591 Aquatic Dr 15-RAAR-2722 CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
r� r�
jX 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-2722
Job Type: RESIDENTIAL ALTERATION
Description: FLOOD REPAIR - FIRE WALL
Estimated Value:
Issue Date: 11/20/2015
Expiration Date: 5/18/2016
PROPERTY ADDRESS:
Address: 591 AQUATIC DR
RE Number: 171818-5342
PROPERTY OWNER:
Name: HUNLEY, 0`7
Address: 591 AQUATIC DR
PERMIT INFORMATION:
FEES: --- —
Total Payments: $0.00
cD 0 z C-(- Q
DE o Tc) s'EpFzT
to ray tV\ - C"o ES7f 0 �S
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: J� U`�- 1Q.
ki Permit Number:
Legal Description
F oor Area o q.t. Parcel#
Valuation of Work$ Proposed Work heated/cooled t
non-heated/cooled
Class of Work(circle one): New Addition Alteration ai Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(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:
NamePLAS 14 2n i Address:
City I State Zip Phone (7!>-7�7_Cr, 7
E-Mail or Fax#(Optional) _
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying Agent:
Address: _ City
Office PhoneJob Site/ContactNumberState 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 certy that no grk or installation has commencedprior to theisuance of a permitand that all work willbe performed to meetthe standards of all lawsegulating constructinthisjurisdiction. This permit becomes nulland void:f work isnotcommnced within six(6)months, orif construction work is sudeorabandoneor a period of szx6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, u,month 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.
there 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
ape of work will be complied with whether sppeci:ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
5,rovisions of any other federal,state, or local lawregulating construction or the performance of construction.
Signature of Owner Signature of Contractor
'rint Name Print Name
...................
.
......................................................._.
3efore me ....................................................... •••••••••••••••••-..
lis Day of 20 Before me
this Day of 20
fotary Public Notary Public �
Revised 01.26.10