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860 Sailfish Dr 2013 window CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002425 Date 4/11/13 Property Address . . . . . . 860 SAILFISH DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2500 ---------------------------------------------------- Application desc WINDOW REPLACEMENT --------------------------------------------------- Owner Contractor ------------------- ------------------------ FORE, STUART ASHBY HOMEOWNER BLDG SVCS, INC (RC) 1616 BEACH AVE 739 BROOKMONT AVE E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 322-1054 --------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2500 Expiration Date . . 10/08/13 ----------------------------------------------- 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 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 50 101 . 50 . 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: 860 Sailfish Drive � Permit Number: Legal Description Lot 6 Block 4 Royal Palms unit 1 Parcel Floor Area of SqqFt. Sq.Ft Valuation of Work$ 2,500 Proposed Work heatedVcooled 1,257 non-heated/cooled-- Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler s stem installed? (Circle one): Yes No N/A Florida Product Approval# 14911, For multiple products use pr uct approval form Describe in detail the type of work to be performed Window Replacement Property Owner Information: Name :H&"isen-1:'vre' - i V 4P City State_Zip Phone E-Mail or Fax#(Optional) Contractor Information: Company Name :Home Owner Building Services Inc. Address :739 Brookmont Ave E.Jacksonville Florida Cit• Office Phone 904-322-1054 Contact Number Fax# State Certification/Registrition# CRC058394 REV ' D F Architect Name&Phone#Vermay Architect CM OF ATLMffie"BrEAVIC-11111 Engineer's Name&Phone# Fee Simple Title Holder Name and Address RE UI Bonding Company Name and Address Mortgage Lender Name and Address BY- Application is hereby made to obtain a permit to do the work and installations as indicated. I certi t t no w on basso r to the issuance of a permit and that all work will be performed to meet the standards of all laws rpegulating construction in thpisejurisdiction(. This permit a omes null work is�inmenced.of I understand that separ�at permits mtufst be�ured for Eledrica!Work,Plumbing,Sig s,aWells,P olsxFumaces,Boilers,Heal trs, 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 COMMENCEMENT. I here b certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type ofYwork will be complied with whether speci 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 construction or the performance of construction. Signature of Owner Signature of Contractor Print Name �1 " Print Name Civ �2 ..............................................� + i�h-......................... L1R7.-........... j. ... ......... ..R... ...................................... Sworand subscribed before me 20 3 Sworn to and subscribed befo me this a o1 d(1 20 "J SHIRLEI L G AM *� to CCMMIF N1—WE WPRi Notary Public MY COMMISSION#EE148600 N�"�`v P - .Thn,Not bli,Underwnters OF N� EXPIRES:NOv—b-27 2oI5evtsed 01.26.10 ]_NO-3-NOTARY Fl.Notary Discount Mss.Co. City of Atlantic Beach APPLICATION NUMBER js n5 Building Department (To be assigned by the Building Department.) = y 800 Seminole Road _ �� 3 y ' Atlantic Beach, Florida 32233-5445 4 Phone(904)247-5826 • Fax(904)247-5845 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 Yewl No i m Applicant: /IlC Planning &Zoning Tree Administrator Project: ��/�� 4 ��LL( Public Works Public Utilities _ Public Safety Fire Services Wk NE W, 11,151 ! 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 Alcohoic Beverages and Tobacco Other: I' APPLICATION STATUS Reviewing Department First Review: EApproved. FIDenied. (Circle one.) Comments: BUILD NG PLANNING &ZONING Reviewed by: Date: TREE ADMIN. FlApp Second Review: roved as revised. Fbeniw � PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ElDenied. Comments: I i Reviewed by: Date: Revised 07/27/10