1301 Gladiola St RES20-0210 SidingOWNER:ADDRESS:CITY:STATE:ZIP:
CHEEK EMILY E 1301 GLADIOLA ST ATLANTIC BEACH FL 32233-1814
COMPANY:ADDRESS:CITY:STATE:ZIP:
SUPER SIDERS AND TRIM,
INC 2700 Fawn Point Dr Jacksonville FL 32225
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171032 0000 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1301 GLADIOLA ST RESIDENTIAL SIDING new hardie siding $8000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $146.64
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: 8/4/2020
PERMIT NUMBER
RES20-0210
ISSUED: 8/4/2020
EXPIRES: 1/31/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 8/4/2020
PERMIT NUMBER
RES20-0210
ISSUED: 8/4/2020
EXPIRES: 1/31/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $150.78
RES20-0210 Address: 1301 GLADIOLA ST APN: 171032 0000 $150.78
BUILDING $95.00
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN REVIEW $47.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE SURCHARGES $8.28
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R12619 $150.78
Printed: Tuesday, August 04, 2020 3:54 PM
Date Paid: Tuesday, August 04, 2020
Paid By: SUPER SIDERS AND TRIM, INC
Pay Method: CREDIT CARD 350604272
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12619
Building Permit Application
City of Atlantic Boach Bulldln, Departm nt
800 Se minol e Ro ad, Atl antic Beach, FL 32233
Phon : (904 ) 247 -5826 Emili : aulldlng ·Pept@coab .v$
··AU~ATIOff
~I"G""Y
IS 1tIQU1UO.
•
•
CI.II of Work ; D How IJ Addltlon ~l lIBtJon D R.p.l, D Move DDe mo D PooI OWlndow/Ooor
UR 01 WIUna/propond l lnA C!ur,(al: DCo mmorcl.1 ~l\ftI d ntl l l
II lin olttln. structure. II I nr. ,prl nkl " IV't .m Inl lall .d?: D V,. D No •
•
Dtwlbe In detMl ttl , type of worlr to be performed :
____ ' ....... 3 ..... Z"""3,,3...L.. _________ 'or multJplc products UN product pproval form
N.ml! ot Comp.ny ~~fU"~~"*~~;::...,.,.a~rit:I=--.L~;...,,~II~'ent :rr rz' ~ ~ to/, 'A. t'~
Address aty ~JC. SUtl! t:JL. Zip z Z z Z-c=-
OfficI! Phonl! St'L: '![~1li.. Job Sltl! Contact Num~r 1 S~tl! CertJl\Qtlon/Rqlstration I A3<'2i1 E.Ma Il Je r:::.LJ t!' :g.u2l"C!l*RA /iel H,,!"( .~ ~
ArdIl t l!<:t N.ml! & Phonl! • ,J ~ ~
Enalnl!l!r's Neml! & Phonl!' ---=..----::-:0--------------------:--+--+---
Wotbn Compengtlon l!\SUrer 2.. OR Eumpt 0 Exp lntlon Dall! _....L~~4C"'-_
AppllatJon Is llenby made to obtain I pt!m1lt to do the work lind Insta lliltlons as Indicated. I tl!rt/flt that no wort lation has
commenced pr10r to the IlSUlInCll! ot .. permit and that ilil won; will be performed to meet thl! standards of all the ~ws regulatlng
construction In this Jurisdiction. I understand that a sepaflltl! permit must be SIICIIred for ELECTRiCAl WORK, PLUMBING. SIGNS.
WEllS, POOLS, fUIIHACES, 8011.£IIS, HEATeRS, TANKS, and AIR CONOmONERS, etc. NOTICE : In .ddItIon to the requlremt!nts of this
permit, there mIIY be ~dItIonal restrtdIo", applicable to this property that may be found In the public -as of this county, and
the~ may be addltlONI permits requIred from other govl!fJ1mental entitles such as water manapment districts. state agencl~, or
federal agenc:lt!s.
OWNER'S AfADAVTT: I certify that all the !oreBolnB Information Is ac:curate and that all work will be done in compUante with all
applicable laws resulatllli construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOnCE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEM TS OUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR L NDER AN "lTORNEY BEFORE
RECORDING YOUR NonCE OF COMMENCEMENT.
~f$ f. ('Lock..
(~of Owner or "Bent)
Signed and sworn to (or afllr 4 v I Y ,lAJY), bv ~F::::'::::1*rc~'r-~":=--
.-.
N.A Pqsonally KnClWl\ OR
\.(]Produced Identification
TypI! of Identlflatfon: -t::==:!===~=:!~:!0:!!J"