2338 W OCEANWALK DR - WINDOW _ DOOR 1 -- ` CITY OF ATLANTIC BEACH
• } 800 SENIINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J1319r
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1931
Job Type: WINDOW AND/OR DOOR
Description: window replacement
Estimated Value: $7,000.00
Issue Date: 8/21/2015
Expiration Date: 2/17/2016
PROPERTY ADDRESS:
Address: 2338 W OCEANWALK DR
RE Number: 169463-1072
PROPERTY OWNER:
Name: LAZARUS, JASON
Address: 2338 W OCEANWALK DR
GENERAL CONTRACTOR INFORMATION:
Name: JEP CONTRACTORS INC
Address: - 1416 FOREST AVE QA JOHN EWEL PEARSON. III
Phone:
1 PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $85.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $42.50
STATE DBPR SURCHARGE $2.00
Total Payments: $131.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
!ii BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 EL coPY
Office (904)247-5826 Fax(904) 247-5845
Job Address: 2 3 3' .04e4trt.u.alli DP. V 4 4 Permit Number: /5 le//VL)-/9 3/
Legal Description 4(z" 74 3 7. 4. - 2 $ E �v�sN T 3 le_ #
Valuation of Work$ 7, Opp Floor Area of Sq.Ft, t
Proposed Work heated/cooled rv'P- non-heated/cooled (14.
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa endow/ or
Use of existing/proposed structure(s) (circle one): Commercial o•,
If an existing structure,is a fire sprinkler system installed?(Circle one): -s : N/A
Florida Product Approval#
For multiple products use pro uct approva or
Describe in detail the type of work to be performed:(5...e)9/act se/e 1 w 1 K.11:760.-,5 a kr- h d r&
�. t .s,/,i , Ad-act 2 `?- 1e ve/ rse-st
Property Owner Information:
Name: NP" LaUN/ Address: 2330 OCec►et421k Dr (.4)
City AtIni*'c Veal State k Zip 3433 Phone US'- 40- 13,;'6
E-Mail or Fax#(Optional)
tractor Information: CONTRACTOR EMAIL ADDRESS: TEPc.Kt-at Ufa -- ? 0 ,,,,-a$-/'`h&/-
Company Name: 3 E P C er frct c..l 'r /�
Address:j�jd cep rd..,-e- �L v`o � < Qualifying Agent: o�i � o
Office Phone 7�7- /5-25- Job Site/Contact Nu berg Z 2 9.- 231�Fax State �L Zip
State Certification/Registration# <C b S.�b 47
Architect Name&Phone# AT. ,
Engineer's Name&Phone# A/A
Fee Simple Title Holder Name and Address Ut.../re:Pr,
Bonding Company Name and Address /4
Mortgage Lender Name and Address �� 4-
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 nd void work istnot commenced within six to
or if constructionror of all is suspended or construction abanon or in a pe iiod f six n((6)This permit months at any time a ielr
work is commenced. I understand that separate permits must be secured for ElectricalWork,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
r
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 placation and know the same to be true and correct. All provisions of laws and ordinances governing this
2rovisios work will o her federal.state, or local law re specified atrne co not. The gthe performance of a permit does t not presume to give authority to violate or cancel the
, � the performance of construction.
Signature of Owner Signature of Contractor f /eot"-x--e-d,--------
'rint Name (.47,44-&-f Print Name ai)4 47 l t7"q Y•,so11;
3ef re, ne 20 I r Before t
zis�2 -Day of t5'f- thi i. . toopo 4, G i '■
lu o�ctii'' *NIFERWALKER Nota .� ,•
_.r �.4} `. MY COMMISSION 4 FF 011480 • Ub11C op nd�� Commrs412 Fm
EXPIRES:April 24,2017 res 02na 08626
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r1yL1,,J� City of Atlantic Beach APPLICATION NUMBER
�S rd Building Department (To be assigned by the Building Department.)
800 Seminole Road ‘0/4/4) ^ / 93/
-r Atlantic Beach, Florida 32233-5445
: Phone(904)247-5826 • Fax(904)247-5845
• -
;;icyr E-mail: building-dept @coab.us Date routed: 03/4-1---
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
'23/ t/�j
e m-/v AhvL4 Department review required Yes o
Applicant: Iv (On1 Q es //'J 0? Planning &Zoning
Tree Administrator
Project: O//ih O Gt/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: Approved. I !Denied.
(Circle one.) Comments: 0
BUILDING
PLANNING &ZONING Reviewed by: 111 Date: R-0)0% S-
TREE ADMIN. Second Review: 11]Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. El Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10