Permit Bldg Exterior Doors 2010 V
CITY OF ATLANTIC BEACH
Ms
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001091 Date 9/02/10
Property Address . . . . . . 193 BEACH AVE
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
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Application desc
replace exterior doors Unit 2
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Owner Contractor
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*****SHORECREST****** SUNSHINE COAST CONSTRUCTION
WR.K. PROPERTIES, INC. 513 VIKINGS LANE
599 ATLANTIC BLVD. ATLANTIC BEACH FL 32233
3223 (904) 208-1084
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee SO . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 3/01/11
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC 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 100 . 00 100 . 00 . 00 . 00
Plan Check Total 50 . 00 50 . 00 . 00 . 00
Grand Total 150 . 00 1S0 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
.ts Building Department (To be assigned by the Building Department.)
800 Seminole Road /10�/
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
tilt E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes -No
Buildinq__�)
Applicant: �P46r 4176-mm Planning &Zoning
Tree Administrator
Project: J(,07�,Ae101e, Z)�ZS Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: ErApproved. F�Denied.
(Circle one.) Comments:
(B U I=LD I NG�'
PLANNING &ZONING Reviewed by: Date: 9—/—/0
41
TREE ADMIN. V
Second Review: FlApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. MIDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERYaT APPLICATION
CITY OF A TLANTIC BEACH
'00 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
b Address: 42- PermitNumber:
gal Description Parcel 9
Floor Area of sa.Ft. --S—q.Ft—
luation of Work to o 0 -o a Proposed Work heated/cooled non-heated/cooled
tss of Work(circle one): New Addition Alteration Repair Move olition pool/ a window/do
Mov-
��ial �esi P,
de
of existing/proposed st ul. tiire(s)- ercial sid
's
s ste �i_ffedT s
�? hvIc-on, es 0 N/A
in existing structure,i ire spn tiler system instaffe-AW
,rida Product Approva 4
Ad.' rova for
r multiple products us roduct approval form
& 'r
scribe in detail the type of work to
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)Pert-y Owner Information:
me: 90�4,ff —Address:
y _V_'8 Wst
vlail or Fax#(Optional) )7�t f L Zip j2_!!_33 PEone
ntractor Information:
o2pany Name: 5V-r-,S-W ,-,6 C045r c-eA.,57,2 1c)'11A-Qualifying Agent: J 6 S 6P J/ "I Rv-m4AII/4
dress: 5-k vj-X IAI& j 4/1�,. -city A 13 State zi-D .2 2 Z f?
ice Phone (loll) Zo 'g-/OIL/ -Job Site/Co ANumber 6:00 2,o 9- /6 '941- Fax#
te Certification/Regis ton# cis C IZ5-6 3
._?5
,hiteot Name&Phone 9 161/m
pneer's Name&Phone#
Simple Title Holder Name and Address nx
ading Company Name and Address 11�1119 IL F-
)rt,gage Lender Name and Address &�14 tj u r
)lication is.hereby made to obtain a permit to do the work and installations as indicated. I cer*that no work or installadom;commenced prior to the
:ance it and that all work will bepe�jbrmed to meet the staTzdards of all laws regulating,construction in thisjurisdiction. -Thispermit b�comes null
void�,%,ek"_i,not commenced within six(6)months, or if construction or work is suspended 6r abandonedfor aWeriod ofsbc C6)months at any time after
W
-kiscommenced. I understand that separatepermits must be Eecuredfor Elec&ical ork,Plumbing,Sikns, ells,Pools, Fzirnaces,Boffeiw,Heaters,
Eks andA!r Conefitioners,etr_
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LAPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN'G, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
ceryfy that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this
1�work will he complied with whether speciffed herein or not. ne granting of a permit does not presume to give authority to violate or cancel the
visions ofany otherfederal,state, or local law regulating construction or the perfbr7nance of consz�-uction.
Aature of Owner Signature of Contractor
nt Name PrLint NAlqe U ie_ /*7
............1�......... . ... .... ........................
......... ...... ...................................................................................
,oin to and subser'b d b fore me
of
F R A)FROAARA W14��_
COMMISSION#DD 634126
Cz EXPIRES:May 21,2011
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MY COMMIS
#DD 78928 REQUIREMENTS AND CO
EXPIRES: ay ONS
18, 2
Bonded Thru Revised 01.26.10
Rubbrkic un REVIEWED BY: DATE:
t�tt—g-eolo 09:07 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
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.ec,ot,led o at 09�08 AM. RZ
JIM FULLER CI.ERK CIRCUIT COURT DUVAL
COUNTY gram
RECOROING$10-00