341 6th St RES20-0009 Kitchen Remodel (Joseph Builders) ��s'`" '% . RESIDENTIAL PERMIT PERMIT NUMBER
l�ri+ CITY OF ATLANTIC BEACH RES20-0009
800 SEMINOLE ROAD ISSUED: 1/17/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 7/15/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: j PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
3416TH ST RESIDENTIAL ALTERATION KITCHEN REMODEL $7000.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISIONS
CONSTRUCTION: NUMBER: n. GROUP:
169897 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
JOSEPH BUILDERS INC 13245 ATLANTIC BOULEVARD, #4-272 JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
LUCAS JAMES M 341 6TH ST ATLANTIC BEACH FL 32233-5347
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.
I I
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $139.03
Issued Date: 1/17/2020 1 of 2
(,11.1-1.'‘:"Cl'il,' RESIDENTIAL PERMIT PERMIT NUMBER
F CITY OF ATLANTIC BEACH RES20-0009
76 ISSUED: 1/17/2020
\ . r / 800 ILE ROAD EXPIRES: 7 15 2020
O�o'3t� ATLANTICIC BEA BEACH. FL 32233 / /
Issued Date 1/17/2020 2 of 2
.S 11,, City of Atlantic Beach APPLICATION NUMBER
/Sr/ • J y Building Department (To be assigned by the Building Department.)
800 Seminole Road
j Atlantic Beach, Florida 32233-5445 ��Gd .. ood /
Phone(904)247-5826 • Fax(904)247-5845
,e n )T E-mail: building-dept@coab.us Date routed: ( ft
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
341 C;1—' c�
Property Address: v( ment review required Y7 No
Building
Applicant: Jas Cp(--t i i _6C_2_•� Planning &Zoning
Tree Administrator
Project: 1‹,( -rCR ik..) R 7L,0(,E( Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department I First Review: ITApproved. I 'Denied. ❑Not applicable
(Circle one.) Comments:
tid c____
BUILDING
PLANNING &ZONING /3_J
Reviewed by: Date:�—
v
TREE ADMIN. Second Review:
'Approved as revised. I 'Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. I (Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
• 0 'sii-4. Building Permit Application OFFICE COPY Updated 10/9/18
,04 r ` City of Atlantic Beach Building Department **ALL INFORMATION
';fflrir. 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
d n;sj9r IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: t 6, S '£f7 Permit Number: R �a0
Legal Description 6-(:,.9 1({o' Js--c)1 E RE# 1(09 5`t 7—WO
W
Valuation of Work(Replacement Cost)$ii&kj — Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes 7EJNo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) `rNo
Describe in detail the type of work to be performed:
qincNN- /=-1- 1 pL . ,, Y5, u 4p _ t V u SI►1s, Li► fE Lw,t -KI`
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name <.Al+t roEct-1, - Loc,,,,, S Address 3�l t G T 7
City /*.t 1'-x ►� f Qc.il State ft— Zip 3)-)1,3 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company JI.7Yr.fli 6 \i-tiFt-s1 t.. Qualifying Agent s-(l'Ja,tj
Address t3a P -
�ri(--- %b a
- 1 a City hcKS.) �
tState rt- Zip a)$
Office Phone 04) 3..x)--awa Job Site Contact Number @04) 34°i- 13')
State Certification/Registration# C- Q5c4(74) E-Mail ,tD►nc_ip l IS.3,-t))•i et
Architect Name&Phone#
Engineer's Name&Phone# LU
CAS
Workers Compensation Insurer OR Exempt'Expiration Date 5 e ova
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal la has CAQ O M
J Z
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulMn6 r
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIMS,cc 0 N
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirementafWNiZipermit,there may be additional restrictions applicable to this property that may be found in the public records of this count8J9 6 Q
there may be additional permits required from other governmental entities such as water management districts,state agen sUt U
federal agencies. L] Z cc Z
O gOWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witF(�II� u. Q
applicable laws regulating construction and zoning. re I"' H Z
0 W
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M/a. p a awc m
RESU IN OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT
Ti OBTA FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORELi ,— COww
ECORD .. 0 ICE OF COMMENCEMENT. :aikc-
5 °Cw
w >
CC w
cc
(Signature of Owner or Agent) (S naturactor)
Q Signed and sworn to or, ffirmed before me this
Signed and sworn to(or affirmed)before me this 8 day of i; ( ) (0 day of
, . 0 - _ ' Sian , 2D2 by mond F. J QST-tOk
KAITLI rr MURPHY-BI :r Y r Headier Moo Y)1t7 i�/(
r• =p't Notary Public,State of lorida ignatur:C Notary) (Signature of Notary)
" Commission#GG 3 -241 •'•' State of Florida
• " " Expires 0210112021
'rte'' My comm.expires Apr.16,2023 �►a�My Commission F.xp'
ersona y Known OR [ 1 Per nally 6 N0.GG 68713
'DQ Produced Identificati �,,�`� [ roduced Identification c D
Type of Identification: rl 0 viola Wi�I GY LI K^►( Type of Identification: rid{ DI_v� C'1 L-ef' r�--