1950 MIPAULA CT - WINDOW , ,
s = r CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
J ;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: 16-WIND-1673
Job Type: WINDOW AND/OR DOOR
Description: REPLACE TWO WINDOWS AND INSTALL HARDIE LAP
SIDING OVER CEDAR SIDING
Estimated Value: $20,000.00
Issue Date: 7/29/2016
Expiration Date: 1/25/2017
PROPERTY ADDRESS:
Address: 1950 MIPAULA CT
RE Number: 169506-1024
PROPERTY OWNER:
Name: BROWN ET AL, PAUL T
Address: 1950 MIPAULA CT 1950 MIPAULA CT
GENERAL CONTRACTOR INFORMATION:
Name: RJ VINAS CONSTRUCTION
Address: 2215 LAUGHING GULL CIR QA RICHARD JAMES
VINAS
Phone: - - —
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $75.00
BUILDING PERMIT FEE $150.00
STATE DCA SURCHARGE $2.25
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.
r's)..An?j, City of Atlantic Beach APPLICATION NUMBER
i Building Department
(To be assigned by the Building Department.)
J., ,- i �1 800 Seminole Road ' IN ' _ • r 2
Atlantic Beach, Florida 32233-5445 W ` 10 3
Phone(904)247-5826 • Fax(904)247-5845
'\0109%• E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11 SO 1\k, f 1 UL A C27- ent review required YeNo
p \ ` Building)
Applicant: 4R �( �N�S�p�S� Planning&-Zoning
Tree Administrator
Project: REPLAce 2'\ I 1- Public Works
Public Utilities
Si
O l /•:) ‘
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:
BUILDIN
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑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 OFFICE COPY
CITY OF ATLANTIC BEACH
. 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 ` 6- v V(N 3 I (p 7,3
Job Address: t I M+ Pal, Permit Number:
Legal Description Loi"" 12, S - NtWi4 LAA-r V V -- Parcel # ( (O 957) 6 - to Z- Cf
0 io w Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 04 0, - Proposed Work heated/cooled 24, ( ' non-heated/cooled 2--3 I
Class of Work(circle one): New Addition • lteratio 'e.. Move Demolition pool/spa wind. • /door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval # 1 li 0 5: (
For multiple products use product approval form
Describe in detail the type of work to be performed: 7e /a tt 2_ lio 2nchists i- ad.0 (--/G,,di e
1 c( 5:°1`/ (Alec DO -cedar s;eA t'�
Propertvpwner Information: c f /�
Name: !-CkW1 f>t6'"tf Address: f l� �PA.IC (7— /GA he &c;.c/ Vic_
City �e
G/1 tic c c( StatePLZip 32..1 _Phone
E-Mail or Fax#(Optional)
Contractor Information: f'
Company Name: KJ V ti Ca1A,5 , i. _Quali 'n: Ag-nt: 1 .Grp l✓te.�
Address: Z —ZI �4skint 1 Cti� CityyLi A . . State r� --c_ Zip 3zz 3�
Office Phone (v� 5-(i `(`f Z Job Site/Contact Number SO -- 0-0.— Fax#
State Certification/Registration # C Cr-C` t i (,tic$/ r t t c,rd l lA-cS Q _ry mac. /C0-1
Architect Name& Phone# '—� �/
Engineer's N-ime & Phone# _
Fee Simple Title Holder Name and Address i
Bonding Company Name and Address N Pr
Mortgage Lender Name and Address
4pplication 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 o, 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 plication 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 specified 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 law regulating construction or the performance of construction.
Signature of Owner 016 ,.
Si nature of Contractor l r 4
Print Name R. 7No nn ASS & 0..0 Print Name RkOka.r Q.--S V 1 A
Sworn to and subscribed before me Sw• a• and su' bed ,efor; e
this Day of -JIM , 20 174!-.;:,, V 201
TONT1`I` _
Not ublic 1p:`PV i ro:...,�, ANDREY FERMIL E-12'9t.---:!.il� No;ary Pubr�u�+derwrten* ; . ; * MY COMMISSION a FF 019901 AP ed 01.26.10
74 EXPIRES:June 9,2017
J1,, nsp Bonded Thru Budget Notary Services