Permit 2139 Seminole 2011 v. f t„ .1J \ j t
S rN 11�
` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ' = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002450 Date 8/08/11
Property Address 2139 SEMINOLE RD
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1200
Application desc
REPLACE SGD WITH FRENCH DOOR
Owner Contractor
SCHAFFNER MARY ANN CANTRELL CONSTRUCTION, INC
2139 SEMINOLE ROAD 1015 ATLANTIC BLVD
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 545 -1428
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1200
Expiration Date . 2/04/12
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 -
Job Address: .2 /3 9 , 5 wt t v--0 al=. . Permit Number -- r ��2 b
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ / Zaa Proposed Work heated /cooled non- heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa indow /door
Use of existing/proposed structure(s) (circle one): Commercial Residentia
If an existing structure, is a fire spr system installed? (Circle one): ' es Ielk N /A
Florida Product Approval # FL_ (0 /StZ .9
For multiple products use product approval form
Describe in detail the type of work to be performed: C 44A,4 6,E o .i r e xrs -emu G _S C 4—
2>c, v As c..)1 T/4- n!� 4.s f2c J C ff ,4` ,e Se.T -
Property Owner Information:
Name: Or2-if (ktvn1 �j cin -A, we.r Address: Ii 3 1 ; ' 4N; a .;. , �-.. ,, .
City A F1c*e- 3 Eem State f1 Zip 3 21 -3JPhone 0 L 1 - f 242 — Ca700 .
E -Mail or Fax # (Optional) Mtn 00n.K ‘f, c;k, ct - y • . C;bw... ill III MI N �'� VA' k
Contractor Information: 1 1 ..
Col y � --. Nt ---
Company Name: Gp ' - Col- Sr. 1 c:-, Qualifyin ent: M Pe--k- Cii-►1 - a ,� �.: ..
,g ��g Cx3 !:�,
Address: 1 0 (5 a - re - '$p.(,. A, . . L( v = _ s 4-114‘4'7 (". /�E-
,5 6 - /Sea £' Job Site/ Cont , . State F Zip - Z Z, 3 3
Office Phone
Zz�•
State Certification/Registration # C U G 06 Z. A AV JI 1) WI);ZKI]
Architect Name & Phone # Al AMMIIIIIIINIMIIIIIIIIIIIIIM Y Y`Lt? 1IV Yr, u . ,
Engineer's Name & Phone # 1 S . - ; „ - e • ,, ' ■ f
Fee Simple Title Holder Name and Address "J("- "J("- •'
REQUIRE O M - ∎ s _ . , o
Bonding Company Name and Address id tr I
Mortgage Lender Name and Address f / °' 4 '� t a'' /V %L !1 ` a ; I
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor or ins a a :" ` '. ommenced 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 a�ended or abandoned for period of six (6) 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 plic, on and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether s'eci zed 1 er in or of The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, st, e, or local aw reg at g con • r ction or the performance of construction.
Signature of Owne / 6 .///�� . • /�. Si gnature of Contractor / t
Print Name oi . C yo t \ • A ���;'� ti 1t Print Name (c �- f p1
Swo Is ubscribe. iefore me Swor. and subscri.e,',efore r_-
thi ft of /
w'�= ........e-• 20�� this ay of l 20 7
o r Pb
Notary Publ -.
��� Ex pI R ES : May 21 , 2015 Otary u
- r '- . DEBORAH
' � dor,ded T hN Notary Public Undenmters \ , *— a EXPIRES: MY COMMISSION # EE 2015
* i , c= l 1 '' 0 ( t 2 6.10
± 4 d<� Bonded Thnl Nota
51& City of Atlantic Beach
r Jr,�� Building Department (7 o be APPLICATION NUMBER
r 800 Seminole Road assigned by the Building Department.)
's-
. , : V. Atlantic Beach, Florida 32233 -5445 ii - 24 5-6)
` .. Phone (904) 247 -5826 - Fax (904) 247 -5845 � _ �,, (�
^- _;gil E -mail: building- dept@ d
coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2 ( 3 Da ent review required Yes o
it? (ding/
Applicant: Planning & Zoning
Tree Administrator
Project: 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: Qpproved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by:j,� Date: �' //
/'
TREE ADMIN. Second Review:
A as revised. ['Denied:"
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ❑Denied. •
Comments:
Reviewed by: Date:
Revised 07/27/10