326 Plaza 2014 windows I% CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
+J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J131�` WINDOW AND/OR DOOR PERMIT
MAST CAI I RY dPM FnR NFXT nAY TNSPFCTTAN- 7d7-SR1d
JOB INFORMATION:
Job ID: 14-WIND-238
Job Type: WINDOW AND/OR DOOR
Description: window
Estimated Value: $1,575.00
Issue Date: 10/24/2014
Expiration Date: 4/22/2015
PROPERTY ADDRESS:
Address: 326 PLAZA
RE Number: 169959-0000
PROPERTY OWNER:
Name: CORNWELL, DANIEL WESLEY
Address: 326 PLAZA
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN WINDOW PRODUCTS
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $28.94
BUILDING PERMIT FEE $57.88
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $90.82
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION (�
CITY OF ATLANTIC BEACH U 0
800 Seminole Road, Atlantic Beach, FL 32233 OCT 16
Office (904) 247-5826 Fax (904) 247-5845 2014
Job Address: 02LPermit Numpber:
Legal Description �� Parcel# 1 & f q 5q— Coco
'
Floor ea o q. t. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windo /door
Use of existing/proposed structure(s) (circle one): Commercial esidentia
If an existing structure,is a fire sprinkler system installed? (Circle one): N, N/A
Florida Product Approval # 15 L20•_qI'J 4I f • ??
For multiple products use product ap&oval form p
Describe in detail the type of work to be performed: / k ae-e ovDcc, W15c) AV
Property Owner Information: n
Name: !lc�le Oak Address:
City Hfo State kZip11�'Phone 6402- 6v>/ '7&7-2
E-Mail or Fax#(Optional)
Contractor Information:
AMERICAN WINDOW
PRODUCTS, INC.
Company Name: 55 Pe„WERG AVE Qualifying Agent:
Address: City State Zip
Office Phone `7 MWS e/Contact Number Fax# '731 -13$-2-
State Certification/Registration # c a� `� 2C� 7
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. 1 certify 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 this jurisdiction. This permit becomes null
and void If work is not commenced within six(6 months, or if construction or work is suspended or abandoned for apperiod of szxP,6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical'Work,Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cert that I have read and examined th"a lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether
speci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
0
Signature of Owner Aji Signature of Contractor
Print Name V C)C I .._.... I tZ.../...................................... Print Name � 'fl'1........_��1.12�L
Sworn to and subscribed before me Sworn o and subscrib b f re me
this Z Day o f F� 20 / �/ th' Day of 20
a a1( dk�wffl -11 +, Pus
N' Pub MY COMMISSION#EE 127992 NotaryTub iC MY COMMISSION#EE 127993
s EXPIRES:September 6,2015 * Eer 6,2015
r'4lFnF F,.pP� Bonded Thru Budget Notary Services 01 R” A tory Services
TS.�Ly; City of Atlantic Beach APPLICATION NUMBER
�s y� Building Department (To be assigned b the Building Department.)
800 Seminole Road f f�^/� - 23)00-
Atlantic
Z300-Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
;3 �? City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 32-6 PI&z ftpadaipnt review required Ye No
uilding
Applicant: !J g Zoning
Tree Administrator
Project: aGc� Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: [q pproved. ❑DentNd.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: jq20-Y_y
TREE ADMIN. Second Review: ❑Approved as revised. ❑Den
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES --
Third Review: [—]Approved as revised. ❑Deni
Comments:
Reviewed by: Date:
REVISED 09252014