44 5th St 2014 windows CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J r� ATLANTIC BEACH, FL 32233
1�11INSPECTION PHONE LINE 247-5814
4-zJ131W�1
Application Number . . . . . 14-00001092 Date 7/22/14
Property Address . . . . . . 44 5TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 2193
--------------------------------------------
Application desc
garage doors
-------------------------------------------
Owner Contractor
------------------------
------------------------
HOWELL TRUST, DONALD WILLARD AMERICA' S GARAGE DOORS
ET AL - JULE ANNE JOHNSTON 1110 SHETTER AVE STE 104
44 5TH ST JACKSONVILLE BEACH FL 32250
ATLANTIC BEACH FL 32233 (904) 998-0200
------------------------------------ ---------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . . 32 . 50
Permit Fee . . . . 65 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 2193
Expiration Date . . 1/18/15
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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
_____ _ _ ----------
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
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.
BUILDING PERMIT APPLICATIONFBY7
�14 �Q�� ' �* CITY OF ATLANTIC BEACH FILE 0 Seminole Road Atlantic Beach, FL 32233
80Office (904) 247-5826 Fax (904) 247-5845
Job Address: �fih Sfi '� �a-���G �-G1 �`32 rmit Number: �`�� /dqZ
Legal DescriptionParcel#
Floor Area o q. t. q t
Valuation of Work$ 2��3 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/proposed structure(s)(circle one): Commercial esid
If an existing structure,is a fire sprinkler system installed? (Circle one): es Nc N/A
Florida Product Approval#
For multiple products use product approval 'orm
Describe in detail the type of work to be performed: r ld-Gl" O1GtrOL P bo r
Property Owner Information:
Name:
vel i Address: L114 5th
�, � (p
City StateF l Zip3 ,?:7 --Phone 014 �,
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:
�/1 e✓1 CA' S C'1 G,�/ oo✓ Quali ing Agent: l>rtia.Ld l l' -fes
Address: City aeksar��►lle�yeG+� St to F�- Z� �ZSo
Office PI
— Job Site/Contact Number Fax#
State Cen/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
that
work or installation has commenced prior
Applicationis
hereby
rr b amade to nd that obtainll wlll belperf, d tot.to do the omeet the standards of all lark and installations as ws tregulating construction in this jurisdiction. This permit becomes on ull
issuance of pion or work is suspended or or
and work void
orkiscommenced.not 1 commencednde within
separate permits must construct secured for Electrical Work, Plumbing, Signs,aWells,PoolsX urnaees,Boilers,months time
eaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULTTEND TO OBTAIN FINANCING, CON IMPROVEMENTS LT WITH
TO YOUR PROPERTY. IF YOU IN
YOUR LENDER OR AN ATTORNEY BEOR ENTE RECORDING YOUR NOTICE OF
COMMEI he ofywork certify
h t I have read and complied with whethnedteis eiaedlhertein annot.oTheeglanting ofsame to be ta perue ami doesnd cnot prt. All esumeito give a thorons of laws ny toordi violatences gor canceloverning thie
tyP
provisions of any other federal,state, or local aw regulating c nstrllction or the performance of construction.
Signature of Own e Signature of Contractor
Print Name � �..
PrintName t"`1. .................................... ....................
BefS
Da Befo e 20
Da of
:his
Notary Public State of F Ste of
Graham
y ommission n FF 0869
14otary Public �rq Expires 02/14/2018 Expires 0211412018
/„
1 Revised 10.24.12
. City of Atlantic Beach I APPLICATION NUMBER
. Building Department "o be assigned by the Building Department.)
800 Seminole Road Z,.,
PAtlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904) 247-5845 i
E-mail: building-dept@coab.us L Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addre Y� c � Department review required Yes No
Building
�p Planning &Zoning
Applicant:
Tree Administrator
Public Works
Project: Public Utilities
Public Safety k
Fire Services
I
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receip=.of Permit Verified C Date
i
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:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
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