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Permit Door 351 Dudley 2011 ,t AL CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD J ' r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001754 Date 3/10/11 Property Address 351 DUDLEY ST Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 843 Application desc replace entry door Owner Contractor BEACHES HABITAT LOWES HOME CENTERS INC 1671 FRANCIS AVE. 4948 TELSON PLACE ATLANTIC BEACH FL 32233 ORLANDO FL 32812 (904) 241 -1222 (904) 486 -4701 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . 27.50 Issue Date . . . Valuation . . . . 843 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 55.00 55.00 .00 .00 Plan Check Total 27.50 27.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 86.50 86.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .6 U JLIJJIN G PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 I Job Address: 36 I .u 6 T- Permit Number: /1 /7S it Legal Description Parcel # Valuation of Work $ f o7- r /S Cla ss of Work (circle one): New Addition Alteration Repair M olition poo • - ••: 1 • • •. door Use of existing/proposed structure(s) (circle one): Commercial esidenti If an existing structure, is a fire sprinkler system installed? (Circle one): No N /A � I 0 L 1 if { Florida Product Approval # For multiple products use product approval form MAR 0 4 2011 Describe in detail the type of work to be performed: d. / By Property Owner Information: Name: /3 y /// 5 f &/S Address: 3 2)4/O( SST City hilll - fir- /Z3 1 State Ftzip 3/413 Phone 4i'd 11- -f/ E -Mail or Fax # (Optional) Contractor Information; Company Name: 1 - G we .y 14 '0 ^-c Cc .l-i. r Z,., , Qualifying Agent: e c c, f o Address: i 2 a o o L r.k-e U .,. 1 2 City Or 1 G...p State FL Zip 3? ,3 a 5 Office Phone q vy -S3 S - 3 -7 ) 3 Job Site/ Contact Number Fax # State Certification/Registration # C U c 1 S u k x Architect Name & Phone # Engineer's Name & Phone # ti w Fee Simple Title Holder Name and Address k 1 ,4 „ Bonding Company Name and Address Mortgage Lender Name and Address ti14., 1pplication is hereby made to obtain a permit to do the work and installations as indicated 1 certify that no work or installation has commenced prior to the ssuance 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 ind void ‘work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a_ period of six (6) months at any time after vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Seaters, ranks 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. hereb certify that I have read and examined this goplication and know the same to be true and correct. All provisions of laws and ordinances governing this pe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions of any other federal, state, or local law regulating construction or the performance of construction. C ignature of O ,1�;z (),, , Signature of Contacc • i4 riot Name l l- 1 1. Print Name r .k.., t worn to and subscribed before me Swo4 -EJ3ay and subscrib- • • -fore ,• a lj, "r us 2 o - • .r�1" .4 , 20 /! this o I' , 2 0 .r 4/ �,,�. �.. — I- _ _ . ./1J �1S1 _ _ 10,1:C-- . ,i. ...... ........... t •tary ' •l i e ./. ' • I 1RCeill ?'1 -;, �� III" . ' •EB t SEE PERMITS = - , L 0 .,,I/ ) 69 O 9 7 '/ O F ATLANTIC BEACH Y I „� 000$�,saa 4..1 C ITY . , ��.,,,, ` - KENNETH H ITS FOR ADDITIONAL ' 1 E wp i � I ' ` ®1 o� a , , REQUIREMENTS AND CONDITIONS. 4. .' ? son Notary A Inc = = t o MY COMMISSION #DD EXPIRES: APR 07, 2014 �2 "41- ' • �� �"' Bonded through 1st Stele Mu ill VIEWED BY: / DATE: ' / ~ ••••••• Florida Building Code Online litp://www.floridabuilding.org/pr/prapp_dtl.aspx?paranFwGEVX.. r ; t s iV ..100 r MS tome Log In User Registration Hot Topics Submit Surcharge Stets & Facts Publications - FBC Stall BCIS Ste Map - Lnks Search • _ Product Approval , : USER: Pubic User CNT3munit, A ..... +E i u > ..t, . iTp x =: r :_ > , ,tt) : : , :. I > Application Detail FL # FL8228 -R3 Application Type Revision Code Version 2007 Application Status Validated Comments Reviewed 2/25/11 Archived Product Manufacturer Masonite International Address /Phone /Email One North Dale Mabry Suite 950 Tampa, FL 33609 (615) 441-4258 ssch re i be r © ma so n i te. com Authorized Signature Steve Schreiber sschreiber ©masonite.com Technical Representative Address/Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation & Management Institute, Validated By National Accreditation & Management Institute, Referenced Standard and Year (of Standard) Standard Year ASTM E1886 2002 ASTM E1996 2002 ASTM E330 2002 TAS 202 1994 Equivalence of Product Standards Certified By 4 gg Product Approval Method Method 1 Option A Date Submitted 01/31/2011 Date Validated 02/22/2011 j 1 of 4 3/3/2011 13:00 City of Atlantic Beach APPLICATION NUMBER O : Building Department (To be assigned by the Building De artment.) .. -. . 800 Seminole Road / /— j Atlantic Beach, Florida 32233 -5445 / 111 °' Phone (904) 247 -5826 Fax (904) 247- 5845 E -mail: building- dept @coab.us Date routed: `� City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: J = - . - - t review required Y7 No Building Applicant: Ltule l J �— - g • Zoning Tree Administrator Project: i} C 6 O e - Public Works Public Utilities Public Safety Fire Services evievvfee$P ` Dept 51yiature 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: EPDProved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: 3 �` 1/ 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