2316 bEACHCOMBER tRL 2014 WINDOW REPAIR CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
J r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
JOB INFORMATION:
Job ID: 14-RAAR-241
Job Type: RESIDENTIAL ALTERATION
Description: REMOVE INTERIOR WINDOW AND RAISE HEIGHT OF
OPENING
Estimated Value: $2,250.00
Issue Date: 10/21/2014
Expiration Date: 4/19/2015
PROPERTY ADDRESS:
Address: 2316 BEACHCOMBER TR
RE Number: 169463-0068
PROPERTY OWNER:
Name: ADAMEC, CHRIS R"& TRACIE L,
Address: 2316 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: RADON PROFESSIONAL SERVICES
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $30.63
BUILDING PERMIT FEE $61.25
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $95.88
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
FIPYLE CCITY OF ATLANTIC BEACH T 1 2014
800 Seminole Road, Atlantic Beach, FL 32233
°�;.w ,.r :, •,� - Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number: '
Legal Description Z I oCPArtI(. 4 000 V ► Parcel
oor Area o h ted/cooled non-heated/cooled_
Valuation of Work$ b Proposed Work
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle on _ No N/A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the type of work to be performed: rrnna e, i 0-76,Q4 0161'4612 .t
yp P � �
e _ A.JCA
Property Owner Information:
Name: C �t�S� *74cjc _Address: 23/6f�Utc��oldl�e,e 7i�,ttZ
City A7L� 7%c J �>�� State/�L_Zip Phone 9-
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: RAdoPAW se tyccesQualping,Agent:
��
Address: �3 (� ld N� City �- .-+e4 State L Zip
Office Phone 7 �f �- g 5 7U Job Site/Contact Number is ol/- /2 t d Fax# 2 t/�-391 d
State Certification/Registration# C S7
Architect Name&Phone# �Z d
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 thpis jurisdiction(. This permit becomes null
and work void if
o commenced commenced within six I understand that separate permits muor st be secured for Electricconstruction or work is ual Work, or Plumbing,Signs,aWells, P eriod of
xFui aces,Bomonths i[erys,tHeat Heaters,
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 BEFR ENTE RECORDING YOUR NOTICE OF
1 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fede al,sta+1ocegulating construction or theperformance of construction.
iSignature of Ower Signature of Contractor
Print Name �( 1 ...... `- ........................................ Print Name G�1._ ., ,/ ..V..e.. ... ..Q. ......................................
Sworn to and subscribed before}}nne Sworn to and subscribed befor me
this Day of nGf�hp� 20 this �Day o
•.••'�p STEPHEN HAFT
STEPHEN HAFT UB
•,,,,,,,,,, ;r° .`�;
Notary Public 511
-
•°�'�Y`"e°� _•. ,•5 M Comm.Expires Ma 5,2016
. Not blic _ y p' 1115
Nota b C E. • ;• My Comm.Expires May 5,2016 �; a;= Commission 4E EE 1 5,4Q3
°F"°Q'•, BondellZl�llbl�Rdat� e sap.
Commission#EE 195483 " ""
��' O ,` Bonded Through National Notary Assn.
City of Atlantic Beach F�obe
LICATION NUMBER
n�bythe Building D=partment.Building Department
511.,
U LA
800 Seminole Road
Atlantic Beach, Florida 322:33-5445 'O
'i
Phone(904)247-5826 Fax(904)247-5845 Date routed:
City web-site: http://www.c,Dab.us
APPLICATION REVIEW AND TRAC 'ING FORM
ly� .
231LO Am tnt review required Yes No
Property Address: Buildi,
f�adw --N
pry &Zoning
Applicant: Tree Administrator
Public Works
Project: Public Utilities
r� O Public Safety
� 11 ^C , Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: pproved. ❑
Denied.
(Circle one.) Comments:
BUIL
PLANNING &ZONING Reviewed by:_ � Date:
t TREE ADMIN.
Second Review: ❑Approved as revised. ❑De I� �.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FIRE SERVICES
Third Review: ❑Approved as revised. [-]De
Comments:
Reviewed by: Date:
REVISED 09252014