2068 VELA NORTE CIR WINDOWS 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
30B INFORMATION:
Job ID: 15-\/VIND-1839
Job Type: WINDOW AND/OR DOOR
Description: WINDOW REPLACEMENT
Estimated Value: $9,000.00
Issue Date: 8/6/2015
Expiration Date: 2/2/2016
PRO PERTY ADDRESS:
Address: 2068 VELA NORTE CIR
RE Number: 169506-1040
PROPERTY OWNER:
Name: MICKLE, MICHAEL S
Address: 2068 VELA NORTE CIR
GENERAL CONT ACTOR INFDRMATION,
Name: OSBORN BUILDERS LLC
Address: 2157 POINCIANA RD DAVID R OSBORN III
Phone:
PERMIT INFORMATION:
f-E E S--.
PLAN CHECK FEES $47.50
BUILDING PERMIT FEE $95.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $146-50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE CC- a
Office (904)247-5826 Fax (904) 247-5845
Job Address: 20 J5 Vf1A IVOOk-6'rtjR- Permit Number: 15--IV 01/0 J 3
Legal Description 15-!q4 0q-Z5_4214e Parcel # 1695-06-10 4 C)
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 0'0 Proposed Work heated/cooled non-heated/cooled
Ir
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp<EE�ow/doo)i
Use of ep�ting/pro osed structure(s) circle one): Commercial C!=�&nt�iff
If an existing strucriure,is a fire rile tem installed? (Circle one):___Y_es__ No N/A
Florida Product Approval# rm a ChAd
For multiple products use product approval form
Describe in detail the type of work to be perf6rmed:_ZZee14,ee Zw,#,,�"
Property Owner Information:
NameAc6d 4, Wrl Address:01c*k WA Nak OM16
City !nlarffr, 5f4e
A-J State K!!fZip 2610,33 Phone qQq1cjqj=qaq,3_
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
CompanyNameZ.s Ap &juxes 41.4 Qualifying Agent: V4idd aLvz.,-J
90011.6 1 Z. 3z
Address: e fAdna AW city State 52"
Office PhoneC41602qq-023a Job Site/Contact Number(109366-173-7 Fax 0 7
State Certification/Registration# a JJC 1 5-0(0
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address :Sureh-u_4f E!latAL
i s hereb made to obta'*na ermit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
p d th rk 11 be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
p
issuance o apermit an at all-0 wi
a ", f 0, is not com t
,d di� k en d hin six(6)months, or if construction or work is suspended or abandonedfor eriod ofsix�6)months at any time after
'or is c, "", . I" rs aw, I i e ters,
k d de tand that separate permits must be securedfor Electricar Work,Plumbing,Sijns, �11s,Pools, Purnaces,Boi e s,H a
Tanks andAir Conditioners,eta
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 herelb certify that I have read and examined th lication and know the same to be true and correct. All provisions of laws and ordinances gov=this
11s
work will be complied with whether srci 70 herein or not. The granting of a permit does not presume to give authority to violate or the
provisions ofany otherfederal,state, or local aw regulating construction or the pe�fbrmance ofconstruction.
Signature of Owner -� I . A,
Signature of Contractor
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Print Name Print Name
............................. ir S ......................................................................
Befb Before We A.. w a db
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City of Atlantic Beach APPLICATION NUMBER
I doawv....
Building Department
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 - 1011i/d If'59
/5'
Phone(904)247-5826 - Fax(904)247-5845
. building
E-mail -dept@coab.us Date ro 7/
uted:
Cityweb-site: http:/Iwww.coab.us 1.
APPLICATION REVIEW AND TRACKING FORM
Property Address: 422d lvdr7 E Department review required Yes,,,o'No
�ilcfln
Applicant: _?0 J6 it Af 'Tl�rhning &Zoning
Tree Administrator
Public Works
Project:
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: POA"oproved. FIDenied.
(Circle one.) Comments:
0 C'
QU I:LD 1:N
)G
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN.
Second Review: DAPProved as revised. [—]Denieq
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date.-
FIRE SERVICES Third Review: DApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 07/27110