675 Beach Ave 2012 hurricane shutters CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-0 0000707 Date 6/19/12
Property Address . . . . . . 675 �EACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO B UPDATED
Application valuation . . . . 17136
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Application desc
HURRICANE SHUTTERS
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Owner Contractor
------------------------ ------------------------
BENZ JAMES W & CATHERINE M IMPACT ENCLOSURES INC
675 BEACH AVE 1242 NANTUCKET AVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 346-1112
--- Structure Information 000 000 HURRICANE SHUTTERS
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 140 . 00 Plan Check Fee 70 . 00
Issue Date . . . . Valuation . . . . 17136
Expiration Date . . 12/16/12
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL EAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
---------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STAIE DCA SURCHARGE 2 . 10
STAqE DBPR SURCHARGE 2 . 10
---------------------------------------- ------------------------------------
Fee summary Charged laid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 140 . 00 140 . 00 . 00 . 00
Plan Check Total 70 . 00 70 . 00 . 00 . 00
Other Fee Total 4 . 20 4 . 20 . 00 . 00
Grand Total 214 . 20 �214 .20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT API'PLICATION
CITY OF ATLANTI� BEACH
800 Seminole Road,Atlantic Oeach, FL 32233
Office (904) 247-5826 Fa� (904) 247-5845
Job Address: 675-13-te-ck 14vt,, Permit Number: 2--707
Legal Description -1 arcel# Sq Ft
�5 0,() Floor Area of -Sq-T�t.-__
Valuation of Work$.1 /Z 134. Proposed Work heated/( oled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repai Ir Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(�ircle one): Commercial Residential
If an existing strucriure,is a fire sprinkler system installed? (Circle o e): Yes No N/A
Florida Product Approval# /-3;17/1 6,!�Z Z 1,175'
For multiple products use producirapprovUl form
04 lue7_t�ea^e_
Describe in detail the type of work to be performed: Iq 66--11
64(z— AUX
Prol2erty Owner Information:
Name: T r-., ddress: rFILE COPY
City 15o4t- 14TVe- State ip Phone 1513-6
_Zip�lwl
E-Mail or Fax# (Optional)
Contractor Informationi
Company Name: d(2SVr_e1S_Quali i ;�gen 40
Address: 11412- 1VAtdk,'4.kG1_ city I.-Ae State Zip
OfficePhone 90q Job Site/Contac j 7 1A,
State Certification/Registration# C6C_ 12,S_174 ( "9"
A;d V T j-Y% OR
Architect Name&Phone# R.EdWA01 !d" WIM CODE C
Engineer's Name&Phone# U11y UVATDOMC BEACH
Fee Simple Title Holder Name and Address SE TPERMITS FOR ADDITIONAL
Bonding Company N,ame and Address R E Q J i R EWM N I S A ND-COND MONS.
M rt TE
ortgage Lender Name and Address
1. d he ok a d a a n a tu". I Lxf top-I Lencedprior to the
A tion s heeb ade t obta n a per' to 0 t w i"t t10,s s %f tflut rfu W * h* ' ',diction. This permit becomes null
m d d all 1 regulating construction in t isjuris f
k is s spended or abandonedfor a period ofsix months at arn
ley ime a ter
P I' i y d th t'I w 'k 1.11 be e 0, ed to m the st,, ' f Work,Plunthing,Sijns, Wells, Pools, I* rs.
o m t a 0
s, 0, c stuc
ix f h tio 0, 0
Punce a Perm t an a 1 0 w p
d vo d ork not c mmenced w th (6 mont on n I r
secure 0,Electric I I urnaces,Boi ers,
d"stand t at separate Permits mu t b df
'k w ...d I u
s s m' t
Tank a=r Con loners,etc.
WARNING TO OWNER: YOUR FAIL TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCE)EWENT.
lhereb�certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordina esgoverni.ng this
te or cancel the
work will be cmnplied,with whether srecifLed herein or not. The granting oj a permit does not presume to give aut to
provisions of any otherfeder4 state, or local aw regulating construction or the pe�jbri�lance of construction.
'7
r; /7
XSignature of Owne �114,�A), ��il ignature of Contrac or
............ ..........................................
..w ......................................
Print Name Print Name
......... ..
...................UA .4
.... ...............
Swor nd subscribe ef re in Sworn t d ubscribed befbore flie
"a
this D ol 2012- thi; Vtaysof
01
ub ic
ta "ICA QJINI f Nc ORTENC
, ublic.
ry ublic,State of Florida Notary Public, to of Florida
Commission#EE 49709 commissloo EE49%0vis d 01.26.10
My comm.expires Dec.10,2014 My comm.expires Dec.16,2014
�29'x36" Accordion E
33"xW.75" Accordion FILE CO
_(4)46"x2N' Poly Carbonate iT
J1)_34.5"x18" Poly Carbonate
25121"x89" Fabric
I
Includes Permits, installation, Labor, and Matedal
XIso includeS taking out existing all thread ancholrisi
and caulking holes only on 3rd floor
Built to Miami Dade code
Removable floor tracks
, Payment to be made as follows 507a dM1 5QY9=0-990ioletion.
One year warranty: All material is guaranteed as specified. Workmanship to k e completeed in a
workmanlike manner according to industry standards. Any alterations or deviations from the above
specifications will be subject to additional charges. Section 501.025,Florida 9 latues,(Consumer Protection)
provides that"the buyer has the right to cancel a home solicitation sale midnig it of the third business day
after the day on which the buyer signs the agreement...... If contract is not ao;epted by an officer of the
[company 100%of all the moneys per this contract will be refunded.
Sign
P t.
City of Atlantic Beach APPLICATION NUMBER
Building Department
(ro be assigned by the Building Departmem.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 12 - 7,07
Phone(W4)247-W28 - Fax(W4)247-5845
E-mail: building-dept@coab.us Date routed: wi�//z—
City vieb-afte.- http:/A~ewb.ue I V 0 If -- I
APPLICATION REVIEW ANI TRACKING FORM
Property Address: R�p�nt review required Yes,, Wo I
quilding_---)
Applicant: IMA0.19CE e,k r�-:-�g Planning &Zoning
Tree Adminisbal:or
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required R#Iew 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: roved. E]Denied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed b,�: Date:
TREE ADMIN. Second Review:
]Approved as revise� IDDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed bl Date:
FIRE SER%ACES Third Review: DApproved as revise, []Denied.
Comments:
Reviewed b� Date:
ReAwd 07MI10