Permit Doors 1946 Beach 2011 t13...4,6,:f.
,, , ,
` �` 1 CITY OF AT
ii- ii LANTIC BEACH
800 SEMINOLE ROAD
' ATLANTIC BEACH, FL 32233
A AR `s . 4 ,0
• INSPECTION PHONE LINE 247 -5814
~ 011 9f
Application Number . . . . . 11- 00002951 Date 12/05/11
Property Address 1946 BEACH AVE
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1299
Application desc
REPLACE 2 DOORS
Owner Contractor
MATHEWS, DENNIS L. LOWES HOME CENTERS INC
1946 BEACH AVENUE 4948 TELSON PLACE
ATLANTIC BEACH FL 32233 ORLANDO FL 32812
(904) 486 -4701
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date Valuation . . . . 1299
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 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: /7110 Ai Ze-4
Permit Nu mber:
Legal Description Parcel # /Cl S¢i - U;r 96
Valuation of Work $ /0) 99 o1
Class of Work (circle one): New Addition Alteration Repair
Use of existing/proposed structure(s) (circle one): Commercial i _ • • - 'ti e� olition pool/spa window/ or
If an existing structure, is a fire sprinkler system installed? (Circle one): • es No N /A
Florida Product Approval # 82-26 - / S2-E2_.3
For multiple products use product approval form
Describe in detail the type of work to be performed: /' S dill/2
Property Owner Information:
`Jame: DI eivN /5 /?2.417 5 //V(.' &Q CA - 2ity Alla/: J.� � State FL-Zip . {° �°a /7 3 Phone 96W a.. V A' vo) /7
_:;'-Mail or Fax # (Optional)
Contractor Informa // lion;
Name: Nae: Wt .c 4 C?72>1
'address: PO 7�- ,✓n193 Qualifying Agent: 1''E ?E 641 )ffice Phone 4(073# ; q/L / Job Site/ Contact Number State !%G- Zip •�6
State Certification/Registration # /' er..,/•_ / \rU / Fats # s� uf',<7j 'S
architect Name & Phone # AO- �t
ngineer's Name & Phone # Al*
ee Simple Title Holder Name and Address , >I/ j-
londing Company Name and Address A O-
rlortgage Lender Name and Address ^ / /p-
pplication 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
•suance ?fa permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction This permit becomes null
nd 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 ft
pork is n dAirr C n o understand that separate permits must be secured for Electrical Work, Plumbing, Signs, l�e ,Pools, urnac
Fes, Boilers', He a{er s
'arks an omm Conditioners, etc arty time a s,
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 EFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby ert that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
pe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give autho, to vi. late or cancel the
- ovisions of any other federal, state, or local law regulating construction or the performance of construction.
ss4A/Lif ,._--
i gnature of Owner
' C " ) ' +'t` Signature of Contras
Jr
tint Name
' A 1 S . c. ii e,....s Print Name 4--7-- , ,
, ,,,c 6
worrIto and subscribe before me Sworn to and subscri. ed efore me
is c z ( Day of N 0..) 0.-...... y� ' , 20 i l Jo
w-- this Z/ Day of di, 20 a
„ , .11 . 16.9 . CURTISJR
otary Public r ' ' i ' L' l „- ':l e• tl .1 _e �” ° " °` �►i I
,� EXPIRES: AUG 10, 2013 Notary Public , -;}'` L. LAM i e
•
Bonded through 1st State Insurance
Expires 3' :, * ,3 F.
c- , ,, ,, 33 Nrtrrr A sn.„ !nr'
PanPo�tln2tl pAdr.M4kM4�.k: �.:. !Po Ce @5�rk. "?g. %p,p�g.pQ
4
. / L -tvl City of Atlantic Beach
: '�'" APPLICATION NUMBER
6, Building Department r p
800 Seminole Road ' LS �� (� (To be assigned by the Building Department.)
Atlantic Beach, Florida 3223 45 Z /
Phone (904) 247 -5826 Fa i: 14 1,7
J;tf 9%' E -mail: building- dept @coati ) � � � 2 Date routed: /
City web -site: http: / /www.co : b.us ��
APPLICATION By V ►- -•: RACKING FORM
Property Address: /9I6 iJtt -ei ,1v6 Department review required Yr No
/6vS &,T1ic Applicant: /7 Planning Zoning
g
Tree Administrator
Project: p l/j- 02 7)Q eg.5 Public Works
Public Utilities
Public Safety
Fire Services
4 ^ i ti, G i " ni ,61410 r '.' , , "livt 4111
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By 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: [ pproved. @Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: m Date: //-.70
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
11/30/2011 10:19 3524733167 KEYSTONE DOORS & ETC
2011-11-21 16:44 (YU4 450 - 4 /IU 107y 11V3ItLLCV QnLL�7 PAGE 07/1$
_BUILDING h R r APPLICATION
CITY OF ATLAN'T'IC BEACD'.
800 Seminole Road., Atlantic Beach, PL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
.lab Address: if - 11 4 1 4 4
]Legal Description Permit Number: ,S / —
Y Sr -r-9t
Valuation of Work $ f D
Class of Work Now —
rk (circle one
Class Mediating/proposed os A ddit on Alt •
L e struc, tru (s (circle one): Com»er _ ; _ ■ on pool/spa windowr /� + .
Florida Product Approval a fire ap er item *wed? (Circle one : ' es No N /A
For multiple pprova x' n t ,. ,2--• ,
tiP Pucte use pro l nc# p ti o+p a ,
Describe in detail the type of work to be performed: ,' 114I d diet
Pr ty � h o
game: ,De/i/M5 / / t!
%ity�i4G�llr�fre.... AddrOUS• ��5_(Q�.hy'p�r
1-Mail or Fax # (Op1iO al) .. w� _ kP - Phone 1 --
,.MntracmOr nformabion-
�, »�p�y Name: r.,�,r.� '
N a � , , 4 ►kr Qualifyi A r_4r 4C.-- Arc
_ddress: s
state C a rton - 'onlRe Z • 9 /G ,
Job Situ Coact b City s - -E r# S `,3. 3
tiCll! gistmtaion # .� 4:42 •3
teet Name dt Phone # , , --� --
%oginaor's Name & ,Phone # A. , --
'00 Simple Title Holder Name and Address ,d.--�'
tootlin Company Name and Address —� —
fortga a Leader Name and Address _ - =—T —
on r made to obtain aAnne to do the work and ins ta1Iattow a indicated � —
and that all wor*wtf1 ba wee tale atand�r& of ail ta iv e f cwnhyy di a work or t Ar d nAivoid worlds not co� eir Imedio or f consaisedoa or work twrn r d+i+lt fsit 7 prt to the
l0»4 is �d r oonsbsrc ' sr[ orr worm nce I ra etc. m touter be securedfor Work � ,� ° Weil* 1 d dt0 °t � g�
1
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF •
cOMIviENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
TO YOUR PROPERTY: xF YOU MEND TO OBTAIN FINANCING CO SULT WWIT
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMtvIE11JC EM ENT.
hereby carte that have read and he 01, work well be a� ,� „r js licatlo, and Atww he mane to be trite m correct. Ail
pe o f ns k will o e c Or acs .we herein or woe The ranting of a permit not p t� a laws and • winces br yeerrn�t his
4...... c
�8ula c h'ttefion ar die� reconvinietton. °I°11°41°' or "awe' tho
immature of Owner r
riot rte--_' ogC� ju,.`
Name ,, S _.— ;'!!1r. 1.-44 f Print
worn to and lbscribed before me °. • -- _....•._
sti d ( . They of ... a h 2U i i S "o , to and - Inert • • , • : 4 .
Diary Public % � :,' � :.�: - 1 J
- /
' _ DEBRA L. CARTER
R 'IEWED 1 1 : r CE \,1, . O 5 80 11'.4
..a.. as ^w.en•— T.u.w,.»rV waw.,c 's«.,,; — ,
CITY OF ATLANTIC BEACH �, . 3/18/2013
• SEE PERMITS FOR ADDITIONAL Florida NOtsryAsan" Inc
REQUIREMENTS AND CONDITIONS. °„ COPY
REVIEWED BY: