1761 Ocean Grove Dr door 2013 � 'res r�`1 r✓\,�
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
j � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
f'�Jj31�f'
Application Number . . . . . 13-00002914 Date 6/27/13
Property Address . . . . . . 1761 OCEAN GROVE DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2430
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Application desc
DOOR REPLACEMENT
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Owner Contractor
-
------------------------
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CURRY JAMES D PELLA WINDOW AND DOOR
1761 OCEAN GROVE 8174 BAYMEADOWS WAY W
ATLANTIC BEACH FL 322335844 JACKSONVILLE FL 32256
(904) 731-8330
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2430
Expiration Date . . 12/24/13
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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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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 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 D �(
800 Seminole Road, Atlantic Beach, FL 3223
Office (904) 247-5826 Fax (904) 247-584 JUN 21 2013
Job Address: roye, Or IL-1 rt�+i C. BR-O Lh Permi er: f oa 7
Legal DescriptionJ`040 Og-as -4c I03 Oep( () Ir- -lip �iJZ.Pareel# I _/0
,,,
Floor Area o meq. t. q. t
Valuation of Work S ag3o Proposed Work heated/cooled 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): Commercialsidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval# 1.3606 .3
For multiple products use product approval or^m
Describe in detail the type of work to be ,)erformed:�R f p l c r_k D door- Sl i- �V'r S I Z,
Property Owner Information: n 1 , /1
Name: Address: l 1 !h cufm
Yl
City, �,, ,�k��State : a33 Phone
E-Mail or Fax# (Optional)
Contractor Information:
Company Nam (- Qualifying Agent:
Address: W City State
Office Phone Job Site/Contact N Fax-
9-State Certification/Registration# DWLI la RMENRD FOR CODE COMPLMUE
Architect Name& Phone#
Engineer's Name& Phone# E PERMITS FOR ADDITIONAL
Fee Simple Title Holder Name and Address
Bonding Company Name and Address CONDITIONS.
l
Mortgage Lender Name and Address BY: -
Application is hereby made to obtain a permit to do the work and installations ase ed io &
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!, o T
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a ereod of six(6)months at ti a ter y, '
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boi ,
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.
l hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether sped Ted herein or not. The granting of a permit does not presume to gave 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 &,404 6 �4AA4-4Z�// r Signature of Contractor
low�
Print Name � .W..L......... ........1 Print Nameo►,r►e ...........W.L ..�
Sworn to and subscribed before me Sworn to nd subscribed before me
this 30 Dayof (Yl 20 I this _ZtMay of Z?int� ,20 <3
Notary Public o a 1c
`r �"�° TIMOTHY ROIAND U:21gJ3
` ;. d 01.26.10
,,rr oNe. Notary Public State o{Florida r:
'+. MY COMMISSION N DD
Gary Barson 5 •, e EXPIRES:August 7,My Oommissim "�FOa0205 f F Bonded Thru Notary Public U
i '''or no4 Expires 1 r :.4
row Notary Public state or Florida
Gary Barson
MY commission EE040205
oirlo; Expires 11/07/2014
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building artment.)
800 Seminole Road /Z z q /7
Atlantic Beach, Florida 32233-5445 -�
Phone(904)247-5826 - Fax(904)247-5845 /
s_vE-mail: building-dept@coab.us Date routed: !D
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 7610 Me,` Ord r-6 _._,Pgp@#ment review required Ye No
Building
Applicant: �ll � Planning &Zoning
Tree Administrator
Project: `Q,C� /���� 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: MApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: V 3
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