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Permit Doors 630 Sailfish Dr 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001782 Date 12/06/12 Property Address . . . . . . 630 SAILFISH DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4450 ---------------------------------------------------------------------------- Application desc exterior doors ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PERKINS, CATRINA C BEACHES HABITAT 630 SAILFISH DR E 1671 FRANCIS AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . - EXTERIOR DOORS Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation 4450 Expiration Date . . 6/04/13 ---------------------------------------------------------------------------- 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 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 116 . 50 116 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by 0*BdldkV DWartment.) 800 Seminole Road 7 Atlantic Beach, Florida 32233-5445 - 17o02- Phone(904)247-5M - Fax(904)247-5845 Corti, E-mail: builcling-deptQcoab.us Date rotAed. 112— City web-site. http,//www.coab.us I--- APPLICATION REVIEW AND TRACKING FORM Property Address: <977 417,�-A jDapaitinent review re ---- ulred Ye&-No Building _-) Applicant: Buildin &Zoning nin Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee Dept Signature Other Agency Review or Peffnit Required Review or Receipt I of Permit Verified By Date 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 Aicohofic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: M;;;roved. nDenied. (Circle one.) Comments: KIBUIL�DIN6 PLANNING&ZONING Reviewed by: Date:-!2---6--/2— TREE ADMIN. 4 Second Review: E]Approved as revised. FbenlWd. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SER\ACES Third Review: E]Approved as revised. ElDenied. Comments: Reviewed by: Date: I I Revised 07127110 BUILDING PERNUT ATPLICATION Crry oF ATLAN'Tic BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 ob Address: Sk*,Wk..� - Permit Number: X)_ -/7c-?c4, ,egal Description 30-(P- 3fr 2.5 ;L5E Parcel 4 Lo�- 3f i;(Uck �5_ r I,loor Area of- Sq.Ft—. Sq.P't aluation of Work S -ProposedWork heated/cooled 145b non-heated/cooled 75- qq5-� , 0 � 'lass of Work(circle one): New Addition Alteration (::Rej�, Move Demolition pool/spa window/door .se of existing/proposed structure(s) (circle one): Commercial an existing structure,is a fire sprinkler system instaffed? ( ircle one): -�-Y. No` (��/l lorida Product Approval# -P- .e /9 or multiple products use pro—duct approval form escribe in detail the type of work to be performed: 64 4 roperty Owner Information: am Address: 1c, k f,S A doll �I -C- Bwu,� State-41. Zip _3LI.-Y3 Phon!' ?kl 3 -,,1 :ty Mail or Fax 4 (Optional) )ntractor Information: )mpany Name: Qualifying Agent: RAW,+ 1dress: )Ln t qVm,,4%!; A%s,� i jtfj�, PgLcAe-5 State Zft) 3 1.L?-1 Ece Phone 9 t)q- jq i- # Jo I Ri C-n-ntq('1_1 lk -:Iqlf- -43(1- 1 r, ite Certification/Registration 4 1,16T8 -0-yuh UUMIT—UNCE .chitect Name&Phone 'j CITY OF ATLAN11C REACH igineer's Name&Phone SEE PERMITS )NA1 e Simple Title Holder Name and AddresL,6, QUIREMEms AND CONDMOMNS, inding Company Name and Address lRE!1E11' wr "q1 0114) 4) 4 '(2 Drtgage Lender Name and Address &NjL;l v A.V_TV jD I: f If DA—TE: 7lication is hereby made to obtain a permit to do the work and installations as indicated. I cer*that no work or installation has commenced prior to the iance ofa permit and that all work will be pe?jbrrned to meet the standards of all laws regulating construction in thisjurisdiction. Dzispermit becomes null I void ifwork i's not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsiXP5)months at any time after k is commenced I understand that separate permits must be secured for Elec&lcal-Work,Plumbing, Sikns, Wells,Pools, urnaces,Boilers,Heaters, iks andAir Condfdoners, etc- WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT Vq YOUR PAYING TWICE FOR EVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOVifi NOTICE OF COMAIENCEMENT. reb ceryfy that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this o7work will he coTplied with whether speciffed herein or not. ne granting of a permit does not presume to give authority to violate or cancel the &ions of any otherje�ieral, state, or local law regulating construction or the peifiormance of construction. nature of Owner��- V�� -_ Signature of Contractor. 1 ffl i.V,5 )tName ------------�2 .................................................. Print Name PA..A— .............................. ............................................... )m to and subscribed before me Svvorn to and subs *bed before Day of__hcl�qb r%;�P 20 1 L__ this O+t\Day of 20 f'L– JOYCE M.FREE AN JOYC a Notary Public-state of Florida a F id 201 3 a 9 1 17] lic St t 7 ur of lor 1 4 'af�Public Notary Public-State of Florid 0�6ju-TPublic MY Comm.Expires Jun 10,2013 **c"M Cqjnm.ExplresJun10,2013 Y 0 8 9 4�"iis"41 OD 897794 F,, Commission#DD 897794 '(17p,,,,�.- w..... P-e.,,-r.,-7y �- 0 la 17 9�L, NOTICE OF COMMENCEMENTt�-tow-,,*----,^#-,wi,,*,- Y 0;1 Tax Folio No. State of Florida County of To Whom it May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: u. Address of property being improved: General description of improvements:—yl�� Owner: CJ4A� Address:-W4 Rene*p k 243- Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: ra b Human the a�ckn ille Beaches L v� ct ta f a' Ic so a 904-241-43_10 —�—�� re A einuo�An Be ch F 3�2233 ra v 'a or- a I 'for dd ss 1671 F ncis .. 04-24 1_ 222 Fax No. hone N . 9 Surety(if any): Amount of bond$: Address: Phone No.: Fax No.: Name and address of any person making a loan for the construction of the improvements: Name: Address: Phone No.: Fax No.: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Phone No.: Fax No.: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Phone No.: Fax No.: Expiration date of Notice of Commencement(the expiration date is one(1)year form the date of recording unless a different date is specified): Warning to.owner: Any payments made by the owner after the expiration of the notice of commencement are considered improper payments under Chapter 713,Part 1, Section 713.13, Florida Statutes,and can result in your paying twice for improvements to your property. A notice of commencement must be recorded and posted on the job site before the first inspection. If you intend to obtain financing,consult with your lender or attom ey before commencing work or recording your notice of commencement. THIS SPACE FOR RECORDER'S USE OWN Signe;Y/ Date: +k-rn^12nfVnf wal-