169 MAGNOLIA ST - WINDOWS APV
\ss, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
/ ~ INSPECTION PHONE LINE 247-5814
).F Wr
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-2785
Job Type: WINDOW AND/OR DOOR
Description: WINDOWS
Estimated Value: $500.00
Issue Date: 12/11/2015
Expiration Date: 6/8/2016
PROPERTY ADDRESS:
Address: 169 MAGNOLIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CANTRELL CONSTRUCTION. INC
Address: 1015 ATLANTIC BLVD QA MARK FRANCIS CANTRELL
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
J \S1
CITY OF ATLANTIC BEACH
- . J 800 SEMINOLE ROAD
JATLANTIC 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-2785
Job Type: WINDOW AND/OR DOOR
Description: WINDOWS
Estimated Value: $500.00
Issue Date: 12/11/2015
Expiration Date: 6/8/2016
PROPERTY ADDRESS:
Address: 169 MAGNOLIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CANTRELL CONSTRUCTION, INC
Address: 1015 ATLANTIC BLVD QA MARK FRANCIS CANTRELL
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
PI:R'1IT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�' '' �S, CITY OF ATLANTIC BEACH
, - l 800 SEMINOLE ROAD
Jl - r< ' ATLANTIC BEACH, FL 32233
/ INSPECTION PHONE LINE 247-5814
\'1:2.0.F319‘`'
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-2785
Job Type: WINDOW AND/OR DOOR
Description: WINDOWS
Estimated Value: $500.00
Issue Date: 12/11/2015
Expiration Date: 6/8/2016
4 PROPERTY ADDRESS:
Address: 169 MAGNOLIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CANTRELL CONSTRUCTION. INC
Address: 1015 ATLANTIC BLVD QA MARK FRANCIS CANTRELL
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND "171E FLORIDA
i .
f
BUILDING CODES.
i-A;T City of Atlantic Beach
APPLICATION NUMBER
�11 Building Department
il 800 Seminole Road (To be assigned by the Building Department.)
7.4 VII Atlantic Beach, Florida 32233-5445 /6 �//Y Q 7 f'
Phone(904)247-5826 • Fax(904)247-5845 /
g%• E-mail: building-dept @coab.us Date routed: /2/1//c
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Al 049/6e,Ad Jr D advent review required YvIlo
Building
Applicant: eirn Mil Otin siIke*in_ ing &Zoning
Tree Administrator
Project: // l j/1/b0(itJ S Public Works
Public Utilities _
Public Safety
Fire Services /
Review fee $ Dept Signature n
Other Agency Review or Permit Required Review c
Q a,
of Permit V,
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:
APPLI • TION STATUS
Reviewing Department First Review: VApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: J1 /Q /
TREE ADMIN. Second Review: DApproved 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:
Revised 07/27/10
/
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH . OFFICE COPY
800 Seminole Road, Atlantic Beach, FL 32233
■••••■■11/
Office (904) 247-5826 Fax (904) 247-5845
Job Address: ,�� V.,_ • . ', Sk-, AL ,A b , FL 3 22 3 Permit Number:
/5-'10111)61 -.27
Legal Descriptio 57 'll /6 /69 ' ^°Parcel # _. .57 &25 `0t7
oor • -a o •. t. t
Valuation of Work$ SDa Proposed Work heated/cooled AA non-heated/cooled /1M-
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/doom
Use of existing/proposed structure(s) (circle one): Commercial Residentia
If an existing structure,is a fire sprin er s ste . installed? Cir le one): es o I '/A
Florida Product Approval # i•■ r.' , ,A o4,�/FTt.For multiple products us• product approv. orm - .—
Describe in detail the type o?wbrk be pe ormed: ��f 02- t,Jk)� ne71tot. Q 43i.e---'
Property Owner Information: /1
Name: err tee S 1700-r i, Address: • i A ! 5�rs)01,cr��)/(/� 2-735,
City ornehe.r-&14 State ..,--73g Phone &Mgr go —a
E-Mail or Fax#(Optional) —
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: ' . • C. .4rell oI• t 1tQualey
n Agent: LI . i lS a.Address: D 5 fPNWO e_ to city_ . •t.„
State Zip.. ,sue 7
Office Phone 'O _ Job Site/Contact Number Fax# `State Certificatio •egistration# G G G_QGa2,$'/
Architect Name&Phone# ____
Engineer's Name&Phone 4 — ____._
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 ofa 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(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, 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.
r hereby certify that I have read and examined this a plication and know the same to be true and correct. All.rovisions of laws and ordinances governing this
ype of work will be complied with whether specified herein or not. The ' ' , • ;
rrovisions of any other federal tate, or local law regulating cons, ction o th - r give authority to violate cancel the
yai4fibnda
Shlr!ey L Graham
f� o` My Commission FF 086990
ignature ofOwn(r,<_ l� • . �� / 4•0r'c,o ExAees02/ •/ '18 I orke r ...../t)
rint Name e
.........i..e-,4"n.2. rte* g.f.:.C."I.S_... Print Name
ieforeige
us 4. .Day of C ,m'-..1._._—_ _ _ 1 Before p-
- - - - . 'is Day f 20� _
Al , „, , 0,- a No•-�4 public State of Florida Fr _
d Public 7/ �. As L G;ah<..
�""� 1..7...i'' ^,' •ommis°ron FF 080990 '/l
cxp;tts 02/14 201a 11• . " t'u