109 Pine St RES20-0129 Sheathing, Siding, Win DoorOWNER:ADDRESS:CITY:STATE:ZIP:
SALZER JOHN 109 PINE ST ATLANTIC BEACH FL 32233-4011
COMPANY:ADDRESS:CITY:STATE:ZIP:
KMS SYSTEMS INC 1301-C Penman Rd Jacksonville Beach FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170637 0000 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
109 PINE ST RESIDENTIAL ALTERATION
RESIDENTIAL
SHEATHING, VAPOR
BARRIOR, HARDIE SIDING,
WINDOWS & DOORS
$28100.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $195.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $97.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.39
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.93
TOTAL: $299.82
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 6/11/2020
PERMIT NUMBER
RES20-0129
ISSUED: 6/11/2020
EXPIRES: 12/8/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/11/2020
PERMIT NUMBER
RES20-0129
ISSUED: 6/11/2020
EXPIRES: 12/8/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $299.82
RES20-0129 Address: 109 PINE ST APN: 170637 0000 $299.82
BUILDING $195.00
BUILDING PERMIT 455-0000-322-1000 0 $195.00
BUILDING PLAN REVIEW $97.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $97.50
STATE SURCHARGES $7.32
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.39
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.93
TOTAL FEES PAID BY RECEIPT: R12092 $299.82
Printed: Thursday, June 11, 2020 3:04 PM
Date Paid: Wednesday, June 10, 2020
Paid By: KMS SYSTEMS INC
Pay Method: CHECK 3486
1 of 1
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12092
RES20-0129
RES20-0129