87 W 3rd St window 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000363 Date 3/18/14
Property Address . . . . . . 87 W 3RD ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3973 ----------------------
-----------------------------------------------------
Application desc
WINDOW --------------
------------------------------------
Owner Contractor--------------
----------
------------------------ THD THE HOME DEPOT AT HOME
PENDERGRASS, THOMAS W SERVICES
87 W 3RD ST 2690 CUMBERLAND PKWY STE 300
ATLANTIC BEACH FL 32233 ATLANTA GA 30329
(813) 402-3700
-- -------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc - - 70 . 00 Plan Check Fee 35 . 00
Permit Fee . . . . Valuation . . . . 3973
Issue Date . . . .
Expiration Date . - 9/14/14 -------------------------------
--------------------------------------------
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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�It,_�e, Cot� —i i'm �v( Uj'j'y 0YA'1'LA_N'1'1C ISEACH 7-5 1U-7-1v
Pfv 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845
A -7 Permit Number:
)b Address: Y
u,,egal Description 1-7-A5 3 Or\,\ yaex'cNN L 0�_5 Parcel# 1?6kd? -1)000
0%�t_C.44' %�-'-7 CA
Valuation of Work$
lass of Work(circle one): New A Alteration
s co Comm.Q��_e�air �"esidential Plition pool/spa
je of finW esed. s N/A
ex1s McCre, fire sp er st talled?(Circle one): s 0
an existing SY
orida Product Approv I#_J�Z_ /q C1 I('/&
)r multiple products product approval to
0
escribe in detail the type o �o Zm e id
-1 A 1\14A
roperty Owner Information:
Address: -7
Name:
e,ty
Statc�Zip_3 Phone 9C)q- 3
Mail or Fax#(Optional)
4r-, M PIL,
Dntractor Information: PIto.-A (4,;,0-F,,- 0 'Mo,119 ?,17-637 -L
— C' b: (! �&(�
:)mpanyName:::j��R Qualifying Agent:
Jdress: Citv ac-'_\"�S� State Fz- zip _3�1�6) 1
ffice Phone 515-4 -'�>-7 00 Job Site/Contact Number Fax#
ate Certification/Registration#Q,\P,It 6 4&
rchitect Name&Phone#
igineer's Name&Phone 9
,e Simple Title Holder Name and Address
)nding Company Name and Address
ortgage Lender Name and Address_
'5,h n ade ana er d he ork and in a a n 'ndca rtify that no work or installation has commenced prior to the
w st "d"Ods s I s ng construction in thisjurisdiction. This permit becomes null
11 fsix(6)months at any time after
f to'�
at d 't 11 ta
it
I" k pit be r 01'rk us or abandonedfor a period o
00
d h r w t s
i, er, I s, or c _' c'on or
(6 n h f
p
h'in s
'p"c-tio P,ere ty, t 'I
c'0 0, co_ d wit 0 i t 0 Plumbing,Signs, wetis,Pdols,fWrnaces,Boilem Heaters,
,df ", k I""s ce, t t S'p t'p r,ts m's r Elec
i'c E ie'd 0 dern, d ha a a, e b ec.r d 0
,,k 0 "c
tnks andAir Contlitioners,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 Y614i NOTICE OF
COMMENCEMENT.
tereby certify that I have read and exami.ned this application and know the same to be true and correct. All provisions of laws and ordinances governing this
7e pf work�vill be com lie h whether specifte rein or not. The granting of a permit does not presume to give authority to violate or cancel the
ovisions ofany other e tate, or local law r la ' construction or the pe�fomance ofconstruction.
Signature of Contractor &VIL4,2,
gnature of &,
qSS Print Name .........................................
�-int Name . ......
1� Sworn t and subscribed before me
Nom and subscribed before me *is�12 Day of �Q -i —
.20 1
'j C.>-4 -k - 2011 .
i0)_- Day of
,1v 6tary Public Nbtafy Public Revised 01.26.10
r,HRISTINE ONALLEY
# 0
RONALD ALLEN REEDY �q GoMmiSSION#FF 087307
Jauary 29,2018
0�.'P'�bj'r d r"�e's
,Un w
MY
NOTARY PVBLIC EXPIRE&january 29,2018
ervntefS
STATE OF FLORIDA Bonded Thru NotarY Publir und
Comm#EE$-%4W9
VP"'VoExplr"12/29/2016
Doc # 2014051594 , OR BK 16711 Page 1298,. Number Pages: 1 , Recorded
03/07/2014 at 11 :03 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
FILE COPY ,
TM At-limm
W7 Kbw La.,-,&.iw K
Tamm M 3309
cm"aZ2�:jq -7 3 7,�l f-/zF
bw*Y Vmw wM=0W=Pwwwwft,,M b, w XW",md in acommium W&Cbq"W.J,I%d&
L Dewdpfwn gfV=p,0-O.W, 4w -7
—Qk—�lz-
LC
-7 Q�
(a)Nmw Md aMmgg-
-kr �,Sj,-s S�r
El-n�l�1( 1 Cx (kc 2)
fog=
(c)Nawand aftm
4-Comftacbw
(APIAnwavd, J 1 1 MDAir-Ilmne ServicM I=2W Yxls�Lanc�ftile 1�Tampa,FL 33619,
(b)Phme and)w- 80-402,3M
(a)N=,amA&ddre= h N A
Ameamt fbmd \j \4-)
Phom nwnber
6.Leader
W)i i,wd add,=
(b)Phow=owber
7. am Soft*fFkd&dw*nftdby Ow=vpua vftn aFOOM
713-BoXg7,Fladft sbddm ��May be suved xs pravWed by-S=tim
(a)Name Md ad&m,--
M Phow==btl--
Florwl C MY of ib--L i mces mo fw,. wv-KW=S e cbm 713-0(l)(bX
(WhMennobcr
9.EzPhnfim do,Gfudim arcaffincumn=
71=udwg=—Ww a&ftew date is iqi��
WAM"GT00WNM ANY PAnMN7SMAEEBYjM0PMM�MBMWAMM
WCMKM-UffJORMA9MUEM ANDCAM
BrAEM To CONSULT
cr
MIC falcgOW&
.xxrL0.qj qby-
day
W--r*Now W.—Y i. f.
AMA& RONALD ALLEN REEDY
NOTARY PwM
STATE OF FLORIDA --AND—
CMNYW EE8W%
ilmt I
Un6-PCndftQrPerjwy fteaDifig-ddWtbe fads aoftd initmeumw th,4-fl��
a
Rmiwd 71W RONALD ALLEN REEDY Flom=3b
NOTARY PUW.JC
3TATE OF FLORIDA
Comm$EE854W9
-`iExpWn MM2016
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Bui
Iding Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 uted:
_A1 E-mail: building-dept@coab.us Date ro
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: D p. ent review required Yes 0
build
ning &Zoning
Applicant:
Tree Administrator
Project: AJ__ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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
C
prov
Reviewing Department First Review: Approved. ODenied.
(Circle one.) Comments:
(:��p
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09