1550 Beach Ave 15-WIND-1266 hurricane fabric for door permit 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 NE)IT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job I D: 15-WIND-1266
Job Type: WINDOW ANDIOR DOOR
Description: hurricane fabic for door
Estimated Value: $550.00
Issue Date: 615/2015
Expiration Date: 12/2/2015
PROPERTY ADDRESS:
Address: 1550 BEACH AVE
RE Number: 171872-0000
PROPERTY OWNER:
Name: IBACH, MICHAEL& MARCY,
Address: 1550 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: COOL SCREENS INC
Address: 925N3RDST CIA PATRICIA LOUISE VILLA
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845 FILE COPY
Job Address: 6ee-c V'z. PermitNumber: ZS�-kvlyl/0-12416
Legal Description Parcel#
a Sq
Valuation of Work S 'oor led h
-!2�Pr,p �`fnrk eatted/cooled— 111�theatedjtcooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windowdoor
Useofexisting/pro osed.structure(s.)(dircle one): Commercial * tial
el �
Yes
Ran existing structure,is a fi klorffstem installed?(Circle one): Yes 0
Florida Product ASpr,v,l 4 X:sip`ru`3�7 K�
For multiple pro nets use product approval forig—
Describe in detail the type of work to be performed: LyLl
A-k e- -��,i d-o
Proverty Owner Information:
Name: ft\a�,:-,t Address: I s-�m 6,ea-� A�,
city "t Statefl-jip33-3 Phone /0 - '36
E-Mail or Fax 4(0 a])
Contractor Information: CONTRACTOR EMAIL ADDRESS, Cpolscrr)�)�ahbA,rp&
Company No is -:T�ll(-I-- Q,ali!innAgent:
I �:�0 / 6&re --P6�011A
Addrem City State F/- Zip 3Q,�St
Office Phone Job Sn�t
State Certification/Registration# QLC I &Number a-j=LL2_g-6 Fas#
ArchitectName&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name=it Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A e al
"o!'a olldone a permit to do the work and installations as indicated lcurt6 that no work or installation has countencedprim,to the
"Phe"no "h m' a
uo-an-so r'"'n ad 'u bepjorined to met the standards arch laws regulating construction in thisjurisdiction. This permit became null
.ad'ond k in'. cm _�
work"'�avcav-- I ow".oil,thin so (4 munthi, a,if oo ruclum at work is sainiumled or abannionedfor a period of sisp),months at ov time er
ed ads, it,separate permits in.,go
misirod at j W
Tanks andAir Comalidanen,da for Eledrice Work,Plumbing,Signs, 1115,Pants, terminus,Bothen,Treaferi,
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 YOVi NOTICE OF
COMMENCEMENT.
I hsm�cor16 that I have mad and examined this lication and know the mine to be true andcomecl. Allprovisiont oflaws and ordinances governing this
0��.q' , I w sf 1 710
p �vark v,,Yll,�cc had tas whol.h r set ed herein or not. The granting of a permit does not presume to give authority to violate or omel the
as of ha,.r
c%a 0, a aw regulating construction or the performace of construction.
Signature of Owner SignatureofContrwtor fp"-�lvz&
Print Name Print Name &'i--V�
Belo Befo te
this Day of fr\A-1 20
Notary Tublic - - - Nota u c ry P 'I F"a
I .onl FF 180935
my bw
City of Atlantic Beach APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
800 Sminole Road
A lantic Beach, Flonda 32233-5445
t
Phone(904)247-5826 Fax(904)247-5B45
E-mail: building-dept@coab.us Date Led
City web-site: Ittp:l/www web us
APPLICATION REVIEW AND TRACKING FORM
Property Address: JZr��o 4Aeh 4V9 Department review required Y 'No
'lldi7
Applicant: 1) So
Planning&Zoning
Tree Administrator
Project: rr Public Works
Public Utilities
Public Safety
Fire Services
W, Dept Sign����
OtherAgency 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 Managennent District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Bei�erages and Tobacco
other.
APPLICATION STATUS
Reviewing Department First Review: MKppmed. E]Demed.
(Girde one.) Comments:
t!ING
PLANNING&ZONING Reviewed by: Date: 6
TREEADMIN. Second Review: [:]Approved as revised. ElDer".
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRESERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:-
Revisi,id 071V110