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Permit Wind 748 Amberjack 2011 ' 177401V% CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD U '` ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 -Olt Id Application Number 11- 00002107 Date 5/20/11 Property Address 748 AMBERJACK LN Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 2300 Application desc replace 10 windows (impact) Owner Contractor THOMPSON, JOHN HALBERT CONTRACTING CO INC 748 AMBERJACK LANE 524 HERMAN ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 65.00 Plan Check Fee . . 32.50 Issue Date . . . Valuation . . . . 2300 Expiration Date . 11/16/11 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 65.00 65.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 101.50 101.50 .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 g C Office (904) 247 -5826 Fax (904) 247 - 5845 L S ( , 1, 1 9 Job Address: �?, iy► � / f1 - ( Permit :+ + b er: _ / al l ,r a, / Legal Description Parcel # • ¥ Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ ,- 3 "( Proposed Work heated /cooled non - heated coo �: Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /d oo Use of existing /proposed structure(s) (circle one): Commercial Re ial If an existing structure, is a fire sprinkler s s 'm inst.Wed? cle one): Yes No N /A Florida Product Approval # 0 , 7 , For multiple products use product appro a orm Describe in detail the type of work to be performed: R ; c l 0C 1 . m.- , O S t'1 GT/h?em r 3 Property O ' ner Info /� Name: a A fV� A 0/'`j �� G1/-1 A d ss: !/l/'�t>47'r 4 c.L, Jqn, City lti +► .�im�.' � State Zip 2253 Phone 96 ct to a (P L( S' E -Mail or Fax # (Optional) Contractor Inform io : t ee U` // Pet Company Name: Quali in Agent: V � �'"c fy g g Address: ,52. re'r-i.gs -, S'74 City eZ , State ( Zip �, Z ,,, z..i,• ► z .m. p Office Phone .3 (^ �`� ©S Job i' _ — ..— = - - -- -, 4. _ _ a State Certification/Registration # !!!4 ;;;$i. i ti _ T i! ) , , Architect Name & Phone # Engineer's Name & Phone # 1 • ���'� . r ±'V �� i� -�!� = � i Fee Simple Title Holder Name and Address ' "' ' ' '� Bonding Company Name and Address � e " " ' i " ' ' - Mortgage Lender Name and Address 1 ; MI ,,MI ; a Ial=111 11 _QM Application is hereby made to obtain a permit to do the work an, insta lotions as t W cate.. certi t a no wor or ins allation 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 i work is not commenced within six (6) months, or if construction or work is suspended p ended or abandoned for aeriod of six r6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Plumbing, Signs, Wells, Pools, F urnaces, Bo 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. 1 hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of law d • dinances governing this type of work will be compli • with wheth • specified herein or not. The granting of a permit does not presume to give ; th. ty t. , '. r' e or cancel the provisions of any other fede a state, o loc. law regulating construction or the performance of construction. Signature of Owner , Signature of ntractor Airy Print Name 0 ).--- ...5 41�.> Print Name tN i q d /'l S and Swor tq and subsrr'bed before me 20 ( t worn Da sub�1� bed `efore me 20 I th': 'S Da of i T \ y J ?‘ c . ), <, ), , i k_ t'-- MIL ' ., — 10,, .....,,,,„...,.._„ 01/4_ \.,,,....-0 Notary Public p CORRINE L HARRIS ' 1. •, Notary Commission DD 820752 • " e,, , CORRINE L HARRIS ' : - Expires October 3, 2012 ,7 TK Commission DD 82 '- i:,1x Bonded lee Troy NO boom 400 Li _ ,- : : ise+ 01.26.10 ,. r Expires October 3, ii * iii.. eandm Nu Troy FYfn Ynmwa. tQO.S51O10 City of Atlantic Beach APPLICATION NUMBER Building Department ,, s4� (To be assigned by the Building Department.) *; ) 800 Seminole Road Atlantic Beach, Florida 32233 -5445 — /� 1 Phone (904) 247 -5826 • Fax (904) 247 -5845 E -mail: building- dept @coab.us Date routed: /0` City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /WY 7 m4 p L / ) D ment review required Y,/ f / ILL `Building Applicant: / 1P / ( // l7L) n Planning & Zoning Tree Administrator Project: R "Q I) /j 0A�S Public Works Public Utilities Public Safety Fire Services 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: roved. ❑Denied. (Circle one.) Comments: �UILDIN PLANNING & ZONING m Reviewed by: / 7 ' Date: 5 TREE ADMIN. Second Review: []Approved as revised. ❑DeiYfed. 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