1902 N SHERRY DR 2015 WINDOW 11 IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
—djiI9
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-872
Job Type: WINDOW AND/OR DOOR
Description: WWO WINDOW REPLACEMENT
Estimated Value: $5,800.00
Issue Date: 4/21/2015
Expiration Date: 10/18/2015
PROPERTY ADDRESS:
Address: 1902 N SHERRY DR
RE Number: 172020-0832
PROPERTY OWNER:
Name: PETERS, DONALD E
Address: 1902 NORTH SHERRY DR
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $39.50
BUILDING PERMIT FEE $79.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $79.00
PLAN CHECK FEES $39.50
Total Payments: $241.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
L
COPY
STO WORK
ADDRESS: 1902 /�- , 13)-iev!�,zLk J6
1TY OF ATLANTIC BEACH
BUILD' 4G AND ZONING DEPARTMENT
NOTICE
This building has been inspected and:
LGeneral Construction Mechanical
Concrete and Masonry Electrical
Plumbing Gas Piping
IS NOT ACCEPTED
CORREC1 , 5 NOTED BELOW, BEFORE ANY FURTHER WORK
6V CiC?6t,,1 -<�."r 6-1,V--.a�- /St"46-'f
77,
DO NOT REMOVE THIS NOTICE
Building Official: '5;—
Failure to respond 3w4otice within 10 days will result in this violation being
forwarded to the
CODE ENFORCEMENT BOARD.
The postit., A this Placard by its contents shall serve as due notice.
City t)f Atlantic Gleach APPLICATION NUMBER
Building Department (To be as ' ed
;jign b the Building Deparfm
800 Seminole Road e n't
`17 44z. Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - flax(904)24T S)8,15
E-mail: building-dept@coab.us
Date routed:
Cityweb-site httpJ/\vwwcoabA1S
APPUCA TON REVEMV A HP-0 TRACK9NG FORPM/i
Propei'iy Address;- 'rrn�.nt review requ red es 0
M
D ulclii�_cj
L..a'ng
Dr
A\p I i d'a rot: Planning &Zoning YesK170
rator
Tree Administrator
P 11 W
ublic Works
ti;s
Public Utilities
Ii S
Public Safety
Fire Services
Review fee $ Dep( Signature
Other Agency Review or Permit Required Review or Receipt Date
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 i�e_staurants
Division of Alcoholic Beverages and Tobacco
Other.
APPL�CAIHOH STATUS
Reviewing Depariment First Review: VApproved.
FIDenied
(Circle one.) Comments:
PLANNING &ZONING
Reviewed by:
Date:
TREE ADIMIN
Second Review: DApproved as revised.. FOIDe
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Tbird Review: DApproved as revised. OlDenied.
Comments:
Reviewed by.- Date:
-Wisad'07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE C0,77,
Office (904) 247-5826 Fax (904)247-5845
Job Address: 1902 N Shegy Drive - Permit Number: /5- W11M — S-2,2—
Legal Description 37-40 08-2S-29E SELVA MARINA UNrT 10-C Parcel# 172020-0832
Floor Area of Sq.F't S q.Ft—
Valuation of Work$ 5800.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteratio Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle o mercial Residential
If an existing structure,is a fire sprinklers tem installed? Circle one): Yes No N /A
Florida Product Approval#--- /&1/11)5- 11 / 7 - 16 Y,?
For multiple products use pro&u—ct apprk�al form
Describe in detail the type of work to be pe ormed: Window Replacement
Property Owner Information: 'COV"%
Name: Don Peters Address: 1902N Sherry Dr
City Atlantic Bch State FL Zit) 32233 Phone 9042524272
E-Mail or Fax#(Optional)_
Contractor Information:
Company Name: Prestige Construction Systems Inc. Qualifying Agent: Randall B Green
Address: 8431 New Kinas Rd City Jacksonville State FL Zip 32219
Office Phone --Job Site/Contact Number Fax
State Certification/Registration# CRC058424
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,on he e ade a, a e d the work and in a a i?ns nd�,c or installation has commenced prior to the
in to t t s'
a thisjurisdiction. This permit becomes null
I i s fsix(6)months at any time after
11 r it 0 0 s r lork a period o
ic c i s r by m to o't pi be e ed to in t t�rta da
an 0 ap , and tha al rk f rm
r
ix )in t or t c'a r
su e e t 6
n r cur f
'or mi t 1 0 w P( on obe se ed oroElectnc Wells, Pools, Furnaces, Boilers, Heaters,
,d id k is not commenced within s
work is'o", 'ed. I understand that sepa ate per its mu t
Tanks and Air Conifitioners,eta
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.
lhere certify that I have read and examined thisa lication and know the same to be true and correct. All provisions oflaws and ordinances governing this
P
work will be complied with whether speci led herein or not. The granting of a permit does not presume to give authority to violate or cancel the
type pl�l e§
provisions of any otherfederal,state, or local law re ting construction or the pe�formance ofconstruction.
Signature of Owner Signature of Contractor
Print Name ...............................................
Print Name ...........c.�,
.......................................................................................................................................
Sworn to and subscribed before me Sworn to and subscribeq before me
this (5'0' Day of Ap k 20 this f S' Day of Aetlk - 201S
P NANDANO=LANGO
is #EE 1t34507E
Notary Public Co is=sion#EE134507 Nota i �
min Commission#EE 134507
p er �s p m* ij
Expires September 28,2015
'0 ,'j, Expires SeptembK44@&ffit 1.26.10
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