1426 OCEAN BLVD - WINDOW CITY OF ATLANTIC BEACH
N ;. SS1
800 SEMINOLE ROAD
J
-' r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\0.21=I '
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-1007
Job Type: WINDOW AND/OR DOOR
Description: WINDOW/DOOR
Estimated Value: $2,300.00
Issue Date: 5/13/2016
Expiration Date: 11/9/2016
PROPERTY ADDRESS:
Address: 1426 OCEAN BLVD
RE Number: 171852-0000
PROPERTY OWNER:
Name: MATTHEWS, JOSEPH
Address: 1426 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: FUTURISTIC HOMES, INC.
Address: 13694 BETTY DR QA SAMUEL JEFFREY FLOYD
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $30.75
BUILDING PERMIT FEE $61.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $96.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
, 0...Ail, City of Atlantic Beach
BuildingDepartment APPLICATION NUMBER
J p (To be assigned by the Building Department.)
J , " � 800 Seminole Road /�� '• I
• � (�(/ ,/
!1 „r Atlantic Beach, Florida 32233-5445 d — /!// 7
Phone(904)247 5826 Fax(904)247-5845
P.!ari1>%' E-mail: building-dept@coab.us Date routed: L
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /'/l(p ijetird t /✓d Department review required Yes No
Applicant: Ktatalic, r m Planning &Zoning
Tree Administrator
Project: IL)/ -. 0‘1) - „PaljeS 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: Miqproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: rn t` Date: •S'//L‘.
TREE ADMIN. Second Review: A
❑ pproved 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 OFFICE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 102( ()awl L!�v� pd
kl, , , Fl. ,3'� Permit Number: /4 —It/ii7 f) /COQ
� ,
Legal Description i L� * 17 45)OM Parcel# LaiQ)k S
Floor Area of Sq.Ft. Sit
Valuation of Work$ .2,36040 Proposed Work heated/cooled non-heated/cooled 7
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indow/door
Use of existing/proposed structure(s ci —�
le-nne): Commer : - .enti.
If an existing structure,is a II ; - I in q er s ste I installed? (Circle one): •es 1 o _
Florida Product Approval • ,.r._ - ' i,90/ Pt#$aaf,7 a4 8 8 j
For multiple products us• oduct app_ rova form ' lam
d (- �� 1655(9j$1X7
Describe in detail the type of work to be performed: . i. aot.JS Li MINIF CU
0.4
Property Owner Information: n`
Name: SoSe fi►•i7'Tartu.+ �4a�ews Address: HU 00044 NJ,
City pi. f;,1,,, State G( Zip .301R31 Phone Gal 4V-0135S-
E-Mail or Fax#(Optional) -IAA rs 460..)s 6 5tu,i,Oh
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: RdUriSTic Ilboits J 00{,da. 7-nc, Qualifying Agent: Solod S, ri, 4'
Address: 13b.4d BciI- pr- City So,/, State Fa. Zip tit'3.7.9.2,/
Office Phone vol-716-40k Job Site/Contact Number Qp,/-7)0 -•o6d Fax#
State Certification/Registration# Cv, c6 9q q
Architect Name&Phone# 0yg SA)eed - q6 4- 343- 6Sa?3
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 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.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type 0'work will be complied with whether sppeci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local la. •:ulating construction or the performance of construction.
0
0
Signature of Owner _ �.�� Signature of Contractor 16 "
Tint Name � n / It 414.44,.../S Print Name SrJtXt'7�'/
jc�
3efore me Before e '
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,.� 't. a . . CMALWEUis _ •Notary Public,State of Florida . .ry Pu. t ..
ComrrNabn Ff 908811
„.; Commission/FP 910710 ti ;'<;, C
My comm.expires Aug.18,2019 i se 'U .Mires Aug 18,20+ Y