1977 SEMINOLE RD - WINDOWS / DOORS (----SAll .
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* CITY OF ATLANTIC BEACH
1 .. r) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
- 01119'
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1347
Job Type: WINDOW AND/OR DOOR
Description: WINDOWS
Estimated Value: $20,000.00
Issue Date: 6/18/2015
Expiration Date: 12/15/2015
PROPERTY ADDRESS:
Address: 1977 SEMINOLE RD
RE Number: 169542-0502
PROPERTY OWNER:
Name: GERBERICH, PATRICK
Address: 1977 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: ALESCH CONTRACTING INC
Address: 1946 BEACHSIDE CT THEODORE ALESCH
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $75.00
BUILDING PERMIT FEE $150.00
STATE DCA SURCHARGE $2.25
STATE DBPR SURCHARGE $2.25
Total Payments: $229.50
1
1
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AI.I. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
r City of Atlantic Beach APPLICATION NUMBER
js Building Department (To be assigned by the Building Department.)
' ` A \:" 800 Seminole Road der
V Atlantic Beach, Florida 32233-5445 /�-���iu
.' r
Phone(904)247-5826 • Fax(904)247-5845 8
�.� E-mail: building-dept @coab.us Date routed: Q
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
JE r
Property Address:
/97 7 (i() i/i 0 Department review required Yes o
Applicant: A. Se 6,7ygd,v4,9, Planning &Zoning
_/ Tree Administrator
Project: A)//0004.5 04.5 Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept 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 Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC ATION STATUS
Reviewing Department First Review: ‘pproved. ❑Denied.
(Circle one.) Comments:
BUILDIN () ://
PLANNING &ZONING
Reviewed by: 771 Date: 7S-
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Deni .
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
I
• BUILDING PERMIT APPLICATION
FILE COPY CITY OF ATLANTIC BEACH
800 P J, J LI
Seminole Road,Atlantic Beach,FL 32233 IS il
Office(904)247-5826 Fax(904)247-5845 1 ��� s `- • • 1;
✓1 I 397
Job Address: 1977 SEMINOLE RD Permit Number:'t7 ^���`l ( 377
Legal Description 42-14 09-2S-29E BEACHSIDE LOT 1A BLK 1 Parcel# 169542-0502
20,000 Floor Arca of Sq.Ft. Sq.Ft
Valuation of Work$ Slim Proposed Work heated/cooled 1899 non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/d000
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
Florida Product Approval# FL15215.4-6'8"Non-Impact'Flush Glazed Fiberglass Double Doors FL5914•S PL
For multiple products use product approval form -/h/ raw t 1/ /. I i.• i. ./.. ,,,
Describe in detail the type of work to be performed:
kieje REMOVE AND REPLACE 3 EXISTING DOUBLE DOOR UNITS WITH NEW PLASTPRO DOOR UNITS SIZED TO MATCH' i �. `
/I��f ITT
Property Owner Information:
Name: WINKELMAN,DENNIS Address: 1977 SEMINOLE RD
City ATLANTIC BEACH State FL Zip 32233 Phone 503-707-1766
E-Mail or Fax#(Optional)
Contractor information:
Company Name: ALESCH CONTRACTING,INC Qualifying Agent: THEODORE W ALESCH
Address: 1946 BEACHSIDE CT City ATLANTIC BEACH State FL Zip 32233
Office Phone 904-613-6517 Job Site/Contact Number 904-613-6517 Fax#
State Certification/Registration#CGC1516238
Architect Name&Phone#
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 tg obtain a permi(to do the work and installations as indicated. i certify chat no work or installation Iras commenced prior to
the issuance of a permit and that all work will he perjornned to meet the.standards of'all laws regulating constna•tion in this jurisdiction. This permit
becomes null gnd voi 1 if work is not commenced within six(6J months,or if construction or k is suspended or abandoned fora period ofsix O months
at any time after work is commenced. I understand drat separate permits must he secured Jr);r Electrical Work,Plumbing,Signs,Wells, ools, urnaces,
Boilers,Healers,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 hereby 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 he complied with whether specified herein or not. The granttn',nl'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.
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Signature of Owner Signature of Contractor
__&Print Name DENNIS WINKELMAN Print N: THEODOR W ALESCH /----
s Swor�Dpi�wtq and subscrib d before •o ■ .'■ subscribed r; - r ,
thiss 1 Day of / .4 ._ � t S t'' Day - I .-
IJLry f _ir .&. -.•■■ _ -
Notary Public Notary Public
Minna M.Strickland
A r. Notary Public i Revised 01.26.11
�j
State of Florida 003000 ft Notary Public State of Florida
'' ' My Commission Expires 10/27/2017 Shirley L Graham ',
My Commission FF 086990 K.
Commission No.FF 63698 '% J Expires 02/1412018 f