598 SEASPRAY AVE - WINDOW / DOOR Et CITY OF ATLANTIC BEACH
ss
4k d 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
J ¢' INSPECTION PHONE LINE 247-5814
II
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-768
Job Type: WINDOW AND/OR DOOR
Description: WINDOWS/DOORS
Estimated Value: $1,900.00
Issue Date: 4/7/2016
Expiration Date: 10/4/2016
PROPERTY ADDRESS:
Address: 598 SEASPRAY AVE
RE Number: 170703-0432
PROPERTY OWNER:
Name: BAKER ET AL, JAMES W
Address: 598 SEASPRAY AVE
GENERAL CONTRACTOR INFORMATION:
Name: XL PROPERTIES & CUSTOM
Address: 1333 S HIDEAWAY DR MARK R NUGENT
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $29.75
BUILDING PERMIT FEE $59.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $93.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0.A1- City of Atlantic Beach APPLICATION NUMBER
Js - Building Department (To be assigned by the Building Department.)
/ )11y
D — 7G 800 Seminole Road / c_
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 ®/l
s9• E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �` 0 �L�4 f I ° - - = i review required Yes o
Building �
Applicant: I L Proto �.S ��ri Zoning
Tree Administrator
Project: ✓" i 3)64 e Public Works
Public Utilities
Public Safety
Fire Services
P
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Eicproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: / / ` Date: 41'S./(::•
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
.
Sy�,�f,„ BUILDING PERMIT APPLICATION
'r
J -'ts,
CITY OF ATLANTIC BEACH
yr FILE COPY
\. 800 Seminole Road,Atlantic Beach FL 32233
� `Jf;1ur Office: (904)247-5826 • Fax: (904)247-5845
Job Address: 5 71 l �t/h74 - L `It Permit Number: /6 ..tt/f 4/0-- 76
Legal Description J 5: Y�( "2 2Y1 I le 914E# I 70?03— !"'30.�s
Valuation of Work(Replacement Cost$ / Heated/Cooled SF � -6 8- Non-Heated/Cooled 2 `'
• Class of Work(Circle one): New Addition Alteration Repair Mo e Demo Pool indow/D
• Use of existing/proposed structure(s)(Circle one): Commercial Reside •
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 0 N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be erformed:
Florida Product Approval# a for multiple products use product approval fonn
Property Owner Information �� �/ Q�
Name: "',.' eS /�-e-- Address: (/Z '( /1 16 CN /&"
City (7i, •.4 z. ,f4J-S State fj Zip 3%S,Z Phone ?c' -'76)4"--3 7 7 7
E-Mail XL f ' # 774)0%"c'C, COM 1 �-
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) mote t Plat
a
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.
Contractor Information: �}.,
Name of Com n !e S �i%ad k Qualifyin A ent: I '' 164'Qi,S
Address: e f. Mr City johr's State Zip'# "r ..Z2
Office Phone '704(— '101(--`3 1?7 Job Site/Contact Number 74"y- 904e-3777
State Certification/Registration# e e, /573 ga y E-Mail ye_ / 24$C e 4a(.- eam
Architect Name & Phone # '---
Engineer's Name & Phone# ------
Worker's Compensation /0/0 7
Insurer / Lease Employees / Expiratio Date
Application is hereby made to obtain a permit to do the wor 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 comme ced wit, six(6)months, or if construction or work is suspende or abandoned fo�o
period o six(6)months at any time after work i omme r-d. I /derstand that separate permits must be secured for Elect, al Wor,/ 1 g,
Signs, Wells,Pools,Furnaces,Boil , Ta•. # ) onditioners,etc.
Signature of Property •wrier:-� �:,a.sr_m���,___,s/ Signature of Contractor: 'ig Ad it .i ___.._
this 7 k Day of APAINANAPP 10 I 0 Before me this 3- A D. of Air Gh Zo`t,
II 40
Notary Public: % Notary Public: mot , r
R
M
I herebyce/� t f '?( `i" rl2ift •'o-'=ine this application and know th. so e' e7Pited ihl+cerrtecai.r ;J&ro 'lions of laws and
ordinances, et ti ' is Zwork will •e complied with whether sp- i ere' e&in561leidt.GrEhartgrantm,of. permit does not
presume to" tits., ' � Banc'' the provisions of any other `.••err`;Nt2tteMbr4'Qlet lr�uvvr7 gang •nstruction or the
perform .• s. •-s i.
1 ".�t . txpires Oh/14/2O18
• . .3/14/16
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