Loading...
1102 Stocks St ROUN19-0003 foundation only permitFOUNDATION ONLY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER FOUN19-0003 ISSUED: 8/27/2019 EXPIRES: 2/23/2020 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. FOUNDATION ONLY SINGLE OR TWO FAMILY FOUNDATION ONLY FOUNDATION ONLY - 1102 $0.00 STOCKS ST ADDRESS: ASM Riverside Holdings 2000 Florida Blvd Neptune Beach FL 32266 dba Mederos Homes OWNER: ADDRESS: ► CITY: STATE: ZIP: 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. Issued Date: 8/27/2019 1of2 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $59.00 Issued Date: 8/27/2019 1of2 r FOUNDATION ONLY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Issued Date: 8/27/2019 2 of 2 PERMIT NUMBER FO U N 19-0003 ISSUED: 8/27/2019 EXPIRES: 2/23/2020 Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (90+4) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: l U 2 S+©c-k..s C,* Permit Number: Fo UN 19 y oc)3 Legal Description RE# Valuation of Work (Replacement Cost) $ Heated/Cooled SF Non- Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No • Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit E-1 No Describe in detail the type of work to be performed: / Per Qh; Ja U ��V��Cc'�'tat•, D1/1� y -fv/' tderr*� �... t Florida Product Approval # Property Owner Ip formatio � Name to � 4VtrS; �f Address City State Zip E -Mail Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) Contractor Information for multiple products use product approval form Phone Name of Company Qualifying Agent Address City State Zip Office Phone Job Site Contact Number State Certification/Registration # E -Mail Architect Name & Phone # Engineer's Name & Phone # Workers Compensation Insurer OR Exempt o Expiration Date 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 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. 4:�� 6;i�_ (Sign ��,,�n r Agent) re of Contractor) Signed and sworn to (or affirmed) before me this day of S' ned and sworn to (or aff e b o me his y of by 7-CM9,b C� (Signature of Notary) gna ary) p�. T()NI GINDLESPERG Personal) Known OR °' "% [ ]Personally Known OR [ ] Y � :,`•'A °': MY COMMISSION#FF 924951 [ ]Produced Identification [ ] Produced Identification -,L EXPIRES:October 6, 2019 Type of Identification: Type of Identification: Bonded Th,u Nc,xY Public Underwriters