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1058 Little Cypress Key 2014 Window and siding S CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 lilt Application Application Number . . . . 14-00000889 Date 6/09/14 Property Address . . . . . . 1058 LITTLE CYPRESS KEY Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1950 ------------------------------------------------------------------------- Application desc door ------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WELLS FARGO SUPERIOR CONTRACTORS LLC ONE HOME CAMPUS 4040 SUNBEAM RD MAC X2301 03R JACKSONVILLE FL 32257 DES MOINES IA 50328 (904) 463-2052 --------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1950 Expiration Date . . 12/06/14 ---------------------------------------------------------- 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 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION D FIL E p Y ! CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 JUN 03 2014 Office 904 247-5826 Fax 904 247-5845 Y Job Address: S� L Permit Number: 8 Legal Description._(00 �� q� SC.oya �A ('\V'��r� # I o1Da� ` �R o� or Area Sq.Ft. Sq. t Valuation of Work$ _ Proposed Work heated/cooled I LP 8 Lo non-heated/cooled i Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro osed structure(s) (circle one): Commercial -.r e idents If an existing structure,is a fire sprinki-rsystem installed? (Circle one Yes No N/ Florida Product Approval# G + 41 y —F S For multiple products use product approval form Describe in detail the type of work to ' j performed: Property Owner Information: y� ��(1(1Qm�S Name: `eAI S Address/1r��m- X�Lw I o5;iL City t7 i Stat AZip hone E-Mail or Fax#(Optional) Contractor Information: CON] O.CTOREMAILADDRESS:S012e(i u(MA ra <_4-M0 1 O Company Name: U lei( �� fdC�� Quali ingAgent: ,` �IIC.I �IhkV Address: 0` V1 CitiyffQ State Zip Office Phone bq - Z Site/Contact Number Fax# State Certification/Registration# Q Architect Name &Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Addre� Bonding Company Name and Address_ Mortgage Lender Name and Address __ Application is hereby made to obtain a permit to di, .he 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 will be per formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora eriod 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,Furnaces,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 VTTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here b certify that 1 have read and examined this ar lication and know the same to be true and correct. All provisions of laws and ordinances governing this type o7ivork will be complied with whether speci herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law .rating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name Print Name C rl J1 ............................................................. v Before me Before me Day of _20 thi Day of qm-1, 120 141 o Public RACHELLE ANN LDNOL """ DAWN l JOYNE r Commission Number 782 g Commission#FF 108542 Revised 01.26.10 My Commission Expl I My Commission Expires ow January 7,2017 .--_. .., City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) s� 800 Seminole Road Atlantic Beach, Florida 32233-5445 µ' 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: Ina L D rtment review required Yes,,,-No Building Applicant: cMWM#g &Zoning Tree Administrator Project: .LTJ Public Works Public Utilities Public Safety Fire Services 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: 96proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 6 :- TREE TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed. 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 CITY OF ATLANTIC BEACH s> 800 SEMINOLE ROAD ±3 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000891 Date 6/09/14 Property Address . . . . . . 1058 LITTLE CYPRESS KEY Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1950 ---------------------------------------------------------------------------- Application desc siding ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WELLS FARGO SUPERIOR CONTRACTORS LLC ONE HOME CAMPUS 4040 SUNBEAM RD MAC X2301 03R JACKSONVILLE FL 32257 DES MOINES IA 50328 (904) 463-2052 ---------------------------------------------------------------------------- Permit . . . . . . SIDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1950 Expiration Date . . 12/06/14 ----------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -------------------------------------------------------------------- Other Fees . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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 800 Seminole Road, Atlantic Beach, FL 32233JUN 03 2014 Office (904) 247-5826 Fax (904) 247-5845 By Job Address: I o,, S� t 1 }P}ermit Num er: n L p � Legal Descriptio � — e Sc lva V' 'ar� Floor Area ot Sq.Ft. Sq. t Valuation of Work$ G f Proposed Work heated/cooled I U non-heated/cooled D I Class of Work(circle one): New Addition Alteration Repair MoveDemolitionpool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial es9Z idem If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/ Florida Product Approval# For multiple products use product approval form i Describe in detail the type of work to be performed: , OO e �T I" i ( SA IRO ff1- Property Owner Information: Name: l S EA94D Address: D� OC`n� City O l State Zip ejb hone E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR ,,`EMAIL ADDRESS:� 1 upe�l orLoA+r doc(@ I IVB _6 ( Company Name: U k)1( &a1 f l U i� Quali ing A ent: Mi "I h+C City Q V�� 0 State Zip Address: 0— Office Phone - '7 Job Site/Contact Number Fax# State Certification/Registration# G Architect Name&Phone# KKVj1ffVKD POR CODE 't Engineer's Name&Phone CM CW ATLOMC SMACK ninnifa Fee Simple Title Holder Name and Address i Bonding Company Name and Address ;i Mortgage Lender Name and Address 3 01-01 Application is hereby made to obtain a permit to do the tion has commenced prior to the issuance of a permit and that all work will be performed o mee a stan arm all laws rregiiTating construction in this jurisdiction. This permit becomes 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 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, 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 ojYwork will be complied 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 other federal,state, or local law regulating construction or the performance of construction. Signature of Owner 4 Signature of Contractor Print Name BLS V1.JEN15tm �On Print Name .........................if cs�Loan.p�cumentati............................... �, ... Vit...... ..!_ - .......................... Before me Before me his�—Day of 2014 thi Day of t4ag 20 14 tary Public """ 0MWw ulmwrtm7=35 DAWN L JOYNE RACKSM ANN LON® 1P Commission q FF 108542 Revised 01.26.10 My Commission Expires J aMrif 7,2017 11 - •'•%.`, ;;`•`' April 01, 2 01 8 i>ra.lr City of Atlantic Beach APPLICATION NUMBER r � Building Department (To be assigned by the Building Department.) s� 800 Seminole Road 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: Id-aZ171-1.6 r S Dgpadment review required Yes No Buildin Applicant: ,s Vanning &Zoning n Tree Administrator Project: .Sri- Nni Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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: [Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: `� Date: G 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 05/14109