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Permit Siding 1929 Seminole 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 oil Application Number . . . . . 10-00001277 Date 10/21/10 Property Address . . . . . . 1929 SEMINOLE RD Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ----------- ---- Application desc------------------------------------------------------- replace siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAMBERT GALAXY BUILDERS INC 1929 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 Plan Check Total 30 . 00 30 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -BUJILDING PERMrr APPLICATION CM OF ATLAWIC 13EACH 800 Sendnole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 V"'e "C� FL I Z?73'7� lob Address: Permit Number: F,egal Description ICT arc el i�4)ci IF Valuation of Work$ _FTo_o__r_,_1!Frea o q. t A 0 5 7, Nq.k't Proposed Work eated/cooled_� non-heated/cooled �lass of Work(circle one): New Addition Repair Move Demolition Pool/spa window/door Ise of existing/proposed structureQ) (5�� Commercial Residential ire spri!j er system installed?(Circle one): yes No N/A f an existing structure,is a f c cle one): jorida.Product Approval# Tor multiple products use JJX UUMA approval form )escribe in detail the type of work to be performed:— eEp //U6 CA/ 6_eo A/�c,.j R&sT of g, rODertv 0—__Y_f___ .01a: --Address: —State EZ_ZfP,:�e�.Phone �-Mail or Fax 4(optional) 'ontractor Info nation: 'ompany Name: og ,"e KV U C - Qualit6ng Agent: ;&c Lddress:-:5--ry�( O&MCIS CkV.�t'_ I-Ai city r )f5ce Phone V.9 9(- d-1,1.- "ile. -State- ,-e- zip Job Site/ HIRE tate Certification/Registratio-'n# Eax 9 ,rchitect Name&Phone# va" ngineer's Name&Phone#_. Ah4 JE �-'%.Xjxup ee Simple Title Holder Name and Address "A REQj1TR6PtF?;, ADDiTio �onding Company Name and Address ITIONS. fortgage Lender Name and Address 9plication is hereby made to obtain a permit to do the mance ofapermit and that all work will bepeo'b work and installatio has c encedprio the n. 77d ull �6 C.�)m m urna.c WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 0 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I?VPR0 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIENANCIING9 CO S YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMAMNCEMENT. oreb,cer9fy that I have read and examined this g lication and know the same to be true and correct. 411provisio s 7p 7work will be coTplied with whether ecirfled herein or not n oflawsqnd ordinances govern g Yhe granting of a permit d I this oes not presume to give authority to violate 0,'aZ' the wisions ofany otherfederal,state, or locaisr.w regulating construction or the perfiormance ofconstruction. pature of owner / Signature of Contractor nt Name 7........ .... .. ........................ Print Name M ..............*.......... ...............q TQ .... ......5 701M t d bscribed before me gl . ............ ................ 3 PL I Z"ysou Sworn to and subscribed before me f 20 this J5�� ay of Cc-to QejZ ' 20 10 tary bli Notary Publi coii�l 11� �SION DD 957760 TANYA M.MARGARONg PIRES-Feb fANs Notary PUWIC,ftt#of"a Bon ThjvN,#__DTMy1!'_40X 10 00mmissionODDIOM4 MY 00MM'$*r"JUN 13,2014 PRODUCT APPROVAL SPECIFICATION SHEET As required by Florida %atute 553,842 andFlorida 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 recommend you contact your local product supplier shoUld you not know the pro.duct approval number for any of 1��a Plicable listed products. Statewide ap roved products are listed online @ www.W Categoa/Subcategory [Manufacture—r Product Description da uildihng.org 1, EXTERIOR DOORS' JApproval Number(s) A. SWINGING B. SLIDING C. SECTIONAUROLL P D. OTHER 2. WINDOWS A-.-SINGLEMOUSLE HUNG HORIZONTAL SLIDER C. CASEMENT ----------- D� FIXED E. MULLION F. SKYLIGHTS (TOTHER 3. f,��WALL A.KSIC)IN _Q_) i" - B. SOFFITS C. STOREFRONTS ff--GLASS BLOCK E. OTHER 4. ROOFING A. ASPHALTSHINGL S B. NOWSTRUCT M AL (f. ROOFING TILES D. SINGLE PLY ROO .E. OTHER P5. STRUCT COMPO EN S A� 'WOOD CONNE B. WOOD ANCHO C. TRUSS PLATES D. INSULATION FORMS E. LINTELS F. OTHERS 6. NEW EXTERIOR ENVELOPE P�C�TSI LA. I The products listed bellow did not demonstrate product approval at plan review. I understand that at the time of inspection of these products, the following 1�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 Gerffed to comply with, 3)copy of the applicable manufacturers installation requirements. Further,!1 understand these products may have to be removed if approval cannot be demonstrated during inspection. PP�JCANTGNATUFR;E DATE City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 10 - 1277 it E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us EM APPLICATION REVIEW AND TRA(wo-KING FORM Property Address: DeRartment review required Ye No Applicant: !�e; Building Zonino Project: Tree Administrator ublic Works Public Utilities Public Safety Fire Services Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. ion f Permit Verified B Date Florida Dept. ot Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alc-1--[;- Beverages and Tobacco Other: APPLICATION STAT Reviewing Department First Review: MApproved. (Circle one.) Comments: ElDenied. CBUILDIN7) PLANNING &ZONING Reviewed by: '71 TREE ADMIN. Dnfim- &2_]_21� Second Review: ElApproved as revised. EM]De d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DIDenied. Comments: Reviewed by: Date: Revised 05/14/09