63 BEACH AVE 2015 WINDOW CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
X 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-655
Job Type: WINDOW AND/OR DOOR
Description: REMOVE EXISTING DOORANDW AND REPLACE
Estimated Value: $8,646.00
Issue Date: 4/2/2015
Expiration Date: 9/29/2015
PROPERTY ADDRESS:
Address: 63 BEACH AVE
RE Number: 170219-0000
PROPERTY OWNER:
Name: DARABI, FARZIN A
Address: 63 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: NASRALLAH ENTERPRISES LLC
Address: 12790 Chets Creek DR
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $46.62
BUILDING PERMIT FEE $93.23
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $143.85
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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EURO-WALL SYSTEMS, LLC 412-0813
24100 TISEO BLVD.
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PUNTA, GORDA, FL 33980
TITIE 11
m EURO-C3 BIFOLD ALUMINUM DOOR SYSTEM
K > GLAZED FOLDING DOOR SYSTEM
Z GENERAL NOTES AND D'SIGN PRESSURE RATING
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ADD TESTED SILL
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N.T.S. EU7R0003 OPTIONS
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still 1 1-1 .-RIPTION D:-LIJ
A 1 OF 7
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
-5826 - Fax(904)247-5845 DWI
Phone(904) 247 — 12 S
E-mail: building-dept@coab.us Date route& 251191115
Cityweb-sit& littp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: U-3 E3t4d'-\ A\JT --- -7
1, Department review required Yes7No
uilding
Depa rt ent review re:quired
Applicant: 0,5 y- Planning &Zoning
T T
ree Administrator
Pro' G-i: Pu I c W r s
Public Works
Public Utilities
I I
Public nSa�fety
Ic
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Veri i By
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:
APP �ATIO�NIT�ATUS
Reviewing Department FirstReview: 1 Approved. [1:]Denied.
(Circle one.)
Comments:
PLANNING &ZONING
Reviewed by: Date. 3-d6-1s—
Date._;��-
TREE ADMIN-
Second Review: E]Approved as revised. [A]D e d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:
avised 07/27110
BUILDING PERMIT APPLICATION
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CITY OF ATLANTIC BEACH
FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 9
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1��c_j-i 4,ly-, AD i-L �2,1')3 Permit Number-��_ ����
Legal Description Parcel
Floor Area of Sq.Ft.
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa
Use of existing/propose iuc ure(�s) circle Commercial 0. <1�esidei.
-in er system i stalled? (Circle e): e
es
If an existing structure' tisearuffi�icrtell spi � * s N/A
Florida Product Apprdal# /5 X;L
For multiple products
Describe in detail the type of work to be performed: AeMCV& &)6_m',iq4 f�i i��s I raajece
yJ1,�A a w 6r4ct,- dex..tz are,-&L.
Property Owner Information:
Name: Fc4,-z;o Address: 63, De-4,,h Avic-, . A5 /--t- 3!2_z33!
City A 17�? - StateFA.Zip_31�.Phone 9 6,-1 -I cil 6 a ci 3�
E-Ma_'i1__orr_F__3'x'_# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:Alcis c&/it,4 C-h W_qr; e!;1. LL_C_ Qualifying Agent: Nrr_ '4146r_4 Ilah
Address: i)-'7!50 e-recIr nr- Is/ City Tc4ch5aavdlez. State EL- Zip ?;?7-2-11
Office Phone L401 I 13 k Job Site/Contact Number S&rAe,, Fax# J?k,q1t) i,?�0
State Certification/Registration# C_ &4�, 15 190 q-7
Architect Name&Phone# U.M
Engineer's Name&Phone# Qoiocoet 4m t2r-L4 Pj:F i1j, Llei-7 S2_ n 1- 6,10 11 frg
Fee Simple Title Holder Name and Address /V ZA
Bonding Company Name and Address At/A
Mortgage Lender Name and Address A/ tA
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 pe�fbrmed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod of sixP6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electricat Work, Plumbing,Signs, ells,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.
I here certify that I have read and examined th''s a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type Vivork will be complied with whether ciffiC 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 ,w regulating construction or the pe�fbrmance of construction.
Signature of Owner Signature of Contr;gor :���
Print Name I n Print Name
...................... .�O� D. ........................................................
. ............................................................ ............................................
BeforgWe Before me
this_L7 Day of 44"641 20 this Lq—Day of 2015:
Notary Public I P Notary Public state of Florida Notai op Piz Notary Ubfir-state of Florida
f - Brittany Faye c)rive,
Brittany Faye Driver MyC,MMissjonEEiftWised 1.26.10
My commission EE 182533 0 Expires 04128/2016
of f/ Expires 04128/2016
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