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1076 hibiscus St 2013 windows CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 13-00002243 Date 3/01/13 Property Address . . . . . . 1076 HIBISCUS ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------- Application desc Replace windows ------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MILLAIRE JEFFREY S & ANNE R PLUMBING BY JOSH 1076 HIBISCUS ST 5677 FLORAL AVENUE ATLANTIC BEACH FL 322332652 JACKSONVILLE FL 32211 (904) 237-5706 ------------------------------------------------------ Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 8/28/13 -------------------------------------------------- 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 ----- ---------- ---------- . 00 Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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 Office (904) 247-5826 Fax (904) 247-5845 Job Address: JO X 44Scu S S 2— Permit Number: /-3 - as X3 Legal Description Parcel# Floor Area o q. t. Sq.Ft Valuation of Work$—A COOProposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition ;1 4ioa. QEED Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval#FL S d GG,/ t Il d 06. / 7 For multiple products use product approval form Describe in detail the type of work to be performed: /Q�Dl9Ge- c3j.JDo�J S Property Owner Information: Name: -� � �l��s C Address: City �anC State dip�VPhone �' �! E-Mail or Fax# (Op>tit onal) Contractor Information: Q Company Name: �II�jV1 Z4 Ca dl Qualifying Agent: Address: S677 / Ac_ _Ci State—_Zip 3-t a-J� Office Phone 7�tS-33J O Job Site — Fax# State Certification/Registration# L C Architect Name&Phone# Engineer's Name&Phone# My OF AT - RMITS FOIA r Fee Simple Title Holder Name and Address � Bonding Company Name and Address 'NFAND C ri i r Y Mortgage Lender Name and Address R1 1h DATE. _ . :,. .. J Application is hereby made to obtain a permit to do the work an insta a r ins n has~comntenced prior to issuance of a permit and that all work will be performed to meet the standards of all laws regulating construc z tion. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sixp6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells,Pools, urnaces,Boilers,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 application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether speci aed herein or not. The granting of a permit does not presume to give authority to violate or ance the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print NameJ �1 Print Name /!1./t, ......71 %..1..........P..." .................... .............................................................................. .. .N} ......................................... ...... Befor e PBefo this Day of16" 20 3 this � Da o 20 . Nota Public1011r a MEJSSAA.HART Not Public '° "' MEUSSAA.HART .: r MY COMMIFIRES:SKAJanuary #EE,2017 MY 80 ,�= EXPIRES:January 1,2017 �p T►w Bonded Thru Notary Public Underwriters A Notary Pubic Urderwrllers City of Atlantic Beach APPLICATION NUMBER 1 Building Department (To be assigned by the Building Department.) 800 Seminole Road 1-302 2Y 3 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 Yy ;s>>T E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (p I saw !S+, Department review required Yes No PBuilding Applicant: G Planning &Zoning Tree Administrator Project: ( a-tos 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 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: proved. []Denied. (Circle one.) Comments: C�BUILDING ) PLANNING &ZONING Reviewed by: 1, Date: 1 /-3 TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10