1093 Cornell Ln 2013 window i `fr
�� =N ` ' , CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002758 Date 5/31/13
Property Address . . . . . . 1093 CORNELL LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
WINDOW REPLACEMENT
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Owner Contractor
------------------------ ------------------------
BELLACOOP FUND PROGRESS HOME BUYERS
2406 UNIVERSITY BLVD W 2406 UNIVERSITY BLVD W
JACKSONVILLE FL 32217 JACKSONVILLE FL 32217
(904) 677-6777 (904) 677-6777
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 11/27/13
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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
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Grand Total 90 . 00 90 . 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
Office inol Road, Atllantic Beach FL 32233
( ) Fax (904) 247-5845E. 9
Job Address: zn - Permit Num
Legal Description '0x2'5 - L • 1/� IS IDLE �O r Krrei 4rarcel# 17714 W-o S'o a
oor Area o '�Ft. 'q'l t
Valuation of Work$ Proposed Work heated/cooled Z� non-heated/cooled �d
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 system installed? (Circle one): Yes No N/A
Florida Product Approval# 4
For multiple products use product approval form
Describe in detail the type of work to be performed: / o✓ GtiGt�� GyT
Property Owner Information:
Name: iJ���G!rq� ra'_f GG C_ Address: 7404 0 : ct'S•'Y"' I-,'-
city Statek Zip *3tZ-r-7 Phone -?41-d7 - -7��
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: M41 13 Qualifying Agent:
E� •,, _ i c�� State FG Zip 3Lz�
Address: ZrW .e,`,�r� `
Office Phone 4*K-tf��- 6777 Job SitdContact �" - 3
State Certification/Registration#
Architect Name&Phone# yi
Engineer's Name&Phone# �'"� RNIMFORADDMON
Fee Simple Title Holder Name and Address RE UIBonding Company Name and AddressMortgage Lender Name and-Address � wMVIEWED �
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or insta a ion menced prior 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 permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is susended or abandoned for a period of sixp6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing, Signs, ells,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.
1 herecertify that 1 have read and examined this application and know the same to be true and correct. All provisions of la sand ordinances governing this
type certify
will be complied with whether specified herein or not. The granting of a permit does not presume to ive thority 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 �A....:............. ,,'�G ( Print Name /..'�.� 1.... ........................................
�..... ... ...... .. S
Befo a BefXe
this ` Day of Ocak 20 � thisd't Day of 20
Iry
..* Notary Public State of Florid*N a Qid— Kasandra Joyner
Notary Pub 1c ?° Kasandra Joyner .A My Commission EE097210
y*� - My Commission EE097210 �o=�evi l071W.41�
?or�o Expires 07104/2015
tvr�� City of Atlantic Beach APPLICATION NUMBER
Js � Building Department (To be assigned by the Building Department.)
800 Seminole Road /2 76-00
�¢
Atlantic Beach, Florida 32233-5445 0
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /C 9� ejol-AIEII L--r) D ment review required Ye o
Building
Applicant: VA Planning &Zoning
Tree Administrator
Project: Q �e jPublic Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
BUILDING
PLANNING &ZONING
Reviewed by: Date:
on
TREE ADMIN. Second Review: [-]Approved as revised. ❑Den ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09