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1030 Beach Ave 2014 Door ! i r�j`lJr� CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001275 Date 8/18/14 Property Address . . . . . . 1030 BEACH AVE Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 24000 ---------------------------------------- Application desc door replacemnt --------------------------------------- Owner Contractor _ ------------------------ GERBER ETAL, THOMAS CHRISTOPHER 2RJ 215LAUGHINGCOINSTRUCTIOON 920 10TH STREET SW LL CIR ROCHESTER MN 55902 ATLANTIC BEACH FL 32233 (904) 514-4442 -- ------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . 00 Permit Fee . . . . 170 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 24000 Expiration Date . . 2/14/15 ------------------------------------- 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 . 55 STATE DBPR SURCHARGE 2 . 55 Fee summary Charged Paid Credited Due g ---------- ---------- ----------------- ---------- - Permit Fee Total 170 . 00 170 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 5 . 10 5 . 10 . 00 . 00 Grand Total 175 . 10 175 . 10 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATIONM CITY OF ATLANTIC BEACHFrA U F ILE CO , 800 Seminole Road, Atlantic Beach, FL 32233 $ 2014 Office(904)247-5826 Fax(904)247-5845 Job Address: �(5 3C7 %3�� e— Permit Number: Legal Description tol- R 231ag-1' 60 /3-e`a` Parcel# /70 -7-1-7 —/vJv Floor Area of Sq. t. Sq.Ft Valuation of Work$ LjLj Q Proposed Work heated/cooled non-heated/cooled________ Class of Work(circle one): New Addition eratton epa Move Demolition pool/spa window/door Use of existing/proposedstructure(s)(circle one): ercial eside If an existing structure,is a fire sprinkler system installed?(Circle one): es N/A Florida Product Approval# For multiple products use pro uct approval form Describe in detail the type of work to be performed:_ few/d C-e__ i Property Owner Infoormation: Name: volas CGt��6>la 1, �rcr Q� Address: City StatdNZips3 iii-- Phone E-Mail or Fax#(Optional) Contractor Information: / ,, LI-C' g /moi d1g"� l�ml Company Name: � /�� '� Quali yt Agent: Address:,-2,72, r City/Gf(�.,�c &a,G State _Zip z i 3 Office Phone Site/Contact Number �S�FZ— Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address O c,�ivas Bonding Company Name and Address 411111 Mortgage Lender Name and Address 1%1111k Application is hereby made to obtain a permit to do the work and installations as indicated I certt&that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thiisejurisdiction.. This permit becomes null imencefier work is commenced.work is not conI understand that separahin six te permmonthsits s mor ust be secured for Electrical Work,ph mb ng,Sigf construction or ' k ended or fns,or aWelts, P riod o1s,XFamwes,Bollmonths at a,t He aers, 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 E OR COMMENCEMENT. YOUR NOTICE OF I here b certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type oVlwork will be complied with whether s ci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other jural;state,or I regulating construction or the performance of construction. QQ Signature of Contractor Signature of Owner Print Name ...._....__.... .............._.__.. Print Name r Sworn and subsc before me to bsen ed bef e this Day of r c 20/`� this ay f 20 Notary Public SAI' County of Olmsted owe°w� Sfili`C� r`�iafrl'f��naa ..EVICKI VIRGINIA YOUNT Subscri d and s orn to a My Commission FF 086990 3, Notary Public-Minnesota Expires 02/1412018 My Commission Expires Jan 31,2015 me t�'ilS ay 0 d OPY : ` FILE CANTIC BEACH FLORIDA �' PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATL J t �r �i�m vt Permit # —I a 75 Project Name:— --4(-1 Project Address: /o 3Z) /3Rc.ti ;'L As required by Florida Statute 553.842 and Florida Administrative Code Rule 911-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide roduct approval may be obtained at:www.floridabuildin .or . Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1.Swinging G T /,.r / r"�•t ,r 2.Sliding -y A`111(11- /D 41-4-1— 37 3.Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1.Single hung 2.Horizontal slider 3.Casement 4.Double hung 5.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by Building Department.) r 1 800 Seminole Road 4r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 .fi osi a - E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ld3v /. gamfent review required Yes No Buildin Applicant: T—S VI —A air,-, Planning &Zoning Tree Administrator Project: 7)6,04 " i^,T 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: proved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: s� 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 05/14/09