2060 BEACH AVE - WINDOW / DOOR (---
, . , CITY OF ATLANTIC BEACH
`'` _
800 SEMINOLE ROAD
j'' -, 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-1354
Job Type: WINDOW AND/OR DOOR
Description: window replacement
Estimated Value: $2,867.00
Issue Date: 6/19/2015
Expiration Date: 12/16/2015
PROPERTY ADDRESS:
Address: 2060 BEACH AVE
RE Number: 169713-0020
PROPERTY OWNER:
Name: ZAHL, JAMES F
Address: 2060 BEACH
GENERAL CONTRACTOR INFORMATION:
Name: WINDOW WORLD OF NE FL
Address: 8110 CYPRESS PLAZA DR APT 405 BRIAN WALL
Phone: - -
PERMIT INFORMATION:
FEES: _ - -----
PLAN CHECK FEES $32.17
BUILDING PERMIT FEE $64.34
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $100.51
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 (To be assigned by the Building Department.)
800 Seminole Road -(iU/, ��47D
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
\<7, T- E-mail: building-dept @coab.us Date routed: / /5
- City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 27 oleo AaeA ent review required Yes No
Buildin
Applicant: 60/40,j j ivde Planning &Zoning
//J/iQ7/iJ Tree Administrator
•
Project: /� /J (7 #flui77 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: FR‘proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING �j
Reviewed by: /�/ r r Date:
TREE ADMIN.
Second Review: ['Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I /Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION !� f� n M
Fr! COPY CITY OF ATLANTIC BEACH L� LS U U N
1, 800 Seminole Road,Atlantic Beach, FL 32233 JUN 9 -• . .
Office(904)247-5826 Fax(904)247-5845
Job Address: 20(o 0 FeONC Avc) -Eta. ,(-- ,)GG c!•. ' re n it umber: It/L 0 ! 3$y
Legal Description j� 7j 9 as-.4ci o. 131 N f Ilg(*G Ppeczt11 6k- °arcel#1 t0g1 lo— co Oc;
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Apl Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa • ndow/door
Use of existing/proposed structure(s)(circle one): Commercial 'esidenti:1161.If an existing structure ,is a fire sprinkler system installed? (Circle one : 'es No N /A
Florida Product Approval #
For multiple products use product approval form (�
Describe in detail the type of work to be performed:g Q 7 QL LQ U f`C�+N S skZ.. .- 1 )( S 1/4Ze
Property��Owner Information: `' n
Name: l�t,(h G( e� Address: b �tI () 1W ek "0 t r —
City ,._�.( $n+rl Vl U.e, State Zip -- .3,9-11, Phone 4- t-{1 d-Lo Lc,Z
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 0.66 k) W0(kA >t NC: cl Qualif ing Agent: 26q.r' la �a 1I
Address: ! 1 •(-SS • _, 9 f - • City , A, StateFl Zip 3daS�
Office Phone ..t .O 3 , • Job Site/Contact Number q CIy iov I Fax#
State Certification/Registration# IDS q��
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 f 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 if work is not commenced within six(6)months,or if construction or work is suspended 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 certify 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 federal,state,or local law regulating construction or the performance of construction. �y
Signature of Owner ,// Signature of Contractor 74 W
Print Name L. e o _ Gt. Sc-P-- Print Name W3-1 1
Sworn to and subscribed before me Swo to and subs ribed before me
this 22 Day of Ak.%-1 ,201"5- this $ Day of _ % • ,20 FS
i , .,
o,.'`.;.','"4,---8941 l if DAVIS--— ,'
Notary Public o MY COMMISSION I FF 051114
3�rY P
+ t_ * MY COMMISSION I FF 16,E
Tr EXPIRES:October 11,2017 ,,� .+Q « EXPIRES..October 21,2016 Revised 01.26.10 es
.,,.or"4�° Bonded TFrtu Budget Notary Servkes .. S i y,. �u Pm e�3el Notary Szn'
FILE Copy
Ttg-` iv
f- ,,._\Nli
,...-_--__, aidd"Simply the Best for Less" ~'L
Of NE Florida
8110 Cypress Plaza Dr 11405
Jacksonville, Florida 32256
(352)443-7001 • Fax:(352)861-7587
Limited Power of Attorney
Date: (pig/ I I
To: Building Dept.
From: Brian Wall
I hereby name and appoint Christy Galas,Gregory Galas, Naomi Mason, Donna Malvar, Megan
Constable, Joshua Galas, Sabrina Sierens a permit service for Window World NE Florida, to be
Ar...\.
lawful attorney in fact to act for maee,t`o_register my license and apply to:
�� for a y\UJ VV ermit for work to be
P performed at:
Lot: 7 511[� Blk: Sec: 15 Twp: 1 nQ 3 Rge:� 1
Subdivision: Parcel or Altkey: 1 (.0q f (, CD
2rc.0
Address of Job: U(Qb 1 j� P\-\.)t
Owner of Property:0 Q55e(
and to sign and do all things necessary to this appointment.
Thank you for your assistance.
Sincerely, ALA
Vp
Brian Wall
State Qualifier
CBC1259710
State of Florida
County of Duval
The foregoing instrument was acknowledged before me by Brian Wall,who is personally known to me and
who did not take an oath.
Sworn to and su cribed before me this 1 day of J U NQ. 2015.
_6i
Notary Public ,t...., a , ._--
My Commission Expires: 10/21/2018 [SEAL
+0." Y p6A4, ANNE S.ROMANO
s� * MY CONL!1ISSION#FF 165850
°`'t �t EXPIRES:Oclober 21,2018
•'F,,,.„,p Bonded Tofu Budget Notary Senkes
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Customer Name:
Date: Stories:
Alarm System: Yes No—___
Burglar Bars: Yes N
Comments: Low-E LEE!
Frosted Color Grids
Type of Construction: Block Brick ood Stucco
Hardy Board Vinyl
Type of Windows: Aluminum Iron No Window
1. y6 i/a x S $ ass
2. 141 X 9,?j 13.
-1`S 14.
3. 23'l15 x 5 '�x P%�
15.
4. �1 jX 3yl �{ // 1._.S 16.
5. .2 3'I% X 3 L 3l$ !Iwo
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Outside Measurements: Number of Windows:
FILE COPY
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