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1877 Beach Ave 2014 Window CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001282 Date 8/19/14 Property Address . . . . . . 1877 BEACH AVE Application type description WINDOW AND/OR DOOR Property zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 2697 -------------- -------------------------------------------------------------- Application desc REPLACE 3 WINDOWS FL 5167 . 14 AND 5179 . 5 -------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PIETAN, JERAL H THE HOME DEPOT 1877 BEACH AVE 207 KELSEY LN FL 33619 ATLANTIC BEACH FL 32233 TAMPA (904) 497-8686 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . - 32 . SO Permit Fee . . . . 65 . 00 Plan Check Fee Issue Date . . . . valuation . . . . 2697 Expiration Date . . 2/15/15 ----------------------- ----------------------------------------------------- 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 . S0 101 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. fie--m ;-0(- BUILDING PERmiT APPLICATION 1'1`11-cr 0-, 10 CITY OF ATLANTIC BEACH -7,�-7 0) 800 Seminole koad,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 AUG 11 2014 JobAddress: IY-7-7 —Permit Num, zyj Legal Description'�-DS-o-)qC L�- N6 a Parcel# 10 (o3d - 4 01Z&31-19-�14 46'2IL-7, Valuafion of Work$ p Class of Work_(circie one): New-----Addition --Alteration Repair aovt-1kemqlition pool/spa window/door Use of exisdmW I structure(s)(circle one)* Co ci Residential_-), ? cle one . If an existing slrl =is a fire sprinkler system'installe.7,3, Florida Product Approval# -5'16?- /q -t rl-2 For multiple produ roduct approval torm ck-�p Describe in detail the t)W 6f-work to be perforl"e tp 6-c e- Property Owner Information: 10 Name:��C'4 2e(61 IJ Pie;)�_Address: City O'c"N —State fLZip--54A 33, Phone 9cq- E-M;;-il—or Fax#(Optional Contractor Information: Company Name--t,,"q Qualifying Agent: �s��tg. Address:-It,�-7 V-r-t3-tj Sk kc, City Tck--,e�, state-FL- .-Zip 3Y.Ll Office Phone<S1 �-1 3 7 Job Site/Contact Number Jax# State Certification/Regi tion# Q-X7, 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 certifv that no work or installation has commenced prior to t issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Thispermit becomes ni and void ffwork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsix(6 months at any time qfi work is commenced I understand that separate permits must be securedfor Electrical-Work,Plumbing,Signs, F1 Pdjls,Pools, Arnaces,Boilers,Hearei Tanks andAir Conifitioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CommENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IWROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUi NOTICE OF COMMENCEMENT. lhere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governicng ti 1�work.will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or C.. I t provisions ofany otherfederal,state, or local law regulating construction or the performance of construction. V) ature of Owner Signature of Contractor Name Print Name . .............. ... ................. .. ........ ............ ...... ------- Sworn to and subscribed before me Sworn to and subscribed before me thisQ 0'Day of 201� Day of, 20 Notary Public Revised 0 1.26.10 CHRISTINE OWALLEY MY COMMISSION#FF 087307 RONALD ALLEN REEDy EXPIRES:January 29,2018 Bonded IN u Notary Pub4c Underwrkers NO`rARy PUBLIC STATE OF FLORIDA COrnrrJ EE9.14W EXPIt"03 12,211-20ir, Doc # 2014168882, OR BK 16859 Page 2465, Number Pages: 1 , Recorded 07/30/2014 at 07:51 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 -00 FILE. COPY 'i i. Tift laskument p��By: IM At-�Servk= 207 Kel=y L,,,,;.Stiae K. T=4)06 FL 33619 M011CR0WC0A8d9FK1IM4Eff TaxFoh.N.. 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N C.3,4 A -�- L 1�- 2.Genewl 3.Ownw infinwaift 1 -7 (A)Nmeauda&��V�, "' ? 0, ,", (b)LACUMt i. .' t-tt (C)NUMC Md ad&=atke shvpic fidcb*k,Ljf'&,,law ..W)� 4-Conhaaw (a)Nem and addm= MM At-Ebm Savicu.I=207 Kelmy 1,,,,SIA,Y,TamM FL 33619 N ftme snaber 8jjW-nW S.&,Fqy (a)N&mauudad&e= Awmaut of bmd PhD=number 6.LcDder (a)Name Md addMW 7.PCUUM widdM411 SW,-471xd�d=Wwwaby OwnwWw v&wanoww Or a&erdo,=emnwybe=vWm p-vWed by Stdim 713-13(j)(*)7,Fk" (a)Mmm End ad&=: &Js additiquihicusdt 0wuwdcs4pw6wfl=6,fli"gp,"W lo fecei-a coo atbelAnwesNa6m acp,,,iWi,3,ebn7j3j-V)(bj Fkmi(k Sh"= I (A)NHn3ezudaddm= - k �� I�-- --- 9.Mqiraficm d,&,orvAtice of IL(me-P&MfiM doe is I ycw EMM%e, Of m-aling uni=a&MrcuL deft is q=WvcM WAWRMGT0GW4EW-ANY FA)MdE2MMAYjEBY1W GWNEXAFnRTEW-EU%IAMM(W1MNMM OFMOORIMONY ELCWD&X-rATUM3,MWCAK A.MnMUF 0MftMkXEMMffM0Sr33E WBOOMMMANDPOSIM ON-fMXW ME BEE(=TM FWy24SwWfXjW IF YMIMMID TO COTAAW14MZOW'43�COMWX WnH TOUR U"0MCMMA"VMY MFOPM 00%om�w0W 0R_yM0D2D"V_,VOMMnM OF C0jMMDKMMM '5'r skukws TbeJix�w5huMM&UMacb--txigedbefi=wA*---'I dkyf.::�5-j �14 Iy �,t —AND-- V- !WEfm ft--ud W Ngfm 9LS25-Flmida Reviscd7n/07 RONALD ALLEN REEDY lAwav)Abe- .AA , NOTARY PUBLIC STATE OF FLORIDA Comrn#EE854" I), Expires 1=9016 APPLICATION NUMBER City of Atlantic Beach Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 1 L4 Phone(904)247-5826 - Fax(904)247-5845 uted: E-mail: building-dept@coab.us Date ro City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address (k) AVt. IlQpartment review required Yes 0 Applicant: ivy-, D to o+ Planning &Zoning I Tree Administrator Project: 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 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: P-Approved. []Denied. (Circle one.) Comments: BUILDIN L: BUILDIN9 Z P ZONING Reviewed by: Date: TREE ADMIN. Second Review: nApproved as revised. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. OlDenied. Comments: Reviewed by:_ Date: Revised 05/14109