77 SHERRY DR - WINDOW / DOOR ,,-- -'1-1:- ./r,
CITY OF ATLANTIC BEACH
, ,- . - -*
(' , y ;) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.' J1319r
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1428
Job Type: WINDOW AND/OR DOOR
Description: REPLACE STEEL ENTRY DOOR TO GARAGE
Estimated Value: $250.00
Issue Date: 6/18/2015
Expiration Date: 12/15/2015
PROPERTY ADDRESS:
Address: 77 SHERRY DR
RE Number: 169726-0000
PROPERTY OWNER:
Name: IONADI, PATRICK
Address: 3175 BEECHWOOD DR
GENERAL CONTRACTOR INFORMATION:
Name: RADON PROFESSIONAL SERVICES
Address: 336 14TH AVE QA WILLIAM TONY DAVENPORT
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.
_ City of Atlantic Beach APPLICATION NUMBER
Building Department
. ii�� (To be assigned by the Building Department.)
x;; Atlantic tic Seminole Road 1S -�I b-%4 5
,�;. �� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
Po;i jr E-mail: building-dept @coab.us Date routed: GP / 1 7 it
City web-site: http://www.coab.us !!
APPLICATION REVIEW AND TRACKING FORM
Property Address:T7 S t e R_R.Y Dz.. De artment review required Yes No
uilding�
Applicant: REN ■p■ Vik„CDF arming &Zoning
Tree Administrator
Project: Q� 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:
APPLICATION STATUS
Reviewing Department First Review: 19 proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: G`/2-a06-
TREE ADMIN.
Second Review: Approved as revised. ❑Denied.
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
. BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH PP
800 Seminole Road, Atlantic Beach, FL 32233 r,,,..,,.„„ COPY
Office(904)247-5826 Fax(904) 247-5845
Job Address: 77 SA Q Rig 7)1, (\t/ e,.,\ �5-V4�N D
Permit Number: 14�
Legal Description ZSO, C1-7. Parcel#• Floor Area Sq.Ft. Sq.r't
Valuation of Work D® Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one : Commercial Res'tl r tial
If an existing structure,is a fire sprinkler system installed?(Circle one): *0 No N/A
Florida Product Approval# f C ct 9 0 y .4,
For multiple products use product approval form
Describe in detail the type of work to be performed: - _.
- - .- . - _ _ Rer/ILdc (t) sTecc t,J7Ac, clot.it %e 6.4x/tje
Property Owner Information:
Name: 6 e.-7,A./d c.v,,* Address:
City 11 TL,t*i'1.,t j,��.�c�State//Zip Phone R93- 1/O1— _
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:RAhA 9ie e F S eat of c et Qualifying Agent: 4 7 v�if e �1 o a T
Address: 33 G -
9
l L Au-
Y rJ. City z4.4, J3 eA.e 4 State 4. Zip 3 22-5-0
Office Phone 2 G - 29'7 o Job Site/Contact Number S?rt- /a/,& Fax# 2 94- J kK 6
State Certification/Registration# L (:;e 05779•1
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 to obtain a permit to do the work and installations as indicated I cert'that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is=upended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
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.
I hereby cent that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fede •1,state, or local law regulating construction or the performance of construction.
Signature of Owner ' �"'`�` Signature of Contractor (ipit,,,,,,,,,Z"Print Name 'R010 C C - -ra ry a- Print Name ( ,)4v eel Igo Al
Befownet-
this I l Day of A. ,201G t is 11 I D.y of , )1'-.--a--- 2 jilt-
i� -.�— „Y'p ` STEPHEN HAFT
Notary Public ;�:°::^v, . JENNIFER WALKER N, r .�•tl g�'� *s Notary Public-Mate or Florida
4 4) f:'s MY COMMISSION U FF 01 AO o•. I'' .•_ My Comm.Expires May 5,2016 ,
f..�d ? , -,r, I'll'
I r r:
a= EXPIRES:April 24 dorwr >��. o, �rraeo-m a1 tart'Assn.°`.� Bonded Thru Notary Publk Undnrwrilertl � �'�?ar n P`��
i3„;� �•„•�•` u tart'Assn.
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