631 MAIN ST - WINDOW / DOOR ,b,4 ,., /J ,.
-,,
' ,*• - ' S, CITY OF ATLANTIC BEACH
J
800 SEMINOLE ROAD
\J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
1-4 01319r'
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-924
Job Type: WINDOW AND/OR DOOR
Description: WINDOW/DOOR REPLACEMENT
Estimated Value: $6.976.00
Issue Date: 9/9/2015
Expiration Date: 3/7/2016
PROPERTY ADDRESS:
Address: 631 MAIN ST
RE Number: 170915-0400
PROPERTY OWNER:
Name: WADMAN, JOHN P
Address: PO BOX 51241
GENERAL CONTRACTOR INFORMATION:
Name: ECOVIEW WINDOWS OF THE GULF COAST LLC
Address: 6950 Phillips HWY STE 1
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $42.44
BUILDING PERMIT FEE $84.88
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $131.32
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FILE COPY
POWER OF ATTORNEY
Date a/ad// .<
I, CCP 6(/ t✓ alai ,do herby authorize 604 In I-I 1114S to
pull the bv-4 Id ill Permit for (iii /Y)c.ln ..51 -44-lciThc Bt c1 12433
Type of penal jab address
Ale -' . mss'/
41.11 - S. -
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Personally known to me or drivers license # P iG
State of Florida, County of il pf,.4 tn()/t, on 0 day of
F.,(h , 20/-_-,-..
}'.'" KAAVVEEMAH ADAMS
*: !l : MY COMMISSION It EE 189929•-a EXPIRES:April 16,2016
Alai: Bonded Thru Notary Public Undemoterc
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abA BILE COPY
ECOVIEW
WINDOWS &DOORS
Ecoview Windows
AUTHORIZATION TO START
HOME IMPROVEMENTS
\ 1 - 1 '1 - \i
Date:
Customer Name
10\\Y\ \I\) )
V . o . c.. ,.& S\/2-1A \
Address
/ (-4X- \ ece.c,\N j- �i- Zq b
City/State/Zip
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 \ \`� or as soon as possible thereafter. Work specifications are as per
the terms of our agreement for improvements.
6 3 \ G A ._;� . Lki0 )(
t
(Address where improvements are to be made)
I \.\ c‘IN C- C-2 e-0\ C,\,.. --:- L -
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City/State/Zip
Buyer's Signature \ \ \ yl \H.Date !
Co-Buyer's Signature Date
54e 63 3
FILE COPY
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800 Seminole Road
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•� Atlantic Beach, Florida 32233
f Ste; Telephone(904)247-5800
T`. NI FAX (904) 247-5845
July 24, 2015
Ecoview Windows
\VS°
Attn: George Beck
6433 Ban Buren Street
Daphne, AL 36526
To Whom it May Concern,
We have made several attempts to collect the fees for your window & door replacement
permit that was applied for on 4/21/2015. Permits are supposed to be picked up and paid
for prior to the work being completed.
Please send a check made payable to "City of Atlantic Beach" for the amount of$131.32,
in the self addressed stamped envelope and we will mail you your permit.
Thank you in advance for your prompt attention to this matter.
Sincerely,
Jennifer Walker r v
Administrative Asst.
City of Atlantic Beach
iwalker @coab.us
(904)247-5826
fr
Cc: John Wadman, homeownergOL
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road, Atlantic Beach,FL 32233
Office (904)247-5826 Fax(904) 247-5845
•
Job Address: 6"3/" 63-3 /�-If�c%/1 .S'i- :lc, ) Permit Number: /5 - W/IVO -gay
Legal Description /i-3(/-/7--.:7-5',,►1ie Sec W._# 'c L'e/i Parcel# / 76 /5-- O 4e0L)
Floor Area of Sq.Ft. Sq. •t
Valuation of Work$ i, 5' n- 00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): dall Addition Alteration Repair Move Demolition pooUspa window/do r
Use of existing/proposed structure(s)(circle one): Commercial esidential
If an existing structure,is a fire sprinkler system installed? (Circle on . o N/A
Florida Product Approval # /4(9660,,,2..._I 977 a
For multiple products use product apprvalform
Describe in detail the type of work to be performed: Ni()Cfcc:1<`4Of-- /pM-C 'iell 7
Property Owner Informati on:
Name: 4 AA 1A U//►')('-fl Address: Pe eG' 5-7. 1 V /
City <.� alli" c' c StatePUZip-2.-2-W Phone (44/ ( -f OY 4- Q■ oy 0 4 --444 - 76 03
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: CV 1 e4) It)tr)do vis" Qualifying Agent: �-f'acy i. Be C .-
Address: ,L7I2 Arlo Lr2i) j'% City j�Gp/'n u State 4Z Zip 3' C-
Office Phone 9O!/,2i/- OD 6 -7 Job Site/Contact Nwpnber Fax#
State Certification/Registration# ( /?C/ 0 ,5`/
Architect Name&Phone#
Engineer's Name&Phone#
/"-} -"-
///
Fee Simple Title Holder Name and Address .k
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 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 iwork is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period ofsix(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,Healers,
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 lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be compl d with whether speci� herein or not. The granting of a permit doer not presume to give authority to violate or cancel the
provisions()ferny other fedet4.. ate,or local law re lacing construction or the performance of construction.
Signature of Owner Vv Signature of Contra -• . --:/-- - —
Print Name -A Q!•■n,.._.., :...._1J G OM(�,IN Print Name 0" ��f-� '.
Swore and subscribe, before me Sworr��q and subscrib_ d jaefore me
this c Da •f T--",alai -1.....i. _ 20 1 this dU Day of 7:20 ,20,''5
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Notary • •lic ; ' Notary Publ"
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Notary Public,State of Flprlda .,;??....,,,,I..;# EXPIRES:April 16,2016
^Ir Commissionit FF 160935 .,CJ N,.•• Bonded Thru Notary Public Underwriters
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My comm.expires Dec.16,2018 -
r.�i;,, City of Atlantic Beach APPLICATION NUMBER• • � Building Department (To be assigned by the Building Department.)
800 Seminole Road
` /^
; e oad /5—'"�j(� /V/J " 9Z/
Atlantic Beach, Florida 32233-5445
� r Phone(904)247-5826 • Fax(904)247-5845 �/2/ ��
,,_i.,,• E-mail: building-dept @coab.us Date routed: T
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (3/ 633 AI f n vS7-- Q.epa ent review required Yes o
(=r uiiIdiing
Applicant: CO Vi 4.W 1 it 1J4 ' nning &Zoning
Tree Administrator
Project: WiliDovybooe Public Works
T 'n!, ,,L Public Utilities
J( -Url� 1/ 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: 14proved. ❑Denied.
(Circle one.) Comments: J1 D CL
BUILDIN V
PLANNING &ZONING Reviewed by. / 1 Date: /'67 ..?'‘,70/5'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:
Reviewed by: Date:
0 Revised 07/27/10