337 7th St 2012 - Window Permit :� CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
J INSPECTION PHONE LINE 247 -5814
013 0
Application Number 12- 00000357 Date 4/05/12
Property Address 337 7TH ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 3500
Application desc
new window replacement
Owner Contractor
CATRETT, MICHAEL PHILLIPS BUILDING &
337 7TH STREET CONTRACTING INC
ATLANTIC BEACH FL 32233 12620 FISH HAWK LN
JACKSONVILLE FL 32225
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . 35.00
Issue Date . . . Valuation . . . . 3500
Expiration Date . 10/02/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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 70.00 70.00 .00 .00
Plan Check Total 35.00 35.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 109.00 109.00 .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: 33") 't OA ,. c i. • , VL 3 Permit Number: - /. � — 3S7
Legal Description S'Oki., ('-• HL o o A rea of 5q,r't. Parcel # Sq Ft
Valuation of Work $ 1 Proposed Work heated /cooled non - heated /cooled
3 o - - 134 3 -2R i
Class of Work (circle one): New Addition %, d o Re air Move Demolition pool /sp window /door
Use of existing /proposed structure •mmercial Residential
s) (circle one): �
If an existing structure, is a fire sprinkler system in alled? (Circle one): Yes No N /A
Florida Product Approval # F - /o) 8'"1
For multiple products use product approval form P
Describe in detail the type of work to be performed: 1 FJ TA% 1 Nf-3 WI r,►06 WS
r--
S, ,
Property Owner Information:
,
Name: kl lt(,1:1 -p(L- cperaelT Address: 337 A S Pt, 3 22 3 ..,,.w
City A.(3 StatedZip32,2,3 , _ . . _
E -Mail or Fax # (Optional) . f
Optional) a
j . Contractor Information:
LE SOP E
Company Name:
Pt Ilm6temc LUC. • Qualifying . l �, .. ing Agent: ' - �. .. r
,5 0 --
�.,
Address: 12 .Se mo tN) C,�( -. City A. • #gate ,� r-( 3 223 3
Of Phone m-q - 1L4°!01 Job Site/ Conta • III -r Fax
State Certification/Registration # C C. i 2 MI 41 - 1 ` , -
Architect Name & Phone # e l ' ! ' ' ' F.1 • ,
Engineer's Name & Phone # 1 II ! _ 11 1 ; „ i A. 7 -
Fee Simple Title Holder Name and Address ��y�i�t •
rw
Bonding Company Name and Address ' e �r ►_
Mortgage Lender Name and Address 1- I. 13Y.
Application is hereby made to obtain a permit to do the work and i k '---- °-•- ••• -• -- :" • , 'a at no I wo }c n„t..11ati® , nnenced prior to the
issuance of a permit and that all work will be performed to meet the standards of a aws regu • % ". -- -- °•- :' • I 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 perio o six . months at any time after
work is commenced. l understand that separate permits must be secured for Electrical - Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, 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 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 specified herein or not. The granting of a permit does not presume to give authority to violate • gel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
"p,� l Al)./-. /-
Signature of Owner / ( Signature of Contracto I ' _ • - -
Print Name Ea l . I r e- i t l ! /i.
Print Name n.� (..G�..� . c�� 1
w.r to ; d subscribed before me Swor • . nd sub ibed • - ore p
t'' 1, ' i )Iy of VIA 14Cc 20 ' this ' iy % � 2.
t Lar ' ublicl , tidy,44,„ ALBERT MOREN ( a .;• i „ ' ` -r l
` 7• � M' • II SION # 0 95776'
.. , `rs Notary Public -State of Florida t , 1 �• St(PIRES; Februa 14, 201 Revised O l .26.10
�• a My Comm. Expires May 26, 2015 °
' r Z, ;i h - Bonded Thru Notary Public underwiters
; "7 , �'.. - c e Comm # EE 97846 A .,,.-�
.° "� ° - l-- Bonded Through National Notary Assn. 0
• -- r - - -- ---..-- illit
�,tL.A,�f City of Atlantic Beach APPLICATION NUMBER
6s Building Department (To be assigned by the Building Department.)
ti, 800 Seminole Road /z - S�
; j � " ' 0 Atlantic Beach, Florida 32233 -5445
l i f Phone (904) 247 -5826 • Fax (904) 247 -5845
'� ,�;3 �� Email: building-dept@coab.us Date routed: 3/ Z
City web -site: http: / /vo,vw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z 7 2 TW _Department review required Yes No
( Building.)
Applicant: ply--; / ,p$ Planning & Zoning
Tree Administrator
Project: k) ID / /I, e, t Public Works
Public Utilities
Public Safety
Fire Services
Review 'fee$ ' ' '. beet Signature 4' ..t,F
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: ��
BUIL / `�
PLANNING & ZONING Reviewed by: Date: 3 -Jo lZ
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10