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1809 Tierra Verde Drive WINDOW 2013 CITY OF ATLANTIC BEACH f s) 800 SEMINOLE ROAD ►� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002975 Date 7/02/13 Property Address . . . . . . 1809 TIERRA VERDE DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1645 ---------------------------------------------------------------------------- Application desc GARAGE DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GROSS, PETER T PRECISION DOOR SERVICE OF NF 1809 TIERRA VERDE DR 11389 TRADE COURT STE 101 ATLANTIC BEACH FL 322334527 JACKSONVILLE FL 32256 (321) 302-2883 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1645 Expiration Date . . 12/29/13 ---------------------------------------------------------------------------- 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 JUN 2 8 201 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 r7 Job Address: Igo era Verkbr 'r"�"J,L �Lf��L qqP�m�Number:1�iy' Legal Description 3g-Zoo, 0q—2S-29 E SELVA 7ERRI'•arcel# 16y S`1? ::, 9`1 g p L �- ��� FIoor of—�q�t• nonth teae d c/ ooled 5 0 Valuation of Work$ �o Proposed Work heated/cooled — _se Class of Work(circle one): ion Alteration Repair Move Demolition pool/spa( window/door Use of existing/pro os structure(s) circle one): Commercial esidenti If an existing struefur is a fire sprmkler system ins Iled?(Circle one): o N/A Florida Product Appro al# / — pale CDaIn� �/� 12-0228.1-{ For multiple products a product appro a or `J Ckk Describein detail the type of woo r ormed: Or t,i t'?J'-tX,.,?.vA v.,;/1d And lar6 Prop=Pe, er Information: 3-910-3 �jl� Namr &Po$5 Address: S�D`� i ec.r_�► U d¢ Ox / City AnT,z- State_ ip Phone_ 2.1�—C 1. E-Mail or Fax#(Optional) Contractor information: _( {r�I VrJA Company Name: or ✓1 �f �QUali ingg Agent: Address: f. City)teGKsa a State �- Zip q Oy 24 1 Office Phone - ite on ac �1�V�` 1� State Certification/Registration# Architect Name&Phone# �_� Engineer's Name&Phone# (� f� Fee Simple Title Holder Name and Addr Bonding Company Name and Address-— Mortgage Lender Name and Address p j - Application is hereby made to obtain 50 a permit to nYl�+�Uwi Disyns Indic d 1 certify t1��J�c��p r or illsallation has co +��mi�be omesrior onull the ��— 2 issuance of permit and drat all work will be perfi d t meet the standa+•dc o a g corMhitti6n'iw•�"Ari4 oCs and void if work is not commenced within six(6 Qr d o six mo hs at anytime after work is commenced. 1 rmdestand that separate permits mast be secure ,or Electrical s,Boilers,Healers, 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 BE OR ENTCORDING YOUR NOTICE OF ter, 1 hereb certify that I have read and examined this a lication mid know the same to be nve and correct. All provisions of laws mrd ordinances governing this } �a type o�work will be complied with whether sppec"ted herein or not. The granting of a permit does not presume to give author*to violate or cancel the € provisions of any otherfederal,state,or local law regulating construction orthe performance ofconsa ruction. Signature of Owner � Signature of Contractor Print Name /� Print Name J.AJ. `. .PohiU _........ . ........._ _........ 1 �.... ........ DS.S. ....... S to and subscro ­4I' Sw�rp nd subscrib e ib for 20I this ay of / 20 J thi Day oP 11 �ti:�wswar . Not ry ublic of Pu is j }t� q^ FL-.,, OL I �3' l�2��' 1��U(o� `V �V Dl, C,(D eUs� V/2 0� 5!5— 29 2-^ 0 JENWIFER WALI�R JENNIFER WALKER = MY COMMISSION tI FF 011480 MY COMMISSION tr FF 011480 ;*: *' EXPIRES:April 24,2017 EXPIRES:April 24,2017 > e' furs Bonded Thiu Notary Public UndaiwtNen �+ p�qd• ed Th ru Notary Pudic Undeiw ti��,�,• BWid rIt Hili City of Atlantic Beach APPLICATION NUMBER �S Building Department (To be assigned by the Building Department.) ` 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 -"�J.119' E-mail: building-dept@coab.us Date routed: �! City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � / ✓ /Gr��/ ��� artment review required Ye No Building Applicant: �Q Planning &Zoning Tree Administrator Project: Q Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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: Approved. ❑Denied. (Circle one.) Comments: QEW� LDIN ' PLANNING &ZONING Reviewed by: 191 Date: '?r 3 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . 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