Permit Siding 332 2nd St 2011 a S % 'V I ,rf�
6 s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
:r A TLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
4.4 VII19'
Application Number 11- 00001657 Date 2/22/11
Property Address 332 2ND ST
Application type description RESIDENTIAL ALTERATION
Property Zoning RES SF DISTRICT
Application valuation . . . 26142
Application desc
REPAIRS
Owner Contractor
HATTERY MICHAEL ROBERT ET AL THE REVERED GROUP OF AMERICA
332 2ND ST 4338 CHELSEA HARBOR DR W
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 591 -2855
Permit BUILDING PERMIT
Additional desc . SIDING REPAIR /REPLACE
Permit Fee . . . 185.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 26142
Expiration Date . 8/21/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.78
STATE DBPR SURCHARGE 2.78
Fee summary Charged Paid Credited Due
Permit Fee Total 185.00 185.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5.56 5.56 .00 .00
Grand Total 190.56 190.56 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 3131 2,1 is c Permit Number: // - /457
Legal Description Parcel #
Floor Area of Sq. t. Sq•Ft
Valuation of Wor P o d Wo e • ed/ y , non - heated/cooled
Class of Work (circle one): New Aid ition (terati e - • • ' Move Demolition pool/spa window /door
Use of existing /proposed structures) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail th- • se of work to be performed: ' .� , ~, t.-
Property Owner Inform • • on:
Nam / C / O IL / ddress: 3 2 d ST
City 7- 4 !-/# State fG - Zip r 2 2 3 'Phone
E -Mail or Fax # (Optional)
Contractor Information: LL C� ;
Company Name: /t/ ; /et Vt/t gr DIV D , r» /e Qual' ' g Agent: :C V i A I V1 ! t-
Address: , D £i 16 c3 Z s '/ City d y _ State f L Zip.? Z 2-4.f
Office Phone Job Site/ Contact Number 5'// - 2 f.�� Fax # ( / 9�Z g
State Certification/Registration # (4j C /25 44 ( 8
Architect Name & Phone #
Engineer's Name & Phone #
F ee Simple Title Holder Name and Address
Bonding Company Name and Address
Vlortgage Lender Name and Address
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
ssuance 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 f 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
vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
ranks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONIlVIENCEMENT 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.
" hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
ype of work will be complied with whether specij ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
>ignature of Owner k Signature of Contractor frip& r
'riot Name 1 /' 1 " Print Name / 6
and subscribed before me 1 Sworn to and subscribed before me
RE D FOR CODE COM ? this Day of . 20
CITY OF ATLANTIC BEACH °..^ .....,. .
4c P ubii,,; SCE PERMITS FOR ADDIi tuNA1 of 'ii is � ' `
K AND CONDITIONS.
Revised 01.26.10
REVIEWED BY: DATE: ,2 / r —� r F 1 E G 0 P
,.1
Address
Bonding Company Name and
Address
Mortgage Lender Name and Address
nit and installations that all work as indicated.
be performed ted . Ie rt to meet the work standards
A lication is hereby made to obtain a permit d alree work and installations as td. I ceify a no
noconime rk or
PP
installation has commenced prior to the issua p s n ot c nz any time
period o six (6) Sine,
of all laws regulating const � u o e � tio uction i orut work is permit for a pdvoid wor a
within work is months, or f
after work is commenced. I understand Conditioners,
la Tanks and Air permits
ete. or Electrical Work, Plumbing, tg
Wells, Pools, Furnaces, Boilers, Heaters,
WARNI
NG TO OWNER: YOUR FAILURE TO RECORD I TWICE
OF COMMENCEMENT MAY RESULT IN R YR YOU INTEND
TO OBTAIN FINANCING
FOR IMPROVEMENTS TO YOUR
NSULT WITH YOUR LENDER OR
9
AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby fY
l
certi that 1 have read and examined this application
will be know t h with o be
e tr l er ndci correct.
here I n or not.
provisions of laws and ordinances governing this type of work
The granting of a permit does not presume or give
e performance of constructionority to violate or the provisions of any other federal,
state, or local law regulating construction
o
yaw
Signature of Owner AP, Print Name M l C et_ H LA ` t,�
Sworn to and subscribed before me 20 1
this Day of t
flply
1•Yry'ubic
MAIM WNW
Nay Public, Da Kalb Co., cm r
Signature of Contractor
Print Name
sworn and subscrib- a •re me 20
this • - �'
Notary Public
,.,te L. GRAHAM
v.r • .,:
., COMM ISSION 1 DD 957760
"' '< EXPIRES: February 14, 2014
MVO Bonded Thru Notary Public Underwriters
$1- -'frfy c 1 City of Atlantic Beach APPLICATION NUMBER
* Building Department (To be assigned by the Bu Department.)
71 800 Seminole Road /451
1 Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: f/
rts y' E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Z,
Property Address: �3 Z n T nt review required Yes No
Buil •
t a la Planning & Zoning
Applicant: H���° �t� 9re Tree Administrator
_
Project: `' Public Works �' /
Public Utilities
Public Safety
Fire Services
Ieylewf $ .1., 9 F Dept Slgature�
e uired Review or Receipt Date � ( LI .h 6 '
Other Agency Review or Permit R q of Permit Verified By I "
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 First Review: [Approved. ❑Denied.
(Circle one.) Comments: 0 1n't ; y, t i� F e) ter l i,° c4 I U cx c.� n
BUILDING ec1 it o C
PLANNING & ZONING Reviewed by: 444 Date: d
TREE ADMIN. Second Review: Approved as revised. ❑Den d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
of Atlantic Beach APPLICATION NUMBER
i`-=�� - 16 C ity o (To be assigned by the Building Department.)
� s ' ' . � fS, Building Department
r _ 800 Seminole Road Iii — /1,31
s�
r Atlantic Beach, Florida 32233-5445
'IT , Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: /
.�
" f3 r.-)' E-mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
3 Z 2 Jr D- • - tment review required Ye o
Property Address: Building
/ it � � V � 9 r p Planning & Zoning
Applicant: Tree Administrator
CC__ 1 � ,QlL � Q Public Works
Project: rf3�n , C A �a '�� 0,1 Public Utilities
Public Safety
Fire Services
De
Revi�ew�feffige�: ��P�w� � � u p q ure� � tet. 40
i V. .
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection a
Florida Dept. of Transportation u 1
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco j ,` IS 1 1�
Other: Ni S 1. ,,
APPLICATION STATUS i
Reviewing Department First Review: proved. ['Denied.
(Circle one.) Comments: /)o BUILblNG
PLANNING & ZONING 41 C Date: e2 ` " f/
Reviewed by:
TREE ADMIN. Se cond Review: ['Approved as revised. ❑De ied.
p
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Building Permit Application
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 332 2 —a Street Atlantic Beach, F132233 Permit Number: _
Legal Description 5 -69 16 -2s 29E .07 Atlantic Beach E 1 /Z Lot 9 Blk 3 Parcel
#
Floor Area of Sq.Ft.
Sq.F
Valuation of Wor '.26 141.84 Proposed Work heated /cooled 200
non - heated /cooled i
Class of Work (circle one): New Addition Alteration Repair Move Demolition
pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N
/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Framing, insulation, sitliu
ru
Property Owner Information:
Name: Michael Hattery Address: 332 2A Street
City Atlantic Beach State FL Zip 32233 Phone 404 - 693 -3035
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: The Revered Group of America, LLC Qualifying Agent:
Address: P.O. Box 54225 City Jacksonville
State FL Zip 32245
Office Phone 591 -2855 Job Site/ Contact Number 591 -2855
Fax # 821 -9528 _
State Certification /Registration # CBC 1254668
Architect Name & Phone #
Gu�u►vv► 5 Naiiiu & I'Iiu►ic tt 1Luug Lu las — 230 -3650
REVIEWED ODE COMPLIANCE 0 1 21 . th
CITY OF ATLANTIC BEACH G 1bvh L N `� s .
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS. a
.a - /l - �f FILE COPY
DATE
REVIEWED BY:
Address
Bonding Company Name and
Address
Mortgage Lender Name and Address
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 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 and Air Conditioners, etc.
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.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,
state, or local law regulating construction or the performance of construction.
Signature of Owner 1 " 4-�e
Print Name 1n/l, C- t-{i -z - }'Aar' �� i
Sworn to and subscribed before me
*! this 7.-to Day of 5',4 tJ if , 20 1 / (1 d rir s / 4"1641 1 .
_ • WA'1* MINW
Notary Public. DsKab Co., A MY Commlpionapies MN*9Dt
Signature of Contractor
Print Name
Sworn t and subscrib- + e +re me
this ``�T ► . z ►_Aft 20 / 2
'''‘V. 44 .., .
Notary Pu'lie Z)
",' '" '' c 01,2 r L GRAHAM
f*. •n 4 CO MMI SSION 4 DD 957760
i�ra,i EXPIRES: February 14, 2014
1 ,pf.0Bonded Thru Notary Public Underwriters
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, . �,.. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t << , ATLANTIC BEACH, FL 32233
J � "�
INSPECTION PHONE LINE 247 -5814
j...4 .-0111 9
Application Number 11- 00001657 Date 5/06/11
Property Address 332 2ND ST
Application type description RESIDENTIAL ALTERATION
Property Zoning RES SF DISTRICT
Application valuation . . . 26142
Application desc
REPAIRS
Owner Contractor
HATTERY MICHAEL ROBERT ET AL THE REVERED GROUP OF AMERICA
332 2ND ST 4338 CHELSEA HARBOR DR W
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 591 -2855
Permit ELECTRICAL PERMIT
Additional desc . RELOCATE 2 RECEPTACLES
Sub Contractor . MCDONALD ELECTRIC
Permit Fee . . 56.20 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/02/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.20 56.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 60.20 60.20 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 332 Z r'-- ST: PERMIT # 2) 1 " !(o S7
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$ l"�Jfo0
NEW SERVICE ❑ Overhead n Underground nT Underground up Pole
❑Residential (Main) Service
[10-100 amps ❑ 101- 150amps H 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
III 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
C1 Multi- Family (Main) Service
L70 - 100 amps ❑ 101- 150amps H151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
F1100 amps ❑ 150amps 0 200amps ❑ amps ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: Z- 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
17 Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can 11 Safety Inspection ❑ Panel Change — 10H to UG
❑Other: /2ew sra! / 2 re up -tr. -LAS Q 10 (sic.."." c6 - rs L.
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name c Phone Number
/4'
Electrical Company v& A.A.1 G g c r&i c- Office Phone goy' $0,' 9 Fax 4by- - 7 -PlaV
Co. Address: lag /S w- 6ea.lei City 3 State R.- Zip 32z5
License Holder (Print): L4" a £4 ./ S Cert ication/Registration # 4" ow 1 7 l' , /
Notarized Signature of License Holder / / �C.C�- /— l
c a ...,...„ e1/4
= o cltY PL, t v := ;t, state i.:t Honda orn and subscr before me this h � day of !'far 20 / /
l " '1 ' ' ,D " -9 .___,_,.. "
38o7 nature of Notary Public ' •
R /,',,.,), e 1 //201
o f F�