368(370) 1st St 2012 door/deck CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001674 Date 11/09/12
Property Address . . . . . . 368 1ST ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 800
----------------------------------------------------------------------------
Application desc
door/deck (put both on app per mg amd mh)
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
WOODS JEFFREY C & CAROLYN R CLIFT REUTER CONSTRUCTION LLC
303 6TH ST 113S 15TH AVE SW FL 32962
ATLANTIC BEACH FL 322335347 VERO BEACH
(772) 321-5133
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . . Plan Check Fee 27 . 50
Permit Fee . . . . 55 . 00
Issue Date . . . . Valuation . . . . 800
Expiration Date . . 5/08/13 --------------
--------------------------------------------------------------
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
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 50 . 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
ic Beach, FL 3223 FILE COPY
800 Seminole Road,Atlant
Office (904) 247-5826 Fax (904)247-5845
JobAddress: 14,11�15 11 Permit Number: 16 2 V
Legal Description 'LoAr vok Parcel# 4 T 7_50 - o0of
f a. t
oor rea o q. t.
Valuation of Work$ —Proposed Work eated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spK��
Use of existing/proposed structure(s')(circle one): Commercial
<�t
If an existing structure,is a fire sprinkler system installed? (Circle one): Y e�s , N/A
Florida Product Approval#
For multiple products use product ipp-r—o—va-Horm
Describe in detail the type of work to be performed:
Q41
Property Owner Information: n-
Name: CCLW 0 k yl vi 0 0 Address:
12- hone
city GCA1 State E�Zip I�Z_s P --C/7T
E-Mail or Fax# (optional, V_�
Contractor Information. A
6 A ITV-1-7 4 0 Qualifying Agent:: till F-�;106ff
S
Company Name: A S7TVI'7 v
Citv V i State OE Zip
Address:- PZ3 rN C
Office Phone Job Site/C I ac um er i 3A If
1D Od
REVJEMDTGKC���
State Certification/Regis�tration#
4,lrr
Architect Name&Phone CITY OF_AT1 4 NTIC BEAC R--
Engineer's Name&Phone QJP-
Fee Simple Title Holder Name and Address REQUIR MENTS AND COND113ONS
Bonding Company Name and Addres .4A I / a -'-!;I
Mortgage Lender Name and Address BY: DATE; -/ 4 �/ ,_
Application i's hereby made to obtain a permit to do the work and installations av indicated'I certify that no work or installation has commencedprior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
ter
uct,o or aWeriod ofsixP6)months at any time af
and void if work is not commenced within six(6) months, or if constr n orwork is suspended or abandonedf
work is commenced I understand that separate permits must be securedfor Electrical Work,Plumbing,Signs, ells,Pools, urnaces,Boilers,Heaters,
Tanks andAir Conditioners,etc.
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here rtify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
0�wcoe fg
typ e. . rk will be coMplied with whether specified herein or not. The granting of a permit does not presume to e u ity violate or cancel, the
provisions of any otherfederal,stat r local regulating construction or the performance of construction.
Signature of Contracto
Signature of Owner V S 4 C
0 4
S
Print Name
. ........................... ................................................
............
Print Name ...........................................................................
B re
Before Me 20
this Day q - 20 is ay f
L.GR AM
HIR L iu curAlft
14, 014
ru 2014 E pjr,ES�FeNda
-V PnES: ft d itefs
d Thru NotafY PU
Bo ed'!_hfu N ary P 11C UpOemin CM Bon edThruNotatYPU Revised 0 1.26.10
BU(JADARY ' WRVEY OF
7' 1Z oF /-o. 7-,V.Cc 7;,./" W17-11 -/o 7, 2/1 Re-oelok� zi A7-e,4AJ7-1C
EC,4641 AS X,-CO&De-D 1AJ P41AT Rook :5, PA�C.6' e. 9 0,r 7W&- eejeR6Aj7-
Rtle4le RiFifORDS Or z)uv.44 Caelwry, A-ZORIDA.
CER71FIED FOR: k,-,VAJe7-A1 ,J- SeIS,14 AI,4y6-5 I A10,e;Ue5-7 "OR77 eO.E*O
1,4jS. eO.
6-e S-"/7-//, tP A
4 0' TPE f T FILE COPY
7:5. 0 0'
7. ;rT e AR . 0
0% rocK W,4ee-
r7a(v -
.0 314'
�a
OA14- 97-ORY
13 5"'
A
PA R 7- 0,-
Z07' L73
AjX
I f-b
-kVIAA
e.,jk/000
0'
zor 21 RECEIVED
FEB 2 1 1997
City. r)f Allantic Beagh
NOI VAUD UNLESS EUBOSSED MTH SEAL Or ME UNDERSIGNEO. R1fl1(jjrjg and Zoning
I HE-Rr-6Y CERWY 77M T THE Z e7'-SHOW HEREON IS IN 171E SPEChAt FLOOV HAZARD ZONE-_X- AS SHOM
ON F7.000 INSURANCE' RA TE AMP.eool—FOR 4 7'e.4AI r/c- F7 ORIDA, DA TFV- 4-/2-,q_?
TRI-STATE LAND SURVEYORS INC.
8411 BA MEADOWS WAY SUITF #2, JACKSONOLLE, FLOR10A -322-056 (904) 7,31 72.35
11.relvil
I HFRf'IIY CfHIIf'Y MAT 17-Ir AI?OVT-., (ANOS Kflf
Iff.'ll"IM7111111, !)(.fl'tJ?K5I(W ANII 0110(,'HoN, IIIAI 1111let AHE NO
(ST I W 04 r-4P j L I a I ENCHOAMUENI'S tXCLI'll AS SHOW ANO IIIA I II/L' SUI?Vj- Y 5j/OW
frp"I'll HERFON MH,75 771C M/N/Aft/Al 11XIINICA1, SrANOARIPt vF1 f*01?111 17Y
0 NOW Plitt ffl4ollf) I?Ir l"tMI/1-A 110AHO 01 IANO 11ft0t )'Oh',1 VIII(IIIANI 11) !it(,'110N
0 I-m"Itir lilt 41AM, 11AIIM.14
VAT 11M.81 1:10"I ##,*111041 ft(w I wo
W- 1 tAMWNr 1ARRY G 00Y, 111.5 No. 414-4
9/iV M1111fir-Or WAV-
MV r0KROT) AWA
I
Aj4 A01 PWINOV00 FAII OF OORMA
MAA41 w4mroit HA Ir
957 FIX. 74 -
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed: Lle�11'2_
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
: - 4-r S (3 74 )
Property Address papArtment review required Y No
Building
Applicant: Ti4 Planning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
7W
Review fee $ Dept Signature
Other Agency Review or Permit Required Review 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: [E(Approved. OlDenied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: -11n Date:
TREE ADMIN. Second Review: DApproved as revised. F-14nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05114109