385 Sailfish Dr 2013 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002486 Date 4/23/13
Property Address . . . . . . 385 SAILFISH DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6021
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Application desc
wind replacement
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Owner Contractor
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SIMPSON, AARON L. THD THE HOME DEPOT AT-HOME
385 SAILFISH DRIVE SERVICES
ATLANTIC BEACH FL 32233 207 KELSEY LANE SUITE K
TAMPA FL 33619
(813) 402-3700
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc - -
Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50
Issue Date . . . . Valuation . . . . 6021
Expiration Date . . 10/20/13 ------
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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 85 . 00 85 . 00 . 00 . 00
Plan Check Total 42 . 50 42 . 50 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 131 . 50 131 . 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 110
For)�� �'L/I
Job Address: 3ES C_� ��a'k k R Sh Permit Number: # Ar
nq'� u n F1 I k-
Legal Description 060 - _�IqParcel#
-y—
Valuation of Work$ (jQ 0&
Class of Work(circle one): New Addition <6t�e_ on .Repair olition pool/spa window/door
Use of existing1proposed structure(s)(orcle one): ia (CesidentniaTl
If an existing structure,is a fire sprmkier system installed? (Circle one): No N/A
Florida Product Approval# 5:10- I d-
For mulfiple products use product approval form
Describe in detail the type of work to be performed: rf_D�ncv
ProMrty Owner Information:
Name: �,hpncu,, 1_--, Address: 01
city -state LZip'.,?,q- Q -3 Phone (CIA -Q46-1
E-Mail or Fax#(Optional
Contractor Information:
-I ITTT At-Home Services,Tnc.
Company Name: 207 Kelsey 1. ne, Suite K Qualifying Agent:
Address: Tampa,M33019 city State Zip
Office Pho l:oq&5- 13"c' Job 'Si+_1(1^11taptIlumba Fax# -s LA�i,-D
State Certification/Regi ion#
Architect Name&Phone# 2MVIEVVED FOR CODE COMPLLANCE
Engineer's Name &Phone# CITY OF -4
Fee Simple Title Holder Name and Address— SEE PERMITS FOR ADDITIONA I
Bonding Company Name and Address REQUIREMENTS AND CONDITIONS
Mortgage Lender Name and Address 117411 /1 1
REVIEWEU-By.-
9,10;94A,'hot a- nrk-or instal ation has commencedprior to t
Application is hereby made to obtain a permit to do tl�u
issuance ofa permit and that all work will be performed to meet the standards ofall 46ws regulating construction in lijwvi�diction. This permit becomes ni
6)months, or if construction or work is suspended or abandonedfor eriod oj('sty(6)months at any time af,
gn d oo rn ers
and void ffwork is not commenced within six( aw, is,P Is,Fu aces,Boil ,Heatei
work is commenced I understand that separate permits must be securedfor Elecftical-Work,Pfumbing, Si s,
Tanks andAir Con(lidoners,dc.
WARNING TO OWNER: YOUR FAIILURE TO RECORD A NOTICE OF
CONMMNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IWROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOIT]i 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 oflaws and ordinances governing/I
f erm t does not presume to give authority to violate or cancel t
work will be complied with whether sccifted herein or not. The granting of a p
a., c
&ovisions ofany otherfederal,state, or local mv regulating construction or the pe�foman e qYconstruction.
S , Signature of Contractor Aeot� et L2.2--t-414i
ignature of Owner C
P .....................
rint Name �p.S �A,n Print Name '1 .1
R . .... .. . . . ....... .............47
Sworn to and subscribed before me Swomto d b cribed before me
"su '
,.20 this Day of Pq-l-, 20
this Day of
No U ic
)�5i U ic
Nolary Public
SAMANTHA tv Revised 01.26.10
RONALD ALLEN REEDY
NOTARY PUBLIt_;
STATE OF FLORIDA
NOTARY PUBLIC Z,17001_1
I " I - -
91 STATE OF FLORIDA Comm#EE017867
Comm#EEIMUM
_xDires 10/25/2014
Expires 12r29120%
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
-5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845
I Date routed:
it E-mail: building-dept@coab.us
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
s: Department review required Yes -No
Property Addres <-TD-1 d i n�g
Tra�nning &Zoning
Applicant: Tree Administrator
Project: -XD6 A Pubfic Works
R-1-fic Utilities
Publi
.Fire Services
WAR,
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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
'o
Othler
APPLICATION STATUS
I Reviewing Department First Review: gApproved. E]Denied.
i (Circle one.) Comments:
(:E:L D�IN)G
PLANNING &ZONING Reviewed by: Date:-'/-/7-t-?-
TREE ADMIN.
Second Review: FlApproved as revised. �ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07127110
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