1798 Selva Marina Dr 2014 windows door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
f)
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
1101US I CAtt D V 4r,vi FOR NI5ff OftY 114113PEeTION. 247 5814
JOB INFORMATION:
Job ID: 14-WIND-260
Job Type: WINDOW AND/OR DOOR
Description: window doors
Estimated Value: $6,000.00
Issue Date: 11/4/2014
Expiration Date: 5/3/2015
PROPERTY ADDRESS:
Address: 1798 SELVA MARINA DR
RE Number: 172012-0000
PROPERTY OWNER:
Name: REITER, DEE D
Address: 1798 SELVA MARINA DR
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $40.00
BUILDING PERMIT FEE $80.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $124.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
FILECOPY CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 �2
rl!) ir
Job Address: 1'7�8 Se lljp� Motvik p- _yj 11U �X2 0 21!1,4
Irl Permit Number:
Legal Description a Floor Area of Sq.Ft. Parcel# Sq Ft
Valuation of Work$A 0 00 Proposed Work heated/cooled _70-0 no*n-heated/coole_d�
j
Class of Work(circle one): New Addition (EEP Repair ze)Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esid *
rinkler system installed? (Circle one)(: EF11
If an existing structure,is a fire sp es dg�) N/A
Florida Product Approval # &. ' S)n:
For multiple products use product approval lorm
Describe in detail the type of work to be performed: h%ove L-A^0 a&., (7
R.emove 9 C-rdef7 vir,do&.,., k vvg (PIC a EJ--fk- PO4;0 ofoa15,'
Property Owner Information:
_D ql 'e 1%+
Name: Dee..- Address:
city A-,�16;^-hc, 6a, State Zip-Phone VJ01t- X5*3- '73 05 t(am e q-7 5'0-f-
E-Mail or Fax# (Optional� e- 6P6eZ+_ S�— r-e-&t+-e/- rb^�,
Contractor Information: h/. 3 3
10 6_1 A-4/1
Company Name: Qualifying Agent:
Address: city -State
Office Phone Job Site/Contact Number Fax
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
ereb ade b an a e d he work nd n a a n a *ndi cat or installation has commencedprior to the
i a i st " "o s s'
'i0j s y m rm 0 0 0 t 0 m t t stan a d a a this jurisdiction. This permit becomes null
n p be e ed he
ca 00
s
ork is s aWeriod of sixr)months at any time after
pp' c rmit d tha al rk d
ssua e q ape an w i f rm r 0
r
)m t s, or struct or
(6 n n
t 1 0 w p
and id f work is not commenced'thin six 0 h 0 "m f
is co" 'c' I u r, , t t,p , p 'mits mu t s"ur or ct."c S ul
ed E a e Pools, urnaces,Boilers,Heaters,
k e d. nde ta d ha e ar te e be
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.
I here certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this
71work 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 pe�formance of construction.
epoq�Signature of Owner Signature of Contractor
ee-
Print Name Print Name .................................................................................................
Before Before me
this ay of 2014 this D�av of 20
--Winn M price
NOTARY PUBLIC
Notar?rPu'blic 111160F FLORIDA
COMM#FF028M
W�= Revised 10.24.12
E*Jres 7/23/2017
f
4
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
^
800 Seminole Road, Atlantic Beach, FL 32233 d y-Yy" 6t-A
Office (904) 247-5826 Fax (904) 247-5845
V,
Job Address: t-7 q6Se( vi� fiiev 1, oc-% Permit Number:
Legal Description r -;i Parcel#
,�-INO Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 6 Proposed Work heated/cooled non-heat�d
Class of Work(circle one): New Addition Alteration Repair Move -Demolition pool/spa (windc(w/doorj
Use of ex�ting/proposed structure(s)(circle one): Commercial �sidentiai�
If an existing structure,is a fire sprinkler system installed? (Circle one): (�O) N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: (A( Q'V d ff- tr-j'l f\dot-/ + "I
Property Owner Information:
I b Y e I VC6 r C&11 1 rC-
Name: Address:
city State,—Zip Phone f SI) --7
C g.
L --- Uq�
E-Mail or Fax/#(Optional
Contractor Information:
Company Name: Qualifying Agent:
Address: city State Zip
Office Phone Job Site/Contact Number Fax#
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
A a, 's e e pade b ain a pe m t��d he work and ins a"ati?ns i nd or installation has commencedprior to the
a', thisjurisdiction. This permit becomes null
0 k a period ofsix(6)months at any time after
p 'ic h y t r it 0 t t
io r ' to 0
i P ance a erm t a t .2 a rk w be e 0 ed to mZt'he andar
s t w rm
v i, 6 m nt , or, c s ructl r
n ur on f r
0 c h 0'L p) 0 Obe tssetc ed oroElectri Wells,Pools, Furnaces,Boilers,Heaters,
su , 0 p k - d th s
and ,'d '0' om ence
work is f 'enced rtand t t separate per its" t
co
T s jr Co .tio t
ank and A n,;h ners e a
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 herelb certify that I have read and examined th'yaf U know the same to be true and correct. Allprovisions oflaws and ordinances governing this
ication and
work will be coTplied ith whether e, herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfeder , ate, o��Srlalw regulating construction or the pe�foiwance ofconstruction.
n
Signature of Owner Signature of Contractor
PrintName Tea 3) q (f" 4-e� Print Name ....................................................................................................................................
.........................................................................................................................................
Swo�tD�bscrjbed before me Sworn to and subscribed before me
this f ftA94? 20 Iq this _Day of 20
Notary Public
Notary PubN-T Revised 01.26.10
CINDY A.
C -dssion#EE 160800
on
Exores January 17,2016
pl.&Idlm- t'i
APPLICATION NUMBER
City of Atlantic Beach
Building Department (To be assigned by the Building Department.)
800 Seminole Road
V-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
City web-site: http://www.c(:)ab.us Date routed:
APPLICATION REVIEW AND TRAC�ANG FORM
Property Address: -7 /'274y,;q,,t, -Department review required Yes No
Applicant: –Planning &Zoning
Tree Administrator
Project: Public KS
Public ies
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review------------—Vpproved. [::]De
(Circle one.) Comments: afflrbol
BUILDING
PLANNING &ZONING Reviewed by: Date-JO-2-7-
TREE ADMIN. Second Review: RApproved as revised. Denier].
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:__ Date:
FIRE SERVICES
Third Review- FlApproved as revised. nDer,
Comments:
Reviewed by: Date:
REVISED 09252014