Permit Door entry 1662 Park Ter E 2010 CITY OF ATLANTIC BEACH
. s ..
5, s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
,
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Application Number 10-00001313 Date 11/01/10
Property Address 1662 E PARK TER
Application type description WINDOW AND/OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1756
Application desc
REPLACE ENTRY DOOR
Owner Contractor
BROWN, DAVID J. LOWES HOME CENTERS INC
1662 PARK TERRACE EAST 4948 TELSON PLACE
ATLANTIC BEACH FL 32233 ORLANDO FL 32812
(904) 486-4701
Permit WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1756
Expiration Date . 4/30/11
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
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.
. _
2010 -10 -25 15:53 1, uu' 1414116Tif APP tAi,V$ LLED S' •
CITY OF ATLANTIC BEACH
. 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 2475826 Fax (904) 247 -5845
Job Address: 1 I]Cdt.c11 l
— ---- -- Y-- Permit Number: ( ✓ (' l (/ _
Legal Description
Parcel #
Valuation of Work $ /.�3 3 b • .S a
Class of Work (circle one): New Addition Alteration Mo .? - molition pool/spa 9door
Use of ends g/pro structure® (circle one): , Commercial ,<: 'den ;
If an exists stru re is a fire sprin in
er system stalled? (Circle one): - -- No N/A
Florida Product Approval #
For multiple products use product approve form
Describe in detail the type of work to be performed:__ /'1 . L . 4 G 2, Q j�y
Proaerty Owner Jnfo ation: ' Q py
Name' i E fe ( t'c'tnl A l7 Address: l 0, 1 !)-- 1 0-C4".... a L
City, Stated- Zip . ?hone 'c) 0. l - L► -- 1111 1
E -Mail or Fax # (Optional) - I
ContracurInfi ',n. By t
Company N: e: ` v `r'4 2til `,�
f __ Qualifying Agent:
Address:
.' . City State , - Zi
Office Phone ! T ' 21071, Job Site/ Contact Number Fax # p
State Certificati.on/Regislration #_ - —
Architect Name & Phone # _ T� ��
Engineer's Name & Phone # Ar ...._
-�
Fee Simple Title Holder Name and Address
Bonding Company Name and Address J �. F„ - �■u
Mortgage Lender Name and Address -- 1m
11 7 311 ' 1 fad
i. 4 perm to o lite work and insb latio t:' 4� , , enced or to the
nulication is hereby made to obtain a it d
ance ofa perms {and Burt all word wffJ be per ormad to meet the st •? .* art •
ntd void work is not commenced within six (6fmooiuhy, or i the rue on a r ±
k
" `.3 ; . , 4 permit becomes null
: vork is commenced 1 understand that separate permits must be se d . " " ' ..+ . ' ` '`' wr '.k " `..:: ' :. lrs at airy time r
j !anlcsarid AlrConaEldoners, ac • , k duos « .., BofJtrr, sett 49 „lilt r ,Ii
COMMENCEMENT MAY RESULT IN . 0 WARNING. TO OWNER: YO ; F . .� .:. • „ t 4 ; , � _ • T )1 . s' i' F
: ° . '
TO YOUR PROPERTY IF YOU INTE : 'D ., '^ • ' y l l ° '” " `' ' � 7 ' . . ` : ' i 1 w O ' WITH
.�.oL -.� � � � � >� •� *� � �F � a w:.. 1 T WITH
YOUR LENDER OR AN ATTORNE I rim; r l'realoioaiii ii ' • CE OF
CONfmt `. 4 * , 4.
I hereby certify that I have read and examined this plication and know the s and correct All provisions o s.. , L
ordinances .
1 ape of work will be complied with whether spe herein or not The granting of a p . it it doss not presume _ "'e ant on T • olate../ - a the
rovrsions of any other fedet• ' state, or local ltawreg • _ construction or the petformanc of construction.
.411
, iguature o AtAILIIIIIIP Signatu • of Col • . •r wm`
riot N$tne
„J Print Name
wo worn to and sub � . be GUIll18�i
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a , , , I Sworn tcra:nd s : cri . b for - s.,
Us d ( Day of W di�� _�:- : z0 o ,,
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• ,+ Bonded through 1sISgq MlI Arlie%
Notary • c
REVI D FOR CODE COMPLIANCE
....„.....• es� c�R Rewieqci 01.26.10
CITY OF ATLANTIC BEACH 71 9484 i
SEE PERMITS FOR ADDITIONAL ,.,... .0, ....,,., :, "
REQUIREMENTS AND CONDITIONS. 3 -
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ITSA ., '•. N
y s!s�,yr City of Atlantic Beach APPLICATION NUMBER
oa B uilding Department
800 Seminole Road (To be assigned by the Building Department.)
lf
' Atlantic Beach, Florida 32233 -5445 /O — /3/
Phone (904) 247 -5826 • Fax (904) 247 -5845
� �o,t !%' E -mail: building- dept @coab.us Date routed: A- 1 4 - — / 0
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / v-3 ` � �_— L Department review required Yes ,,No
�'i9vi,..�_ C
Building t/
Applicant: Planning & Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ � . Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: roved. riDenied. it/ 2.�l. 4- 7 / y --
(Circle one.) Comments: v C% U
C
PLANNING & ZONING
Reviewed by: //Id Date: 42
TREE ADMIN.
Second Review: nApproved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09