Permit 302 Pine StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000753 Date 6/15/10
Property Address 302 PINE ST
Application type description WINDOW AND/OR DOOR
Property Zoning TO BE UPDATED
Application valuation 1200
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Application desc
replace door '
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Owner Contractor
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LONDON BUILDERS INC
'~~ ~ 10 8 7 7 HORSE TRACK DR
_~.
~~ JACKSONVILLE FL 32257
(904) 504-8887
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee 60.00 Plan Check Fee 30.00
Issue Date Valuation 1200
Expiration Date 12/12/10
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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
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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.
w. BUILDING PERMIT APPLICATION
~ CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address• r~ D Z PI ~'1•~ ~
Legal Description ~'•~~ ~6
~,,.,~yu.,w ~~
Valuation of Work $ ,~ .LY ~`.}~°) Proposed Work
umber ~ C~ '- C7 ~ .~ 3
~ 7 D 3 • on-heated/cooled ~ ~~
Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa windo /door
Use of ezisting/pro osed structure(s) ((c~ircle one): • Commercial esi entia
If an ezisting struc~ure, is a fire s ri<nkler system installed? (Circle one): es o N /A
Florida Product Approval # T_~t/ yo'- ~ ~~
For multiple products use product approva orm
Describe in detail the type of work to be performed: ~,~~1~-C~. ~, ~~~ ~ x/~2, ~J~. ,~Dr~~C'
1~~ ~ ~(LL 1 ~l ~~>~ /(
Property Owner Information:
,~
Name: > ~ Address:
City i State Zi Phone
E-Mail or Fax # (Optional)
Contractor Information:
Company Name: ~D/'/1~~~1 ~ ~.. `,~" J L (~ ~ Qualifying Agent: iyl~i~ /~ ~t .~-fJI~~O.~
Address: City 3i v4•C~~,,~ *~, •G [ ~ State FL - Zip~3~
Office Phone ~0 ~- ~~ • d~6 ~0 _ Job Site/ Contact Number y~ ~~ ~'d~'7 Fax # yp ~~ ~6 0
State Certification/Registration # ~ . •», •,....T<, •..~:.°." •~•~ , • , •.•
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 dedicated. I Gertz; fy that no work or installation has commenced prior to the
issuance of a permit and that all work wzll 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_perzod of srx (6) months at any time after
work ds commenced. I understand that separate permits must be secured for Electric Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etG
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMII~NCEMENT.
I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork wdll be complied with whether sppeci~d herein or not. The granting of a permit does not presume to give authority to vdolate or cancel the
provzsions of any other federal, te, or local Imv regulating construction or the performance of construction.
F~ t-53S 5~.~ ~t ~17~ v
~/" " ` ~j~ Si afore of Contractor ~ O
Si~ature of Owner ~
Print Name ~ ~, ~~~. i":..:....... _1~~ ~ Print Name /t' C /A ,~/
" ~o EN I SE '~'i'rri,~.
v ~ •-- ~, ~, Sworn to and subscribed before me
~ , j j''~i •' 9'~',o'~his ,~ Day of
®® ~:
Mary P NAL = < ~;~ 47g0J • .r of t .
UIREMENTS AND CONDITIONS %'° ~''o >ti,a o • ~ `~~ USAN S EAKS GORMAN
'~'G~ •'• :~! rN C~' ~ • ~g~ ~j MY COMMISSION # DD843668 evised 01.26.10
.., , ~(~ ~ "••x'• •'' ~~0~~` ~orti~~ EXPllt1S: February 25.2011
REVIEWED BY: '~~_ DATE: -' , _ ATE OF..~~`~ i~a~-3.NOr~rtv_ _tl. Notary Discount mac. co.
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c;~y of Atlantic Beach
13uildir~g ®epartment
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904} 247-5826 Fax (904} 247-5845
E-mail: building-dept@coab,us
City web-site: http://www.coab.us
APPLICATION NUMBER
(ro be assigned by the Building Department.)
~~ ~ ~ ~~~
Date routed: _
~r®per$y Address. _~ Z- / /~~ ~ T
4pplicant: _6~,~-~-~ r~~~,1d ~~
i3e ant review required Ye No
Buildin
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Review~fiee_~.Dept, Syignature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified 13y ®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:
APPLICATION STATUS
Reviewing Department f=irst Review:
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
^Denied.
TREE ADMIN. Second Review; DApproved as revised. ^Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
FIRE SERVICES Ttuird Review: ^Approved as revised. ^Denied.
C®mmeruts:
Reviewed by:
Date: D ~~'~~
Date:
Date:
Revised 05!14109