552 Pelican Key 2012 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
tit
Application Number 00000975 Date 8/03/12
Property Address . . . ",E;:? ELICAN KEY
Application type description WIN W AND/OR DOOR
Property Zoning . . . . . . . TO UPDATED
Application valuation . . . . 7160
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Application desc
window replacement
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Owner Contractor
----- ------- - --- -
FARRA GABRIEL & ANN D
PELLA WINDOW AND DOOR
552 PELICAN KEY 8174 BAYMEADOWS WAY W
ATLANTIC BEACH Fl, 32233 JACKSONVILLE FL 322S6
(904) 731-8330
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Permit . . . . . . WINDOW AND/OR OOOR PERMIT
Additional desc . . I
Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00
Issue Date . . . .
Valuation . . . . 7160
Expiration Date 1/30/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 TIONAl ELECTRIC CODE
�REPORT ANY UNFORSEEN STRUCTURAL GE TO THE BUILDING
DEPARTMENT IMMEDIATELY
WINDOW AND DOOR INSPECT�ON
*INSTALLATION INSTUCTIONS REQUIRE
*ALL STICKERS ARE TO REMAIN ON TH� 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
-------------------- --- ---- -------------- ------- ---- ------------------------
Fee summary Charged Paid Credited Due
--------------- -- ---------- ---- ------ ------- --- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total 4S . 00 4S . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 139 . 00 1139 . 00 . 00 . 00
PERMIT IS APPROVED ONLA IN ACCORDANCE N1 ITH ALL (111 OF , LANTIC BEACH ORDINANCES AND THE FLORIDA
BE[LDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, AtlantiF Beach, FL 32233
Office (904)247-5826 F� (904) 247-5845 rju L 3 0 82 0 W12
i fey
Job Address: 55� kl_lcail 6)1 1 -Permit Numn - Ot
Legal Description �3 -11 P....I# 170J 7- 5 5
Floor Area of Sq.H. Sq.F-t —
Valuation of Work$_716(2 ProposedWork heated1cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Rep ur Move Demolition pool/spa
Use of existing/pro osed structure(s) circle one) Commercial
�Reu�dcnt
es
If an existing structure,is a fire sprin=system installed? (Circle me): es Nt
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be Performed: Ppp/ctcz 10 5,,z-- S�, ze-
Property Owner Information:
Name� Address: TH E"COWY
City Tv� g"'L. Statea.Zip 3_Za3_Phone
E-Mail or Fiot 4 (Optional)
Contractor Information:
Company Name: (Z)5 0,11d NOF 5-Qua] fying Agent 7:�,a 5 5vngel
Address: 3 qe? lis;�14 3 Ll �/e54- ciry I State f�� ip 3 r;L 7 5
OfficePhone 907-i!3f-0,`a&0 Job Site/Contact #_ 77-YX
State Certification/Registration 4 e?Y 71 9L ;i��COIVWLAPAINV-11 11
Architect Name&Phone 4 F___C ATLANnC 11111FACH
Engineer's Name&Phone ;F.F.PFRMM EQR ADT)MONAT
Fee Simple Title Holder Name and Address K�QUBZEMENTN AND CONDMONS.
Bonding Company Name and Address 1� A
MWI
Mortgage Lender Name and Address �v --tic=Z� DAT 1�:2=2: g
Application is hereby made to obtain a permit to do the work andoun.1hinan, said, led. I...tify Kai no work or installation has commenced prior to the
la'.,erma ad that.11 work will bepectormed to meet ahe standards of all la�s regulating construction in thisjurisdiclion Thupermab,ceniescall
and void it'veark is not commenced within six(6)months, or if couse-action or work is yeaded or abanderedfor a
Wpuriod ofsUl(b)months at any time after
v,orkiscommenced I understand that separate permits most he secured(or Electri- Work, Plumbing, Signs, ellsPdols, urnacesiloilenHeaten,
Tank ani Conditionen,dic
WARNING TO OWNER: YOUR FAILUI ZE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P.kYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO 0 3TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFOI E RECORDING YOUR NOTICE OF
COMMENCED TENT.
I h... that I luneovidmaderanna,d this a plicanciumidacwth.s.mi,ach t�cabd,mnect
a-we,k will be remedied with whether sfec,00 herein or not. The granitic a permit does not presume to give authority to violate or cancel the
pa"a a
on,ofacy otherfederal,state, or local eve regelatiagcoutemethen or chepenp, once cucconcortation
Signature of Owner �fto Si mature of Contractor
PrintName Al�v� �mo on_VcT PiintName 'T
Sworn to and subscribed before me S� m tqAnd subscribed before me
this -7 20 1 '�- th ,0,L?jZ'Day of _IX 201.)-
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,Day of
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City of Atlantic Beach
Building Departiment APPLICATION NUMBER
Semloole Road Cro be assigrod by the BLdk*V Deparkmt)
ific Beech, Florida 32233-9445 12 - -7_5-
Phone(904)247-51126 I=(904)247-5945 —
E-mall., buildirg-depailoosibms Dads routed,
Cily%mb-aits! hffp-JA~.00mh.us E Z�&
APPLICATION REVIEW AND TRACKING FORM
Property Address: ��2- review requ��NO
uilding
Applicant nning&Zoning
Tree Administrator
A e6ZA f
Project: Oz n-b a Public Works
Public Utilities
Public Safisty
Fire wServices7
,r Pemlt RequirdTRP*,
Other Agency Review a red of flow or Receipt
of P,ImIlt Vedrad By Date
Florida Dept.of Em"mrierral Protection
Florida Dept.of TmmWmtom
SL Johm Rhw Water luwmgsrr�ent District
Army Corps of Eng—
Divism of Hotels and Restaurants
Dmmm of Alcoholic Beverages arid Tobacco
DOW.
APPLICATION Sj�TUB
Reviewing Departrisent Find Review: E�mrovecl. E]Denied.
(Circle one.) Comments:
PL4,NNING&ZONING Reviewed b
TREE ADMIN.
Second Review: ElApproved as revi�. F]Derk(d-
PUBLIC WORKS C011101m.
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed b� DOW:
FIRE SERVICES Third Review E34proved as revi E]Denied.
Connnents:
Reviewed byl Date:
lIffifted ommo
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37,30/2012 lit 08 23 AJ�,, Jltl � ::F-F -11T=r CO'-'P7 DMAL l�UNCY RFC0-,T)-NS
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NOTICE OF COMMENCEMENT
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WARNING TO OWNER ANY PAYMENTS MADE 11 THE 1�11A AIIR THE EXPIRATION OFAT11 NO'I" FIT
COMMENCEMENT ARE 1..SlD11ED INAPEOPER PAYMENTS INDER 11AP1IR 713 PART 1, SEG`O 713 13, FLOR10A
$TAT TES, AND CAN RESULT IN I.IJR PAYING TWICE FO L IMPRDIIMI17S TO IGUA REOPEI A NOTICE .1
U IF YOU"'I'D TO
COMMENCEMENT MOST PC RECORDED AND POSTED ON THE DB S[IF MEDAL ,I FIRST INSPECTION
.TUAIN I N ONG CONSULT YOUR EA)EA OR AN ATTORNEY BEFORE COMMENCING WOES A.1.11DINNICHII IGICE
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