620 BEACH AVE - WINDOW � I ,O
_/ '1. ." ' CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
'""'"''r ATLANTIC BEACH,FL 32233
' INSPECTION PHONE LINE 247-5814
' JJilS)r
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
3013 INFORMATION:
Job ID: 15-WIND-1916
Job Type: WINDOW AND/OR DOOR
Description: 1 WINDOW
Estimated Value: $500.00
Issue Date: 8/13/2015
Expiration Date: 2/9/2016
PROPERTY ADDRESS:
Address: 620 BEACH AVE
RE Number: 170123-0000
PROPERTY OWNER:
Name: FRISCH. MARK & MEREDITH, *
Address: 620 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: MCANENY BUILDERS LLC
Address: 1010 EAST ADAMS ST LEONARD W MCANENY
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
LIPIIIERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
t r i:alrr, City of Atlantic Beach
, ., Building Department APPLICATION NUMBER
v (To be assigned by the Building Department.)
800 Seminole Road / �/N n _ pa q
r� Atlantic Beach, Florida 32233-5445 AM y
Phone(904)247-5826 Fax(904)247-5845 �,
`ter?�:siita- E-mail: building-dept @coab.us Date routed: i /z //t)
City web-site: http://www.coab.us JJj
APPLICATION REVIEW AND TRACKING FORM
Property Address: qlo 15f Q r!A 1V Department review required Yes-No
Applicant: /I/1/i ea/ (01�C S �uildin >
Planning&Zoning
Tree Administrator
Project: vv /A) 0 (,() Public Works
Public Utilities
_ Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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:
BUILDI r
PLANNING&ZONING yy�
Reviewed by: / Date: ' /c '/S
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:
i
Reviewed by: Date:
Revised 07/27/10
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE C 7
Office (904)247-5826 Fax(904)247-5845
Job Address: Jo ao 3e -&\ ,4 J� Permit Number: /5"--Ai/fl/0-1 q/ ,
Legal Description /f -4S-,Z7 6. 34. t?+A;ad!4 �b'1' t Parcel#
loor Area of q. t. t
Valuation of Work$ Soo Proposed Work heated/cooled `/i. 5 non-heated/cooled —
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indow/door
Use of existing/proposed structure(s)(circle one): Commercial dential
If an existing structure,is a fire sprinitler system installed?(Circle one): " Yes No N/A
Florida Product Approval# /5747•?
For multiple products use product approval form
Describe in detail the type of work to be performed: SI-�, �I�,,c I ,,v,,�ot,o
Property Owner Information:
Name: "444K Ft e S Address: 3 o Ave.- A8 L 3,23
City 13Ase.A. Stateg,Zip 3A2.33 Phone (bode $53- W2 S
E-Mail or Fax# (Optional)
•
Contractor Informa tion: CONTRACTOR EMAIL ADDRESS:
Company Name: /•C..4 �v tdr s Qualifying g A nt: '-
Address:/old) 0 A .1t .5 t t. /t( City J a,r so jra (e., State r Zip 3,12A Office Phone ( 2 ) 52#--/73.6 Job Site/Contact Number 813-/ Fax Fax# 32=- 3 7
State Certification/Registration# Cert.) I508 7312
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certifi,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 f6)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,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 hereby certifil that I have read and examined this plication and know the, specified same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether 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 local law regulating construction or the performance of construction.
Signature of Owner K)1/4i(..).'%
Signature of Contracto
Tint Name Print Name L.e u h a YV1 c A N 2 r‘
3efo r - I �` /
zi 4/ Day of 4. , �. t I Before m Day of 1,t.S•F
Y � ,2016
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/y r PNold to elei •And NoioN n ' ■ III 2 i•IRES:Septertlbef 9,2015
I, u Budget Wiry es Revised 01.26.10