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1365 Seminole Rd window 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003059 Date 7/18/13 Property Address . . . . . . 1365 SEMINOLE RD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5876 ---------------------------------------------------------------------------- Application desc WINDOW REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MARSH, JAMES ROWLAND LOWES HOME CENTERS INC 1365 SEMINOLE ROAD 4948 TELSON PLACE ATLANTIC BEACH FL 32233 ORLANDO FL 32812 (904) 486-4701 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 5876 Expiration Date . . 1/14/14 ---------------------------------------------------------------------------- Special Notes and Comments NEED NOC 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 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 124 . 00 124 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .JPEG hnagc, 25500300 pixels) - Sailed (25%) http,,,,://ii-Y,�l-attadimeiit.googleti,-,ercoiitent-corrilatiacli'lleilt/.)i'i... � rrL) T R� T � BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH JUL 13 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 A FFV Job Address: 1.36 6 !�PL�Yvoi4-, Permit Number i7 Legall Description A_o4a?-- ZV- 2:- aV -712 arcel# Floor Area of SS q.Ft. Valuation of Work S. 5 9 7 6 Proposed Work heMed/cooled (Aass of Work(circle one): New Addition Alteration C:Rejaj*j� Move Demolition pool/s r tJse of existing/proposed structure(s)(i�ircle one):. Commercial ��_Winzo�w/ o ........ 171 ire spsinkler system install le one): Yes No If an existing structure,is a r orida Product Approval# .7 For multiple products use product approVal"Forin— Describe in detail the type of work to be performed: ee�ea C'e r,e.n-f 1411 A.))O 6WS Property Owner Information: C""i Narne: Z-a M les /�ZA�flhl HN'�S-� Address: 1365 99,'M 11116 6(10 City r.0,T1 6__ A4?-4 C,/A State rK.Zip 32-*z63 Phone 411 e/3z/- 9_31YK C= E-Mail or Fax 4(C!ptional) Contractor In orm W. Company Name: �4e Address: Qualifyi Agent- Office P one b Site/Co zip State Certification/Registration Architect Narne&Phone# Engineer's Narne&Phorle 9 FAVU Fee Simple Title Holder Name and Address 11E"ERMTS FOR Apj)TIIQN� Bonding Company Name and Address VU IREMENTS AND Mortgage Lender Name and Add JZ-717 A REVIE yy �",k to the es Mal 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 WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. lhereby certily that I have read and examined this a ITanq �4vernry this pplication and know the some to be true and correct. Allprovisionsof �ype of work will be complied with whether,spectfied herein or not. The granting ara Detmii does not presume to give v a,earocel,he provisions ofany otherfederal.state or loca,law regulating constriwaon or the P.e_Ffoi.mohre ofconstrUction. Signature of Owner2-74� 77 nature o Sioa f C plit Print NaLme Print Name S,wornAoai1dsUbscriW foreme Sw o and sub I ffio me I I w1r t is--4-Day of this ay 0 d2013 Notary Pu HTI jK_ Notary Public WCOMMISSM#DD915653 EXPIRES:AUG 10,2013 Revised 0 1�26.10 Owded M=Ch 1st Sta DUMCO ,Stoll y P DEBRA L :AHTER Notary Public-State of Florida My Comm.Expires Mw 16.nil ot' l [12 04:42 PM FILE COPY Pella ]of N-7: Reliabilt 13 Page 1 of 3 Let's Buitd Something Together- Peachtree 13 Other PSE Drawing Worksheet - Windows (Complete and Fax to installer) Customer: 70 yr)&-s, J8 P,s f� Store: 16qq (q4) g,3q8 Phone(home) Phone(cell): Phone(other): InstallAddress: 1365 Sem,�OL-I 4�00- Directions: 1. Draw the walls where windows are being replaced and label them front, back, L side or R side (as seen from the street) 2. Draw the windows that are being replaced on each wall drawing 3. Place a capital letter beside each window in the drawing. Windows with the same dimensions will have the same letter. Complete the information on the next page using the corresponding letter. 4. Label each existing window with the type of exterior material surrounding the window(for example: brick,vinyl, wood clapboard,etc.). Also, label existing window type (for example: aluminum,wood,vinyl). IAIA�O 45 T7 jjjj� + APPLICATION NUMBER City of Atlantic Beach Building Department (To be assigned by the Building Department.) 800 Seminole Road -5445 /3 — J459 Atlantic Beach, Florida 32233 Phone(904)247-5826 - Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: AX .,41e 16 Department review required Yes No -Building—) Applicant: FlanWing &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 APPLICATION STATUS Reviewing Department First Review: [E(Approved. E]Denied. (Circle one.) Comments: �LD"l N PLANNING &ZONING Reviewed by:_.r)l Date: 7—/&--i '3_ TREE ADMIN. Second Review: [:]Approved as revised. E]Deni4d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 07/24/2013 15: 00 35247331E,7 KEYSTONE DOORS & ETC PAGE nl,.'Cll Doc # 2013190240, OR BK 16464 Pagiw 486, Number Pages; 1, Recorded 07/23/2013 at 02:03 PM, Ronnie FussQll CLERK CIRCUIT COURT DUVAL COUNTY RZCORDING $10.00 NOTICE OF COMM3mCz=NT l-;-l0s-,? ""' PIOMIN ND. Tax FuBa To vitWM K VM OWNW. 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