2143 S FAIRWAY VILLAS LN - WINDOW /DOOR 7/"...-
%f CITY OF ATLANTIC BEACH•l(;., 800 SEMINOLE ROAD
1,> ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 15-WIND-923
Job Type: WINDOW AND/OR DOOR
Description: WINDOW/ DOOR
Estimated Value: $4.076.00
Issue Date: 7/9/2015
Expiration Date: 1/5/2016
PROPERTY ADDRESS:
Address: 2143 S FAIRWAY VILLAS LN
RE Number: 169398-1048
PROPERTY OWNER:
Name: COATES, CHRISTOPHER J
Address: 2143 S FAIRWAY LN
GENERAL CONTRACTOR INFORMATION:
Name: ECOVIEW WINDOWS OF THE GULF COAST
Address: 6483 Ban Buren ST
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $35.19
BUILDING PERMIT FEE $70 38
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $109.57
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
dillillinalliliffillallffillililIMIllinilliMiliall
FILE COPY
jri,ss le
14'45 2--/,
i <--& �4-c1) 4/ 3Z233
LI•
to
itt (A)
_ .. _
_ .
V
r o`rw (,/''/(.,3 6 .47 `S
Miu Poi+ 72,i 'NINA
•
- City of Atlantic Beach APPLICATION NUMBER
I Building Department (To be assigned by the Building De artment.)
`i
! 800 Seminole Road
Atlantic Beach, Florida - Fax 5445
r
Phone(904) 247-5826 Fax(904)247-5845
�.: E-mail: building-dept @coab.us Date routed: id Z 0.5"-d
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4;?/'/3 ifti‘Ail7 J'///A z,, , Department review required Yes No
Building E-d Applicant: d V� j 4 d d I,,t)s nning &Zoning
Tree Administrator
Project: //7 O t) /444 Le , i .4, 4 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/Approved. I Denied.
(Circle one.) Comments:I-
BUILDIN f1ic2
PLANNING &ZONING / 3./5--
Reviewed by: I Date:
•
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. I 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
Job Address:1)/ I C F6t,'rg,ia ' Vi'lla s Lane S• Permit r umbe !�5-- MO—4123
Legal Description al r V/ 116 .5`J a%
/n Floor Area of Sq.Ft. Sq.Ft
/
Valuation of Work$ ` 1.1 7�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 structures)(circle one): Commercial esidential
If an existing structure,is a fire sprinkler system installed? (Circle on . N/A
Florida Product Approval#/6046. 3 ' /7/6i/
For multiple products use product approval form
Describe in detail the type of work to be performed: UV I ndd w tovib r cki,r ii. lacernent
Pro a • Owner Information:
Name: ii t 24// �P
I / .l f fe Address: 0? .. �/ /
' lb s. /Lan 5.
City infa)Jt7 l%f i 4 State_ ip ...:03 ''hone PISFENZ IZEI /O
E-Mai or Fax#(Optional)
Contractor Information:
Di
Company a /_ //wu) WI ft GO.3 QualifringA ent:(e2raa 44 - Ue(�1_.
Address: I �4, �rs, /'E'e- City /Jai Ff State/I L Zip265 a.2
Office Phone Mir_ 0144/1".,_ Job it /Con c Nu ber Fax#
State Certification/Registration# a/�C /J..019 y ay-
Architect Name&Phone# 1'1/L.
Engineer's Name&Phone# 1)/
Fee Simple Title Holder Name and Address 4 /4—
Bonding Company Name and Address 0 la_.
Mortgage Lender Name and Address /'j/ :::L.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certt&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 suspended or abandoned for aperiod of six(6)months at any lime 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 1 have read and examined thisplication 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 1 all regulatin onstruction or the performance of construction.
Signature of Owner Signature of Contrac r
Print Name C//1■ I r/,4 c c 04 rz 1
.__._.._._._. _..._...........�..___....__..___..__....__.�._..._.__._._ Print Name �t,Q o( "e 'e C-iC
Sworn Sworrip and subscribed_b�fore me Sworn o and subscri d,before me
this Day of /-'I .20 / this Day of ltt,ti.� ,20/.<
Notary Public 0,;:.."'--- - 11.__A r - -
�' : MY COMMISSION M EE 1899 ary Pub is I '' ''''''' �' 1
'*: I . ,•, .1 MY COMMISSION i EE 189829
z.•� EXPIRES:April 16,2016 s q ::
4",pf Sc Bonded Thin Notary Public Underwiters
'' s • dbb �Publics Undenwilers
FILE COPY
EcoView Windows
AUTHORIZATION TO START
HOME IMPROVEMENTS
Date: --/5
Customer Name C9nJ- 5� ( h Cr 5 4-
Address ° Wy-3 4.1%'&171/4//4,5 /-0
. .
City/State/Zip A4/.4n74-6 0640/ 3,1?-3.3
I/We understand that materials for this job are custom made for our home. I/We,the
undersigned, do hereby grant Ecoview Windows permission to start improvements
and/or manufacturing on 9-75- or or as soon as possible thereafter. Work
specifications are as per the terms of our agreement for improvements.
9 /.5 /4( qj 44 4yCJs .//.4 J/-7 S.
(Address where improvements are to be made)
19 9h V, ' ' l �/ 3�� 33
City/State/Zip
i
/,
Buyer's Signature i i Date 7'/S
/Co-Buyer's Signature , Date /�