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652 Sherry Dr 2013 window replaced CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002241 Date 3/05/13 Property Address . . . . . . 652 SHERRY DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1889 ---------------------------------------------------------------------------- Application desc WINDOW REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COOK, MARK A THD THE HOME DEPOT AT-HOME 652 SHERRY DRIVE SERVICES ATLANTIC BEACH FL 322335356 207 KELSEY LANE SUITE K TAMPA FL 33619 (813) 402-3700 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1889 Expiration Date . . 9/01/13 ---------------------------------------------------------------------------- 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 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 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 800 Seminole Road, Atlantic Beach, FL 32233 ` �� 'j I.7 Office (904) 247-5826 Fax(904) 247-5845 u U �S , Job Address: Permit Num r: l R�r' y Legal Description I - S-a9 E Parcel# Valuation of Work S 11:6,69co Class of Work(circle one): New Addition�Atterah_'on Repannolition pooUspa window/door Use of e�sting/ proposed structure(s)(circle one):-'�ommerciai esidenh'aI` If an existing structure,is a fire sprmkIer system installed?(Circle one): "fifes---No N/A Florida Product Approval# S 16 7• i,I For multiple products use product approval form Describe in detail the type of work to be performed: J-ep�a ce oma,- S Fwu Ry, sr2_e .:yrs:�;.. ...,,1,R.•.�-..M....,,,�.,.�..,��s'►., E Property Owner Information: [� Name: 4t�� Address: FILE COPP [ City Statet,Zip: aa33_Phone - ® , E-Mail or Fax#(Optional) Contractor Information: At-Home Services,Inc. Company Name: 207 Kelsey Lane, Suite K Qualifying Agent: R--A-Alse Q Address: Tampa,FL 33619 City State Zip Office PhonJob Sit4 mbn=NULUUcy ax t State Certification/Registration# 1_i2 jtj��FOR CODE COMPLIAN Architect Name&Phone# Engineer's Name&Phone# 11 r OR ADD1110 _AI Fee Simple Title Holder Name and Address S. Bonding Company Name and Address Mortgage Lender Name and Address DATE: Application is she made to obtain a permit to do the wor a "installations as indicate . I cert that no work or installation has commenced prior to t 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 n and void tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period ofsix months at any time afi work is commenced. I understand that separate permits must be secured for Electrical Rork,Plumbing,Signs, Wells,Pools, rtraces,Boilers,Heate Tanks and Air Conditioners,eta 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 CONMENCENIENT. 1 herebycert fy that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing ti type of work will be complied with whether sppeci red herein or not. The granting of a permit does not presume to give authority to violate or cancel t provisions of any other federal,state, or local law regulating construction or the performance of construction. 7 gnature of Owner Signature of Contractor4 Print Name , ✓ f .j2 Print Name j� r��,^ .� _ _..__... 'SJY 6�.1 ......_........................_....... Sworn to and subscribed fore me Sworn t and subs ribed before me this Day of / .20 thi ` Day of ►.v .20 13 Notary Public 1j9dry Public RONALD ALLEN REEDY �R" SAMANTHA Revised 01.26.10 NOTARY PUBLIC `' ")TA-W PUDLIG ` 1TE OF j=LO+ID/1 STATE Of FLORIDA ST, ��` Commit EE854609C)mr,1- EE017017 Expires 1 y29/2016 E-(dircS 11)/25/201,i City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road 22- 41 �, �r Atlantic each, Florida 32233-5445 1:3 r Q;. Phone(904)247-5826 • Fax(904)247-5845 6 0jilt`' E-mail: building-dept@coab.us Date routed: L2- / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: b5'2- :5hGYI' 4ui nt review required Ye No ng Applicant: �� /k/2V; ��/ �Sng &Zoning Tree Administrator Project: VI/ bOW1 RQJ4CER -r Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: Approved. ❑Denied. (Circle one.) Comments: CiUILDING PLANNING &ZONING Reviewed by: Date: 3-/-/3 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10