70 Ocean Breeze Dr 09-00001292 deck repair permit ./ SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
=" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001292 Date 9/15/09
Property Address . . . . . . 70 OCEAN BREEZE DR
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
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Application desc
deck repair
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Owner Contractor
------------------------ ------------------------
HUTCHINS CHAPPELL CONSTRUCTION INC
P O BOX 51112
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 254-9722
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 3/14/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Grand Total 120 . 00 120 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
V7
�141 - I I
CITY OF ATLANTIC BEACH 09—
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I I
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPTGCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
r
"-, = = 2.VALUATION OF,VyOR� 3:SQ;FT)UNDER ROOF,
ADDRESS
re?' e—
fI`4;'LEGAL DESCRIPTION;f +^ 5.CLASS O,F WORK .-., B.,USE;OF STRUCTURE[
'n. , ,.t.
13 NEW BUILDING 11 DEMOLITION ❑RESIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
M9.
RIPTJON OF WORK ?';; 4. ❑ALT TION ❑ACCESSORY BLDG.PAIR ❑POOL/SPA ❑YES ❑NIA
❑MOVE ❑OTHER ❑NO
POP.. TYOWNER, .,,, ' ''CONTRgC OR.` ARCHITECT1 ENGINEER: "
: 1 _/ g 1MPANY NAtpF: 1 23.COMPANY NAME:
co
18.NSI T ` 24.LICENSEE NAME:
10.ADDRESS: ITATA OF FLORIDA IC+EN N 1' 25.STATE OF FLORIDA LICENSE NO.:
tj C. &'&e(n 18 DDR S: 28.ADDRESS:
211 PHONE: 72.FAX NO.: 1^OFFICE � Fi-XI O.; t`4 27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE: 21.CELL PHONE:•c rJ 29.CELL PHONE-
14.
HONE14.EMAIL ADDRESS: 21,,f-MAIL ADDIjrjS� w NA-Aldf�^v� , 30.Ef0IL04-1ADD RESS:
FEE SIMPLE TITLE,HOLDER G(( (� �J 7
B,
ONDING COMPANY MORTGAGE LENDER
_ _
THAN >
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or
abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
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. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
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.
OWNER'tar AGENT CONTRACTOR`
{If.Agent,Power of Attorney'or Agency 1 atter Required) (' alifiet y)
Signed: Date: Signed: Date: O
Before me this day of 2009 in the county of Before me this day of 2009 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements eclarations are
true and accurate. true and accurate.
Notary Public at Large,State of County of Notary Public at e, tate of �� County of
❑Personally Known ❑Pa nally
❑Produced Identification- ❑pro cad I
Notary Signature: Notary Signa ur
BLDG01 Permit Application Bldg:REVISED:12/18/2008