Permit Window 2010 CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
►�;_ ,,. ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001034 Date 8/23/10
Property Address . . . . . . 1681 N LINKSIDE CT
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1970
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Application desc
REPLACE ONE WINDOW
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Owner Contractor
------------------------ ------------------------
ONEILL, KELLEY J. R & S EXTERIOR CONTRACTORS LLC
12088 BEAUBIEN RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258
(904) 608-4123
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1970
Expiration Date . . 2/19/11
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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 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.
BUILDING PERMIT APPLICATION 7G2�0
CITY OF ATLANTIC BEACHD 800 Seminole Road, Atlantic Beach, FL 32233Office (904)247-5826 Fax (904) 247-5845 AIZO�p
Job Address: 1681 �. 1Y1�(5 (l� . / IG�1}C. � 3
����;�F'L Permit Number:
_ z �}
Legal Description q7-@S5' �j-?�—��� 5�V[ � � Ae ltii�Parcel#
1 -7 23 7 -620oor Area,
of q. t. q. "t
Valuation of Work$ � l�:Gri Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indo door
Use of existing/proposed structure(s)(circle one): Commercial 1 Residentia
If an existing structure,is a fir r r nkler system installed? (Circle one). es No N/A
Florida Product Approval # ,3—
For multiple products use product approval orm
Describe in detail the type of work to be performed: IV_ Lein
Property Owner Information:
Name: �\ Address:
City State dip Phone 96
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: - rn Qualifying Agent: (SCY`e--
Address: CL. City- -c Vi Or►oj 119 State '-L Zip ?>2Zc5'B
Office Phone - Job Site/Contact Number q(y_ Zqy-5egS— Fax#
State Certification/Registration# Z s-/q .17 7
Architect Name& Phone# L aj-r-
Engineer's Name&Phone# O��
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 indicated. I certi)that no work or installation has commenced prior to the
issuance of a permit and that all work will 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 aperiod of six6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, urnaces, Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. M�
1 herecertify that 1 have read and examined this app ica ion and know the same to be true po rec` All provisions of laws and ordinances governing this
type certify
will be complied with whether specified herein or not. The granting o a ermit s�n presume to gave authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the;vr a tr n.
_ :.. �.
a � ;,Y 'n y" DEBORAH A.WHITE
Signature of Owner Sig pure actor =t
EXPIM:May 21 2011
Qn�10
� X1/1 *Prl 'me ......................
p,' taryPubVlcUnderwmers
not Name
..
r .,; wo subs be or me
OMPLIAI� th' ay of 2016
TIC BEACH
o ry PItZ1IREMENTS AND CO otary Public
qr., _ MY COMMI ON t PD 795300 CS
REVIEWED BY d D EXPIRE J8,@00112 � Revised 01.26.10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Zi Y Q
Phone(904)247-5826 • Fax(904)247-5845 p' ���
E-mail: building-dept@coab.us Date routed: O
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /i��� �5� e ent review required Yes No
4Ic
Applicant: �IL C.o.r.)r Planning &Zoning
Tree Administrator
Project: ( � (Nf��Qlt� Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: Approved. []Denied.
(Circle one.) Comments:
BUILDI
PLANNING &ZONING
Reviewed by: Date: 2641
TREE ADMIN. Second Review:
QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09