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Permit 820 Cavalla RoadCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000769 Date 6/16/10 Property Address 820 CAVALLA RD Application type description WINDOW AND/OR DOOR Property Zoning TO BE UPDATED Application valuation 900 ---------------------------------------------------------------------------- .Application desc WINDOW REPLACEMENT ---------------------------------------------------------------------------- Owner ------------------------ MAZYCK 820 CAVALLA ROAD ATLANTIC BEACH FL 32233 Contractor ------------------------ J & K HOME BUILDERS 3300 NE 26TH CT OCALA FL 34479 (352) 390-7556 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . Permit Fee 69.00 Plan Check Fee 34.50 Issue Date Valuation 900 Expiration Date 12/13/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 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 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69.00 69.00 .00 .00 Plan Check Total 34.50 34.50 .00 .00 Grand Total 103.50 103.50 .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: Number: /!,~' ~~ 9 Legal Description '::~ 1-1 l0 3`b ~ `~~ - b~`~ ~ ~-~ ~t'9'lS Una ~ ~~-- ~~ Parcel # oc, ' oor e o ' 3q F't. -'"3~q~'t Valuation of Work $ ~(~--- Proposed Work heated/cooled non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa indo door Use of eaisting/proposed structure(s) (circle ane): Commercial ident~l..? If an existing structure, is a fli re sprinkler system installed? (Circle one): e"s !No N /A Florida Product Approval # ~ " S" For multiple products use proTuct approva Form Describe in detail the type of work to be performed:_ ~r~P1ar~? j,~~~~x~~ Property Owner Information• City ~~~~ ~Rcx~a~A,t. `' State Zip ~ :~?~~ Phone __ aCxf :){ a1- ~ Cof~~ E-Mail or Fax # (Optional) Contractor Information: Company Name:. ,~ Q.r~cl l~ ~~n~ t?,,;,lc~.w~r~ Qualifying Agent: G~~t~c~ ~,~ Address: ?,'~ ,r, e ~c4~ Ct' City _ _ Cxr~~r~ State ~,_,_ Zip'~Q~_ Office Phone ~Sa- 3~(~ - n~~~ Job Site/ Contact Number ~3~a ~ - 35d- r155~ Fax # ~~~,~- ~8~'? State Certification/Registration # eQC ~~~q01~-- Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and 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 1 certify that no work or installation has commenced prior to the issuance of a permit and that all wawk will be perfarmed to meet the standards of all krws regulating eonrtruetion in this jurisdiction This permit becomes null and void jwork is not commenced within six (6J months, or if construction or work is suspended or abandoned for a~penod of six `/6) months at arty hme after work is commenced I understand that separate permits must be secured for Eltdntlral Wor$ Plirt~fixg, Slgirtay W~I/sy po~u/s, ~r~ure~ Hollers, Beaters, Tanks and Air Conditioners, eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COhIl~IENCEMENT MAY RESULT IN YO PAYING TWICE FOR IMPROVEII TO YOUR PROPERTY. IF YOU INTEND ~ OBTAIN FINANCING CdNSULT YOUR LENDER OR APi ATTORNEY BEFORE RECORDING YO'OR NOTICE COMMENCEMENT. I herebyert}fy that I have read and examined this~plication and know the same to be true and correct Al! provisions of laws anal ardinaveces ; type , ork will be complied with whether specs d herein or not. The granting of a permit does not preswne to give authority to violate pravisions of arty other federal, state, ~ local law regulating construction ar the perjaumance of construction. _ ~ ,,,, ~J err Sworn to and subscribed before me this'i $~'` Day of '~`~..,~. 4,, Signature of Print Name ~COMPLI~ C BEACH REVIEWED BY: AND CONDITpIU~N~S. .~ ~V Signature of Owner C~ J Print Name ...~7.~:1`7..~_1.~._~.~ ....................../ ~_.L.. LC.~"..._:~::.~-~.G'...~..... ~ ~ ~ ~ ~ +-. ~ p C ~D ,~ Oo O~ ~1 ~ O~ ~ V~ ~. P. ~ w n N G :--~ ~ O~ ~ Vt G ~ O w ~ N C/s r ~ ~' ~ A O ~ Q.. o ~~ ~- ~ ~ ~. ~.. ~ ~ ~ ~• ~; o ~ o a ~ o ~ ~. ~ ~ ~ ~. 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Yom,, ~' ~y ~~y(Y /" 1~' M~ ~~//j `~ `~ ~ `~ ~, ~ ~: ~~ ~~ a ~ `~ ~ ~' ~~ ~ ~~ -~ ~ o r~ ~~ ~ o ~ b :~ v ~I ~I ~~ _2 t_;' ~y City of Atlantic Beach Building Department r ,. w, ~ 800 Seminole Road ~- - "~ Atlantic Beach, Florida 32233 ~,j31~~ Telephone (904) 247-5800 Fax (904) 247-5845 www.coab.us WIND-BORNE DEBRIS PROTECTION AFFIDAVIT Date: ~ ~ Permit #: Property Address: ~ i~ ~ ~(~ l,~ ~ ~ ~ (~ ~ . ~~~~C~ 1n~! (~ ~~~~~~~ I understand the Florida Building Code requires replacement windows in a Wind-borne Debris Zane be impact glass or have openings provided with wind-borne debris protection. I recognize the structure involved is located in a Wind-borne Debris Zone. I am in the process of having windows replaced which require this protection but have elected not to have the required protection installed by my window contractor. I understand that before a final inspection may be approved, the required window protection must be provided. If the required window protection is not provided it will be a violation of State law and the City of Atlantic Beach may take appropriate code enforcement action which may result in fines beings made against this property. I also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection. I agree to have the required window protection installed on or before: ~ ~ (Date) I will be using the following material to provide the window protection: (check one) A. V Plywood per the Florida Building Code .._ _ B. Other approved method -L ~~ ~ ~ ~~~~~f ~ _ ~ . ~~~~ -~~~ , ~~ ~ . rovide Florida Product Number) Name of Homeowner's Insurance Company (Signature ofProperty O r) c~/,~ /, (Print Name) BR4NDIE W!LUAMS Notary Public -State of Florida My Commission Exptres Jan ), 201 Commission p DD 746541 Bonded Through National Notaryq~ STATE OF FLORIDA - COUNTY OF DUVAL (It - '' 11 11 The foregoing instrument was aclmowledged before me this l ~e day of Wi ~ 20,~, by ~ ~ (name of person acknowledging). J Signature of Notary Public - S of Flonda Personally known OR Produced Identification Type of Identification i~t="a'yt~,.~. City of Atlargtic Beach ' ~ui6ding ®epartrnent ' ~~ y)'.' ~ 800 Seminole Road r} Atlantic Beach, Florida 32233-5445 ,. ~ • Phone (904) 247-5826 Fax (904) 247-5845 ~, " ~ ~ r E-mail: buildin de t coab.us "~Jxs ,` g- p City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Depa- ~~ ~- ~~ 9 Date routed: ~r®per$y A~Gdress; ~~ 1/a~~2 ~ applicant: ~ S ~ ~~ ,/Ql ~,~°5 a t review required Ye No Buildin & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services -~ _ ___ ~..____ ,..._ -.n T __- _. _._.___ _. ~ .,~ Revtev+r fee ~^ Dept Slgnatu~re ~. _ .v~.._ _. ~..~x.. Other Agency Review or Permit Required Review or Receipt of Permit Verified i3y ®ate 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: Reviewing Department I First Review: (Circle one.) Comments: BUILDING PLANNING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES APPLICATION STATUS Approved. ^Denied. Reviewed by: Second Review: ^Approved as revised. ^Denied. Comments: Reviewed by: TtOOrd Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: G°/6r/~ Date: Date: Revised 05/14/09