Permit Wind/Door 266 Magnolia 2011 '* CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 11- 00001711 Date 3/10/11
Property Address 266 MAGNOLIA ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1809
Application desc
REPLACE DOOR
Owner Contractor
HOFFMAN, DANN PELLA WINDOW AND DOOR
266 MAGNOLIA STREET 8174 BAYMEADOWS WAY W
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 731 -8330
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1809
Expiration Date . 9/06/11
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: Z G 4 /44 c-N'o t-14 Sr. Tacks 0v 1// .c e rk. 3zz 3 3 Permit Number: r1 l 7 l
Legal Description 10 -8 /4 -ZS -14'( 54c13014 S6ct L6 % 'fy Parcel #
-7 FIoor Area of Sq.Ft. Sq.Ft
Valuation of Work $ /82 . Proposed Work heated /cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fir s rinkler s stem i t le ? (Circle one): Yes No N /A
Florida Product Approval # e.,7 �e
For multiple products use product approval rm
Describe in detail the type of work to be performed: .498,-- le Si e h_c eip 1 a pt DE boon
Property Owner Information:
Name: o Z / d M9 ? ' ' � liai Address: 24' /� . �r q 1 �'/'.
City A 1119.5-41:,.
• c dt /, C Bek. G < State &Zip 3Z7 �3 Phone 7 3 i( . 7$ t)
E - Mail or Fax # (Optional)
Contractor Information:
Company Name: ?ELL4 Win/no >4 5' D o c a- Co . Qualifying Agent: AC' °°') (7--
Address: F'I I3n1AieA wA i w>rs-, City Z",4•c.ics State FL Zip 3zz s" d
Office Phone 9D `/- 7 3l - 30 1. J.. Cite/ Contact Number ',ot(- 23 / - 3 7 X o Fax #
State Certification /Registration # '-'•.11i-'YT �.µ .
Architect Name & Phone # 1 i 1 1 DE CnMPi.JAATj' ; , ,
Engineer's Name & Phone # 1 M 1 _ � . -1� _ �- •� -___ �.u� �
Fee Simple Title Holder Name and Addre I SEE PERMITS FOR E —
V .
Bonding Company Name and Address I REQUIREMENT • k, i e .. r a .T 11111 ■ ill fill All , '`
Mortgage Lender Name and Address ( ■,c.�LL! DATE: • t I r
." ` 1
Application is hereby made to obtain a permit to ■ • • - .a • o work or zstallation has commenced pr ror to the
issuance of a permit and that all work will be performed to meet the standards •f all laws r egiila7tTi c'• • c,,,,.< <...:"). jurisdiction. This pernut becomes null
commenced void if work is not coenced within six (6) months, or if construction or work is suspended or o abandoned for a period of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical p Work, Plumbing, Signs, Wells, Pools, Furnaces, 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.
I hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specr red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
, Signature of Owner tilt , ' , i l` ►`' ti iti, Signature of Contractor _ ' ` A 1.k WI Print Name Print Name e
Sworn to and subscribed before me Swo i to and subs , .ed •efore me
this l ar Day of ..)yytwNA. , 20 I1 thi .:. of r., ' 20
4 /SS- 7 37 -5t -I0s - a .(�\ 0 ��..,: �
Notary Public ; �gNICEs RAVEL otary `ubli __ a��
Dean Bailey
Z ,.,,.,:i': = Commission # EE 048771 "
• Comrr 1 I�p849274
',., = Expires January 13, 2015 'y.,,,, ^)", 1, 2013
,i ;te Bonded Tiru Tmy Fain Lowrance 8003!67019 80 1 ' THRU ATLANTIC BONDING Ca ING
svlr City of Atlantic Beach APPLICATION NUMBER
4 ,0 Building Department (To be assigned by the Building Department.)
kg f 800 Seminole Road / /
j r Atlantic Beach, Florida 32233 -5445 �! " 1' � r
" Phone (904) 247 -5826 • Fax (904) 247 -5845 . 23/
a 0" E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ' Op& S7. c rnt review required Ye No
B uildin
Applicant: ' / Q /'/' /4Z)1/&..s• Planning & Zoning
Will) Tree Administrator
Project: , Public Works
Public Utilities
Public Safety
Fire Services
�=.N E
m
-b
Reuie � e <� .��. �:d Si n t��.. . „„ ,
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: ❑Approved. ❑Denied. L 7 ///
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. Second Review: Approved 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