610 Paradise Ct - Window and/or Door Permit \<s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
K.)1 " 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
JOB INFORMATION:
Job ID: 15-WIND-2881
Job Type: WINDOW AND/OR DOOR
Description: REPLACE FRONT DOOR
Estimated Value: $1.977.00
Issue Date: 12/31/2015
Expiration Date: 6/28/2016
PROPERTY ADDRESS:
Address: 610 PARADISE CT
RE Number: 172389-2090
PROPERTY OWNER:
Name: LIMBY JR, ROBERT D
Address: 610 PARADISE CT
GENERAL CONTRACTOR INFORMATION:
Name: GEORGE BURTON CONSTRUCTION INC
Address: 1 SUNNY RD QA GEORGE FREDERICH BURTON III
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $29.94
BUILDING PERMIT FEE $59.89
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $93.83
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE CO
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 t k i (N r -Z.8a
Job Address: (ol0 Pa/ak-ci Permit umber: %
a- Lo - d5 a5F - I S cOJ `
Legal Description - ed la_Parcel#
oor • rea o q. t. q. t
Valuation of Work$ 1 it•01 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indow/door
Use of existing/proposed structure(s)(circle one): Commercial esiden
i
If an existing structure, is a fire sprinkler system installed?(Circle one): es No N /A
Florida Product Approval # l 5 I a
For multiple products use product approval form
Describe in detail the type of work to be performed: ii.„p Tr-01,-/-.1241-ki door__
Property Owner Information:
Name: 1Obe(-E b y 2 - Address: (O (b PTad Lc
City &. •i &' , _ State cLZip` Phone 9.oL-}- a a 5 -- c 3 O
E-Mail or Fax# (Optional)
Contractor Information:
Company Name r� - 60C-Lon OnSi • Qualifying Agent: C_Org
Address: 1 a ‘2,6 City OC m (2)(11d kacj-\ State Zip ,3011 ?7
Office Phon- . llair Job Site/Contact Number Fax#
State Certification/Registration # C 5?Sf9 3
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 suspended or abandoned for aperiod 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.
I hereby certify that I have read and examined this application 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 s eci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,s % e, or local aw gulating construction or the performance of construction.
I I
Signature of Owne 1 �w t Signature of Contractor
Print Name R412crr. , L g • Print Name GI.Oryi., �
Sworn lo and subs ribed befor- me Swor to and subscribed befpre�me
this Day of • _ „ ,tr _ . 20 1S this , :.y of T Ce/Li t , 20 1
.J4/ ,
otary Pub is Nota ry 'u.Iic _° A <-: SHELLEY A TARUS
MY ligWSON#FF158034
:a`•'•:rP,4"%. DEBORAH FEUCE � 1 S � I U
• ;!; .*= MY COMMISSION#�Ff 021094 f° ... eptember 8,2018
`'��• = EXPIRES:May 23,2017 (407)39e-0153 FloridallotaryService.com
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ry Pudic UrMerr�iters
rt_:\w;yJ, City of Atlantic Beach
�� Building Department APPLICATION NUMBER
(To be assigned by the Building Department.)
Atlantic tic Seminole Road tS V ,`1∎) _ Z. 8
`1J - - �� Atlantic Beach, Florida 32233-5445 w1/4i 1.,
\ Phone(904)247-5826 • Fax(904)247-5845 I
____2• 0;i191- E-mail: building-dept @coab.us Date routed: I Z/t4AS
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: •la PQ.(o4 (S e C.4 , De rtment review required Yes o
Building
Applicant: CEORGc- a U2"roti Qom's `f
Tree Administrator
Project: __N r w ERR . - T0O(� 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: proved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING ^I _
Reviewed by: Date: /off c S
TREE ADMIN. Second Review: ['Approved as revised. ❑Deni .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date: J
Revised 07/27/10
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