Permit Windows 2322 Beachcomber Tr 2011 Vp
t*J *Ike
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J `� ' = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002041 Date 5/11/11
Property Address 2322 BEACHCOMBER TR
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 956
Application desc
replacement windows
Owner Contractor
JOHNSON, JERRY MIRACLE WINDOW AND SUNROOMS
2322 BEACHCOMBER TRAIL INC
ATLANTIC BEACH FL 32233 8933 WESTERN WAY # 11
JACKSONVILLE FL 32256
(904) 367 -1797
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 55.00 Plan Check Fee . . 27.50
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/07/11
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: a 3 D a - C�,t�o�, he I r u 1 l Permit Number: /if a O V/
Legal Description '2 -60I tD Fl QE ()q �J S ,QE Parcel #
,,--�� oor Ar ea of Sq. t. Sq.Ft ,�.�EZ
Valuation of Work $ Q5 i ---- Proposed Work heated/cooled � 3 non-heated/cooled
of Work (circle one): New Addition Alteration Repair Move Demolition pool/sly window /door ' ,
Use of existing/proposed structure(s) (circle one): Commercial QRes dential - )
If an existing structure, is a fire spn kJer system installed? (Circle one): Y es No N /A
Florida Product Approval # t J Q
For multiple products use product approva form
Describe in detail the type of work to be performed: e p io C e Lo (nd(1)3 Li) A ccri «ie s (7 e
\ T )plc 1)31 )
Property Owner Information:
Name: �Q,C JC��(1,SOT \ Address: (2 3[ a, ?7t', C �? 0 ter' 1b r f cij
I
City R� 1P r l Q'' r ' State JLZip Phone t24 Y 1 /d 5 y
E -Mail or Fax # (Optional) 3)3 /,
Contractor Information: e
Company Name: 'y a ''I • L> � _ I /11Qu ifying gent: hV I _ ,•, //
Address:t'� /,3,3 e er n k Q - I! City JOC it s State fl Zip � 5�
Office Phone 4v Lf ;D) 3 _ -
Job Site/ Contact Number Fax #
State Certification/Regi #0219 6)e..., /.5 / 449/
Architect Name & Phone # 0
Engineer's Name & Phone - % .
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. / certify 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 a period of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical 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.
/ hereby certify that I have read and examined this . application and know the same to be true and correct. All ' •c visions of laws cm[hordinn• cos > morning p his
type of work will be complied with whether specified herein or not. The granting of a permit does no sz me to give Guth ray to v ate or canc' the
provisions of any other federal, state, or local law regulating construction or the performance of con. e i. � t
Signature of Owner _ ,� Signature of Contrt, tor 4 4 gisI. N��
Print Name f I Print Name Todon— Ltdcp
Swo n t a�rntd subscribe I . - f •re me Swo • and subscribed be ore me
this �'D, of I f i . 20 this • y of &I a _ 20 •
L !'
Notary ` .r°c — Notary Pro is
;. WILLIAM K BUG EE _ _. , ------ -
, ', WiLLAM i K k IAM:ME
„' .: MY COMMISSION # DD838043 '?�; Revised 01.26.10
. , : •: : MY COMMISSION It nr" ^x043 II
-t;r EXPIRES November 12, 2012 :� f
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t!.:vp City of Atlantic Beach APPLICATION NUMBER
6 Building Department d
�,� (To be assigned by the Building Department.)
800 Seminole Road / . 1
.6 �� ) Atlatic Beach, Florida 32233 -5445 c
Phone (904) 247 -5826 . Fax (904) 247 -5845 f
r it yr E -mail: building- dept @coab.us Date routed: / / /1
City web -site: http: / /www.coab.us i/..57/1 1
APPLICATION REVIEW AND TRACKING FORM
Property Address: ,P3 v
.Z i , ceAbEz 7&. j Department review required Y�e No
aBuildin� V
Applicant: -- 277 /ofd ,/.. / /iDQi.)S 1 .I(1)J j j Planning & Zoning
Tree Administrator
Project: Ty1Al �.r 47 j)i t / 7 , ) Public Works
Public Utilities
Public Safety
Fire Services
F@ G1M fe i� Iii i7 z jl I t (� i ,111, o p Si gna t r _ _ T _ i i t i
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: ZA ❑Denied.
(Circle one.) Comments: a';) , tt ( nV /la )-
BUILDIN
I.rVQ l�l'1 P Y .' },1 PPG f' S' � "tiy� C� r 1 a
'
V
PLANNING & ZONING Reviewed by: M Date: 5 1/
TREE ADMIN. Second Review: Approved as revised. ❑De led.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10