Permit Windows/Doors 95 Robert 2011 y Al. Sr. CITY OF ATLANTIC BEACH
r °; $ 800 SEMINOLE ROAD
-' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
44
'4,01119 j/
Application Number 11- 00002396 Date 7/27/11
Property Address 95 ROBERT ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1950
Application desc
REPLACE WINDOWS AND EXTERIOR DOORS
Owner Contractor
DUREN PROPERTIES LLC SANTA FE CONSTRUCTION
123 BOWLES ST 123 BOWLES STREET
NEPTUNE BEACH FL 32266 NEPTUNE BEACH FL 32266
(904) 246 -7417
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1950
Expiration Date . 1/23/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC 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.
N r - -/ c- - --
' BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Permit Number: / / - r3 9
Job Address: C A 5 � a Le ,S ,
Legal Description : 413" — ,,...-7-- - :;-.1 ,- / 3 t a Parcel #
oor • e, of Sq.Ft. Sq.Ft
Valuation of Work Proposed Work heated /cooled 1,? /. 0 non - heated /cooled / 3 r
Class of Work (circle one): New Addition Alteration ration Repair Move Demolition pool /spa window /door
Use of existing /proposed structures) (circle one): Commercial ' - siden •
If an existing structure, is a fire sprinkler system installed? (Circle one): ' es arPF N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
�- mace �.. �■ a =- ' � —�' - — � ■ u� r
rr � -
• - -.*� �__ r = •
rop e r ty Owner f nf o rn4ation:
Address: /.. • ,i . - ;Ili f
City C.- r/ _ State Zip 'i z2-b 4. Phone L" •
City
E -Mail or ax # (Optional) _ - - I ( r '
Contractor Information: `
Q 1"a �t�5t/0 / tf, P 1 .-z, Qualif Agent: it et,- e* 4•
Company Name: State �� Zip
City ld ti- r ► ,c ems- r °�
Address: /Z3��ti rl e- � � _
Office Phone 4W J »f4 • -"71{/7 Job Site/ Contact Number , - - ---- -- — -
State Certificatio egistration # ci , /Z, 5_ L E'tr3 ' ; ! - _ t t N . • • 0 & G I) - - . �,
Architect Name & Phone # j` A C B I
Engineer's Name & Phone # 1 - •� FOR ADDITIONAL L •
Fee Simple Title Holder Name and Address • �� • •. :. - = • �� • : •NDTA
Bonding Company Name and Address I
Mortgage Lender Name and Address rAMINU �� ' ' , -� •��:�:�i.r =1t�
f 1 the
Appli is hereby made to obtain a permit to do the work and installations as indicate certi a no ,� 0 ' • ; �' — ---- - - " " - - "' _.'
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 ElectricalWork, 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
RECORDING YOUR NOTICE WITH
YOUR LENDER OR AN ATTORNEY COMMENCEMENT.
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type oJ 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
provisions of any other federal, sta e, or local c law regulating construction or the performance of construction.
Signature of Owner ,� = - - /
g . , Signature of Contractor 4 % - .
- ,
Print Name 04a,--- 1..,.,,r- bC) rec. Print Name CA.4..,r.-. f i f .elf rl
Sworn to and subscribed before me Sworn to and subscribed before me 20 �l
this 2tt Day of 'IA/ - .),./ a , 20 I l this 2(o' -Day f `
" A• " --4 „ P ,,,. ,, ary Public .SPd "pia , COLLEEN A. KEELING
Notary Public � COLLEEN A. t NG , o •, r ,o
. : Notary Public - State Florida 1 .i.•;9-
r *' , * *` = Notary P I mail
igt l
is iiii ec My Comm. Expires Dec 7, 2013 ( st, n, • My Comm. Expires Dec 7. 2013
� '" , ,FO v`c Commission # DD 944840 , '% , ; ovF- ` ' Commission # DD 944840
J o 8 y ',4' b
t d p., + 2 . 6. .
O `) 00 J O. th A w N . . A • • • X 0Q , •
'-d -d y C7 n x c Z O y o 0 v' y o . a 5 y
C7 o o Po o E t: a.
u. CD U C C o ' r + ,r. R
�. E. � CD � �; � �— 4 i fD ' O � � as � - CA p � cr ►1 a� iar
f. i CD `C g 4 0
u G
I r. p o N
II ��
./"1-
.. CD R p
C A. v --s o M. _ til
[ CD ' y • ci v g
=° 1
-. p I i
A cr cD .0
O
o r4 CD C CD
`II
0. y M g r
CD o r
�.
0 iv N. • 4 o n
0 o 0
o
4k o W d
o y
a0
CD Lf
P
0 �
Pt
p O UQ n � C n ¢' t �
N fD _ro z O c c O - ,) E„ , ti ,,,. ,
g g \'( 8cL g Q., ,_,.. . x .
r
-S d
z C D O 0
k o o
o y o c
C o 4
(� CD
\ v ` - 0 0 tz r o i . =
e,
MD 0
o p
�-- 0 0
A' n 0 'o o IV
P. P- o" o 0
0
E P 0
8 g 'A"
> g O Qr C
„ (7 A Z.
0 ^ O ' F co
ii ce. co
C
Clg
9 o C¢/1 --�- _
`. N .
0 %, -,-) p o , O
oft
0 P c
� c, �
1
A
11
p
0 o O
CD
CA
�T » City of Atlantic Beach APPLICATION NUMBER
,;:,51.. r a Building Department (To be assigned b
` 800 Seminole Road 9 by the Building Department.)
' - - _ < <"'",, Atlantic Beach, Florida 32233 -5445 r �� "' kJ
Phone (904) 247 -5826 • Fax (904) 247 -5845
j ` �j ;l> g- p @ coab.us Date routed: E -mail: buildin de t 7- Z6 q
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addre 9 t Department review required Ye No
Building
Applicant' Planning & Zoning
Tree Administrator
Project: %V�^ �ZSL- t9 - .1t -- , Public Works
Public Utilities
Public Safety
Fire Services
Ikeyie ie4T Ag . ;4,1141 __ it 061I ;1 . � 'g ze10
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.
(Circle one.) Comments:
UILDING
PLANNING & ZONING Reviewed by: J/ Date: 7'a 7 -1 1
TREE ADMIN. Second Review: Approved as revised. OD 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