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1861 Selva Marina Dr 2013 window CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003621 Date 11/08/13 Property Address . . . . . . 1861 SELVA MARINA DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ------------------------------------------------ Application desc window replacement ----------------------------------------------- Owner Contractor - ------------------------ ----------------------- COMERFORD, NICHOLAS P ADDITIONAL LIVING 1861 SELVA MARINA DR 1614 ARROWHEAD TRAIL ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 568-0439 --------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 5/07/14 ------------------------------------------- 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 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 D CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 NOV 5 2013 Office (904) 247-5826 Fax (904) 247-5845 ILJY- Job Address: eAu, I'VVa rvfl —A,-- RPermit Number: Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 9- V OO Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed s circle one): Commercial tResi-3entia� If an existing structu ,is a fire span em installed? (Circle one): Yes N/A Florida Product Appi val# / 6 For multiple product a roduct approv orm /,/ f wo k to be performed:- �r N /� p`vl lA/ Describe m detail he type o Property Owner Information: Name: Q,,M o I oa Lo Address: 1 1 S e lm n-1,-," [)-r City "A'L4 .4- ( State FLZIP S&1Phone E-Mail or Fax#(Optional) ,��r R �.-.�r @ c ►.,�1 • �^^ ___ Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: vri/ -_A- C Qualify' Agent�� C.� 'e- Address: w/ City e u State Zip-2-2-2,z-6 Office Phone 0 y.s6,- a-KY 9' Job S o y 9 3 5— State State Certification/Registration# FOR CODE CoMptt%NC Architect Name&Phone# .....`` ` Engineer's Name&Phone MY OF ATLANTIC BEACH Fee Simple Title Holder Name and Address SEE PERMITS FORADDITIONAL •�... Bonding Company Name and Address RE0tJfREfdENTSS. i Mortgage Lender Name and Address R Application is hereby made to obtain a permit to do the work and insta hi -a-:n aca e . tion hc' o d iQfr to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.l its b owes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six r o te after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Fr [[c e., eaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIG _O COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPI ( Y, 1kIETS 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 I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume to gave az th ity to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. _ Signature of Owner A Signature of Contractor Print Name (v Co KFoe j Print Name �/4�1 e. .../� 1._�j............ ........................................................................................ ........................................... ............................ .......................... Before me Before ,/� 3 this 22 Day of O�;roo 2012 this ' RfDay of t 1 t- „ INE M GADOIS � THERON GIBSON %tate at Florida Notary Public ;_�. �* Notary Public-State of Florida Nota ubl _ . My Comm.Expires Mar 15,2015 °N, r=My Comm.Expires May 21,2016 yX?T�igsjpr��AE 200680 Commission#EE 74089 �''%;;oF«;;; e (lTh}�51e al Notary Assn. %° �' Bonded Through National Notary Assn. .�,.. Vit, y City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) 3 -Atl800 Seminole Road 13 - Atlantic antic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 r' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /0 CL d�lY� " / no'W7-- Public t review required Yes No Applicant: 12inA /- Zoning istrator Project: A) Q �/�GAs es Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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: fApproved.. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: `� 3 TREE ADMIN. Second Review: ❑Approved 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 07127110