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Permit Window/door 1072 Beach 2011 OPV CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t l/ r " ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002455 Date 9/08/11 Property Address 1072 BEACH AVE Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 16000 Application desc REPLACE WINDOW AND DOORS Owner Contractor SUAREZ LEISTER CONSTRUCTION LLC 1072 BEACH AVENUE 4411 GENTLE KNOLL DR S ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 803 -6560 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 130.00 Plan Check Fee 65.00 Issue Date Valuation . . . . 16000 Expiration Date . . 3/06/12 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 130.00 130.00 .00 .00 Plan Check Total 65.00 65.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 199.00 199.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION F CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 107 ,_ & -e.. c is A v e A. k - 4+1 e I ia�33Permit Number: 11- d$ s' Legal Description Leff II , alac1K `b � +Iran1't`. B �,s =,, �“« ' pi Parcel# ' . �� P�ek:�r«�� , .r�k Ca F1 Valuation of Work $ / / X 66 Proposed Work h ted /cooled n - heated /cooled Class of Work (circle one): New Addition Alte Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial esidentia If an existing structure, is a fire sprinkler system installed? (Circle one): - Y es' - o N /A Florida Product Approval # f[, 10/ y L < F(.- 101 4 - 7 For multiple products use product approva form Describe in detail the type of work to be performed: n.1 ci , ,, A n_ d e , r 49._a - 1 - 0,S o :>J • , ., � aw. 4 TI-k- ,,tstt, r-s , • Property Owner Information: Name:3a��■ *�oe_� N. 5 .r z— Address: /071. et.e04- Au u. City i. t3eh • State FLZip Z x..1.33 Phone 9 - 4 `(0'1 ° '2 a •,.: > _,.. E -Mail or Fax # (Optional) s u.o. r �z , k _ 1 Contractor Information: P Company Name: L- s e -- '� r � ns+ru c r a ►� 1.- . +- , c • Qualifying Agent: � i. Address:4'f// a„,-r1 .: g,,,,, ( `E) r So. City 7.1 so t; II `State 1- Office Phone 1(31 -- -- 12 4 '7 Job Site/ Contact Number — _ State Certification/Registration # 1 1 Si 1 fir/ DM OR I ' _ _..1 e I :. - Architect Name & Phone # - - - I — Engineer's Name & Phone # � e _ r • _ Fee Simple Title Holder Name and Address ,111 Bonding Company Name and Address Mortgage Lender Name and Address itaxitiill B._+ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commence, prior o e 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 aperiod of six (6) months at any time after work is commenced. I understand that separate permits must be secured or Electrical Work, 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 ertify that I 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 of work will be complied with whether speci eed 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 . gy p, _,•,_, g Signature of Contractor --� Print Name d . 'E . .S_uuoC..r• ,z V Print Name (.1, o ,r L e ;ft I -•. Sworn to and subscrib ?d before me Swori to and subscribed before me this / fif � D ^ ay � of ' Su 1 , 20 / / this /`� Day of �iki, )) , 20 11 Notary Public , MYCOMMISSIONIEE058792 c MMISSION EE 58 2 al EXPIRES: March 24, 2015 -' T14 EXPIRES: March 24, 2015 - 4,„r y f Bonded Ttxu Bud et NMry Swain ' +r , Bonded Thru Budget Notary Services Revised 01.2 6.10 13-J- b- ° .; City of Atlantic Beach Q L � @ T J U fl APPLICATION NUMBER ,� Building Department (To be assigned by the Building Department.) : 800 Seminole Road AUG J� u ' 2 , ,, ` . Atlantic Beach, Florida 32233 -544 2011 t1 - Phone (904) 247 -5826 - Fax (904 -5845 p j;;�> E -mail: building- depta©coab.us B Date routed: t) / � City web -site: http: //www.coab.us y — --- — APPLICATION REVIEW AND TRACKING FORM Property Address: %i 702 &del) .A6 ent review re uired Yes No Building Applicant: (ail 4 % i 0 4677 - A e ! /) P — I n ng & Zoning Tree Administrator Project: 1 ik-) cj )7 h ii A d4 -911 Public Works 66.e 54-It � b `--?, i p I / SS Public Utilities Public Safety Fire Services keyietn fe . :. ti Va . _ a - `e a Ise .w , � q . w ... Other Agency Review or Permit Required R eview 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: pproved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING Reviewed by: f ' Date: -9-1 TREE ADMIN. Second Review: Approved as revised. ❑Dent PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110