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697 BEACH AVE - WINDOW J i \ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 \D .F WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: - — Job ID: 16-WIND-975 Job Type: WINDOW AND/OR DOOR Description: WINDOW - REPLACEMENT Estimated Value: $20,000.00 Issue Date: 5/3/2016 Expiration Date: 10/30/2016 PROPERTY ADDRESS: Address: 697 BEACH AVE RE Number: 170119-0000 PROPERTY OWNER: Name: WENTZ ET AL, WILLIAM MICHAEL Address: 99 N LINCOLN AVE PROPERTY OWNER: Name: COLLINS JTRS, ZANE MICHAEL Address: 99 LINCOLN AVE GENERAL CONTRACTOR INFORMATION: Name: BOSCO BUILDING CONTRACTORS Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO Phone: - - PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $150.00 STATE DCA SURCHARGE $2.25 PLAN CHECK FEES $75.00 STATE DBPR SURCHARGE $2.25 Total Payments: $229.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) 11 800 Seminole Road t, I ' Atlantic Beach, Florida 32233-5445 �`r(V l ) 7 1 f Phone(904)247-5826 • Fax(904)247-5845 1 z�� o;t �> y E-mail: building-dept @coab.us Date routed: `t City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: GOf r] EL'c v E Department review required Ye No :uildin• Applicant: OSCo tanning &Zoning \ Tree Administrator Project: `� [V .C:DVO S 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: ❑Approved. ❑Denied. (Circle one.) Comments: n)Dc- BUILDIN V PLANNING &ZONING Reviewed by: / / t Date:4/.9916 6 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: 697 Beach Ave Permit Number: /6--x(/'/110 — ?75 Legal Description 5-69 16-2S-29E.13 ATLANTIC BEACH Parcel# Lot 6(EX W 90FT) Block 15 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 9-0. CXK) Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one):, ommercial 1:7 f V11 If an existing structur ;is a fire sprinklers ste inttalle (Circle one): Yes No N/A Florida Product App oval# �'(�_ `1/( '1. For multiple produ is use pro uct approval form Describe in detail the t f work to be perfo . eplace all windows. Property Owner Information: Name: Andrew Dehart Address: 697 Beach Ave City Atlantic Beach State FLZip 32233 Phone E-Mail or Fax# (Optional) Contractor Information: Company Name: Bosco Building Contractors,Inc. Qualifying Agent: Todd A.Bosco Address: 2158 Mayport Rd City Atlantic Beach State FL Zip 32233 Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 re24611-101 State Certification/Registration# CBC 1250212 Architect Name&Phone#Engineer's Name&Phone# Fee Simple Title Holder Name and Address PR 2 6 2016 Bonding Company Name and Address 2 Mortgage Lender Name and Address • Application is hereby made to obtain a permit to do the work and installations as indicated. /certt&that no work or i o the issuance of a permit and that all work will be performed to meet the standards of all laws regulating contra rs rmr ecomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for as 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. I hereby cert�that I have read and examined this a.plication and know the same to be true and correct. All provisions of laws 'nd' 'inances governing this type of work will be complied with whether s. red herein or not. The granting of a permit does not presume to give a , to or cancel provisions of any other fed' .1,star. •r local , r.:. 'Ling construction or the performance of construction. Signature of Owner ►�� _,�►�� Signature of Contractor Print Name An.rew Dehart Print Name Todd A.Bosco Sworn to and subscribed before me Sworn to and subscribed before me this-wt, Day of ,4htjL- .20 it, this •v. Day of/flail-11- .20/y Notary Public ` ot. . . "'!""' :111.r.;64.?:`'w s *UNA t.POPE F'• •.• :: MY CO& S$C t POPE i d 01.26.10 .; MY COMAMSSON 11 F1 242630 'rit' ,.t EXPIRES:Ocbber 19, . A= EXPIRES:October 19,2019 2019 l il�.S4:• Bonded Thtu Way Pubic U„E.,,ny,n A4" Banded Thu Notary Pubk uiw .eM<