Permit Windows 15 10th St 2011 t CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002504 Date 8/19/11
Property Address 15 10TH ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 710
Application desc
2 REPLACEMENT WINDOWS
Owner Contractor
WEINER, SHELDON AMERICAN WINDOW PRODUCTS
15 10TH STREET 2633 POWERS AVENUE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 731 -2247
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 55.00 Plan Check Fee . . 27.50
Issue Date . . . Valuation . . . . 710
Expiration Date . 2/15/12
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 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
11 - Z9 a? Office (904) 247 -5826 Fax (904) 247 - 5845
Job Address: � fh ��
/_ '' _ Permit Number:
Legal Description tQ 1 /40-25 Zq E `��
Parcel #170
rl as oor ea o `7L 26 D -- Coq c
Valuation of Work $ 1 �(� q• t. t
P roposed Work heated /cooled
n heated /cooled
Class of Work (circle one): New Addition Alteratio Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one
If an existing structure, is a fire sprinkler system installed? (Circle one) esident' N
Florida Product Approval # I (v • � N /A
'?j
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: 2 ( ' 7 )1 '
Less . 2S% _ 1,40 1,6 6D
ratlingmargeopmemINVIel I
1
Property Owner Informati t'
N
ti
ame: SI 1 eICIOn Wet P' Address: / 6 1b41-1 am. FILE C
City 4P)
State F ii Zip . 322 a 2 la - – 1 O ..._ _ ....4. ., ,....,
E -Mail or Fax # (Optional)
Contractor Information: AMERICAN WINDOW
PRODUCTS, INC.
Company Name: 2633 POWERS AVE. -� n a -k Address:
JACKSONVILLE, FL 3220 Qualifying Agent:
Office Phone Cit State Zip
��I Job Sit Contact Nu .
State Certification/Registration # 1 2 10 3 !.1101 . / _ 1 .. , =- –~ _ — s' 2
• -
Architect Name & Phone # -
Engineer's Name & Phone # Imp 1(
Fee Simple Title Holder Name and Address 1/ `M • ' `IDDj �!'
Bonding Company Name and Address ,m = - ' f
i
Mortgage Lender Name and Address -.11/111111 VIEWED
i
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certi t a no
ed 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. 1 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.
I hereby certify that 1 have read and examined this plication 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 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, state, or local law regulating construction or the performance of construction.
Signature of Owner ` '" =' '
Signature of Contractor
Print Name 5k e (c � � ti e t
/t i ,
Print Name Gutt
Swoign,$o and subscrib efore me
this Day of l , 20 1' Swo o and subscf . - • b fore me
d. . , Ai d PA
this f Day Lt_ 21
Notary Public l
a° � P RY . :.
B ELDER Notary Public ee,� FEWER
U .. ::% ' BETfY FELDER
MY COMMISSION # DD 702756
'17 ° o EXPIRES: December 7, 2011 , MY COM # DD 702756
s Q * t) Revised 01.26.10
' OF F�O� Bonded Thru Budget Notary Services 7 ;° EXPIRES: December 7, 2011
dr ' OF FI .6'. Bonded Thin Budget Notary Services
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Js s! = sr vrJy, City of Atlantic Beach
Building Department
J 800 Seminole Road
� Atlantic Beach, Florida 32233-5445
fl CATIQ i N NUMBER
(To be assigned by the Building Department.)
Phone (904) 24 7 -5826 • Fax (904) 247 -5845
` j f l,)%4 E -mail: building -dept
City web -site: htt :/ /w @ s
P ww .coa oab.us Date routed: /
APPLICATION REVIEW
AND TRACKING FORM
Property Address: /4 -�
` De • artment review required
Applicant: A.A. i / (-0 AN Building � =
tanning & Zoning _-
Project: /" y� Tree Administrator _-
/��4 Public Works _
Public Utilities _=
Public Safety _-
itcrAt'!' - - r n un
Other Agency Review or Permit Required R eview ei
of Permit or Ve R pt B Date
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: proved.
Comments:
one.) I ❑Denied.
omments:
BUILDING )
PLANNING & ZONING
Reviewed by: ir Date: c9/6 — U
TREE ADMIN. Second Review:
['Approved as revised. ❑De ' d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FR;` SER\ftiCES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110