Permit Windows 1887 Beachside Ct 2012 CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-00000675 Date 6/07/12
Property Address . . . . . . 1887 BEACHSIDE CT
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1200
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Application desc
window replacement
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Owner Contractor
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BENNETT, DAVID C RJ VINAS CONSTRUCTION
1887 BEACHSIDE CT 2215 LAUGHING GULL CIR
ATLANTIC BEACH FL 322335954 ATLANTIC BEACH FL 32233
(904) 514-4442
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1200
Expiration Date . . 12/04/12
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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 } f- ----. -
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 1M4y :41
Job Address: Permit Nu
Legal Description Parcel# ------_
Floor Area of Nq.Ft. q. ,t
Valuation of Work$__,z2ae �a _Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition ""'Alteration f/,Rep* Move Demolition pool/spa window/door
Use of existing/proosed structure(s) ((circle one) Commercial 'Residential
If an existing structure,is a fire prmhler system installed?_(Circle one): No, N/A
Florida Product Approval# L
For multiple products use product approval form
Describe in detail the type of work to be performed:—
Property Owner Information:
Name: Address:
City State; Zip3.l L3 Phone
E-Mail or Fax#(Optional)
Contractor Information:
'
Qualifying Name: �T /"I s Agent: )4r`r7� //111c/
c�z ' rAddress: Aj State
Zip 32z3
Office Phone Job Site/Contact Number .
Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name &Phone# 7 7,' - t ,r_S _
Fee Simple Title Holder Name and Address - _. '
Bonding Company Name and Address '
Mortgage Lender Name and Address ri_`_.
e,,mx, VTOF ATLANTIC BEACH
Application is hereby made to obtain a permit to do the work and installation s indicated.SN,40)11 �v �1ds commence rior to the
issuance 0 a permit and that all work will be performed to meet the standards all laws relbEIiS�tANIEhe¢N1 I®d�tSChis permit comes null
and void tf work is not commenced within six(t5)months, or if construction or ork is sus endando for a_period of six6)months at time after
work is commenced. I understand that separate permits must be secured fojumbing,Signs, el ls, urnaces,Boil ,Heaters,
Tanks and Air Conditioners,etc. ��II`
WARNING TO OWNER: YOUR FAILURE TO REM RD 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 plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether sppecs ted 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 11w regul�cons cVnn_oELhe performance of construction.
Signature of Owner Signature of Contractor
Print Name
Print Name!........................................................................ ..................
.
. -
................................................ ........................ ........ ....
..........................r ,
Swoondsu scribedore me iSworn to andsubscribed,before me
thithis Day,
/ 20 20
\s D /
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j i •.,l.n .l��TIFiRLYI ', ..
NOtaiy 1D r'a' XPi S:February 14,2014 NOf "•ay,%4NMISaIy,Y 957760
i Donde Notary Public Undervtrlters , c :,P,PES:Fvhrug 4,204¢
;il�� Copcad Fhnr No±ary 46hc uncle .v ed 01.26.10
• City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the BtdIdng!Deparbnent.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 2 0
Phone(904)247-M6 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: � f Z
City wab-site- htlp.-/A~.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /( , & 4 CAd a 7- Department review wired Y No
ahading
Applicant: �Jy T A ,-" Planning&Zoning
Tree Administrator
Project:
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt of Peit Date
Florida Dept.of Environmental Protection Permit Verified B
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:
CBUILDING
PLANNING&ZONING Reviewed by: Date: 6
TREE ADMIN. Second Review-
. ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Dom:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10