Loading...
Permit Front Door 1520 Richardson 2011 I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002952 Date 12/05/11 Property Address 1520 RICHARDSON LN Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 840 Application desc REPLACE ENTRY DOOR Owner Contractor LOWES HOME CENTERS INC 4948 TELSON PLACE ORLANDO FL 32812 (904) 486 -4701 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . 27.50 Issue Date . . . Valuation . . . . 840 Expiration Date . 6/02/12 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 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 16 O ' l L DS Permit Number: Legal Description Parcel # /72-1 8 — Q / p v Valuation of Work $ t 4 Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa windo door Use of existing /proposed structure(s) (circle one): Commercial Residential If an existing structure, is a fire s rinkler system installed? (Circle one): Yes No N /A Florida Product Approval # e5L 28 - For multiple products use product approve form Describe in detail the type of work to be performed: aA__ £y / Property Owner Information: / TM Name: 05/4- 60 L© Yn 0/ Address: 15 1 01 O ` l ll C 4R 6.5on) La. L4 e_. City L. et c_ -e GZ Stated„--Zip 3Z2, -3 Phone 90 eC3 7 -- E5s E -Mail or Fax # (Optional) Contractor Information: Company Name: I■Goal /vCt Gi' 1 Qualifying Agent: /-i-7E Address: /-Y) _e a< 7 & ' / 9 City Lei v a� State Pe— Zip 3Zh7 Office Phone 4b7 393 fJ I Job Site/ Contact Number �,gy ..-- -- a/Qf' Sg r 3 7T3 State Certification/Registration # �L /(O Dry} / - 7 Architect Name & Phone # /v A Engineer's Name & Phone # Ago Fee Simple Title Holder Name and Address ot/A Bonding Company Name and Address "a_ / Mortgage Lender Name and Address , t! 0- :application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the ssuance 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 2nd void if work is not commenced within six (6) months, or if construction or work is sus ended or abandoned for a period of six (6) months at any time after ork is commenced I understand that separate permits must be secured for Electrica - 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. hereby cert that I have read and examined this and know the same to be true and correct. All provisions of laws and o , inances governing this ype of work will be complied with whether speed herein or not. The granting of a permit does not presume to give a hori o violate or cancel the >rovisions of any other federal, state, or local law regulating construction or the performance of construction. r / ignature of Owner i i .LIdid.' , - Signature of Contract. ►�∎ 1�. 'rintName X0 .S! i1 h r fv /o v Print Name • ;wnra,to and subscribed before me Sworn tt1Q� and subscr before me his 13 Day 4 - "' 20 / / this JQ ,Day of /VDY- ,207/ ( A _LILA& , ot- ( 'ublic N otary Public 1 ROBERT C CURTIS J T ,,.•,,...«..... • ••` MY COMMISSION #0D915653 Z DEEiRA t. GAI2TEFt EXPIRES: AUG 10, 2013 = 'R�% C tJ 17 10 Bonded through tat State Inmmw 3 Expires 311812013 s - C - 0714 Florida Notary Assn., Inc r r�A.o-, , City of Atlantic Beach APPLICATION NUMBER � - , .. Building Department (To be assigned by the Build 2 Department.) -- • ; � 800 Seminole Road _ Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 // m..� '! /r E -mail: building- dept @coab.us Date routed: "OA City web -site: http: / /www.coab.us APPLICATION = — A i • •` . TRACKING FORM Property Addres : 620 ♦ / k/AO „A o iL 1 11 nt review required Yes No Buildin Applicant: eiVg.S e By ... f ' anning & Zoning Tree Administrator Project: 7p/A is,b DQ� (fi.r,ey) Public Works Public Utilities Public Safety Fire Services e l : f E w MP'N `ikl tiS. 'r I 01p1 $i "", : �. nti id & 4 ' c*T17. 4a 4-Q Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 11/30/2011 10:19 3524733167 KEYSTONE DOORS & ETC PAGE 02/18 2011 -11 -30 08:09 t� -47 . 1b99- I NSTALLED SALES P /2 G i' T PPLIC CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, VI, 32233 Office (904) 2475826 Fax (904) 247 -5845 Job Address: jf _ lC T _fl 1-0...4eLC, Permit Number: 1/ - a9S- Legal Description Parcel # / 7 _4: --. .(1 Valuation of Work$ 83% Clam of Work (circle onc): Now Addition: Attoration Re'pa'ir Move Demolition pool/spa windo door Ilse of existing/proposed structures) circle one): Commercial Residential it en existing strnciiare, Is a f re i !)._, . er - 'A. tem installed? (Circle one): Yes No N /A Florida Product Approval # ! • _ _ F o r multiple prodacts use pr+o a ct ap prove orrn J)eseribe in detail the type of work to be performed: .. a t 1je .— .... Property Owner Information: Nata , C • c_Jl l ( .21J _ Address: 15e) Q �{ t C i - 6Q�t2 t 5if�l►� Le/.0,,, City 4..11,-4(_–"?:).41.47, - ' .,i �� � Phone � . : �. . Sttzte P. G?��i _ E -Mail or Fax # (Optional ) -. _... ,�.. . __.. ..,, . ....� • Contractor informs Company N e: "Pt/ 40 g c, . Qualifying Agent: - el C Address: 1 S 'rte City a State , . G Zip,, ,Y.$7 Office Phone 4b7 l Job Site/ Contest Number _ L _ '�7 ,. ^ _-tom #9 . ; 37f ' 3 State Certification/Registration # • ,i_ /- ... . Architect Name & Phone # _, Engineer's Name & Phone # _ . __ .. _ . _. Pee Simple Title Holder Name and Address .. 1 �., •• 'lending Company Name and Address , � — Mortgage [ ender Name and Address _ _ l�ir/ ,., _ .. _ tppliralion is hereby made to obtain a permit to do the work and installations as indicated 1 cGrtij that no work or i`rulallatian has commenced prior In the Irfa wive of a permit and that ell work will be performed to most the standards afall laws regulating can trudlon In this jarlsdtciion This permit becomem null and void # work is not commenced within sir ( onths o f consvuc1ion or work' Ls , ed or abandoned for aperiod of six t�6) mimeo at tiny time Oki. .work is commenced 1 undershnid that separate prmis must be secured for Bledricat Phanbing, Signs, Wells, Pools, Furnaces, Boilers, l &Balers, Tanks mut..ilr Cottdiflonets, do W.A►RN riG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIVIIVIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR. IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITII YOUR LENDER OR AN ATTORNEY REBORE RECORDING YOUR NOTICE OF COMMENCENWTNT. hereby ee fy that Thaw read and examined etas plu:ution mid limy lbe lame to bR true and correct All provisions of lows and ordi , , cos g • mina this roe o work will he complied with whether herein or not the greaten of a permit does not presume to live authority t violate , r canal the ,roi'istons of any other federal slate, or local aw regulating construction or the psi rmance of eonetruction. ;ignsture of Owner _ !! . �--_ Signature of Contra r _ . _ ip, -. . • 'faint Name g!o ILL_.../ Jr: L r . ✓.,.• .4.__.. f .u! w • Print Name ;wor to and subscribed before me S 71 to ' ad subscribe befo me his _10 nhy of = ' - :,= 20 / " i. . AZO I of l0 ? 1 / r ,. l * • . .... ..............as..n.sss.nssss�, REVIEWED FOR r+ . , '0 �„ ,, P,- rr r, i E O�lnk 1 y 711 1 ,,. .u.. ,.e .,, •,. 4 h CAtnn# 0009 CITYOFA r +. .0 . :“w� ill' ' ... __._ � � , _ �,�ites3l '� SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. _x ` � `` ' IL 1 .: ,,,, ........................ .... Fiodde os NSSSUSaN } , . �� /f 3 REVIEWED BY: _ 1yL // DATE- . •