Permit Windows 700 Amberjack Ln 2012 J
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
fn :fir
Application Number . . . . . 12-00001741 Date 12/05/12
Property Address . . . . . . 700 AMBERJACK LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
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Application desc
REPLACE WINDOWS
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Owner Contractor
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FORE, FRANCIS HOMEOWNER BLDG SVCS, INC (RC)
700 AMBERJACK LANE 739 BROOKMONT AVE E
ATLANTIC BEACH FL 322334202 JACKSONVILLE FL 32211
(904) 322-1054
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . . REPLACE WINDOWS
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2200
Expiration Date . . 6/03/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILE ING CODES.
City of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road
(To be assigned by the Building Department)
. � Atlantic Beach, Florida 32233-5445 / - / 7Y/
Phone(904)247-5826 • Fax(904)247-5845 44
^dri,sl9*' E-mail: building-dept@coab_us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property p t Address: , Department review re wired Yes No
lY Building
Applicant: V s2/VlrCe.� Planning&Zoning
I Tree Administrator
Project: Woj /�Wace_w � 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 First Review: [Approved_ [-]Denied.
(Cir a oneJ Comments:
BU
PLANNING&ZONING
Reviewed by: Date: 42-/Z
TRE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
PUBLI WORKS Comments:
PUBLIC UTILITIES
PUBLI SAFETY Reviewed by: Date:
FIRE-SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07! !10
"IJIUL-RUN , i V-K1Yll1 tXrrE1%_AI lvly
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Addr ss: T 00 ��t��,Fyt.�gc,� L/V Permit Number: f�2- - �7 y/
Legal Description 3DB&,p E•19 Qov& KAsu�s ;4mt - I Parcel #
Floor Aarc-ot Sq.Ft. ,q.Ft
Valuation of Work S ZZoo. Proposed Work heated/cooled non-heated/cooled
Class of W Drk(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of exis ing/proposed structure(s) (circle one): Commercial Residential
If an existi g structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Pr duct Approval #
For multi le products use product approva orm ,,II
Describe i detail the type of work to be performed; 4440 41(34 S
Propewncr Information:
Name: AIG T-O rt.E Address: - =
City Stater—Zip 22 Phone ritell
E-Mail or ax#(Optional) I
'I Won as
Contractor Information:
Company ame: loot Casa wj Rtlttdlwl6 .'Ilthe s Qualifying Agent:
Address: D CitylL S .Jutc t StatefL
_Zip 322 i I
Office Phot e 4oA4-322-toff!!16 Job Site/Contact Number Fax#
State Certif cation/Registration# C C 0
Architect Name& Phone#
Engineer's 'ame& Phone# D FOR CODE COMPLMC
Fee Simple Title Holder Name and Address CITY OF ATLANTIC BEACH
Bonding Company Name and Address SEE PERMITS FOR rkDDITIONAL
Mortgage Lender Name and Address FhQuIREmENTS AND CONDITIONS.
7Z
Application is herebv made to obtain a permit to do the work-at FA l�+Wi. P ArX' hat rl AIR- m herlis
omnnenced prior io the
issuance ofa ermit and that all work~Hill be performed to meet s ""tris tctionn. permit becomes null
and void if w rk is not commenced within six(6)months, or iJ catstructron or Ivor•—Ivs- ended or is(ffF vont is at anv time after
work is commenced. /understand that,separate permits must be secured for Electrical WorkPlrrnrbing,Signs. I'ells, Pna/s, �imrnces, Baileis, Healers,
Tanks andAir Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TOY UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cerci 'that/have read and examined this cyplicationn crud know the some to be true and correct. All provisions of laws and ordinances governing this
type ojwork gill be complied with whelher sppecilted herein or not. 77te granting of a per'nnit does not presume to give authorily to violate or cancel the
provisions oft rnv other federal,state. or local law regulating construction or the perlormance of construction.
/Signature o 70wncr Signature of Contracto
Print Name Name
.......r....... 11C1 �aC,i: icC /�J LX
H'.. /7_./'7z ....✓ D ....
Before me Befo
this I*^ ay. NG Q em &r 201 c� this Day of �0
`Notary P7 is Notary Public
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CODOMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL t
REQUIREMENTS AND CONDITIONS. I
REVIEWED BY:� DATE:�� %Z