364 10th St 2013 window replacement CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003094 Date 7/25/13
Property Address . . . . . . 364 10TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
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Application desc
3 WINDOW REPLACEMNT
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Owner Contractor
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BOYD, CHERE YOUNG AMERICAN HOME INC
364 10TH STREET PO BOX 24076
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241
(904) 759-9302
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 1/21/14
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC 13EACH
800 Seminole Road, Atlantic Beach, FL 32233 02013
Office (904) 247-5826 Fax (904) 247-5845 F1 i
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Job Address: 304 Permit NumL-_7__D��15_ 41
Legal Description 5-bC1 Parcel# 1-7 Cm L�5
.0 Floor Area of Sq.Ft. S-q Ft
Valuation of Work$ ;�LIO 0 Proposed Work heated/cooled non-heated/cooled
w
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa( indow/doo
Use of existing/proposed structure(s) (circle one): Commercial (L;den�t
If an existing structure,is a fire sprinkler system installed? (Circle one). es N N/A
Florida Product Approval # EL 1 2!-7. t
For multiple products use product approval form
Describe in detail the type of work to be performed: kWaumvi�- J ?) ,Skd1,V)A
q [Ct&S �00y's
Property Owner Information:
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Name: Address: n n n it
city RflaM)( , VVA,��h State ELZip S_2056 Ph-one(Cf :N!2.4 i i s u r Miry
14 a Ran
E-Mail or Fax#(Optional
Contractor Information:
ompany ame: *.0(k(A P"(C 0-n JIDM9�, rl C ent:
Qualifying Ag ( 0 ru
ddress: 0 City �(K_-� State E zip_7MM
ffice Phone - Job Site/Contact Number -1 15C) -q Y)_�r Fax# (D to-1 5c5
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone Aird V JUV4 V T91EM"FOR CODE COMPLIANC
Fee Simple Title Holder Name and Address cyn ot MANTIC BEACH
,tio Reg!t1l.n I I LL121�
Bonding Company Name and Address SEE phKMII 5 I-OR ADDMONAt
F,p-QUIREMENTS PdqD eotiDmONS.
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the v I certigyM' �1
���Ion has commencedprior to the
issuance ofa permit and that all work will be perrfformed W ---ction. This permit becomes null
t E;
donedfo (6)months at any time after
and void if work is not commenced within six(6)months, or i construction or vvork is susp6nded 6r aban" 7 r a period ofsix
work is commenced. I understand that separate permits must be securedfor Electrical"Work, Plumbing, Signs, Wells,Pools, Ftirnaces, Boilers,Heaters,
Tanks andAir 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
typi 71work will be om R with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any oth r e9rrAl late, or al lawAegulating construction or the pe�fomance of construction.
Signature of Own(ei,
A Signature of Contractor A�
U U
Print Narne Print Narne
..................
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SwoiA to and subscr*b efore me orvo and subscribed before me
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No 40,u- '11C State of Florida N Public rMifer S Vanoven
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Ind other%aluable cinlisidetitio)ns.receipt WhCftllf I,hereby acknomictIccil,hereby grant%,bargain%.sells.aliew.,remi.ses,
releases.conve�%anti C4)liflrm%until Ine grattlec.all th.it cmaill 1,.qd situate in
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And The grantor herchy cmenants%%ith said granicc that the grantor is la-,%fully svi/ed ofsaid land in fee simple;
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471%; 'le to said land anti%ill defend the same qaill,f the la%iul clainis of all persons whimilsocvcr:and that said land is
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free nfall encumbrances except(axcs accruing-mb,equent lit December M. 11)
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b he Building Dep rtment.)
800 Seminole Road
U 7 x Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us LDate routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
S: 1Z ---
Property Addres /,7/ j?f�ent review required Yes No
Building �? 7
Applicant: V6 (A /1 4) C 2�ZPn&,-S Planning &Zoning
Tree Administrator
Project: h lk 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: [��`Approvecl. [-]Denied.
(Circle one.) Comments:
,D----
PLANNING &ZONING Reviewed by:_ Date:
TREE ADMIN. Second Review: DApproved as revised. F-]Deniec(/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09