1909 Sevilla 2015 Window 1, CITY OF ATLANTIC BEAC,II
800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-320
Job Type: WINDOW AND/OR DOOR
Description: garage door
Estimated Value: $1,848.00
Issue Date: 2/18/2015
Expiration Date: 8/17/2015
PROPERTY ADDRESS:
Address: 1909 W SEVILLA BLVD
RE Number: 169462-0145
PROPERTY OWNER:
Name: AMODIO, LEONARD V
Address: 1909 W SEVILLA BLVD
GENERAL CONTRACTOR INFORMATION:
Name: PRECISION DOOR SERVICE OF NF
Address: 11389 TRADE CT STE 101 JASON EDWARD SHEPPARD
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $59.24
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $2962
STATE DBPR SURCHARGE $2.00
Total Payments: $92.86
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.a .,... .....r f..,._sa :,fi.:.
BUILDING PERMIT APPLICATION .$
CITY OF ATLANTIC BEACH FILE C
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: \"\0� ���\\� \� \�� Permit Number: ��-�� ��_- 3a 0
Legal DescriptionA! " 000--ZG Parcel# \ `
QF loor Area o q. t. qt
Valuation of Work$ ,� J• Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): w . .on Alteration Repair Move Demolition pool/spa �indow/doo�
Use of existing/proposed s ucture(s) (circle one . Commercial esidential
If an existing structure,i a fir ri kl r syst i tal d? (Circle one): es o N /A
va
Florida Product Appro # 52)0"
For multiple products u e product approval orm
Des ribe in detail the type o k to be performe
Property Owner Information: \ `\
Name: 0A`Q Address: ` \ �� \ �`
City `n State i,-Zip hone
E-Mail or Fax# (Optional)
Contractor Information: krA
` \
Company Name: Qualifying Agent: CJhe
Address: \1323 VAS\ SS 9ari \RC1 City State V-k— ip 32-2
Office PhonegCYh- U?22d 2220 Job Site/Contact Number " Fax#
State Certification/Registration#
Architect Name& Phone# A"OW 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 ins'strtallations as indk isicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that er
all work will be nde
performed to meet the standards of all laws rpegulating construction in this jurisdiction. This permit becomes null
and work is o menced.ot I"" erstand that separate permi6 n It ts m st be secured for Electrical Work, Plumbingor ,Signs,or aWells�P olsXFurnaces,months
Boile s,Heaime ters,
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 here b certify that I have read and examined this application 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 speci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions
of any other federal,state, or local law regulating construction or the performance of construction.
:.✓ "
Signature of Owne>F Signature of Contractor
Print Name s ! va-k...... iKd Ger b Print Name 2sA°ku. ....... .rQR...."�..........................................................
Swom.to and subscr' ed before me _ Sworn to and subsgrk d before me 20 \5
this_W Day of 20 ` this \� Day of l'C, Xl
Nota1,416-WSHE7
LLS ABRAHAM Notary P bliGro�••,,' • MICHELLE BRA�� 10
MY014fMISSION#FF146360 . tS�, 1 ! MYCOMMISSI X 146360
` EXPIRES July 29,2018 ''•?os EXPIRES July 29, 2018
(407)398.0163 Floridallotary9ervioe,com (4071 39e-0183 FbridallotaryService.corn
City of Atlantic Beach APPLICATION NUMBER
i+ Building Department (To be assigned by the Build/in Department.)
Z�
si 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addres10
s: /` Q �rL �� �! /�� reartment review required Ye No
ing
QQ ning&Zoning
Applicant: Tree Administrator
Project: Q Q pServices
s
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING&ZONING Reviewed by: / p Date:al!
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10