312 Aquatic Dr 15-RAAR-2721 CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
j - ATLANTIC BEACH, FL 32233
r' INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2721
Job Type: RESIDENTIAL ALTERATION
Description: FLOOD REPAIR - FIRE WALL
Estimated Value:
Issue Date: 11/20/2015
Expiration Date: 5/18/2016
PROPERTY ADDRESS:
Address: 312 AQUATIC DR
RE Number: 171818-5104
PROPERTY OWNER:
Name: MCMURRAY, RICHARD J
Address: 312 AQUATIC DR
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C P Z. L IAI�0�orlil
BUILDING PERMT APPLICATION
CITY OF ATLANTIC BEACH ' "
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: _3 t 2 �c��l� , Permit Number: f S"(SAA R-Z 7Z i
Legal Description Parcel# l -1 � 6 1 '5-f o.-
Valuation of Work$ tilPropos d Work heated /cooled non heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercialesidential
If an existing structure,is a fire spriniler system installed? (Circle one): o N/A
Florida Product Approval# K
For multiple products use product approval torm
Describe in detail the type of work to be performed: t"—/,e G(J iq/l /t7,e s
Property Owner Information•
Name: F"4AR,D IALM99W Address: 3 /Z MW4277c b�
City State_Zi Phone
E-Mail or Fax#(Optional) r 6 t _W� Cr s
Contractor Information: CONTRACTOR EYUM ADDRESS:
Company Name: ifying Agent:
Address: ity 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 ofa 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 zfwork is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period ofsix 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools, urnaces,Bollers,Healers,
Tanks and Air Conditione%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 YOVW NOTICE OF
COMMENCEMENT.
I hereb 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
type of work will be complied with whether speci ted 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 loc I l lating construction or the performance of construction.
Signature of Own 1 ,� Signature of Contractor
Print Name F<<<'A`�. �G/�u/2� Print Name
_................. ..... ............. ......................................._.........................................._._....................................._._....
Before me Before me 'T *,%r A�s0
his Day of 20 this Dayo "�i
Votary Public Notaiy Public
Revised 01.26.10