93 Kimberly Ct 2013 window CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003416 Date 9/23/13
Property Address . . . . . . 93 KIMBERLY CT
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 1200
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Application desc
WINDOW REPLACEMENT
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Owner Contractor
------------------------ ------------------------
DOMIMICK ESMOND LESTER III PELLA WINDOW AND DOOR
1431 RIVERPLACE BLVD #2310 8174 BAYMEADOWS WAY W
JACKSONVILLE FL 32207 JACKSONVILLE FL 32256
(904) 731-8330
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1200
Expiration Date . . 3/22/14
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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 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.
PrintForm
BUILDING PERMIT APPLICATION --�
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Q 3 {CiAa�P l U Ratn{I C Qea�l �l 3 Permit Number:—j—=—/
Job Address:
Legal Description �'� 24� t A j t SP Parcel#
-WVloor Area o q• L. rion-heated/cooled
Tt
Valuation of Work$ Proposed Work heated/cooled
Class of Work(circle one): New Addition Alteration Repair Mov Demolition pool/spa indoor/d O
Use of eristin ro sed structures) circle one): Commercial sid ntial S'F
�p e s r er stem installed?(Circle one): es o N/A 1
If an ezasting structure,is a fir p��y s:'-� S ZQ13
Florida Product Approval# J ey
For multiple products use product approvall form _
Describe in detail the type of work to be performed:
I w w si ✓ S ��
Property Owner Information:
• i Address:.B 3 k`M
Name:
Cit} Sta _Zip Phone
E-Mail or Fax#(Optional)
Contractor Information: Q �� ww)o o +b"vJ
Company Name: PWD-Orlando, Inc. Qualifying Agent: James Rowland 32750
Address: 350 W. State Rd. 434 City Longwood State FL Zip
Office Phone 407-937-2826 Job Site/Contact Number 407-463-4106 Fax# 407-937-3214
State Certification/Registmtion# CBC046712
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
lation has com ed
or to the
11
ssupance ofa�s hereby made to pentti and than all work wbe permit er performed tothe omeel rk he installations
of all lawsegulating consalruclion to thpit no work or se junisdich'o( his peat rmit bepcnomes nr
and ce rf won is not commenced within six 6)months,or if construction or work is suspe�ndekd Ph� efaWelri P osix
F6wmoo t Bd Hem er
work is commenced I understand that separate permits must be secured far Eledricaa[t 8.Signs,
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 ANATTO ONMMEN OR ENTE RECORDING YOM NOTICE OF
I hereby or certifythat
be cumppllted with whe hid ter his �ti herein ordnokt�T he grathe nting of a peto be true anut does not prethis
sume t g:,nd correa All provisions el authaws�ty to Viola s governing
ccaanenel he
pFoovtosfons of arty otherfederal,state,or local law regulati construction or the performance of construction.
Signature of Ownerx ' /^ ,�//rgnature of Contractor I
Print Name (� Cr1o.N ...._.._W5 P*L/`�� rintName ........ ... .......................
........._..._
..................
Swo t and su 'bed before me Swo nd subscribed More me 20(3
this �Day of 20 this' Day of •f�
rc
u is
Revised 01.26.10
SHARI L.ZALESKY +e TIMOTHY R.O'MALLEY
o4v PMY COMMISSION it FF 042794
r Notary Public -State of Florida
• My Comm Expires Jan 9,2016 �'., 'a; EXPIRES:August 7,2017
",,r$d d Bonded Thru Notary Public underwriters
commission# EE
,.. o,, Bonded Through National Notar09Assn.
orv�,•
. REVIEWED FOR CODE COMPLIANCE
CITY OF.ATLANTIC BEACH
FILE SOP L
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS. i
l REVIEWED BY: DATE. l?7
f
i
i
Si:a�Jf�n City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /a
�r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
'Wir E-mail: building-dept@coab.usDate routed:
City web-site: http://www.coab.usIII
APPLICATION REVIEW AND TRACKING FORM
Property Address: Janpartment review required Yes o
Building
Applicant: nning &Zoning
Tree Administrator
Project: Public/1 1��J/c Q �yl��/�� 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: roved. ❑Denied.
(Circle one.) Comments:
BUILDING G
PLANNING &ZONING Reviewed by: m Date: % /7-/ 7
TREE ADMIN. Second Review:
QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14109