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683 Selva Lakes Cir 2013 doors CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD jro ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002936 Date 7/02/13 Property Address . . . . . . 683 SELVA LAKES CIR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 --------------------------------------------------------------------- Application desc french doors ------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BROST, MICHAEL, J H W CONTRACTING 683 SELVA LAKES CIR 1543 TAWNY MARSH CT ATLANTIC BEACH FL 322337326 ST AUGUSTINE FL 32092 (904) 449-5198 --------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1200 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 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 683 Selva Lakes Circle,Atlantic Beach,FL 32233 Permit Number: Lbn Legal Description 44-60 16-2S-29E Selva Lakes Unit 3 Lot 145 Parcel# U Floor Area of sq.Ft. Sq.pt Valuation of Work$./ZQ 6 ,0 d_Proposed Work heated/cooled 220 sf non-heated/c 3 Class of Work(circle one): New Addition Alteration Repair Move Demolition pools ndow/ Use of existing/proposed structure(s)((circle one): Commercial Residential If an existing structure,is a fire sprmkler system installed?(Circle one):des No N/A Florida Product Approval#FL 15213.14 D(t,7 SO(/)IG) For multiple products use pro uct approval form j Describe in detail the tvne of wnrk to he nerfnrm I- a�hYench door ton ace o extstme sliding ass-door see product)/ZOO. Property Owner Information: Name: Mike Brost Address: 683 Selva Lakes Circle City Atlantic Beach State FL Zip 32233 Phone 904.868.5838 E-Mail or Fax#(Optional) mibrost#bellsouth.net Contractor Information: Company Name: HW Contracting LLC Qualifying Agent:Caleb Wagn .AZ TE(� l�€GTbN Address:110 Cumberland Park Dr.,Ste.303 City St.Aueustine State FL Zip 32095 Office Phone 904.217.0227 Job Site/Contact Number 904.338.4581 Fax# 888.869.1072 State Certification/Registration# CGC1519928 CCS 1�j I X19 S-C� Architect Name&Phone#LP&A-904.242.0908 Engineer's Name&Phone#LP&A-904.242.0908 Fee Simple Title Holder Name and Address N/A Bonding Company Name and Address N/A Mortgage Lender Name and Address N/A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will beperfor7nedto meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6 months,or if construction or work is suspended or abandonedfor aperiod of six/6)months at any time after work is commenced. I understand that separate permits must be secured for ElectricaC Kork Phtmbing,Signs Wells Pools Furnaces BoilersH Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE NT TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINGCONSU WI YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE COMMENCEMENT. I hereb certify that 1 have read and examined this plication and know the same to be true and correct. All provisions of s rdinance is type olYwork will be complied with whether spect ied herein or not. The granting of a permit does not presume to r to vi a can the provisions of any otherfederal,state,or local law regulating construction or the performance of construction. )(Signature of Owner.t-r-,n� Q�(` Signature of Co Print Nameej....._7_._._f,1_no Jfi...... ......-......... Print Name -... .. .. .. � ......_... G��( TS /_.._ ... Swo d subscribed fore me Swo subscri forqim s ^Day of 20 3 Da of 20/3 Notary Public GRAHAM * , r 1tY COMMISSION#DD 957760 NANCY S. NESSMITH BonXPINotaffy RE:February ers ja;N"y Pudic State of flotlda COMPAaion ENO"MM 16.2917 010111*610n#EE IBM REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH FILE SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. . +Tm+n—.iiwa[asi,;„� c 1 REVIEWED BY: DATE: a �� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) s 800 Seminole Road / 1 _ Z93 Atlantic Beach, Florida 32233-5445 .2 50 Phone(904)247-5826 • Fax(904)247-5845 r E-mail: building-dept@coab.us Date routed: Za City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6[2 VO, Z4t� /� De artment review required Yes No PBuilding Applicant: A//JJ &, C47 &A Planning &Zoning Tree Administrator Project: �,e��-] eh �an l- 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 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: [D pproved. [—]Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Date:Reviewed by: S� . TREE ADMIN. Second Review: ❑Approved as revised. ❑Den i d. 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