1535 E ParkTer 2014 window WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-WIND-282
Job Type: WINDOW AND/OR DOOR
Description: door
Estimated Value: $950.00
Issue Date: 10/29/2014
Expiration Date: 4/27/2015
PROPERTY ADDRESS:
Address: 1535 E PARK TER
RE Number: 171959-0000
PROPERTY OWNER:
Name: DRAYTON, CHARLES & CASEY M,
Address: 1535 E PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: RADON PROFESSIONAL SERVICES
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $27.50
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
U/ i All)— A�l
MIA,
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 /PO 9
Permit Nu
Job Address:
Legal Description ",-,—Parcel#
Floor Area of Sq.Ft. Sqq.Ft
Valuation of Work Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (gReair) Move Demolition pooUspa window/door
Use of existing/proposed structure(s)(circle one): Commerc ial *e-
.
If an existing structure,is 14R,spi ink te installed? (Circle one): Yes (Iqo) N /A
le�st
Florida Product Ap roval#
For multiple produ use��p_r_oduct�approvaA!o�rm
t e tvn f wor 0 rf
Describe in detail the type of wor o e performed: :74- 5 h4k hztJ
Property Owner Information:
eJ
ress:
Name:- r– /_Jd
city Qtt 6y"�S= StateVr_Zip.�1�3.Phone �6
E-Mail or Fax#(Optional�
Contractor Information:
Company Name:R PrO 4,;6(_&Y-ak -SaYL-J 4'a—';QQt=li fy i n g A g e n t:
State -7--e ZiD 3 2_�L-SZ
Address: City-1 A V_ CJ\
Office Phone J o 15e4q -2c) Job Site/ContactNumber9hY-S_11( - 1 la Fax# 4i 0!(- 3 FtAp
State Certification/Registration#
Architect Name&Phone# 1-i
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
�e, 12'21
7M
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. I 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
ter
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWersiod of sixP6)months at any time af
work is commenced I understand that separate permits must be securedfor Electrical'Work, Plumbing, Signs, 'I,, Pools, urnaces,Boilers,Heaters,
Tanks andAir 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined thi's application and know the same to be true and correct. All provisions of laws and ordinances governing this
'VwOrk 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 otherfederal,state, or local law regulating construction or the performance of construction.
Signature of Contractor
Signature of Owner
Print Name 0 Print Na e ............. ........................................
-'H Fe EPILEd
.EP
.............. ... ..... I ri a Notary blic-State t
Notary Public-State ofillfl� 41
sworn to and subsc 4 WComm.Expires May 5,2016 Sworn t i ti r R me
f #EE.tJ4481 this 20
thisc�_o Day o
Bonded I nrough National Notary Assn. nded Through National Notary Assr
Notar)PVublic
Notar`3�'Public
City of Atlantic Beach APPLICATION NUMBER
Building Department i-robea * A by the Building Department.)
'7�-kIWJ . ?e2,
800 Seminole Road
'4) Atlantic Beach, Florida 322:33-5445
Phone(904)247-5826 - Fax(904)247-5845 :Date routed:
wi)!�' City web-site: http://www.c(:)ab.us /z /.Z/ /V-
APPLICATION REVIEW AND TRACKING FORM
1/1' Dmaartment review required Yes No
Property Address: Bu ild ing--�>
S -Ma—nning &Zoning
Applicant: 14 Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review [6A7pproved E]Den,,,z.1
(Circ-h--� Comments:
BU LDING
PLANNING &ZONING Reviewed by: Date: 7-d
V
TREE ADMIN. Second Review: FlApproved as revised. F-IDer*
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review� []Approved as revised. IlDenie.
Comments:
Reviewed by:_, Date:
REVISED 09252014