2244 Beachcomber Trl 2014 doors CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000688 Date 5/02/14
Property Address . . . . . . 2244 BEACHCOMBER TR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 700
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Application desc
door replacement
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Owner Contractor
-
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WOLF, ADAM H & DANIELLE CORNELIUS CONSTRUCTION CO.
2244 BEACHCOMBER TRL 71 19TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-9706
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 700
Expiration Date . . 10/29/14
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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 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 50 . 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
800 Seminole Road, Atlantic Beach, FL 32233 13 FILE COPY
Office (904) 247-5826 Fax (904) 247-5845 _
Job Address: Permit Number: !y
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S Proposed Work heated/cooled PA- non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire spri � ystgm instal ed? (Circle one): Yes No /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: JIJSTAlC- FvTF—P40 F- 4>00ft-
Property Owner Information: ��"" ""``
Name:�� v kAa ez .�TrNF_N6 Address: ?-17qi BQLlG�1LD�i'N &tk_TPP L
City KD, _j State_ZipZZS Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: yy��
Company Name: Qualifying Agent:hftaao .
Address: po. City A-B State ;='L- Zip
Office Phone Job S e o
State Certification/Registration# Am
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address DATE P 5" 0!
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
P'i'
void if work isnot 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,Pltzmbing,Signs, Wells, Pools, izrnaces,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 hereb 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 o) work will be complied with whether sped zed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any otherfife al,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print rie . ...� ' ..��..................... Print Name j')'�.�}RC.A.fit...... 12p,Ll..U ...........................
........ .. ... .................
efo e re me
Day)oyAw 20 ay of 20
rN Ary Pubjic StateofFlo' a b'
Notary Public hiComm fission ah
FF 086990 �p�tM b�ha 08 990
.,, xpires oart4nole or Expires 02/14/2018 Revised 01.26.10
City of Atlantic Beach APPLICATION NUMBER
Js Building Department (To be assigned by t e Building Department.)
800 Seminole Road / GP
_. 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: Z Z 71' ��,t oA �G�r 1' , �- De artment review required Yes No
Building
Applicant: � anning &Zoning
Tree Administrator
Project: ��� /i Public Works
Public Utilities
Public Safety
Fire Services
arvew fee $. ,,,,
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: BApproved. []Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied.
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