1946 Beach Ave 2013 door CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
"J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003060 Date 7/18/13
Property Address . . . . . . 1946 BEACH AVE
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2076
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Application desc
DOOR REPLACEMENT
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Owner Contractor
------------------------ ------------------------
MATHEWS DENNIS L LOWES HOME CENTERS INC
1946 BEACH AVE 4948 TELSON PLACE
ATLANTIC BEACH FL 32233 ORLANDO FL 32812
(904) 486-4701
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2076
Expiration Date . . 1/14/14
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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.
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BUILDING PERMIT APPLICATION �!
CITY OF ATLANTIC BEACH J 1 5 20f3
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 BY ! 3
Job Address: eh Permit Number:
Legal Description =z9& , '�(�
Valuation of Work$ �7Proposed or ° N.M. t
,� Proposed Work heated/cooled. non=hea#ed/cooied
Class of Work(circle one): New Addition Alteration Repair lition pool/sp window/door'
Use of existing/proposed structure(s)((circle one): Commercial ide
If an existing structure,is a fire spriakl r step installed?(Circle one): es No N�/A
Florida Product Approval# R� /
For multiple products use product approva orm
Describe in detail the type of work to be performed:
Property Owner Information:
V6_V. /'lye
Name: 'z Address: �� Avot
City State��ip ZL3_�l Phgne
E-Mail or Fax#(Optional)
Contractor information:
'=w+rrrset�sl�1
Company Name:_ _ �ri'!_�c Qualifying A ent: �
Address: o State/-�-- Zip y ■�"'!
Office Phone ! Job Site/Contact umber
State Ce_tif c ion/Registration# O r r---
Engineer's
Name&Phone# AtOv
s
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address S I ��
Bonding Company Name and Address
Mortgage Lender Name and Address ��� ON
Application is hereby made w obtain apermit to do the work and itis latRionr'dt'7hdittth+dB fork or ins has comr�nced prior t the
issuance ofa permit and that all work will be performed to meet the st n cons t hisj ecome ufl
and void t work is not commenced within six(6)months,or tf construction or
work is commenced t understand that separate permits must be secured for Elect' Work Plumbing, tgns, ,u s
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.
t hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and din es governing this
type of work will be complied with whether sppeeci�d herein or not. The granting o"a permit does not presume to gtve author" to vi ate or cancel the
provisions of any other federal,state,or local law regulating construe or the performance of construclion.
Signature of Owner Signature of Con r
Print Name ,4_..,,.: if )__....... , S Print Name
Swornto nd subscribe f e me Sw 1p an subscrib efore e
this Day of— V th' L_�i) y f 200
Notary Publi N a is
ROBERT C CURTIS A Revised 0126.10
- w COMMISSION#DD915653
D(PIMES:AUG 10,2013
Banded through 1st State I numme AIM, IMA l CAMOTM
Fab-No of FFAWW
1Mlr Cmil.60"Mt►Is.2017
„q;,;�..• COMMI11 ion 0 EE$74638
1 of 1 -- 06/01/2012 04:42 PM
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 2
zr Atlantic Beach, Florida 32233-5445 ✓ �Q
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: S ��
City web-site: http://vvww..coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: dyy ze" Ae De artment review required Yes No
Building
Applicant: Z-6 -Planning &Zoning
Tree Administrator
Project: 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: EE Approved. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 7`/6—/ D
TREE ADMIN. Second Review: ❑Approved as revised. nDer4ed.
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