383 PLAZA WINDOWS / DOORS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-1005
Job Type: WINDOW AND/OR DOOR
Description: window replacemnt in existing home
Estimated Value: $8,000.00
Issue Date: 5/4/2015
Expiration Date: 10/31/2015
PROPERTY ADDRESS:
Address: 383 Plaza
RE Number: 170020-0000
PROPERTY OWNER:
Name: OBRIEN, CHRIS R
Address: 383 PLAZA
GENERALCONTRACTOR INFORMATION:
Name: HARRINGTON REMODELING, INC
Address: 12442 APPLE LEAF DR QA CHARLES HARRINGTON
Phone: - -
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: $124.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
BUILDING PERMIT APPLICATIOS; FILE COPY
CITY OF ATLANTIC BEACH
zQ 800 Seminole Road,Atlantic Beach,FL 32233
d'0 3 Office(904)247-5826 Fax (904)247-5845
Job Address: U 4—ALA Permit Number: L7 -i
Legal Description L-01 37 &Lg C-r— It Parcel#
� Poor Area of Sq t.—Sil
Valuation of Wbrk$ 6,),017D Proposed Work heated/cooled nonheated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/propaxed structure(s)(circle one): Commercial Rea d
If an existing structure,is a fire sprinkler system installed?(Circle one): es No N/A
Florida Product Approval# FL 51
For multiple products use pro uct approva orm
Describe in detail the Type of work to be performed: gmi-Afk wit-"w f j nl Fi7i$T)r1 (�
APR-' nF }iok.W
Property Owner Information:
Name: C{1/a( S 2, b161tIF(J Address:
City tL9 u'[l L EAf,41 StateCLTPhone $ "/-'20491
E-Mail or Fax#(Optional) µ F=fL"O✓ATIRW y AOL- ( b^
Contractor Information:
_ CONTRACTOR EMAIL ADDRESS:
Company Name: )VN1�l Quali ingAgent: UA �S afn-
krAd
Address: 11-117, L7City kJ
LLCI State Zip -?
- Office Phone q0 - Y Job Site/Cpntact Number qpy-R? -(SY'r� Fax# -
State Certification/Registration#�Iq'W 33 -
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address A
Mortgage Lender Name and Address ,
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/o the
issuance ofapermh andthat oil work will bepe armed to meet the standards ofall laws regulating construction in thisjurisdiction. Thispermitbecames'aul/
and void fwork u not commenced within six(b months, or ifconstruction or work is sus aded or abandonedfor a penod ofsix/),months at any lime esker,
work is commenced 1 understand that separate permits most be secured for Electrical�Work, Plumbing Signs, Wells,Poals,PLrmuu Bolters,He eYs,
Tanks aulAir Conditioners,do.
COMMENCEMENT
WARNING
MAY REESUL IN YOUR UR PAYING TWITO C
E FOR IMPROA NOTICE VEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a plication aruiknow the same to be true andcorrect. All provisions oflaws and ordinances governing this
typI a)work will be complied with whether sped red herein or not. The growing of a permit does not presume to give authority to violate or cancel the
provisions a any other federa/l,/,state,or ll`orccal`ilaw regulating c nstrucHon or the performance ofcon lrechon.
Signature of Owner Signature of Contract( H
Print Name.C_I.1 15. ........ e..\.Mc.sm Q......Pa(1'I.,E.01) Print Name .S,e�!!dC{'E .......L.....A.Q.rrS h.. ... .... �'1.........
Before me
efo e
thial Day of OlxtL 20IS this Day f 4rGh 2p11�
NOtary PnbliC +Mr' wNry PWYcbYq yF 1 aMuyRkYCyYbclFb�ba-
P Lab 0(a6gpr Sairby L Graham
uy CamxsYan rsztrsse • ar c"mgyp t8'"o
"•aw Npro�W.�0J iO E�pirorOMtkbi
/ City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road
�- Atlantic Beach,Florida 32233-5445 ZVl�
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept®ccaous Date routed'.
_ Cityweb-site: hftp//w ..mab.us
APPLICATIONREVIEW AND TRACKING FORM
Property Address: Ja 11:11412 bq� nt review re wired Yes o
Bui in
Applicant: - }
Planning&Zoning
_ / 1 Tree Administrator
Project: �� {✓QOLJ Public Works
Public Utilities
Public Safety
Fire Services
Veview fee$ - -
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: LOrApproved. ❑Denied.
(Cirde one.) Comments:
UILD
PLANNING&ZONING Reviewed by: Date Y'3�•o'1 O{$
TREEADMIN. Second Review:
❑Approved as revised. E]Def ted.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised W27H0