCUE, JAMES R
Address: 660 AQUATIC DR Z7 7 7
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
Ifos Pejc�--( cC)
[ � /( 91 ('5
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: 6p b C
Legal Description Permit Number:
floor Area ot Fq. t Parcel#
Valuation of Work$ Proposed Work heated/cooled t
non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures circle one): Commercial Residential
If an existing structure,is a fire sprinkler 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 Information•
Name:—SAM MCL- Coe- Address:
City P c \ State_Zip Phone 2z •7
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying Agent:
Address: City
Office Phone Job Site/Conact Nu
tmber State Zip
State Certification/Registration# Fax#
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 cert 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 regz�lating construction in this jurisdiction. This permit becomes null
and void f work isnot commenced within six(6)months, or if construction or work is suspended or abandoned for MIS,
of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrics!Work,Pk,mbittg,Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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 YOUR NOTICE OF
COMMENCEMENT.
[here cert that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
ape 01Pwork will be complied with whether speci:ed 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.
>ignature of Owner Signature of Contractor
'rint Name Print Name
.....................
3efore me
...................................................... -••
lisDay of 20 Before me ........................................._.............-...................
this Day of 20
fotary Public Notary Public 'i
Revised 01.26.10