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Permit Siding 1925 Seminole 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001276 Date 10/21/10 Property Address . . . . . . 1925 SEMINOLE RD Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc replace siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MCKENNA, ROBERT GALAXY BUILDERS INC 1925 SEMINOLE ROAD 5544 DOVER CREST LN ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 616-8938 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 4/19/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERmu APPLICATION CITY OF ATLANTIC 13EAcn Cjqjj 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 1?0 q fob Address: serm IIIVDI� fi"�o Permit Number: �,egal Description q,2 12 S-071? LZF-rB GI 1<I Parcel 9 16954-z -&5,& Floor Area of Sq.kt. TqM Valuation of Work Proposed Work heated/cooled non-heated1cooled �lass of Work(circle one): New Addition (2Ee:rat:io:n) Repair Move Demolition poollspa window/door Jse of existing/proposei�structure(s) (circle one): Commercial Residential f an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A lorida Product Approval# Tor multiple products use product approval form— )escribe in detail the type of work to be performed: -e,4q C C 51,bi A /),qz Atnj 4'e6tN!� c)N i AJ� 4esT V-� 4me- �ropertv Owner Wormation: Tame: Address: M.7-.�- 'i a ,itY —StateF-LZip Lz 2-3 3 Phone Y- .-Mail or Fax#(Optional "ontractor Information: .ompany Name: i,;,L eeS :7-"c- Qualifying Agent: I`C XaA,,438 Lddress: !�Zbuzee- 66--q7- LiQ city 'j�� IV V. If State, llc�/- Zip S021-26-S )ffice Phone ?p q Job Site/Co Fax 4 tate Certification/Registration#--cc /,T7) -Z ,Lc EVMVED FOR e0DE CO ,rchitect Name&Phone# JV4 11 MPLIANcp 11 Iff-M%,-,4v ngineer's Name&Phone# ULTI III,OIF AILANTIC BEACH It If r% - 11 ee Simple Title Holder Name and AdAdress azir—MRMITIS FOR ADDJUO"�,-- REOU"MMENINAM ;onding Company Name and Address CONDITIONS, 19/ fortgage Lender Name and Address IV -f IJAFE: /��G�01 7 — pplication is hereby made to obtain a permit to do the n Ic menc to Yuance ofapermit and that all work-will be pe?��rmed to meet the standards ofall laws regulatin constructionin isjurzs I s e es null 2d void�'work is not commenced-within six(6)months, or ifconstruction or work is suspended or abandonedfor a period ofsix on e after ork is commenced I understand that separate permits must be securedfor ElectHcal-Mork, umbing, S4?nS, Wells,Pools, a caters, 2nks andAir Conifidoners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI COMNIENCEMEENT MAY RESULT IN YOUR PAYING TWICE FOR VE NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMAIENCEMENT. �ere,lb cergfy that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this I work will be co�nplied with whether speciffed herein or not. The granting of a permit does not presume to give authority to violate or cancel the -ovisions ofany otherfederal,state, or local law regulating construction or the peTyormance ofconstruction. .gnature of Owner", Signature of Contractor C -.int Name Print Name �CllictboM ........... ............. ......................................................... ,vorn to and subscribed before me Sworn to and subscribed before me is/��Day of e5lo.--�j 20 16 this /67"Day of -A' 20 ic otaryPublic V11 Notaiy Public j.,7 AV-TA f [I - MYCOMM N 0;"D 957760 q& i'�ctary Pubiir state of Porida -or EXPASS:Fabrua 14, riffany August Swded Thm N . �T '0, , r;-lt..Av! *W02C cs-2 .1.0 fAy COMMission DD80114�4 0', PRODUCT APPROVAL SPECIFICATION SHEET As required by Florida $tatute 553.842 and Florida Administrative Code 913-72,please provide the information and approval numbers on the building components listed below if they will be utilized on the construction project for which you are applying for a building permit. We-ecommend you contact your local product supplier should you not know the product approval number for any of the a6plicable listed products. Statewid approved products are listed online @ www.floride uilding,org Category/Subcategor)k Manufacturer Product Description [Approval Number(s) 7 EXTERIOR DOORS' A. SWINGING SLIDING C. SECTIONAUROLL PP ID. OTHER 2. WINDOWS A. SING HORI C. CASEMENT 0. FIXED E. MULLION F. SKYLIGHTS & OTHER 3. PASELWALL A.CS 10 1 N 'S?99's B. SOFFITS C. STOREFRONTS D. GLASS BLOCK E. OTHER 4. ROOFING PRODU5TS_ ,ii. ASPHALT SHINGLF-S B. NOWSTRUCT METAL C. ROOFING TILES ID. SINGLE PLY#00 I E. OTHER 5. STRUCT CO PONENTS A. WOOD CONNECT RS B. WOOD ANCHORS1 C. TRUSS PLATES D. INSULATIOh FORMS E. LINTELS F. OTHERS 6. NEW ENVELOPE PROORCTS The products listed bel�ow did not demonstrate prx>duct approval at plan review. I understand that at the time of inspection of these products,the following!information must be available to the inspector on the jobsite; 1)copy of the product approval,2)performance characteristics which the product was tested and certified to comply with,3)copy of the applicable manufacturers installation requirements. Further,11 understand these products may have to be removed if approval cannot be demonstrated during inspection. 4 APPLIOANT SIGWATURE DATE RA305 01-04 J::- C of Atlantic Beach APPLICATION NUMBER ity Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 LDate routed: E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM __;D / nt review required Ye No Property Address: Building -) anning &Zoning ENo Applicant: __4Tree A;dminisrtrator Public Works Project: jl-:)7 D2e) Public Utilities Public Safety Fire Services Review fee,,,$ ,-, Dept Signature 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: P'A"'pproved. ElDenied. (Circle one.) Comments: BUILDW PLANNING &ZONING Reviewed by: DateA9-070-to v TREE ADMIN. Second Review: FlApproved as revised. FIDenied. PUBLIC WORKS Comments: 7 PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: - FIRE SERVICES Third Review: FlApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09