211 Pine Wind/Door 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-WIND-513
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 7 WDW 2 DOORS FL5419.1 14752.1
Estimated Value: $18,200.00
Issue Date: 12/2/2014
Expiration Date: 5/31/2015
PROPERTY ADDRESS:
Address: 211 PINE ST
RE Number: 170564-0010
PROPERTY OWNER:
Name: ALLAN, GEORGE G & LINDA L,
Address: 211 PINE ST
GENERAL CONTRACTOR INFORMATION:
Name: WCI GROUP, INC.
Address: 1100 SHETTER AVE STE 203 QA JOSEPH D WILSON
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $70.50
BUILDING PERMIT FEE $141.00
STATE DCA SURCHARGE $2.12
STATE DBPR SURCHARGE $2.12
Total Payments: $215.74
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH ILE F 800 Seminole Road,Atlantic Beach,FL 32233 D
Office(904)247-5826 Fax(904)247-5845
1% 1 n Kin\
Job Address: Permit Number:
Legal Description 10-16 CA 0.c r <eG Parcel# i C
oor Area o q. t. q. �t
Valuation of Work$ 0 O Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp(window/door
Use of existing/pro osed structure(s)(circle one): Commercial t
If an existing structure,is a fire sprinkle system installed?*2(Ciicle one): es 151, N/A
Florida Product Approval#. /.
For multiple products use product fipproval form' `
Describe in detail the type of work to be performed:�2 f.} t h o U�� Q w X I-A Old R S,
Property Owner Information: (
Name: R t �1`q Address: V,2
City Staterr k Zip 322-3-fPhone d
E-Mail or Fax#(Optional)
Contractor Information: Gt a y W C-t 4�
Company Name: U I E1 a Q V QualIfying Agent:
Address: I l e, City Ste 9 �Zip
Office Phone 5 0 - LA y ob Site/Contact Numberl bit Fax#q 04{ TLi JL--7 O
State Certification/Registration#
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 ofa 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 f work is not commenced within six(6 months,or if construction or work is suspended or abandoned for a period of six/6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions oflaws 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 ofany other federal,state,or local law regulating construction or the performance ofconstruction.
Signature of OT Signature of Contractor `
Print Name
Print Name .0...�.......... ..�.,�.....1_"t-t7 h,.........................................
.h
Swo t and subscribed before a Sworn t and subscribed fore me 'I
this Day of G 20 —9 this Day of .20 '7
C
Notary Public t u tc
?o"Ay PAL^ CLAY Revised 01.26.10
MY COMMISSION#EE NMI
* * EXPIRES:January 8,2017 :�";`�'�M JAW8CAFiSWLL
�r"rFOr ry e Banded TMu K40 Nolery S~S * k MY COMMISSION 0 ES 849304
�lEXPIRES:January 29,g,0A11
"orcfo Bonded TKV6u#* �4fY
GRY OV PaHanfic Bea-ch I I APPLICATION NUMBER
Building Departme-Lii
-.`i 6 be assigned by the Building De artmenq
800 Seminole Road
Atlantic Beach, Florida 32233-5445
• _
Phone(904)247-5826 • Fax(904)247-5845 11 D513 I
City web-site: hftp://www.ci:)ab.us Date routed: 2(0
APPLICATION' REVIEW AND TRACL� `JNG FORM
Proper�ry Address. N to D [Za�r ;rot review r Yes No PI 1-5T don equired
ai ,r
Appflean'Li: WCOT. Gkwla nnin---g Zoning n a n e r n 'Z o t r n mvie,�' rejqWred L Ing d ;r1istrator Public ' s
Tree Administrator
W
Wd wos a I door Works
Utilities
-- -S'afety
Fire Ser,�L�Ias.. .;.'
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APP UCATION STATUS
Re-viewing Department First Review: [qA*pproved. ❑Denier"
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: -j Date
TREE ADMIN. Mf: DApproved as revise
Second Revi(p d
PUBLIC WORKS CotyirnerDks:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:___
FIRE SERVICES
Third Revieitf. DAPProved as revised. ❑Denied.
Corran-ienks:
Reviewed by:_ Date:
ISED 0925201A