346 magnolia st window 2014 �J iii
CITY OF ATLANTIC BEACH
. j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
JOB INFORMATION:
Job ID: 14-WIND-91
Job Type: WINDOW AND/OR DOOR
Description: REPLACE SLIDER DOOR AT BACK OF RESIDENCE. FL
12442
Estimated Value: $4,020.00
Issue Date: 10/1/2014
Expiration Date: 3/30/2015
PROPERTY ADDRESS:
Address: 346 MAGNOLIA ST
RE Number: 170444-0000
PROPERTY OWNER:
Name: SMITH, GRETCHEN DETERS &,
Address: 346 MAGNOLIA ST 346 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: LOWES HOME CENTERS INC
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $35.05
BUILDING PERMIT FEE $70.10
STATE DCA SURCHARGE $1.05
STATE DBPR SURCHARGE $1.05
Total Payments: $107.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Be,- -i APPLICATION NUMBER
Building Departmc (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 3� .33-5445 V V Iy
Phone(904)247-5826 • 'Fax(904)247-5845 �j
r;o,a� City web-site: http://www oab.us Date routed: —1
APPLICATION REVIEW AND TRACKING FORM
Property Address:-3 l " a h 0 Qel2artment review required Yes No
Building
Applicant: �ow t S Planning &Zoning
Tree Administrator
Project: t "" v1/l/�J Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL A )DRESS
CONTRACTOR CONTAI # q 0 u -f
APPLICATION STATUS
Reviewing Department First Reviev L p roved. ❑Denied.
(Cir e one.) Comments:
Cd�UlDING
PLANNING &ZONING Reviewed by: Date:�Pv29
TREE ADMIN. Second Revi w ❑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 09252014
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BTJIIGDING PERPriIT AP�CATiON •.
CITY OF ATY,i�1V'IIC$rEAEH �
FILr C O-P
800 Stole RDatls Atli"Bew6,F,32233
�/ bffioe(%02:47--=6 F=1" 247-5845
? •it, _� :.
Job•Address: - /v'f",/0y'0" S'T Pen&XRmber: !V i)—rf /
.Legal Description_ ��!-�=�_ E t5we-2—
Valuation of Work$41add t6 7 °� o rk eet
ProposeQyl(orlt )deiitedfcooiet�. noir=ilea#edlcooica
Class of Work(circle one): Nel• Addipbn Alteration Repair move Demolition pboi/spa window oor
Use of existing/propused structo citeie ene}: Commercial den
If an existing structure,as a fire:. ,i r ?(Circle one): Yes No ISI/A
Florida Product Approval# •
For multiple products use pr6- 'WrOV14.form
Describe in detail the type of we.. o be petfomte&
Property Owner Information:
?Jame `lS Lld�!° Address: +✓,��/�d�.�L ST
City. _Statetz-43 Phone -
E-Mail or Pax#(Optional).—�
Caatraetor inform 'ow i
Company Na I 'wk&AN ZLC-�ifying Agent
Address: Cit, e State Zig Z�
Office Phone — b Site)Contact u r lax#
State Certifioation/Registration A
A:robit+eet Name,&Phone#:
Engineer's Name&Phone 9
Fee Simple Title.1367der blame and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application lx hereby made.io obtmn a permit to do the vrork and inktallationt as indicated I certify that na w�rkbr installation her cgmntenczd prior to the
issuance o a permit and that all work witl6e gerf jwtrted to meet dile standardsdjall tawi reguloting consiructton tit 8aS jurrs'dietlon,This permtl begonias nu11
and vald.�work iS norconvitenaed within:� months,qx if canSh7lcllon or work is ii�peitikd orabandonedfor a eriod afsix 6)t�rul�at ion lfnre aJla'
v�ork is eont#trneed. !Wtderstarid drat; •pertttits nntst be secured for L''lectm.»!Work,Plumbdig,Sig2s,i�iill;.Pools`�naees,Boaters,Nearers.
Tanks aad Air Coh�dbttErs,ete
W ARNIING TG v NER:YOUR FAILURE TO RECORD A NOTICE OF .
COMMENCEMENT W• RESULT IN YOUR PAYING TWICE FOR Il1�PROVEMENTS
TO YOUR PROPERTY, if YOU INTEND TO OBTAIN FIP(ANCING CONSULT WITH
YOUR LENDER OF V ATTORNEY BEFORE RECORDING X()M NOTIC»OF
COAMENCEMENT.
I hereby certify that I have read and'e mmi. is plication and know thz same to be true and;correw. All peovisldnt law and governiag rhes
type of work will.be compiled with»teethe. ci led hzreirl w not. The grdmirig of a permit-does not presume to g, tliOr' «i a or cancel the
Provisions ofany otherfederal,stale,orloc- ..v reguld!tng consouction or the Performance ofconsfMXdo#.
F
Signature of Owne• i \' Signature of ontraztdN
Print Name C• QL � '- 3,R— _-
�A.. �' 1?riotlJatge
Swotn.t -and subscri4edbd0re me. S aAd nbsen� f e
this .Day of f '20
`•OS,�yY
NI(407)
^� MY C SSJ N#FFM25t3
Notary u =o�,ar PUoic' DEBRA L CARTER
I _ ebb N6fiP-State of Florida
a M1o;`O' AE9 September 22,20 i 7 -
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OFF1�P�' Commission#EE 874638
1 of 1 06/01/2012 04:42 PM
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