1852 HICKORY LN - WINDOW■
S LAJ\ .'
(---
' f.� CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
_;_• — 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-1652
Job Type: WINDOW AND/OR DOOR
Description: GLASS WINDOW
Estimated Value: $2,300.00
Issue Date: 7/21/2015
Expiration Date: 1/17/2016 _
PROPERTY ADDRESS:
Address: 1852 HICKORY LN
RE Number: 172020-1454
PROPERTY OWNER:
Name: FLANAGAN,BEVERLY H & MICHAEL F, "
Address: 1852 HICKORY LN
GENERAL CONTRACTOR INFORMATION:
Name: WILLIAMS ATLANTIC CO.. INC
Address: 1129 NECK RD QA TIMOTHY JOHN WILLIAMS
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $30.75
BUILDING PERMIT FEE $61.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $96.25
lmmLm...m.m.m.mm...m....m.im....m.EIZMIT PPROVED ONL Y IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
DES.
rtj ,.,J City of Atlantic Beach APPLICATION NUMBER
`� Building Department (To be assigned by the Building Department.)
800 Seminole Road �� 1�,,/RAJ
Atlantic Beach, Florida 32233 5445 lac/ /�' /(Q�
J J e 4) 6 x
��;tI,J� EmPhon ail:(90 building dept 247-582coab.us Fa (904)247-5845 Date routed: /S.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /E 'Z_ 174 &ear CSC Department review required Yes No
:uilding� i/
Applicant: Ai/ Q � 15.47— C i�fy) 'tanning &Zoning
Tree Administrator
Project: W j /b/b G tc1 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: [proved. ❑Denied.
(Circle one.) Comments:
UILDING
PLANNING &ZONING
Reviewed 6eviewed by: � Date: 7-
TREE ADMIN. ❑App
Second Review: roved as revised. ❑De d.
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
Vii'' .�
�,`„� BUILDING PERMIT APPLICATION
r- 4)r
•
FILE py ,, 800 CITY OF ATLANTIC BEACH L 4,-.
00 Seminole Road, Atlantic Beach
FL 32233
...■- Office (904) 247-5826 Fax (904)247-5845
Job Address: t p 2 4(C_kOt21 LANE Permit Number: /C-W//140— 1 S 2_
Legal Description
g Parcel #
Floor Area of Sq.Ft. S Ft
Valuation of Work$2 I r 6 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door
Use of existing/proposed structure(s) (circle one): Commercial 1'
If an existing structure,is a f i r e installed? (Circle one): Yes 10 N/A
Florida Product Approval # I 1
For multiple products use pro uct approv on m—
pP rov
Describe in detail the type of work to be performed: - tit1( CZ, 400 h 6 c<
1.01 mb.,„s @ -t-ALt % L_,•.e Rotwit.... (1.ic,&.-ra. ELLA'AS--Icy,)
Property Owner Information:
Nam : Address: t QS 2 4d1 Lo ,
City t L C StatFt-Zip= Phone /641- in Oral
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: . 1.. A r a Quali%in Ag- t: t w►b el „•
Address: 11 FLSC. to, City t .1_- _ State Zip? �
Office Phone/o4 -4fs- ttv$4 Job Site/Contact Number -5A4L4a. ax# (4 ,A■
State Certification/Registration#
Architect Name&Phone# /
Engineer's Name&Phone# 0/,A-
Fee Simple Title Holder Name and Address
Bonding Company Name and Address /'A,
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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,st e, or local law regulati • construction or the performance of construction.
1
, � 0
- __<-T--•- .us2a...„
Signature of Owner ,k ••• A I Signature of Contractor
'rint Name / hY\ VV_ vJ1.; `
/ ;, Print Name ��.r�, ... ..L..4.�.1.A�^'�.�
3efore a ,,Y 13-4„a,-, I _
h' O -Day _ i I �, of �� ��min�� I �ttti'nr j MY SCOTT P.DAVEY ' r��'rI! I
.141 , le 'e: :+-__ COMMISSION 1 EE 079110 I �� ��.
'-'� EXPIR ly 29 2015 I 44r
10 .�',+ Public I ES:Ju
-!;' BaMedTtuuNWary Pudic Unddwriters Notary Pub 1c ' .'•w Shirley L Graham
S �'/ �. (�av �• V•#m-isA FF086890
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7rj .
\s CITY OF ATLANTIC BEACH
1" 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
(904)247-5800
NOTICE
THE 5T11 EDITION OF
THE FLORIDA BUILDING CODE
TAKES EFFECT
4
JUNE 30, 2015
ALL BUILDING PERMITS, APPLIED FOR, ON OR
AFTER JUNE 30, WILL BE REVIEWED AND
INSPECTED UNDER THE FBC, 5TH EDITION.
BUILDING PERMITS APPLIED FOR BEFORE JUNE
30, WILL BE REVIEWED AND INSPECTED UNDER
THE CURRENT 2010 FBC.
�ss� 800 Seminole Road
•j Atlantic Beach,Florida 32233
J Telephone(904)247-5800
FAX(904)247-5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster. Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code) as of 2009 the permitted
dumpsters are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans,metal,plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan(silt fence,catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities,where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 5/2009