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1881 Beachside CT (door 2012) CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 .�J13 Application Number . . . . . 12-00000780 Date 6/26/12 Property Address . . . . . . 1881 BEACHSIDE CT Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1800 ---------------------------------------------------------------------------- Application desc door replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WYGLE MICHAEL BLAIR JOSEPH BUILDERS INC 1881 BEACHSIDE CT 13245 ATLANTIC BLVD #4-272 ATLANTIC BEACH FL 322335954 JACKSONVILLE FL 32225 (904) 349-2137 --------------------------------------- ------------------------------------ Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1800 Expiration Date . . 12/23/12 --------------------------------------- ------------------------------------ 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 REQUIRE *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 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 TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i BUILDING PERMIT PLICATIONvreaNka �ee'a+ara.4ur+aeww� i:. CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlanti Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 ( ) ,. Job Address: 3t lbfpetaskok COJETPermit Number: —7kO Legal DescriptionParcel# Floor Area o q. t. q• t Valuation of Work$ Proposed Work heated cooled non-heated/ Ad V " Class of Work(circle one): New Addition Alteration Rep it Move Demolition pool/spa Use of existing/proposed structure(s) (circle one): Commercial esiden ' O Q If an existing structure,is a fire sprinkler system installed? (Circle ne): es ©o N/A V U qA O A Florida Product Approval# �;? Y ` � � W d For multiple products use product approval`form a O o Describe in detail the type of work to be performed: �"� w �' O � w Property Owner Information: irWA Name: itn�,.6�-i- �-1r!��� '�� &$4 Address: bI +� 0�►s v� City State Zip 44 Phone E-Mail or Fax#(Optional) Contractor Information: \ Company Name: 4 Qual fying A ent: Address: Q26 4';1`)Z State Ft Zip 3.\a.;?-c Office Phone fav- 30 1:a Job Site/Contact Nu er Gi"1i3� Fax# ?av' a73 S State Certification/Registration Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as ind ated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be to to meet the standards of all l s 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 period of six Pull months at any time after work is commenced. I understand that separate permits must be secured for Eleclr a! Work, Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILU E TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF COMMENCE ENT. 1 hereb certify that 1 have read and examined this application and know the same to e true and correct. All provisions of laws and ordinances governing this type certify will be complied with whether specified herein or not. The granting a permit does not presume tog aut ority to violate or cancel the provisions of any other feder ,state, or local w regulating construction or the pert mance of construction. Signature of Owner-/ Signature of Contractor Print Name M.I(.H.nF. ...... A�/(...��yGL�.................................. int Name :��l.l�lm.��.......... �.................................................................. Sworn to and subscribed before me S wom to and subscribed before me this 22 Day 20 Q t ' .Day of e kX1C-- 2017" C Notary Public is Li YJILLIAN C Bs 1.26.10 Notkry �'COfnae IW EE 148740CommissionEE 14138►NY Commi99t81f1�ilt M Now,E7,2016 �'•','far�o`.` OCtobsr pan enp1r�es i City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned.by the Building Department.) 800 Seminole Road _ JO Atlantic Beach, Florida 32233-5445 v Phone(904)247-5626 - Fax(904)247-5845 /� Z E-mail: building-dept@coab.us Date routed: Ifs City web-site: ww http:JA .coab.us APPLICATION REVIEW AND TRACKING FORM Property Add re Ift/ & chi t review required Yes o uildin Applicant: �� ,� Planning &Zoning _ Tree Administrator Project: 10 0 Z Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Dateo;;7;77 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: 91 pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed y: Date: A TREE ADMIN.ADMIN. Second Review: ❑Approved as revi ed. [-113e ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed y: Date: FIRE SERVICES Third Review: [-]Approved as revised. ❑Denied. Comments: Reviewed I oy'. Date: Revised 07/27/10