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353 5th st door replmnt 2013 Jv� 'SS, CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jit Application Number . . . . . 13-00002410 Date 4/08/13 Property Address . . . . . . 353 5TH ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 -------------------------------------------------------------------------- Application desc DOOR REPLACEMENT ----------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HORTON, JOHN W EASTERN SHORES CONSTRUCTION 345 4TH ST 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-7878 ------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . Permit Fee 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 10/05/13 ---------------------------------------------------------------- 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 Office (904) 247-5826 Fax (904) 247-5845 Li � fn Job Address: 3 S 3 � lL- Permit Nu • MAR d Legal Description Parcel# f, L�11 Floor Area of Sq.Ft. Valuation of Work S Proposed Work heated/cooled non-heated coo Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures) (circle one): Commercial Residential 82Dg, If an existing structure,is a fire spri kler system installed? (Circle one): Yes No N/A Florida Product Approval # L' Z 3 . /y �G -/SZ /9 , 9 FG ' For multiple products use product approval form Describe in detail the type of work to be performed: - Property Owner Information: rT'7 Name: 1-n/1 Address: City State Zip hone - E-Mail or Fax#(Optional) Contractor Information: ( .•�7i 11 j y Company Name: .r S��'�'� Sr�t� ��g� —�^ Qualify'n Agent: Address: i) f z u get City �� eJ�- State Z Zip 1Z 3"3 Office Phone "- f-'t 1 Job Site/Contact Numb State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# O]FNILUMC BEACH SEE FhXMTS Fee Simple Title Holder Name and Address FOR ADDITIONAL Bonding Company Name and Address ONDTTIONS. Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated certt a rior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This perms ecomes 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 srx 16)months at any time after work is commenced. I understand that separate permits must be secured for Electricar 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 thisplication 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 ied herein or not. The granting of a permit does not presume to�gtve authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name © •..•. •!f\ ,-••.l. '..,...... 0 Print Name L • .. .........�/............................... a✓.ti...td L.A+. -....................... Befor Bef this ay o 20 i s a f Ct rC 20 r SHi EY L GRAN r G i Not a u • �' EXPIRES:February 14 2014 SES:Fe rL,. 14,2014 j y 9 ti BondedThruNotaryPubo U Jrnvri;er ,d inn Nota Pab Underwriters Revised 10.24.12 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 13 Atlantic Beach, Florida 32233-5445 Phone(904) 247-5826 Fax(904)247-5845 z E-mail: building-dept@coab.us Date routed: 13 City web-site: http://vvww.coab.us 14 APPLICATION REVIEW AND TRACKING FORM Property Address: ��� ,� S artment review required Ye o Buildin Applicant: ff J` ���h �i701i CG/,�7ra� 0 Planning &Zoning Tree Administrator Project: ��D� / �IG�C1 J 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: =BUILDI:N�j PLANNING &ZONING Reviewed by: Date: 71 �--� TREE ADMIN. ❑App Second Review: roved as revised. ❑Deni 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