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Permit 1871 Selva Marina Dr 2011 window-Door replacement CITY OF ATLANTIC BEACH r1 800 SEMINOLE ROAD J = ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00003039 Date 12/29/11 Property Address . . . . . . 1871 SELVA MARINA DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc window and door replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POWELL, GREGORY DUSTIN MATHIEU BROWN INC 1871 SELVA MARINA DR. 15899 SHELLCRACKER RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226 (9 04) 813-3661 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 150 . 00 Plan Check Fee 75 . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 6/26/12 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONAL 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 6 . 75 STATE DBPR SURCHARGE 2 .25 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total 75 . 00 75 . 00 . 00 . 00 Other Fee Total 9 . 00 9 . 00 . 00 . 00 Grand Total 234 . 00 234 . 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: 1871 Selva Marina Drive Permit Number: f/=-3032 Legal Description Parcel# Floor Area of Sq.Ft. Sq, t Valuation of Work S20000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No Florida Product Approval # 14942, F-e / z o/,� F`/ / For multiple products use product approval form Describe in detail the type of work to be performed: Replace five sliding glass doors fo> x d lassws 2011 Y Property Owner Information: Name: Carol Brady Powell Address:1871 Selva Marina Drive City Atlantic Beach State FL Zip 32233 Phone 904-608-8046 _ E-Mail or Fax#(Optional) Contractor Information: ral�wr Company Name:Dustin Mathieu Brown Inc Qualifying Agent: Dustin Bro Address: 15899 Shellcracker Rd to FL Office Phone 904-813-3661 Job Site/Contact N CO State Certification/Registration# CBC 1257586 Architect Name& Phone# QW OF ATLMMC BEWH Engineer's Name & Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address -d 9— Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced 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�perzod of six(6)months at any time after work is commenced. !understand that separate permits must be secured for Electrical'Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Healers, 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 hereb certify that 1 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 ojYwork will be complied with whether sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions oj'anv other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name CC04� ��W Print Name .................................................................................................................................... // ..7�... h Sw subscr be re Sworn to and subs ibed befor e th , y of ! /" 20 / /� thi Day of 20 TU 2!K_- �,n IPA WAA 0i Niign ry is Public State or Florida _ e vis PI'd 26 K Johnson SHANNA L.THOMPSJA mission DG890114 �� "'�0712312013 :o• °�:,, Notary Public-State of -, My comm.Expires Jul 1 %art 41 commission#OO 80 �''� OF MI Bonded Through National Not s� >>`Jr City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road , '` Atlantic Beach, Florida 32233-5445 , V Phone(904)247-5826 • Fax(904)247-5845 0,19 E-mail: building-dept@coab.us Date routed: L21,2711 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /0 d��I�Gt. /'A.4-/l& De artment review required Yes;/-No Building Applicant: �l�S�+i-� /�/GCJ/' �� Gy 7'I anning &Zoning Tree Administrator Project: bee )'a'71/�. �,U//i/� O[;(,� Public Works / Public Utilities ` Public Safety Fire Services Review fee $ Dept Signature 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: /2 ,27—(/ TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09