1620 W Park Ter 2013 window UCH
CITY OF ATLANTIC BE
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
0 19
.IF
Application Number . . . . . 13-00003358 Date 9/05/13
Property Address . . . . . . 1620 W PARK TER
Application type description WINDOW AND/OR DOOR
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
-------------------------------------------------------------
Application desc
WINDOW REPLACEMENT
--------------------------------------------
Owner Contractor
------------------------
----- ------ ----- - ---
STONE-DENNIS-JAMES-& DUTKA N SIGNATURE HOMES & DEVELOPMENT
1620 PARK TERRACE 731 DUVAL STATION RD
ATLANTIC BEACH FL 32233 STE 107-417
JACKSONVILLE FL 32218
(904) 759-9867
---------- -----------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . - Plan Check Fee 27 . 50
Permit Fee . . . . 55 - 00 Valuation . . . . 0
Issue Date . . . .
Expiration Date 3/04/14 --------------------------------
------------------------------------STATE DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 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 BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Permit Number:
Job Addres
Legal Description Floor Area ot 3 r L. p----1 44 Sq.r L
Valuation of Work$J,� Proposed Work Uated/cooled. non-heated/cooled_�
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential N/A
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval 4—[_ 1fj 3 g
,,�A�,,!A:J�rLova�®rm
For multiple products use produe appr
Describe in detail the type of work to be performed:
Property owner Information: Address: IL r r. LJC-54
Z_
Name: benf%,J.'� r N", ov\e-
Stat hone �2 ..............
city ?V a e[71-hP 3_11�P
E-M�il Max�#(OptiOnal)���
Contractor Info rmation: 0",vyoc�
"IeIN Qualif ing Agent:
Compairy NMI%- __4 State �i -zip
j(I.-K ------- 4-C
a
_7(Y'-01
Address: 01-44-7 -city
Fax 4
Office Phone 7114-0-7 Job Site/Contact Number -759-960_
State Certification/Registration 0 0 116'
Architect Name&Phone 4
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address ,to do the work and installations as indicated. I certify that no work or installation h.as commenced prior to the
Application is hereby made to obtain a permit �in thisjurisdiction. This permit becomes null
all work will be perf(ormed to meet the standards of all laws regulating construction .sixP6)months at any time after
ended or abandonedfor a eriod of
issuance of a permit and that f construction or work is su ells, Pools, urnaces,Boilers,Heaters,
and void if work is not commenced with Work,Plumbing,Signs,
in six(6)months or i
work is commenced I understand that separate permiis must be securedfor Electrica
Tanks and Air Conditioners,e1c.
ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF NTS
WARN CE FOR IMPROVEME
COMMENCEMENT MAY RESULT IN YOUR PAYING TWI1 WITH
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
i andknow the same to be true andcorrect. All provisions of laws and ord' nces governing this
I her that I have read and examined this.apPlica of sume to give authority iolate or cancel the
ecif(�zedV er in or not. The granting of a permit does not pre
type q�vcer'k will be com lzedlNith whether the pe�formance of construction.
sf,
provisio any o er er s e, r 6cal aw regulatin construction or
Signature of Contractor
e of Owner
Signatur,
e
Print Nam ........... ... ....
P
s
e
0
t
ns
0
o
gLla and Lrd' anc
ws ori�, 01,
auth t
je e, r al
r rL
e IVXC &J. -e........................
Print Nam doxc� *k"' , '" ,
Befo '4 is r of 2013
this 1�!�ay of_ A
AS Febru 1 014
L
-all 60
-tit 'Rub
U C U rwrfters
N oary "ublic BondedTh otamry evised 10.24.12
DO NOT WRITE BELOW - OFFICE USE ONLY
111 �171 9; 111,111
ORM� 111 11'
Applicable Codes: 2U1 0 FL 4 1!�1�1 I'L�L)Jjlll -1
Review Result (circle one):,
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
I. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster. Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code) as of 2009 the permitted
dumpsters are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan(silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities, where special conditions are identified by the Building
official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code See. 6-17 (3)
Revised 5/2009