The URL can be used to link to this page

1953 SEMINOLE RD - WINDOWS r `S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� 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-WIND-2158 Job Type: WINDOW AND/OR DOOR Description: WINDOWS - REPLACE 3 Estimated Value: $1.500.00 Issue Date: 9/17/2015 Expiration Date: 3/15/2016 PROPERTY ADDRESS: Address: 1953 SEMINOLE RD RE Number: 169542-0514 PROPERTY OWNER: Name: HERZIG TRUST, NAOMI DOROTHY Address: 1953 SEMINOLE RD 1953 SEMINOLE RD GENERAL CONTRACTOR INFORMATION: Name: BETTER HOME IMPROVEMENT Address: 538 PARK AVE KEVIN SEAN HURLEY Phone: - - PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $57.50 STATE DCA SURCHARGE $2.00 PLAN CHECK FEES $28.75 STATE DBPR SURCHARGE $2.00 Total Payments: $90.25 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. sj-L,/•r City of Atlantic Beach ��r �� APPLICATION NUMBER Itit0 Building Department 800 Seminole Road (To be assigned by the Building Department.) o.7 ', Atlantic Beach, Florida 32233-5445 5 lv T. Z g Phone(904)247-5826 • Fax(904)247-5845 '''�0;7'/ E-mail: building-dept @coab.us Date routed: l I City web-site: http://www.coab.us v C APPLICATION REVIEW AND TRACKING FORM Property Y Address: 1c)5 3 EAA ►(v pLC 121■ De ent review required Yiertgo I uildin, Applicant: r'Cr- R_ t-4or!z I APR©vE A Elkariphg &Zoning Tree Administrator Project: ( (N On l 5 - 3 RE. cAcE 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: I roved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING ,M Reviewed by: �" I Date: 9'�5'75--5'75--/ TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ['Denied. Comments: Reviewed by: Date: revised 07/27/10 BUILDING PERMIT APPLICATION FL: !' "� CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 t5 -w)t.z_ Z 15e) Job Address: 11E 3 3..ern;NIL "0 Permit Number: Legal Description 4,1._ ,2_6 Ct4 'arcel# `/�4 a!K f Floor Area of Sq.. Sq.rt Valuation of Work$ 1 5LG Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alterati Repair Move Demolition pool/spa indow/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # 'F)r 5 17 7, ( .-/ 7' , For multiple products use product approval form Describe in detail the type of work to be performed: 9 14) . it de. S Property Owner Information: Name: N f a O r 21( Address: CityA-1.16,,4-k h State ip3-?2 33 Phone 06 'f / 2 / /5- E-Mail or Fax#(Optional) Contractor Information: Company Name:6L4 4 0Y. - ivv 1rD,✓Gc4u e Qualifying Agent: �/2 I Address: roc" �v� Ci G7 Rev- State i✓� �i Office Phone ) 7 - OF/O Job Site/Contact Number ,^ q10-LLjl 7 Fax# qfp‘-/ _)- 7 ff- 6.,i / State Certification/Registration# (' i ( c S5i /41 -2-- 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 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 sus ended or abandoned for a period of six(6)months at any time after work is commenced. l understand that separate permits must be secured for ElectricalpWork, 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. l hereby certify that!have read and examined thisplication 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 specf ied herein or not. The granting of a permit does not presume to give autho to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner ��•�..Ge Si ature of Contractor Print Name i Q m/ 4 r 3 Print Name A. Swo .nd subscr•bed b.fore I e Swo . and subscribe• beft re me ,- thi l gay of � ��: % 20 this ;,� Day of I .__I .201.5 41111,4,4 Ai Air 4/ Afir., Bow o •ry 'ublic ;;*• ,� S r:; ' , 1 •.- Nota :�?� .� SHAWN M REIC =f' • • MY COMMI SION p EE829175 ,., •�: COMMISSION aEE829 T ' EXPIRES September 10.2016 F �.40,,, +�:r�;- EXPIRES S@pte mb�1�. y .26.10 r 190163 (407) ryps.0163 FIOnseNotary9e•vlocoaa