Permit 770 Sailfish Dr CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J =" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001949 Date 12/04/09
Property Address . . . . . . 770 SAILFISH DR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1094
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Application desc
WINDOW REPLACEMENT
---------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GIL13OURNE LOWES HOME CENTERS INC
770 SAILFISH DRIVE PETER CAFARO/CONTRACTOR
ATLANTIC BEACH FL 32233 4948 TELSON PL
ORLANDO FL 32812
(904) 486-4701
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1094
Expiration Date . . 6/02/10
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL 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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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
e
CITY OF ATLANTIC BEACH
"• 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-`�^y
r OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
r` BUILDING PERMIT APPLICATION DUVAL COUNTY
-77v
11 NEW BUILDING 11 DEMOLITION 13 RESIDENTIAL
LOT/LOCK_SUBDIVISION (J �/�// ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
❑ALTERATION ❑ACCESSORY BLDG.
❑REPAIR ❑POOL/SPA ❑YES ❑N/A
❑MOVE ❑OTHER ❑NO
9.NAME: 15.COMP NY NAME: L 23.COMPANY NAME:
At E
16.j�.E7E 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA I
IDA LICENSE NO.: 25.STATE OF FLODA LICENSE NO.:
• 18.ADD �O� 9DDRESS:
��3Zz3 430 V�, �.,.c. 3 �9
11. FFICE PHONE: 12.FAX NO.: 19.OFF14 PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
7 37e]Z8
13.CELL PHONE: 21.CELL PHONE, _
14.EMAIL ADDRESS: 22.EMAIL ADDRESS:(� 30.EMAIL ADDRESS:
,e4. v...'... '. � ...1I ,.�. ,..,.�:... ��i Y:. .�.o- ,. ''4R ..�n :1»;a� ' �� ;J� � 11?33}
31.NAM � 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.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, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
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 TH
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT
LENDER OR AN ATTORNEY BEFORE RECORD OUR NOTICE 0 C ENC
�...• y
4`� �3..
Signed: Date: Signed: Date: Z3-a9
Before me this day of ,2009 in the county of Before me this -0:5 day of 2009 in the county of
Duval,State of Florida,has personally appeared val,State Florid erson ly appeared
L—Aj , /
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true nd accurate. `
Notary Public at Large,State of County of N 'y Public at Large,State of / County of��r��—
❑Personally Known ettttWWWWW////�,,,,Personally Known
❑Produced Identification- ❑Produced Identification-z'7
Notary
dentification-
Notary Signature: Notary Signature:
-_ Notan Public-State of Florida
REVIEWED FOR CODE COMPLIANCE any Commission Expires Feb 14,2010
CITY OF ATLANTIC BEACH
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City of Atlantic Beach
APPLICATION NUMBER
_ .� Building Department To be ass ned b._the Buildin De aitment:
800 Seminole Road ( g. y 9 p )
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: /
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
'roperty Address: SW74. ,11 t review required Yep/. No
Buildin
1pplicant: Planning&Zoning
Tree Administrator
'roject: Public Works
Public Utilities
Public Safety
Fire Services
aws
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.
APPUCATION STATUS
reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
'LANNING &ZONING Reviewed by: Date: -9-0
TREE ADMIN. Second Review:
QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: nate:
wised W14409