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Permit Windows 1224 Ocean Blvd 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ... ..11, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001511 Date 10/19/12 Property Address . . . . . . 1224 OCEAN BLVD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 7159 ---------------------------------------------------------------------------- Application desc REPLACE ELEVEN (11) WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LADA JENNIFER LOWES HOME CENTERS INC 1224 OCEAN BLVD. 4948 TELSON PLACE ATLANTIC BEACH FL 32233 ORLANDO FL 32812 (904) 486-4701 ---------------------------------------------------------------------------- Permit ' ' * . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00 Issue Date . . . . Valuation . . . . 7159 Expiration Date . . 4/17/13 ---------------------------------------------------------------------------- Special Notes and Comments NEED NOC 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- 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 45 . 00 45 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 139 . 00 139 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. (PNG Image, 1700x2200 pixels)- Scaled (38%) https://maiI-attachment.googieusercontent.com/attachment/.?Ui... BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 JobAddress:--- Permit Number: Legal Description &�-11� Parcel# _Ca2, Valuation of Work 7—rWr-ea�o� Work q* t S roposed aq-rt: heated/cooled non-heated/cooled Class of Work(circle One): Now Addition Alteration Repair Move Demolition pool/spa window/door Use Of existingtproposed structure(s) circle one): Commercial I Residential If an existing structure,is i Mir system installed?(Circle one): Yes No N/A Florida Product proval# For multiple pr�osucts use_pFod—ucFa_p—pr—o—vaTforrn Describe in detail the type of work to be perform d Property 01w er for tion- Name. /Ilc� V. _Address: City er— � S�iieA_Z_� E _Phone -Mail or Fax#(Optiona !CO—utractor Inforniati Company Name: AddA pm . I Qualifyin ent: ress: Office Phone city Zip Job Site/Contaqt Number Fax# State Certification/Registrati,n# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Addres Bonding Company Name and Addressuros Mortgage Lender Name and Address amzl A d I td th �34 a,0 8rfi ork and imria"laton'as'nd or installation has commencedprior to the tic e�ma ewo4ob"''4 0�rmi" 0 ee w e'tandar* thisjurisdiction. Thispirmitbicomesnun P an 'to i e r and th 'k will dto Ith c a m' " r on vo'd ot _m_ ithin mo., d ki d (6 h calls"lich.on or orki fsixfi months at any time after c e-ce w op" s en _ .1 . . r, !is I .securl f ,k d r ta d b d ar EI!M Veriod a el zl,as a sal p,, elk Pook urnac- Rafters Heaters, C. tion rs, . 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 YOVi NOTICE OF COMMENCEMENT. fhere certify that I have read and examined ill ation and know the same to be true and correct. Allprovisionsoflaws ances governing this /)W o�work will be cotmplied w'. he r le e ' or not. The granting of a permit does no�presume to give all ori Provisions of any otherfederal, Egli in onstruction or the ce of construction. ori iolate or cancil the Signature of Owner Signature of Contrac or Print Name .......... ........................................................................ Print Name Swo )ubs,,b fo Sworn to d subs cri efo in e ........... ........................ C this D 0 Notary Public 0 ubic Revised 01. ER DEBRA',.CART DEBRA L.CARTER Comm#DD0871944 Comm#DD0871944 9_4 Expires 3/18/2013 z Expire-,3/1812013 Florida Notary Assn.,Inc .......... Ine Florida Notary As' ..................... I of 1 10/19/2012 05:41 PM 10/14/2012 16:47 3524733167 KEYSTONE DOORS & ETC PAGE 11/20 BUILDING PFRmiT APPLICATION CITY m ATLANTIC BEACH 800 Senxixiole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: Permit Number, /J Legal Des cription A&^4�� pucel sq.Ft rloor Area 6T Sq.". - Valuation of Work 5. 3/jOF""" —ProposedWork heated/cooled aon-heateNcooled Class of Work(circle one): New Addition Alteration R ir Mayx emolition pool/spa�indow/d.oo,r -id useofe�xjltlng/pr osedstructure(s) eircleol2e): Commercia7l ide re,is a fir s n er If an ellst ng stra 0 � system installed?(Circle oce)- es No Florida 14duct Approval #. 7,z-x/ For multiple products use product approval form Describe in detail the type of work to be perfomed: F Eur Provegy QEner Informatipa: Name- 1A0VA116fi9r-= 4W�IA Address: city ip Phone !0�1 z7of Stato�— E-Mail orf, CQUtractir Information; Company I Name: Rf oualifyinx AAeni- /��- 6yww'- I k4z� State 4w— zip Address: 2&C863 Office P;ine 4M--W-3 V14W )ob Site/Contac Num r State Certificatiori/Registration-# Architect Name&Phone OMPUAN, Engineer'i Name&Phone 4 Fee Simpke Title Holder Name and Add CHY OF ATIAN IICTEAIM Bonding Company Name and Address SEE pERMMS-FOR ADDMONAL REQUEREMENIS AND WNDY11ONS. Mortgage1ender Name and Address— ��t-z- t work,2nd inst vrk d prior to the Application�is hereby made to obtain a permit to do th a di Per f orme�w to meet( e e$to e:nd 17 ti permit and that all w;prk will be per f 'h i I r becomes nuti �ej tA ,K)vor=to m W1(1h $to ate mnnih_or i co truct any r Ff c ns for Efectrical'W-k,,P18, Wit- -V' �Iwork is?lot commenced withinsix(6)months.o. , i1is'e-c-u-ped-- 10 1=11TW work is coNtmemcgd I understand thaeseparale permits mus Tanks andAir Condhionem,da 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 YOUk NOTICE OF COMMENCEMENT. rect All provisions of laws and ordinances governing this I here ce�l#�that I how read and examined this qpplication and know the same to be trite and cop type 1�1 VO4 will be complied with whether sfecified ere r not. The grantitig of a permit does not presume to give authority to violate or cancil the 0 V Cal aw in o provisions ofany otherfederal,slate.or to italing construction or the perfo�mance ofconstruction. Signature of Owner Signature of Contractor 1 Print Name ..................... .............................. PrintName ................................. Sworn AAd b cr me Sw0rajP-qA&subscrttbefbre me regf 0 su' this M 'Y'Suf Aore .20 t D� f .20 0 0' 27---P-L N lie IgWM311812013 Sip" r "paled City of Atlantic Beach AffPLICATION NUMBER Building Departrnent mg rJ 800 Seminole Road (TO be clssignOd by the Building ftaftent) Atlantic Beach, Florida 3223- 5445 Phone(904)247-5U6 - FaX(904)247-5845 riM, E-mail: building-dept@?coab.us F[Date:rotAed. City web-site. http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 00altil De artment review re ulred Ye No Applicant: Buildin Planning&Zoning Tree Administrator Project: Public Works Public Utilities— Public S Fire Services Review fee $ Dept Signature rOther Agency Review or Permit Required Review or Receipt Date 0 Florida Dept.of Environmental Protection of 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 Reviewhig Department First Review: BApproved. nDenied. Comme nts: UILDIN P ING&ZONING Reviewed by: Date:,Lo Y TREE ADMIN. Second Review: oApproved as revised. nDenieVd. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. E]Denied. Comments: Reviewed by: Date:— Revised 0712t/10