524 N nautical 2014 window S :r�
r CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
JOB INFORMATION:
Job ID: 14-WIND-275
Job Type: WINDOW AND/OR DOOR
Description: REPLACE ENTRY DOOR
Estimated Value: $821.00
Issue Date: 10/27/2014
Expiration Date: 4/25/2015
PROPERTY ADDRESS:
Address: 524 N NAUTICAL BLVD
RE Number: 170703-0362
PROPERTY OWNER:
Name: ZARZOSO, ET AL DANTE P
Address: 524 N NAUTICAL BLVD 524 N NAUTICAL BLVD
GENERAL CONTRACTOR INFORMATION:
Name: LOWES HOME CENTERS INC
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
FIE
1,
COPY BEACH
. . 800 Seminole Road,Atlantic Beach,FL 32233
. .. v Office(904)247-5825 Fax(904)247-5845
Job Address: ,1 U7/C,9'L•- t?L-✓rte Permit Number. U//
Legal Description 1"7-
Parcel# f70703 -~ 03462—
&" Floor Area o i.
t ?2! t
Valuation of Work$ Proposed Work htleatedkooled
non-heated/cooled
Blass of Work(circle one): New Addition Alteration Repair Move Demolition poolls windo /w door
Use of existing,/poppoosed strueturc(s}((circle one): Commercial Residential
If an existing strttcture,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval# IS-Z-Z-7, t
For multiple products use pro uct appyova arm
Describe in detail the type of work to be performed: Atm 4'f -
Proyerty Owneninformation:
Name ' �� yli �1 'lvCt
Add ess:
Citytater dip Phone t a
E-Mail or Fax#(optional) 1
J
Contractor Infosimation:
Company Name:yrl� � '. T LLC, Qualifying Agent: � i
Address: PCS i��313/ ` 3 _
------- ChY State Zip 325'7'6
Office Phone,� �53.0—,J-793 Job Site/Contact Number Fax#
State Certification/Registration#_ .—_......
Architect Name&Phone#
Engineer's Name Phone#
Fee Simple Title Holder Name and Address_,�J —
Bonding Company Name and Address
Mortgage Lender'Name and Address
�Iivlicauon is hereby made to obtain a.permit to do the work and installations as bndtcated I certify that no work or installation has commenced prior to the
issuance of a permit dnd that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction. chis permit becdatnes null
and void tf work is not commenced within six(b)months,or jconstruction or work is suspended or abandoned fora riod of six/6)months at any time after.
work is commenced,. E I understand that separate permits moat be secured for E,f=a'1 War;,Plumbing Signs, IYrlls,Pools,Furnacaes,&oilers,ifleaters,
Tanks and Air Condhioners,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 BEFORE RECORDING Y614i NOTICE OF
COMMENCEMENT.
I hereby
certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and rdi governing this
n pe o,jwork will be domplied with whether spec Jred herein or not. The granting of a permit does not presume to give author to v late or cancel the
provisions of arty other federal,state,or local taw regulating construction or the performance ofconstruction
,�7
j Simnature of Ow er
> �'f y�._ Signature of Con
Z A
Print Name r t Print Name
-,- _...- __-...___......_.-_.__._-._.__.
SW o an ubscribe fore me L Sw to and ssi cribed before me
Day -7• _ 20 s Day of 20
Notary u is Notary u It
,111111///,
giros � s DEBRA L:CARTER .oNOS-, "e't DEBRAP&TOAfE 01Notary Public- Florida _ . 's Notary Public-State of Florida
oMy Comm.Expir8,2017 z,�' ��=My Comm-Expires Mar 18,2017
Commission 638 �:FoF F<o.•• Commission#EE 874638
1111111 //11/1/11•
City of Atlantic Beach ,APPLICATION NUMBER
Building Department 'o be assigned by the Building Department.)
1 800 Seminole Road '2_1
�
5}- Atlantic Beach, Florida 322:33-5445 1 H VV� ^� 17
J /V%
Phone(904)247-5826 • Fax(904)247-5845
cab.us date routed: idL2_lCity web-site: http://www.
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2L4 f'-'Aul.l 1 CG-) B _ ��ent review required Ye No
^ 1
Applicant: l..Ol��-S Planning �> Zoning
r' ' ,v� Tree Administrator
,/�
Project: 1'111 K C`e, Cr Public WzYa ks
—� Public L, i,ties
Public ety
Fire Se. es
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: [qA/*pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: A
❑ pproved as revised. [:]Den
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
REVISED 09252014