2212 LAUGHING GULL CIR - WINDOW / DOORS S CITY OF ATLANTIC BEACH
, j 800 SEMINOLE ROAD•
ri/' '' : - '
l\+,� T „r 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-1400
Job Type: WINDOW AND/OR DOOR
Description: window doors
Estimated Value: $20,408.00
Issue Date: 6/19/2015
Expiration Date: 12/16/2015
PROPERTY ADDRESS:
Address: 2212 LAUGHING GULL CIR
RE Number: 169463-0026
PROPERTY OWNER:
Name: WALLACE, RUTH N
Address: 2212 LAUGHING GULL CIR
GENERAL CONTRACTOR INFORMATION:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $76.02
BUILDING PERMIT FEE $152.04
STATE DCA SURCHARGE $2.28
STATE DBPR SURCHARGE $2.28
Total Payments: $232.62
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
!:2014 15'_'.x5 404r1 ,67 & 1 - DOORS & ETCH PAGE 62/0
BUILDING PERMIT APPLWATION
CITY OF ATLANTIC FILE COPY
800 Seminole Road? tic Death,,FL 322.373
Office(904)247-5 • Pax:(904)247-584$.
lob:Address:. . iezi � hq gal/ ( j I2 lc°-.- penult Nd €ties: /3---4//11/7)--
,,,00. :.,
Vii escrlpti�r , OA 2s - ✓ 4 #('/7/� # yL 3- �?6.
Va)utsttfiu 9t�?bolt y08 Qar • ea.a q t. q,
_., i"
r000sed Work hat ed/cmoolf r loon!-beatedl d
sfi?ir+it 11 ` '` one• on pool
/spa)• New Ate: ��otri`. Repair Move l�ii�ititt� spa vvi»dowldoor
eta - Comt><te[cl Residential
VO-X1101#.. satisOng n 4 t iii a : _{4a e). Yes N r•
N/A
Produet,A� ;..vel## % -7, / / /z/.2-93, 1/
. a t1"tipk rt use 'r ducl>approv form
�/
:Deseribe in-4 "r,a of woe to be p ed: r l rl. W l r1. . 11, C1L 'IC
4 r Lam— 4rl'
Primer*Owner Inforuin■anti
*me: 11. ..E . •'.A. 1_ . 0'' Address: -- .�._.......... f
'My..1:"i '� s State ip,•7,,73 bone R) --'.S".5 3 7 l�_"
E Iotr-bh #(Optional) y
• Contractor: I. ormationz:.:
lb• ,,,o:, . � aerie; � G?.$f ua tfyin Agent: st► , ..�. .. • G�.-}'"�
Md ess: M i�► Anhui City Or cckviip .L 8t#tte• ..I- Zip Are
Office Phone U alIMAIMM11 J b Site!Con Number ,. ._ Pa
State Certification/Registration#. C C./CO/CO /7 �
•l iu Name&phone ii Ai/ .....
Enginterr's Name&Phone# J -`^ .
Fee S`ittlple Title Holder Name aiod °ddres .
Bonding Company Name and Address/VA— . _
Mortgage Lender Nanny qd Address .. . .... : .. ,
4pplte*. hereby made to in a. . rut to.d 141.x4 'and installations as indti:atedl I certify that no work oN tt"Oti'IfesS:aovn+ med '" ,ip. -
iss ,,..pe rmit`dnd that,..10 *semi, �t4. t the standards of all.Taws regulating construction in this.;3urlsdicrio _Puri:4,0h s
and 1; .Or'k is not coos ' ', si e� construction or w :is suspended or abandoned for a_periods of=(6)mottles Sufi.
wigwork!s cam" d. I temd> per must bs see{trred for E1 tcaf Work, : Sin W Pools, Itnrna.
ti and.4lt Onditioniersj` '; +Sly's, tom• `!r
fiKt:. ip G TO OWNERt ' `OUR FAILURE TO RECORD A
N I . 00
•i' 1A... 1 .AUNT MAY T IN D PAYING T WICE FOR VE
lvIE TS
TO` # OPERTY. IF Y . . O OBTA ECFINANCING CO T WITB
Voila
��ER OR AN ATrORNEY. ORE RECORDING YOJRNOTICE OF
COXVIMNMENT'.
. this application o8on and know the satire to be true adrl. rrecf. !!proyisrt S S a, di,ia govens this
matritito .• ssuueci ied herein or.not The granting.bf a i does not presume to give :h- to ,>te<br cancel the
Wtb!r or-local law regul ti .; construction or the perfi's'lbta► t consrructinn-
; HattulrY'Qf / L ../ - .. Skliatnre of Contra«
> N
• _ tint Name
Sworn 2 n&.subscribed before me Sworn o and subscri fore me
this �. D4,�+:Of.% -""".� .20 /S — thi s. ,20/1
` ROBERT C CURTIS JR � �'' 1C '=o g.. Notary Public•State of Florida•
u
• " •MY COMMISSION#FFo56?s8 ,.a �.. ' . My 5 8f Q0,2017
Fnr r. .. gXPU s September 22,2017 , "'4j grit : Commission#EE 874638 i
WO) 3 '• �nnua�•! 9Q-01Z"ni� `F�pAd4iVW5rySttrvlC@.COrtf.
City of Atlantic Beach APPLICATION NUMBER
( 9)
Building Department (To be assigned by the Build. g Department.)
f 800 Seminole Road
r� Atlantic Beach, Florida 32233-5445 — �r /�/
Phone(904)247-5826 • Fax(904)247-5845 �®/� VV
/ ;st% E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
et:4
Property Address: /a (em ` /1/7 ment review required Y
• in g
Applicant: Ze 4)I Planning &Zoning
A, N /, Tree Administrator
Project: / /V AO 4. ,5 - �cole5 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: (proved. ['Denied.
(Circle one.) Comments:
(UILDING) 4Jc
PLANNING&ZONING
Reviewed by: / / Date: �j b
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denie .
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