2215 Alicia Ln 2014 windows CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J 3 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�J13
Application Number . . . . . 14-00000082 Date 1/23/14
Property Address . . . . . . 2215 ALICIA LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 3500
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Application desc
replace windows
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Owner Contractor
------------------------ ------------------------
LEWIS DENISE KLETT LIVING TRST BARNETTE CONSTRUCTION INC.
335 W 107TH STREET 3167 ST JOHNS BLUFF RD S
CARMEL IN 460329587 STE 106
ATLANTIC BEACH FL 32233
(904) 249-9839
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3500
Expiration Date . . 7/22/14
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 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
IL E COPY
Job Address: , T1 ,r" j c �� Permit Number:
Legal Description Parcel #
Valuation of Work$ .32So• oor ea o q, t. t
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration e a' Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial e t al
If an existing structure,is a fire sprinkler system installed? (Circle one es N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:_
Property Owner Information•
Name: EnKs - Address: 2. t
City + ( State V/ Zip-3-2a3-3—Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: { c m
Company Name: a c Qualifying Agent: IZ 15,- v Ji= 15�
Address: 161 _S 1. .,577,b„s�(u (-f I S
� City��c%s�,.,�,lam- State F/ Zip,�,
Office Phone j� _dell —2 --
Job Site/Contact Number Fax#
State Certification/Registration#_ C e-
os
Architect Name&Phone# Azr9 --
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address �1/c
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, ells,Pools,Furnaces,Boi/ers,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 RECORI)ING YOiJR NOTICE OF
COMMENCEMENT.
I here,,
ereb certify that I have read and examined this application and know the same to be true and correct. A:1 provisions of laws and ordinances governing this
type of work will be complied with whether sppeci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal tate, or local!aw regulating construction or the performance of constructiovi.
Signature of Owner Signature of Coil,, ,tor
Print Name
...;,,,.". .t'..s.c...... _.).t. . .......... .l..5................ Print Name v/X ........... Uhf....
Before me Bef
this-.21_Day of ,t,y 20 1 y s 20
Votary Pu lieto
STEPHEN T.PUTNAM '
qr A� `hr
Notary Public,State of Florida 1- H*o sE runry 4,2 01
Y`� e>
Commission#DD998148 i E N0Mry Public L'nde
; .��..�:, evised 01.26.10
My comm,expires July 20,2014
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City of Atlantic Beach APPLICATION NUMBER
��- Building Department (To be assigned by t e Building Department.)
R J0Z 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904) 247-5845
_r,;��r E-mail: building-dept@coab.us Date routed: z Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2215— �z lf1-et- Z-n partm t review required Yes No
Building
Applicant: ��� Q anning &Zoning
Tree Administrator
Project: J 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 B
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: [EApproved. ❑Denied.
(Circle one.) Comments:
IBUILDING
PLANNING &ZONING Reviewed by: m Date: �- 3 -H
TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09