PERMIT REFUND 415 SEM RD CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
PHONE (904)247-5800
PERMIT RE FUND NOTIFICATION
Date: November 14, 2013
Please see attached refund for Permit#13-3515 for 415 Seminole Rd. due to the
homeowners pulling a duplicate permit.
Let us know if you need anything further,
Sincerely,
Michael Griffin, Ca, FM
Building and Zoning Director
El Z 0 CD CD C)
C) I Z CD CD C) C)
cli I �:)
0 El Ln C)
CND
n
04 0 1 rf)
R4
0 0
CL cr)
Ln Ln Lo C'i
Cf) I m m m (n
CD CD C) CD
CD CD CD CD
F-i CD CD CD CD
0 P CD CD CD CD
>
2�El
U)
f24 CL
rJ4 �T4 f-4 �14 u I
0 0 0 0 z
�4 CD C)C) Q 0 0 C)
w w p CD F4(D q CD F-I CD �4
1"4 CD p�(D P�0 0�CD
0 CD 0 C) 0 CD 0 C)
z CD CD (D CD Q
u CD CD CD
z 0�4 0 C) 0 1- C)
0 Q CD CD H CD
H CD CD z CD �4 CD
F, F-i F-I
u(n
F�� . CD CD CD
�4 4ul)WU CD C) CD 0 1
m
El u 0 0 CD
u 0 CD CD C> CD
" >� Q (D C) 0 CD
El M �o Q0 'zT CD
z (D
F::C
1� r,41
E, P w (D CD (D C) E,
U) El CN (N c"I z
F-I 09 1
�-4 F4 . Q 1
0 04
EH
>� F-i
E, r) 1 -1 0
u 0
W P�
F4 04
C)
fA4 r-I C�
Cl) I ID (D
El D C) C. CD
0 �4 CD
n " co El I
0 CO P Cj CD (D (N C�j 0-1
u 0 z
u I Cf)C4 n
F� I C)rQ 0 z
I z u 0 CD C) CD CD
m� u H (D CD (D CD 9
f�4 M &I (D CD CD CD u
1 �4 a4 4J 1 41 1 4-J 1 4-)
z�4 -r-i . LI)-H ..1 U-).1
F-I LO �� �4 Ln r4 �4 U-) J� U-) z
C14 0 IV �4 a) -�V �4 (D �4 'zzl' �-4 04
(D Q a)�q a) a) B �j
m a4 m 04 r_ m C21 m(a' 0
CD �:j CD C, �4
U
C� I
U)
2 u E� El
u a4 0) 0 C)4 0) 0 a4 a) 04 C) z Z 4)
B CQ 41 > 4J > m 4-1 m 41 �D�D
Iq > 00 r�
I CD El u
CD (n-H m-li I U) I
El U) -4 a) -A 1-1 _q-1 41
CD CD 04 4-) CD 04 4j C�� 04 C�l �a4 ul
c"I eq �J (o 0� �:J (a cq �:l �ml H : -1
> -Q C) --2 U --Q C� 0 x
U)I-i m .1i m 'A m m I El I a)
z --A-0-� -0 r-A I-i -lo I I
m z 04 04 -- -i U)
0 -1 �4 �j �4 �:s --i �4 I-i �4
I-q 0 Q 02 -1 0 0 Z
r4 El �3: Fl
U) a4
�D ##" : CD �!: 0 CD �R: (D C) �t CD �C
U) y CD 0 z CD 0 Z CD 0 C. 0 54
a4 a4 I --q-0 F-� "'o " M'o 'W-0 �i:
M ED �cUf) I 'CD rl z C, rl z CD.r� CD.r_
w 0 1 00 �4 1 C)-li C4 CD H O� C) H CD H
oll 0� I C4 C4 El C� : c3 D: 5 CD �3: g CD*� CD t3:
124 I�w I U(.D CD C) C) CD
VINDOW WORLD OF JACKSONVILLE,INC 14557
of 4+1--c FeaEh
HIZTA��6. '6��FTPT
AT[PPJ�' T"p -W
00 Receipt 3684
Year Number Amcunt
2013 qi�lc�
415 SEMINOLE RD
ATLAHTIC PERCH, FL
Bp E.U1LnTfJC
1,13 PERMITS
Tender detai I
Cv mpry I 11r, 7 1 cin
T I
lota. tendered
Total Payment V69.00
DUCTSSLT104 USE WITH 91663 ENVELOPE
Tran5 date: 1(1/1�,/Tq Ti--:
11:2,6:1 Lt
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003515 Date 10/16/13
Property Address . . . . . . 41S SEMINOLE RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 11958
----------------------------------------------------------------------------
Application desc
REPLACE 17 WINDOWS
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
EUGENE & LISA KEMP WINDOW WORLD OF JACKSONVILLE
415 SEMINOLE RD 8110 CYPRESS PLAZA DR 4405
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 443-7001
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00
Issue Date . . . . Valuation 11958
Expiration Date . . 4/14/14
----------------------------------------------------------------------------
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 110 . 00 110 . 00 . 00 . 00
Plan Check Total 55 . 00 55 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 169 . 00 169 . 00 . 00 . 00
PFRMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
Rco
eS, v
10
OP
BAS FUA
hmm. OL
13
2-
Lo C) PLA,7
50
2 -2_
9 s 4 4 2-e,> I
-X ,4TYq y-
14 4 3
I [ T -3 -5
Sry� 35 ,7V 7-�
314f 43
t
W/4 A :5
it ti
C�)
4
AAT
A K-T 41-
5
411�q y TI yq
TM
8110 Cypress Plaza Drive,Ste 405
Jacksonville,FL 32256
(904)443-7001
November 5, 2013 (904)443-7778 FAX
City of Atlantic Beach
800 Seminole Road
Atlantic 3each, FL 32233
_E: pef 111. is ---4 j
Atlantic Beach, FL 32233
Dear Sir:
This letter is to request a refund for permit no. 13-3515 as there was a duplicate
applied for. As a contractor, we pull permits for all of our installations and at the time
the contract is signed, we have the customer sign appropriate papers for permitting. Ms.
Kemp's father thought that she would have to pull the permits so completed an
a homeowner.. His permit was for entry door and
application and submitted also as
windows, 13-3499 in the amount of$191.00,
N.eedless to say, there are two paid pen-nits for windows for the above address. We
would like to request a refund for the permit we pulled, 13-3515, in the amount of
$169.00 since the permit the Kemps pulled was for an entry door also.
.1 have attached a copy of the permit Window World applied and paid for and receipt for
same.
Thank you for your attention to this matter.
.rm, 13-3515 $169.00
window World po 'it—'
Kemp —horneowner pen-nit 13-3499 $191-00
Sincere
Greg Fi
Contractor
Window World of Jacksonville.
01
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
stir
Application Number . . . . . 13-00003499 Date 10/23/13
Property Address . . . . . . 41S SEMINOLE RD
Application type description WINDOW AND/OR DOOR
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1SO00 ----------- -----------------
----------------------------------------------
Application desc
ENTRY DOOR AND WINDOWS
------------------ --------------------------------------
Owner Contractor
------ - ---- ---- -----
EUGENE & LISA KEMP OWNER
415 SEMINOLE RD
ATLANTIC BEACH FL 32233
------------------------------------------------------- -------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . - 62 .50
Permit Fee 125 . 00 Plan Check Fee
Issue Date . . . . Valuation 15000
Expiration Date 4/21/14
-------------------------------------------------------------- - - - -------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CO
*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 12S . 00 125 . 00 . 00 . 00
Plan Check Total 62 . 50 62 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 191. 50 191. 50 . 00 . 00
AWC-r WITTI A I I CITV Or ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING PERMIT APPLICATION
800 Seminole Road, Atlantic Beach, FL 3223 FILE COPY
CITY OF ATLANTIC 13EACH
3
Office (904)247-5826 Fax(904)247-5845
A-f4e('sc CACA
Job Address: e— vy) j le Permit Number: 1'3 13�Y,97
Legal Description At2l'
Parcel#
Valuation of Works 57. xo, " FloorAreaol �;q.Ft. Sq'Ft
Proposed Work heated/cooled ZOO non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spaZ!�Ew/�doo-
Use of existing/pro osed structure(s) circle one): Commercial Residential
If an existing structure,is a fire spriWer system installed? (Circle one): Yes No N/A
Florida Product Approval#— <C--,e_ 4/�754Q-4c? F4# F-22 9 ,-7 1/d00P9-./0 9c7l- 45-1 001 3el,
For multiple products use pr5`duct approvalT5—rm^r - A
9F�_ 7. 5 5511
_�, 3
Describe in detail the type of work to be perfornied: k ��
Property Owner Information:
Name: X1 .5A kektj Z) Address: Ole—
city ^T-Zt,y—, to -4e.... .g 0 State jr4 zip:?n�-2_3 r Phon�e. 9g2�Z- 44,644— 9 712
E-Mail or Fax#(Optional)_:�� 1K jE 01 P ce 15i -,/,#)d I
Contractor Information: CONTRACTOR EMA-T-L ADDRESS:
Company Name: Qualifying Agent:
Address: city State Zip
Office Phone Job el e��l ulltuva-
State Certification/Registration FOR CODE MAMILL40SICE
Architect Name&Phone#— CITV OF-ATLANTIC BEACH
Engineer's Name&Phone 4 -SEE PERIviff-S FOR ADDITTOtq
Fee Simple Title Holder Name and Address R reol 11R EMEMS AND GONDIUONS.
Bonding Company Name and Address
Mortgage Lender Name and Address REVIEWED BY. DATF-
-A-
4pplication is hereby made to obtain a permit to do the work and installations as indf&fed. I certi th—atnuo!wor-k or linst ation has commencedprior to the
.e o -mit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
issuan( fapei
andvoidffwork is not commencedwithinsix(6)months, or ifconstruction or work is suspended orabandone oraWeri.odofsix(6)months at any time after
work is commenced. I understand that separate perin its must be securedfor Electrical'Work,Pluinbing, ,ns, ells Pools,Furnaces,Boilers,Heaters,
Tanks anilAir Conditioners,eta
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 I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
typeo work will be coTplied 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 otherfiederal,s te, or locA�Iaw regulating construction or the peTformance of construction.
Signature of Owner Signature of Contractor
PrintName CL kam_c; Print Name .................... ....................................................................................
..............................................I..................7........... .......................I...............
Befo - Before me
this�?L!ay of 0a .2013 this —Day of 20
A. . tr,A A, I X n