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1768 W Park Ter 2013 windows/door CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003496 Date 10/10/13 Property Address . . . . . . 1768 W PARK TER Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 ---------------------------------------------------------------------------- Application desc REPLACE EXISTING WINDOWS & 2 DOORS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LANIER MICHAEL W CORNELIUS CONSTRUCTION CO. 1768 PARK TER W 71 19TH STREET ATLANTIC BEACH FL 322335612 ATLANTIC BEACH FL 32233 (904) 249-9706 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 250 . 00 Plan Check Fee 125 . 00 Issue Date . . . . valuation . . . . 40000 Expiration Date . . 4/08/14 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 75 STATE DBPR SURCHARGE 3 . 7S ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 250 . 00 250 . 00 . 00 . 00 Plan Check Total 125 . 00 125 . 00 . 00 . 00 other Fee Total 7 . 50 7 . 50 . 00 . 00 Grand Total 382 . 50 382 . 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 OCT 03 2013 Office (904) 247-5826 Fax (904) 247-5845 1 0.y J Job Address: P11b PAPK RAC Permit Number: 13 Legal Description kbT I& Elock i a 0�1 I re :a: P)LI 14 Parcel# oft Floor Area of q. t. Sq.Ft Valuation of Work$QA&Zr_ Proposed W ed tj 6 non-heated/cooled JJA Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa 6� Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No Florida Product Approval# i)jk1Dp&1-5 For multiple products use product approval forhi-- Describe in detail the type of work to be performed: R .Epjg,!�r_ Propertv Owner Information: I L t V U Name: i H4 EL LA w F:f,- Address: )rlbg PARK jr-_P_RAttV city Ar-LOM11C ':EcH Statel�J_Zip 3ZZ-33 Phone9A'(P --1 -9n 52 57- E-Mail or Fax# (Optional Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: (01R�IEW8—, C00STRQCTIW Qualifying Agent: P'p—el A-PET _6_R�j F-Li 1).5 Address:-ej A E$AV SIT _CitYA1Q23A 13-641 -State F=L_ ZiP_32_Z,�,k Office Phone 9 0 4 - 2!4 q - !qq 0(o Job Site/Conta IMID& =-#-- State Certification/Registration# C-Bce�54,9!3(ot7 rREVIfun FORC-0 Architect Name&Phone#-- I DE C"LLIACE 11 Engineer's Name&Phone#— 11 C'T-Y OF ATLAN 1,1 C-RE-A-CH 11 Fee Simple Title Holder Name and Address LajjjF_ 'SEE f"MITSPORADDITIONAL Bonding Company Name and Address— RP.QU1REA1._E?F�FSAN1 t-,uf'qV1U0NS. Mortgage Lender Name and Address---- REVIEWED BY. 4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certi a n --- mencedprior to the issuance of�aopermit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. Thispermit becomes null and void f rk is not commenced within six(6)months, or if construction or work is susp,;,1,1 6--loned(or a period of six�6)m onths at any time after work is commenced. I understand that separate permits must be securedfor Elect al-Work, P11'.1m ing,Sijm, uller"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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1here certify that I have read and examined thi's application and know the same to be true and correct. All provisions of laws and ordinances governing this 1�work will be complied 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 otherfederal,state, or local law regulating construction or the pe� formance of construction. T-')L U5 60-5 33-Ll 1 Pb� 4�O r Signature of Owner 4"A"k- Signature of Contractor i Y COMMISSION#DD 957760 Print Name 1,11VD4 M. LAt-J16R. Print Name PIRES:Februa ........................................................................................................................................ ........................................................&ThMIq6M pg�14 201 ..4....... ................... Be B rY u icUnderwrfters this 14ay of 9,0 2> t 4i; 1-1a q h 60 Notio MY COMMISSION#FF 011480 N P105lic Undory EXPIRES:ApdI 24,2017 Bonded Thru Notary Pubk undenwiters vised 01.26.10 MAP SHOWING BOUNDARY SURVEY OF LOT- -BLOCK 10 AS SHOWN ON MAP OF mit�-,I;_;, I " uw-r k,-\ O . B - AS RECORDED IN FLAT BOOK- _311 PAGES SS —OF THE QUfZWr:N7_ PU60c_ _s?fe_'v12b5 Of� bUVAL CO, F-LA CERTIFIED TO: "'(flq4EL &I&Ltl �4- LANIC-2 JkY :FEl);_:F-'Ai__ '�IU�4 S77AMIFE -TM E -A I-Q Sl-R A CT- i Nc. C40MM 1\1 W e A C�H LA N b J=LE IN'S V IZAKI CIE Ce M I-A LCL SIELVA, MAI�iNA ul4tT- CAX 10-- E . I 10- 0�0* .13 10' COPY ' O-T 9 iz 14 (T VPICAL_,� ........ 'POOL 00 mc 17.1' cooc be:4 > ,Q 1-7 8 _z_z tj 1'7,'7' Z_ C, Como-,-, �e\cy_ fj) (Y :FW/Z I-P Ro CA? 0,25 0,3, c) CA,-p City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Departrrent.) 800 Seminole Road — Atlantic Beach, Florida 32233-5445 13 Phone(904)247-5826 - Fax(9N)247-5845 1 10 E-mail: building-dept@coab.us Date routed: City web-site: hffp:/ANw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: P&&--Te_)./- 2p"ent review required Yes No Bul V" Ld in g ) Applicant: Planning &Zoning Tree Administrator Project: /d Public Works -Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date I 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: ffApproved. E]Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. nDenied. V PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by, Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09