845 SAILFISH DR 2013 WINDOW CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002368 Date 4/03/13
Property Address . . . . . . 845 SAILFISH DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
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Application desc
window replacement all
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Owner Contractor
------------------------ ------------------------
LORIN ELIETTE MARIA HOMEOWNER BLDG SVCS, INC (RC)
1972 COLINA CT 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 9/30/13
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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 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 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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BUILDING PERMIT APPLICATION ` ' -id
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aDufty G �
CITY OF ATLANTIC BEACHILE C
800 Seminole Road,Atlantic Beach, FL 32233 � ^ Wit r
Office (904)247-5826 Fax (904)247-5845
JobAddress: 'S' `�/�►1C t=fs l-1 11.21 Permit Number: ' 3' 231a o
- Lv 7 Z 7 86aelt< to -
Legal Description 3Q, --&0- 3 9 - ZS - 2,q C PaL rh Parcel#
Floor Area of q. t.
Valuation of Work S Proposed Work heated/cooled L non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed stracture(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: I Ki 0ILEOVAIL011 U0
L
Property Owner Information:
Name: g— (L..t >S Address: I!q?Z COLWA CA
City 1L StaterLLZipZ2233 Phone -
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: ► i N�Qualifying Agent:
Address:7 -N C Ci State _10711
Office Phone q - ' - 10,64 Job Site/Contact N i mber
State Certification/Registration# REVIEWED Fog MDE CO
MPLUNCE
Architect Name&Phone# V95M&Ry cloq
Engineer's Name&Phone# i
Fee Simple Title Holder Name and Address REQUIREMENTS AND CONDITIONS. I
Bonding Company Name and Address
Mortgage Lender Name and Address REVIEWED BY:
P
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
issuance of a permf7c
that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work isommenced within six(6)months, or if construction or work is suspended or abandoned for a period of sixo)months at any time after
work is commenceunderstthatseate permits must be secured for Electrical Work,Plua►bing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
TanksrConers,
et
G
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.
1 hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether sped 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 nstruction or the performance of construction.
Signature of Owner Signature of Contra
Print Name _. 1.. - t/ -- - Print Name v�4 /2.-14 x
Sworn to and subscribed before me Swo �i f a subscrib l�efQ a me 3
this Day of rvu 20 this y of '�� 20
.y CHAD LEW*
WHITE
Notary lic EXPIRES �,X18 NO fL1d.Fd.XTPh-
349
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P,f,,, N t envrit�rs
rtyL�f��, City of Atlantic Beach APPLICATION NUMBER
JS "� Building Department (To be assigned by the Building Department.)
800 Seminole Road ?, 2��(pg
- • - �r Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 • Fax(904)247-5845 ZAP
"1st��r E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
Department review required Yes No
Building r/ `
Applicant: svzPlanning &Zoning
Tree Administrator
Project: S 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: [Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: t ��
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