1945 Brista De Mar 2014 Window 'S f CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jit
Application Number . . . . . 14-00000604 Date 4/23/14
Property Address . . . . . . 1945 BRISTA DE MAR CIR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 6000
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Application desc
window/doors
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Owner Contractor
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SIMON, KENNETH PRO-BUILDERS OF FLORIDA LLC
1945 BRISTA DE MAR CIR 1115 OAKS RIDGE DR S
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 386-0094
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 10/20/14
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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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 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 FILE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: 19q bl'Nk Permit Number:
Legal Description 54j& Parcel#
�- oarj
Floor Area o q. t. q. 't
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro ose circ om Re hal
If an existing strucu ,is a fire sprin er system installe le e): es No N/A
Florida Product App val# soa/3.17 ' i l G�6 ` I y tQ�-,�
For multiple produc se product aPer va orm
Describe in detail the type o o be erfo "� iuP°w S
no0Q r-14130 luSL_A - V2 S",,(uG 00012-
Pro er Owner Information:
Name: s ndYl I,7S �
Address: � t<\�� Q1� l..(1' l
City it nfT L 6&tcli StatA Zip 3? Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: tLDG-&S LY Qualif
yingAgent:ent:
Address: City J L State
ate �►2 V
Zip 7_l
Office Phone o - 43 6 0a 9Job Fax#
State Certification/Registration# 11 REMMED FOR C-09F
Architect Name&Phone# C
Engineer's Name&Phone# I I3
Fee Simple Title Holder Name and Address ADDITIONAL
'ACPARVAMBonding Company Name and Address ITIONS.
Mortgage Lender Name and AddressREV
Application is hereby made to obtain a permit to do the work and installations as in ca ec7 ion has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating constructiF;tisr',diction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-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 I have read and examined this application and know the same to be true and correct. All provisions of 1 s and ordinances governing this
type o)work will be complied with whether specs ted herein or not. The granting of a permit does not presume to gz thori to t o to cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction. r
Signature of Owner�(�f'!( �y Signature of Contractor
Print Name D�' ._h.. ....a............`S i mO ................................... Print Name _L0 t S ` R_0S�Q�T ,
... .. ................................... .................................................................................................
Befor e Befor '
t a�Day of rffln 20 thi D y of ' 20
1 i A
"� ORITTAM GARRETT
Notary Public ?+° r£ Notu� • fay
Ota' No ry Public S
? my Com.[mw Fa!.2018 to of orida
-+� Co�Naion/ff 0!1020
Shiley L Graha gt�Q�
A11R Ex Comm/14/2 FF 086v99VISe 01.26.10
�'a? �• �a�W" Explrms Op(14/Z018
City of Atlantic Beach APPLICATION NUMBER
�s r Building Department (To be assigned b the Building Dep rtment.)
800 Seminole Road
r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us
Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:/16� /,6'"/k'ra X ment review required Yes No
7; Building
Applicant: ping &Zoning
S Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature ry .
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: / c Date:
TREE ADMIN. Second Review: []Approved as revised. ❑Deni d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09