610 OCEAN BLVD - WINDOW REPLACE ' '' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-2561
Job Type: WINDOW AND/OR DOOR
Description: WINDOWS REPLACE
Estimated Value: $9,159.00
Issue Date: 11/12/2015
Expiration Date: 5/10/2016
PROPERTY ADDRESS:
Address: 610 OCEAN BLVD
RE Number: 170133-0000
PROPERTY OWNER:
Name: SKINNER JR, C B
Address: 78 SAN JUAN DR
GENERAL CONTRACTOR INFORMATION:
Name: BIG D BUILDING CENTERS
Address: 1325 WEST BEAVER STREET PL JONES, BROADIE S
Phone: 904-350-6600
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $47.90
BUILDING PERMIT FEE $95.80
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $147.70
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:Big ID Building Center 9043544736 10/29/2015 09:27 #675 P.002/007
OFFICE COPY
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845 (5--Vc/i )b - z s Cp t
Job Address: ` ,\(� ;,.C1 \�_ \ Permit Number:
Legal Description ,,S -`,r c‘- �„F >farcel #
'c O r oor • rea o q. t. q. t
Valuation of Work 1;.7 TA, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/ a window/door \-:
Use of existing/proposed structures)(circle one):. Commercial Residential_:: r -_�--�
If an existing structure,is a fire sprinkler system installed? (Circle on�—Yes �No 1/A�.
Florida Product Approval# c . V-1\�;;�
For multiple products use product approval form
Describe in detail the type of work to be performed: \<ti.l\o,c_e V. .) YA,A0L:>-
Property Owner Information:
Name' \ \ .r-,t C Address:"S)\.O CC c c -� %\\-1 c\
CityC\ \c\r\\\ L "R:Doc.,t,km Stat&Zip 7.), :-) 15 Phone C\
E-Mail or Fax#(Optional)
Contractor Information:
Company Name �k.AAA∎rlc• ..x.,\a," Qualifying Agent:\-1\``N(\' ..\C�' c\S
Address:\ �)`� v.. . jQS,\\.)4.:( `A . City 1C'�Y /•\� State t'-.k Zip `-� C,c)
Office Phone---•\<, c)(•)• t}l ' Job Site/Contact Number Fax#C\ J`1- U\' 1- />
State Certification/Registration# G 9-,c_.p ,-11.--7, 9. 1
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 he 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 6)months at any time after
work is commenced. I understand that separate permits must he secured for Electrical iFork, 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.
I hereby certify that I have read and examined this a plication 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 specified 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.
1A,�,�`.� City of Atlantic Beach APPLICATION NUMBER
d Building Department
�} (To be assigned by the Building Department.)
r. {� 800 Seminole Road ,` '
Atlantic Beach, Florida 32233-5445 15- .. E K � 2 S( t
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept @coab.us Date routed:1
/a9 /t.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:la l 0 (c N t LVZD ! • • •• -nt review required Yes No
Buildi •
A pp licant: Planning &Zoning
9
' 1 Tree Administrator
Project: \/V I f\ p0 R uke_ 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: FIAPproved. ? I (Denied.
(Circle oney Comments: JlD( nod ecar c o! copy fle-ed$ /o S• yr ece
BUILDIN �c b (cpy a Ad be Placed l,t/i4 I SG to `r wo,e k,
PLANNING &ZONING Reviewed by: yy�
Y / Date: /I' V"/.$"
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10