1849 Seminole Rd 2013 patio door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002346 Date 3/27/13
Property Address . . . . . . 1849 SEMINOLE RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3496
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Application desc
replace patio door
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Owner Contractor
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MORIN, EDWARD H ACE DOOR & WINDOW SERVICE
1849 SEMINOLE ROAD 9123 HARE AVENUE
ATLANTIC BEACH FL 32233 QA VICTOR AVERILL HALE
JACKSONVILLE FL 32211
(904) 727-6811
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc - - 35 . 00
Permit Fee . . . . 70 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 3496
Expiration Date . . 9/23/13 -------
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Special Notes and Comments
NEED NOC
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDIN
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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 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
Office (904) 247-5826 Fax (904) 247-5845 rp
Permit T�Prber: /
r
M
Job Address: MAR 2 1 4' 1 �
Parcel# ......................................................... 6,
Legal Description F loor Area ot ��I III Ft -S—qq-Ft d
Bnon-heated/coole
Valuation of Work$_4� Proposed Work heated/cooled —
in
Class of Work(circle one): New Addition Alteration Repair Move Demolition poot/spa dow/door
I: commercial Residential N/A
Use of existing/prop ed struptn-reTsTtctmk one) No
os evit*nstUalleV (Circle.one): Yes
If an existing structure.is inkler svit
-ire spr s'
Florida Product Approval
For multiple products use o uct approva m
nf wor to rm cl(coc-
Describe in detail the type of wor to e performed:
Property 0 vner information:
71 Address: e-VVI
Name: JO
State(--( ZipIA133 hone
City__O:t I Z44 1-
E-Mail or Fax 4(optional)
Contractor [nformation:
Qualifying Agent:
CompanyName: A(,,L DcxyK State F L- Zip-3-,q
(?/ V� city Fax# 2Z i-z
Address: Job Site/Cont u 12 7=(�kl
office Phone 100 Y
State Certification/Registration# cop
Architect Name&Phone#
Engineer's Name&Phone
er Name and Address Rr-I
Fee Simple Title Hold 0
Bonding Company Name and Address
Mortgage Lender Name and Address— ��/ A- _., - , , -.:17 ienced prior to the
t no Ista .on omn
)rk and instal ations as in I it ' esr t becomes null
ion is hereby made to obtain a permit to do the wc lulating c 'o8npth mat ny time after
Applicat, formed to meet the standards of all laws reg S,Poo a rs
issuance of a permit and that all work will be per If construction or work is.su ended or band ned or e S,Poo S, aces,Boile ,Heaters,
and void if work is not commenced within six(6)months or i ipwork, bing,Si ns,
work is commenced. I understand that separate permiis must be secured for Electrica
Tanks and Air Conditioners,e1c. : YOUR FAILURE TO RECORD A NOTICE OF
WARNING TO OWNER CE FOR IMPROVEMENTS
COMMENCEMENT MAY RESULT IN YOUR PAYING TWI1 CING9 CONSULT WITH
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANI OUR NOTICE OF
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y
COMMENCEMENT.
e and correct. All provisions of laws and ordinances governing this
fy that I h ve read and examined thisa plication and know the same to be tru presume to give ority to violate or cancel the
I here b ,1p. f a permit does not
y certi e e granting o
a forman
type pf work will be complied with whether speci ied herein or not. Th, ce of construction.
provist.ons of any otherfederal,state, or I al law regulating construction or the pe�
?t Signature of Owner Signature of Contract!
C:—f UY........A
........ .................................................
Print Name V.... ......................... ..............
PrintName ................ .................. ........ ............ ......... B. re 17 e .2
Be 20 D f
S ay f I .;RL
GRAHAM
ary Februa 14,2014
_XP' Ivirijers
Not Public EXPIRES:February 14,2014 Vndle Thri., 0tarYPubl'I 3 0.24.12
Bonded Thn,Notary Public Underwriters
City of Atlantic Beach APPLICATION NUMBER
a 1.SS Building Department (To be assigned by the Building Department.)
.1 800 Seminole Road
0 0 Atlantic Beach, Florida 32233-5445
X Phone(904)247-5826 - Fax (904) 247-5845 LDate routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: If VV Dqpartment review r
Buii�in —
9 _�>
Applicant: 14e� bel�4 .c Planning &Zoning
Tree Administrator
Project: /�p ore Public Works
Public Utilities
Public Safety
Fire Services
kevi ew fee Dept Signif6re`
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 Hotpig and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 5;?rApproved. E]Denied.
(Circle one.) Comments:
Date:
PLANNING & ZONING Reviewed by:
TREE ADMIN. Second Review: FlApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: -Date:
FIRE SERVICES Third Review: [_�Approved as revised. []Denied.
Comments:
Reviewed by: -Date:
Revised 07127/10
MAR-29-2013 13:41 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P'1/1
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