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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 ---------------------------------------------------------------------------- Application desc replace windows ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ----------------------- 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 ' o o 0 y b b �c oo J O\ (-h -P, w N O, vi 4�, W N aeD 'C3 (D CD n. C n tv �' a o a CD cu .°~s CD -d o oro °y C �, o a� CD 9W 00 a Q va OTJ a b O D �`c o cn PD 0 _ d fs oCD CD m a ° N CD O te a. CL Z CD � � � a C O Boa A � b � CD 0 �. CD o cn CD U0 CD CD CD o N y CD CD n oCD o c CDCD � O C CD CD op ° y � � o CD o' n a a 0 CDCalS Ic ¢ CD o Cr R, _D 1C? AND CONDn TONS- P-VMWw!1P; I)ATE:�� :a n COPY y ,n Oil C� n �Q � CD CD CD 0 CD � O CD �- CD 0- j —CDCD �. q O O � C7 O n A� A A b O G. A �r d A y A b 0 0 O ci CD e m r 0 A m 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