Permit Windows 1898 Sea Oats 2011 r f' J
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; ` , CITY OF ATLANTIC BEACH
•. 800 SEMINOLE ROAD
0 ` ' ". ° = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002098 Date 5/19/11
Property Address 1898 SEA OATS DR
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1418
Application desc
4 window replacement
Owner Contractor
ZIEVIS, JOHN J. LINDY BUILT CONTRACTORS
1898 SEA OATS DRIVE PO BOX 518
ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043
(904) 591 -2950
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1418
Expiration Date . 11/15/11
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.
4 •
s ,,,,' : CITY OF ATLANTIC B ; J .
`` y � 800 SEMINOLE ROAD, ATLANTIC B '►i FL 32233
I t 19 le.) 0 Eill
w y Y yi OFFICE: (904)247 -5826 • FAX I, NO.: . 47 -50Ay 1 7 q
al ` BUILDING-DEPTCCOAB IIC'. 201 l
',95 BUILDING PERMIT A' PLICATION DUVAL COUNTY
=,1:' ADDRESS: , , � 4 , >: `? 2.,VALLI;; ,QE;V�IQRK.' „- ' 3. SO . UNDER s
(' q7 51 4 6. 11477.5 ,�� / '
': 4. LEGAL DESCRIPTION: ',, , 5. CLAS OF WORK: ' - ^, , • . 6. U OF STRUCTURE:
❑ NEW BUILDING ❑ DEMOLITION in' .. RESIDENTIAL
LOT_ BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL
:'7. DESCRIPTION OF ,WORK " ALTERATION CI ACCESSORY BLDG. 8. FIRE SPRINKLER:
`s A L� li / A / 0 o _ 1 ., ❑ REPAIR El POOL / SPA ❑ YES ❑ N/A
ff G/� // i y �V i J 4L/ ❑MOVE ❑ OTHER (a' NO
: ` 4 ' PROPERTYOWNERfLJ '� jr• /j % �� CONTRACTOR::, ; - ARCHITECT 1 ENGINEER:
'
9. NAME: 11 16. COMPA 'rNA : / 0 23. COMPANY NAME
f ///�)� /� / Li I l i l � N r .
/�. J y 2 91//5 18 IIIpM I n / q ot -p o ` ' r 24 LICENSEE NAME:
10. ADDRESS: 17 STATE OF FLORIDA LICENSE Wes' 25. STATE OF FLORIDA LICENSE NO.:
f? $I4 om 4,-- C c i 5
18. ADDRESS: /1 y per. ADDRESS:
Ili/ g ,,q 32733 Po 'bo Y. 51 �+ 3 1 &) FL -3�3
11. OFFICE PHONE: 112. FAX NO.: 1g. OFFICE PH � � 20. �(� O f_ ^��� r OFFICE PHONE: 126. FAX NO.:
LicLi - o - 13. CEL,�-P I NE_ / yO Z 22 ELL PHONE:_ �',$) 29. CELL PHONE
14. EMAIL ADD 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
()clay manQhomevl-I�Pu d Cvr�
•FEE SIMPLE, HOLDER z. •
' BONDING ° MORTGAGE LENDER: -
,..pF•�`h+�TluNOjn�NErO ".
31. NAME: 33. NAME: 35. NAME: - - -
32. ADDRESS: 34. ADDRESS: 36. ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I 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, Air Conditioners, etc.
OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT ONTRACTOR '
(If Agent, Power of Attomly or Agency Letter Required) (Qua �, - Only)' r
r
Signed: / 2 Date: z) Signed: AA' _ ' / •I LL
1
Before me - • day 24// , 2009 in the county of Before me this • day of /nnf 2-401/ 2009 in the county of
Duval, State of F • 'da, has e naily appeared Duval, State of Florida, has personally appeared
/�/My Z, Fl/J 5 /� 1/117, 0. g l('
herin by himself / hers- - are herin by himself / herse - • • - - - - . • - re
true and accurate. Y - ' RICHARD WALDEN true and accurate. "�'..: RICHARD WALDEN
?� � '¢ . = Commis 'on # EE 047499
.• Commis 047499 _
Notary Public at Large } . N, o Public at Large, ti 8 _ v = r 8 ����
❑P rsonally '=';, '=';, * a 8nn.dMaiT,oy Fain l n,aan*810 - 365 - 7013 IJPersonall �.% , 4? Bonded Th v 'fey FaLnMauance800.38670
O Produced Identificatio �' __ _ _ _ _ _ __ __ _ __ ❑ Produced Identificatio�� _ 4
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Notary Signature: / /,�. / ∎• -. . •r=. I / ' 7 � ?711 %.�J /. r l � . ! � �
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLA.NTIC BEACH
II , rl` SEE PERMITS FOR ADDITIONAL
BLDGO1 Permit Application Bldg: I SE�ICE COPY' REQUIREMENTS AND CONDITIONS.
j 1 REVIEWED BY:, DATE:, . 5-4- 77 --- 1"
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;s!t;,, City of Atlantic Beach APPLICATION NUMBER
rf a Building Department
- 800 Seminole Road (To be assigned by the Building Department.)
$ 1 Atlantic Beach, Florida 32233 -5445 /1 - . 0 f 0
Phone (904) 247 -5826 • Fax (904) 247 -5845
4 >%. E -mail: building- dept @coab.us Date routed: _5_
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
�(
r p� _
Property Address: ;`1J / 0 Jf Q UA/ 3 ent review required Yes No
1,/-?) Bui din
Applicant: d 6th LT 4-7/,--y "De.5 Planning & Zoning
Tree Administrator
Project: / E1a /19-- y -?-j j 1, /A /b e OS Public Works
Public Utilities
Public Safety
Fire Services
III b �"�- �I d I" s, � I) ilr II r� e i � i
�1 5 � Ti n� UI � 7 III' .� °x� A't r I
Review , .,, II '' qi: 1V, ;' �,�, :Dept'Slgnatur8�. #: , ��O G ��Ili �
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.
(Circ Comments:
BUILDING
PLANNING & ZONING
Reviewed by: `" Date: 5- `i — #
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 07/27/10