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304 1st st 2014 Windows � , CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001067 Date 7/10/14 Property Address . . . . . . 304 1ST ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 2027 ------------------------------------------ Application desc windows ------------------------------------------ Owner Contractor - ------------------------ ----------------------- OBANNON, PAULA R THE HOME DEPOT 304 1ST ST 207 KELSEY LN ATLANTIC BEACH FL 32233 TAMPA FL 33619 (904) 497-8686 ----------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2027 Expiration Date . . 1/06/15 -------------------------------------- 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 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 50 101 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. fje.„v- to,� O`A-t-!led- BUILDING PERMIT APPLICATION 4 4o( fe,/M CITY OF ATLANTIC BEACH U 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 J U L 0 2 2014 Job Address: � `� � �'t`� �c V� � �L X33 Permit Nu d Legal Description 5 Lt�l oZ -aS -� k�����`� -°yam Parcel# I( f-?3�i, " � a� tcs,S4 L�TValnation of Work$ ����7• �� Class of Work(circle one): New Addition Alteration Repair a olition pooUspa dowldoor Use of e�sting/propo c1aW4. to one):. Commerciar Residential ff an ezisting strnctu is a fire span a tem installed? (C`ircle one): es N/A Florida Product Appr al# C I •3 For multiple products roduct approya orm Describe in detail the type of work to be performed: \Qk Property Owner Information: copy is Nam Citye: " �.�.e C3�wc.� Stated Zip2Phone �foy- '1- USS" E-Mail or Fax#(Optional) Contractor Information: Company NamedeQualifying Agent: �•e �w����� �- Address• CityT-cc V1-PC--- State Fc- Zip-3-25q-'O Office Phone 3--V L,-'3 7Job Site/Contact Number Fax# State Certification/Registration# C- YCO d`f G LEY Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 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 tot, issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes m and work is commenced o nmenced of commenced I understandxithin six that separate permits om st be secured for Electrics! Work,Pius ngion or work i's suspended or �Signs,aWells�P000ls six Fu aces,Boileany s,Heat i 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.LENDER OR AN ATTORNEYE ORE RECORDINU INTEND TO OBTAIN G YOUR NOTICE OCONSULT F YOUR COMMENCEMENT. 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing d type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel t, provisions of any other federal,state, or local law regulating construction or the performance of constriction. , ignature of Owner C V C� i� n � a4t4ie - Signature of Contractor-21 Print Name _,, Print Name . ...... :........ .......................................................... �?!�G>� ._ �.C'...._.lav"`- ".�...__......_....._..-- Sworn and subs ibed before me Swor^n' and subsc�j before me this Day of D Ulu. 20 to h `Day of w� - 201 Notary Public ary Pu he .;:'dy'•., CHRISTINE aMALLEY MY COMMISSION a F KNM.D ALLEN REEDY RONALD ALLEN REEDY ''' ,- F 8177 A&ANY PUBLIC NOTARY PUBLIC •'. ,`a€ EXPIRES:January >%• o?' Bonded Thru Notary Public underwriters StAtt DF FLORIDA _STATE OF FLORIDA C01i,?4$ +mpg Comtnit EE851809 • EXPIres'llIfIAMr. Expires 12/29/2016 Doc # 2014131519, OR BK 16811 Page 1316, Number Pages: 1, Recorded 06/13/2014 at 09:17 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 .00 FILE COPY s ���5�'gSCGS TWV*'1,33575 s��ea y es a5ec;�apar a�ae� ter, a to camn r* ad in „=„Aft 7fll,T�lr ods i. of -OW dao ►4pMp.'X,ma wom"iF r :dal '`�3f. �S 4"9 J/-fig �6 (A)1VQMe7attaddn= L/1b2/titQ/t 2cxJ If Sh /���ctt+EiG I�te�c'G„ N- 322 3,, (455,pr,� {�)kinin aoi!a8�ra¢rhf�ea t�[tfattmr�.aaraxr�, �._ _ 4,Cmft*w (e)N&=ad A xiome Sprvt ,3nc 2[17 Kelecy I q 3a Re S,� . +L 33619 lb)I BeAumboc 9LIA02-3700 l�) aPbond ti.�,sacS6r (1)Nnw aud WAkVft - I,Y WWW W�a�SWO of FWds as ased br Dwnw uPO"mWw aodcfs or o'ba mei to sewed as scour by (0146ono wd c'* ' M owaff do 9.nqyherwndele fix,9f (do eugexiut des is I year fta the date c£romid*wakm a AS- rzoddoissPedfiOM WAWM4GT00WMkA27YpAY�dffiffi$gA]ESY7 OWtiB A T��3 11 74d 7 N i � AR [ -t AND Y�E II]!l$FA2II ANDC-0 $-T�'�Ct1433.�15C� �L Til _AP�Cy�(7� iFDK$€!' T Vim �?i°1QQ�I��� I�B3$1i1$r�.I1TY�QtIIKfBl�7'D 3RL ( �Y $C� XOURZTF($4� baa ect]veua•�4rme�'s '� ■.at�samicf O dayo� JL+},e_ _ Et� bs �o' t; /�h{IVIU`" dEpeso�as �✓Lv:ur f�9Po-� Y•�e!£.aa,tra+�m� �f��r .� Ryknvvm,_ozFsods�e3l0es --- 7 y1oaA�„�i� $2srs xt� UWIMpe oupc Idaol MfbatlaamedtSabM imea�3ei� r RONALD ALLEN ME»Y �gy�dma4fIi�e�l� #1 ID•�• R0vbw 7A'w NOTARY MAX v $TATE OF FLORIDA cam EE464W9 expir"t?12 Mit City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road f Q Atlantic Beach, Florida 32233-5445 67 Phone (904)247-5826 - Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: Z s City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /�t� �T Department review required Yes No uilding Applicant: fig�__Planning &Zoning Tree Administrator 1, ) �� ) Public Works Project: .V Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Recet Dateof Permit Verifier= By 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: / / !_r.' Date. 7—d W TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie. 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