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191 12th St window replacement 2013 f CITY OF ATLANTIC BEACH. s) 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 J,3 Application Number . . . . . 13-00003570 Date 10/24/13 Property Address . . . . . . 191 12TH ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc window replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ENNIS ALAN THOMAS I DENISE BOSCO BUILDING CONTRACTORS 191 12TH ST 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 4/22/14 ---------------------------------------------------------------------------- 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 2 . 00 STATE DBPR SURCHARGE 2 . 00 --------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. e City of Atlantic Bleach APPLICATION NUMBER Building Departmentfro by the&' Departmer�3i -424 Wnt Bim.FFlladida 3�22334WPhone(904)247-5826 : Fax(904)247-5846 E malt• bulk ing4ept@coab.us Pale routed:City website: httpJfwww.coab.us 41 APPLICATION REVIEW AND TRACKING FORM Properly Address: �a !� J7— Department review required _YeL No —Building t7 Applicant: S AC,b /(� � h 4 Pffening S Zoning Tree AdminWrator Project: A-) e621A9E A0L 1 PublWorftsPubs PubFire Review feeDept Signature Other/Agency Review or Permit Required Review or Receipt Date of Permit Verified Florida Dept.of Envirorvnental 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: Approved. ®Denied. j (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by. Date: TREE ADMIN. Sind Review: Approved as revised. F—]DeWled. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ®Approved as revised. QDenied. Comments: Reviewed by: Date: Revised o5/•94M9 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Pn Office (904) 247-5826 Fax (904) 247-5845 Job Address: �� TitF 322EPermit Numb 3" X577 Legal Description Q- - - Parcel # By oor r.a o q. t. q. t Valuation of Work $ 0 000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indow/door Use of existing/proposed structure(s) (circle one): Commercial —es identia If an existing structure,is a fire sprinkler system installed? (Circle one : N /A Florida Product Approval # &-5 1.-4-— /L/ For multiple products use product appr—ov l form .<� .. Describe in detail the type of work to be performed: �� °` I- Property Owner Information: Name: I GU'I r�] 'L(� Address: T� J/ Com = City Zip Phone — E-Mail or Fax#(Optional) Contractor Information: fir; Company Name: ALpuali i g A ent: �Gr Address: City State Zip 4??-Z.33 Office Phone — /-03 Job Site/Contact Nu 41 State Certification/Registration# 21 Architect Name& Phone# Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address C>d Application is hereby made to obtain a permit to do the work and installations as indicated. certi that no work or+nsta anon as commenced prior to the issuance of a permit and that al!work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a er+od of six 6)months at any time after work is commenced. l understand t/ral separate permits must be secured for Elecirica!Work, Plumbing,Signs, Wells, Pools, �urnaces, Boilers, Heaters, 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that l have read and examined this a plication and know the same to be true and correct. All provisions of la+s a dinances governing this wpe of work will be complied with x'heloc s�eci red herein or nWt. The granting of a permit does not presume to give r' to violate or cancel the )rovisions d)�any other federal,state, or logia!law regulating construction or the performance of construction. Signature of OwnerSignature of Cont Tint Name Print Name �+ ;worn t scribe t f re ie Sworn to a d s s ibed re me his ' y f 20 this 0 , NTA . �1 41 PtMtENTA `'' �;- r Publi ' Notary ublic- tate of Florida Nota u li . to,7 rublit; State or �� a My Comm.Expires Jan 26,2015 or: My Comm. Expires Jan 26,2015 SNA i�', OF FI AT` Commission#EE 59080 %F�;;;°PReM i[f1ofttj.��59080 I,II11111�