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
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Application desc
GARAGE DOOR
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Owner Contractor
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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
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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
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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 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