1830 Live Oak Ln 2014 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000274 Date 3/04/14
Property Address . . . . . . 1830 LIVE OAK LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15733
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Application desc
window replacement
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Owner Contractor
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JOHNSON, DAVID R. & NORMA THD THE HOME DEPOT AT HOME
1830 LIVE OAK LANE SERVICES
ATLANTIC BEACH FL 322334510 2690 CUMBERLAND PKWY STE 300
ATLANTA GA 30329
(813) 402-3700
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc - - 65 . 00
Permit Fee . . . . 130 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 15733
Expiration Date . . 8/31/14 ---------------
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total 65 . 00 65 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 199 . 00 199 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0 BUILDING PERmn APPLICATION
C ITY OF A-TLANTIC BEACH
V7437- &YW 800 Seminole Road,Atlantic Beach, FL 32233 F- 24 2014
Office (904) 247-5826 Fax (904) 247-5845
jBy
Job Address: (3 QA< 1,V� � cky"�Ir Permit Number:
Legal Description a -6(� Parcel#
Valuation of Work$
Class of Work(circle one): New Addition Alterati Rgair _M0V4_j)L( lition poollspa
on air
Use of"tingtproposed structure(s) le one): Commerci '�Residentiaf-->
If an existing structure,is a fire spnnUerrcsystem installed?(Circle one): --Yrs---No N/A
Florida Product Approval# 101. 1f CoAeC2C^-r
For multiple products use product approval form
Describe in detail the type of work to be performed: ��-,z_e\0\-QQ-, 'Sk -P—
ProMrty Owner Information: FILE COPY
Name_._Dq,>-\\.cN— 7��
\4-\06c, Address: /,?,3 k 0 e- C�
city StateFLZip 2>36N2>�> Phone
E-Mail or Fax#(Optional
Contractor Information:
Company Name:t� c'i(_14\6-S) Qualifying Agent:
Address:')&1 k4r�4:!tNkv, city State F4- zip Z)I(o
Office Phone �7k 5-1,1&1 o,1�� Job Site contact
52141
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State Certification/Registration# c-041NOPA-AlAint
Architect Name&Phone# My of*TL-*QN
Engineer's Name&Phone# WW PERMftS FOR A00)TIONAL
Fee Simple Title Holder Name and Address AND e0!-4"AAATft,
Bonding Company Name and Address
Mortgage Lender Name and Address plavlawim]INW.- M2 5'_j V
tions y n has commenced prior to t
thisjurisdiction. This permit becomes ni
aWeriod ofsix(6)months at any time afi
e,
�11s,Pools,FWmaces,Boilem Maki
WARNING TO OWNER: YOUR FAIILURF, TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMTROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y013k NOTICE OF
COM[MENCEMENT.
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 1)
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 t
provisions ofany otherfederal tate, or local law re construction or the pe�formance ofconstruction.
\�Sipature of Owner Signature of Contractor bel..4� e,
Print Name
'4rint Name
............ .. ............
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. ................
Sworn to and subscribed before me Sworn to and subscribed before me
thisP" Dayof 1-c\,o�c\j�-4 20 Day of 1�_e__\otj-,:A 20
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NOTARY PUBLIC EXPIRES:January 29,2018
RONALD ALLEN REEDY
STATE OF FLORIDA Bonded Thtu Notary Public Underwrte
Comm#EES54609
Expires 12/29/2016
Doc # 2014039442, OR BK 16696 Page 656, Number Pages: 1, Recorded 02/21/2014
at 09:02 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECOtDING $10.00
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STATE OF FLORIDA
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 W
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: IS%3LI DeVadWent review required Yes,/*No
4_uiI4Ling_,-' V
Applicant: 77anning &Zoning
Tree Administrator
Project: -4/4 A Public Works
coo 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: [�Kpproved. []Denied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: pn OL,_ D ate:
TREE ADMIN. Second Review: DApproved as revised. FIDeVed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: EJApproved as revised. r_�Denied.
Comments:
Reviewed by: Date:
Revised 05114109