Permit Windows 190 Magnolia 2012 y Jsrie
"`1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
414 1 t' , { c '" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
a te..,
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Application Number . . . . . 12- 00000148 Date 2/10/12
Property Address 190 MAGNOLIA ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 500
Application desc
2 windows replacement
Owner Contractor
MOORE, WILLIAM CANTRELL CONSTRUCTION, INC
1015 ATLANTIC BLVD
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 545 -1428
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 55.00 Plan Check Fee 27.50
Issue Date Valuation . . . . 0
Expiration Date . . 8/08/12
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: 1 PA er6N D L( R S + ' Permit Number: f ? — C /V g
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 5 Proposed Work heated/cooled //A non - heated/cooled /Uii¢
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa ' indow /door
Use of existing/proposed structures) ) (circle one): Commercial ' esidential
i
If an existing structure, is a fire sprinklers ste°1 installed? (Circle one): • - i • N /A
Florida Product Approval # I 18 2 7 • `L I P VS" - / /y l./ebb c (rf oL o Ai Sfie
For multiple products use product approval form l
Describe in detail the type of work to be performed: P/4 -6 Z 44.)/•0 Doc) S (c e
& Tiff Svv MI 5t De oF' ft orHe"
Property Owner Information: _ « .,•�
Name: S4AuG44 AICAr6 Address: 1et 0 �' - eJ06 /' f ,
City 44-[a, "i & J- StateFlZip 32233 Phone ' - LO - li1-�.'VlIE �
E -Mail or Fax # (Optional) _ i
',.... ...4..i.!l f1.10.�/il --- N4 ..aw,ta d
Contractor Information: �I
Company Name: G"'vr c.c_.- � t IN , . _I' )c Qualifying. Agent: /l' (e-. C, ?^
Address: /0 /S ' / 73/ Yo ` Ci Af/2 te- Eck State X/ Zip 3 Z 23
Office Phone .3" - / ZS Job Site/ Contac fil. -- M --- i --- - - 7--------- - Liz - f 77' State Certification/Registration # 0 6 2 E�� / 1 OF ATLA Ti
A g
Architect Name & Phone # Ai - CITY ,
Engineer's Name & Phone # N t� —�1 _ �rt� ' CH I
Fee Simple Title Holder Name and Address Al 4 1 : .• , . , t . ADDITIONAL 1
Bonding Company Name and Address /A- 1 ' • • ' • PITONS.
Mortgage Lender Name and Address T _ q- 1 .4. ` t ' • BY: , : , '. _ ��dariat - {
• Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certi • • - - - -- • - • - - -. = { menced 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. is permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for ()period of six_(6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical ;York, Plumbing, Signs, Wells, Pools, Furnaces, 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.
I hereby certify that 1 have read and examined this a placation 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 O V` Si g nature of Contractor M i (
Print Name C5\ t;O •� Print Name 141A-2.g- ice. 614te 11
Sworn to and subscribed before me Sworn t, and subscribe d . efore me
this _ of F�br.,.a,r.l , 20 • _ —'_ . rGt A.r i 20 2.. 4E gv ,
Notary Public 1E3 Notary Public, • t RES . , , +; ; i` , s I Commi$sion#DD8276;Oda � ' Revised 01.26.10
M Y Comm. expires Oct . p1. 2n ?^
� 1LAN:r City of Atlantic Beach APPLICATION NUMBER
AI Building Department (To be assigned by the Building Department.)
800 Seminole Road /Z. - Q /v$
4.n
:Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 as/
o f d 9 E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 9 0 22M9 -72eb ent review required Yes No
Building„)
Applicant:. / (�, tLC'l�/V ing & Zoning
Tree Administrator
Project: y) & e t ti) i'Allo ) Public Works
Public Utilities
Public Safety
Fire Services
Y 1 r :M1 , 1"§13g�a�,, ;,$ C 4 4I4=. 1m, RA T a ;
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: ripproved. ['Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Z" /J.
Reviewed by: � Date: 0) —
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