Permit Windows 1560 Main St 2013 CITY OF ATLANTIC BEACH
r)
800 SEMINOLE ROAD
j - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1-0,tl9r
Application Number . . . . . 13-00002140 Date 2/25/13
Property Address . . . . . . 1560 MAIN ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
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Application desc
window replacement
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Owner Contractor
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SAFFLES RODNEY G E & R ENTERPRISES OF NORTH FL
57 DOLPHIN BLVD # E 2628 WEST END ST.
PONTE VEDRA BEACH FL 32082 ATLANTIC BEACH FL 32233
(904) 993-6986 (904) 270-2185
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Permit . . . . . . W/W/O BUILDING PERMIT
Additional desc . . REPLACE WINDOWS
Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 8/24/13
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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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total 65 . 00 65 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 199 . 00 199 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-s.ue City of Atlantic Beach
r Building Department APPLICATION NUMBER
(To be
800 Seminde Roadasskjned by the 8tildatg Departrrrent)
Atlantic Beach, Florida 32233-5445 13 - 2-1
Phone(904)247-526 • Fax(0)247-5M5
✓iSl'J'' E-mail: building-deptQcoab.us
Date routed: /
City web-site. http:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (,e d �a C5T ent review uired Y No
Building
Applicant: Je �'7'J/�j�r'1'6� tanning&Zoning
1 _ Tree Administrator
Project: liU I'�� o rcJ �`��/f} M /� 1 Public Works
1 L Public Utilities
C DGS G`n ��rc�l�( �n� Ctt.�� Public Safety
101 O-D() IA) S Y 1 -yl Fire Services
Review fee $ Dept Signature
Outer Agency Review or Pennit Required Review or Recelpt Date
V
Florida Dept.of Environmental Protection of Permit erified By
Florida Dept. of Transportation
St Johns Rver Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
FRe
TZONING
view: Approved. []Deniednts:
Reviewed by: .� Date:
TREE ADMIN. Second Review-
QApproved as revised. ❑De ted_
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH F 1S u
800 Seminole Road,Atlantic Beach, FL 32233 E
Office (904) 247-5826 Fax(904) 247-5845 B 1 r `C13
Job Address: i S(o O O&A l v4 S l Permit Number:
Legal Description 118 -A S- a 9 � . 17 Parcel# i 1 2-3e?�2AW
t
Valuation of Work$ °`o Proposed Work hFloor Area ot eated/cooled non- heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indo /door
Use of existing/proposedstructure(s)(circle one): Commercial
i
If an existing structure, s a fire sprinkler system installed? (Circle one): es No
Florida Product Approval# 1(0
For multiple products use por—o-val form
Describe in detail the type of work to be performed: i iAS'rALA- N 6-W W i 4"POWS
A4D6RSj=- %1 z1/0
Property Owner Information:
Name: ROJ�161ij'Y _54iF F L .Z S Address: ;5-7 1^ipN,d S L VD IE-
City P.V, ISC14. State Xzip 3" Phone 19-9 _(V`� 3
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: � x=14(ice e�IS'�=� Qualifying Agent: w
Address: $ W i:ST sr-WD �( City A-CL-A-4 T,C C
"ZH State 0— Zip 3�z3
Office Phone 270-2-11K_ Jo nfiqnt Number 2(o 5(a 5(.o Fax#
State Certification/Registration# e'v-
Architect Name&Phone#
Engineer's Name&Phone# CITY OF A
Fee Simple Title Holder Name and Addres SEEPil ` !
Bonding Company Name and Addres REQUIREMENTS
Mortgage Lender Name and Address - --
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aa.+n,....+ha>eu.,wwrrue +s
Application is hereby made to obtain a permit to do cera ' allation has commenced prior to tete
issuance of a permit and that all work will be performed to meet the standar o a risdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandone or a pe iod of six 16)months at any time after
work is commenced. I understand that separate permits must be secured for Electric Work,Plumbing,Signs, Wells,Pools, urnaces,Bolters,Heaters,
Tanks and Air 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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type or work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Own Signature of Contractor
Print Name .Sp.N. _._ +. �4 =.�c. Print Name .--Yv vJ L. P�7L�4C1�
................t................................................................................................................
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Notary is :° ai6` ', <:s;on Gt)hS87 Notary Public °vnr
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mission DD868781
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