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1810 SELVA GRANDE DR - WINDOWS / DOOR rr s\, CITY OF ATLANTIC BEACH _ f' 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 \,_‘,.)V _ INSPECTION PHONE LINE 247-5814 JJiI�'r- WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-WIND-1542 Job Type: WINDOW AND/OR DOOR Description: french doors Estimated Value: $3,800.00 Issue Date: 7/1/2015 Expiration Date: 12/28/2015 PROPERTY ADDRESS: Address: 1810 SELVA GRANDE DR RE Number: 169542-5004 PROPERTY OWNER: • Name: CARPER. RICKY L Address: 1810 SELVA GRANDE DR GENERAL CONTRACTOR INFORMATION: Name: KMS SYSTEMS INC Address: 1301 PENMAN RD STE C KEVIN FITZGERALD Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $34.50 BUILDING PERMIT FEE $69.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $107.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Ti y;,,, City of Atlantic Beach APPLICATION NUMBER J s �i Building Department (To be assigned by the Building Department.) r) 800 Seminole Road /d /, ]/./D ���� r' Atlantic Beach, Florida 32233-5445 K/ �I/ �,viii,r Phone(904) 247-5826 • Fax(904)247-5845 / 4/45-- \.,„,:j11 )'r E-mail: building-dept @coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM gip epa rtment review required Ye N Property Address: lfJV S€/ya• 964171 di 1)1' ' D o c'ETuildin Applicant: X"Si Syrin Planning &Zoning Tree Administrator Project: -D D O IQ S - 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: (1/pproved. 111 Denied. (Circle one.) Comments: BUILDING / PLANNING&ZONING 6 Reviewed by: Date: 30 c O/ 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 FILE COPY 800 Seminole Road.Atlantic Beach,FL 32233 Office(904)247-5826 fax(904)247-5845 .fob Address: 1810 SELVA GRANDE DRIVE,ATLANTIC BEACH,FL 32233 Permit Number: s—lU 1/1l 0 -- 1.S-e-Ag• I,egal Description 138'28 Q - • E SELVA TIERRA 1Parcel 4 ee loor Area ot Sq.l•t, Sq.Ft Valuation of blur ' '3014• 0 Proposed Work heated/cooled non-heated/cooled (lass of Work(circle one): \e;Nt Addition lige, Repair , ov )emolition pool'spa windovi door A 0-6 Use of existing/proposed structure(s)(circle one):. Comme!eial R• ' U t v 0 If an existing structure,is a fire sprinkler system ms[alled?(Circle one): es No U Florida Product.Approve See Attached /.5—d-/3 ./4/1 )Sa•13./ For multiple products uSe product approval form )O O es/ Describe in detail the type of work to he performed:_ „ See Attached. l'ronerty Owner Information: y Name:Ricky L Carper Address:1810 SELVA GRANDE DRIVE City ATLANTIC BEACH State FLZip 32233 Phone 904-545-3125 1K W I L-Mail or Fax 4(Optional) iI 6 ' 6 Contractor Information: f Company Name:KMS Systems,Inc. Qualifying Agent: KEVIN P FITZGERALD e ∎ r , .\ddress:1301-C Penman Road City Jacksonville Beach State FL r!lst.Em •► Office Phone 904-435-5018 Job Site.`Contact Number _904-568-4211 Fax;: 888-583-3480 -'_______ State CertificationiRegistration,;CBC1258387 Architect Name&Phone r. Engineer's Name&Phone' Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address :Ipplication is hereby made to obtain a permit to do the work and installations as indicated. I eertft'that no work or installation has commenced prier to the issuance of a perm,'and that all work will be perlormcd to meet the simulants of all Lars regulamtg eortssvetinn in this jurisdiction. This permit becomes null and void"[work is not commenced within six(61 months.or rt construction or work is suspended or abandoned for a period oJSIX re;months ea any time after work is commenced. I understand that separate pennies must he secured for Electrical-Work.Plumbing.Signs, (('ells.Pools,Furnaces,Boilers,Heaters. Tanks and Air Conditioners.ere. 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 herebt re itt•that I have read am!examined this phcmion and know the same to be true and cormet. :.'Ilprovisions r f laws and or dmmuas governing tins ripe of work irill be complied with whether specified herein or not. The grafting ofa permit does not presume to give aadrrnity to violate or twee"the . provision.'of any other fedetnl..state or loi al low • elating construction or the peiformanee n1.r,nentiet,o n. Signature of Ow�ncr , t� Signature of Contractor L �_�_ ,,./ /_� Print Name RICKY L C RPER Print Name KEVIN P FITZGERALD .n• Swop' q rind subscribed bethre me e Swint to rid subsc: me •20 /5 this (/flay.f 2017 this,,I Day of ���i'uI'h Notary ubli I Revisexl 01.26.10 ilk 4iiy;y'•' JENNIFER 0 t"rWALKER 011480 ,�:: ELISSA JONES ? MY EXPIRES: nl 24 2017 ■ _•. t•■ -..= Commission#FF 220014 - a�, �*� EXPIRES:Ap '; "�... 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