198 SYLVAN DR - WINDOW r
rCITY OF ATLANTIC BEACH
»:� S 800 SEMINOLE ROAD
Of' "r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-1--1.0.219P1
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-1693
Job Type: WINDOW AND/OR DOOR
Description: replace 6 windows size for size, NOC REQUIRED
Estimated Value: $2,910.00
Issue Date: 8/2/2016
Expiration Date: 1/29/2017
PROPERTY ADDRESS:
Address: 198 SYLVAN DR
RE Number: 170643-0000
PROPERTY OWNER:
Name: DOWNS, TERESA S
Address: 198 SYLVAN DR
GENERAL CONTRACTOR INFORMATION:
Name: WINDOW WORLD OF NE FL
Address: 8110 CYPRESS PLAZA DR APT 405 BRIAN WALL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $32.28
BUILDING PERMIT FEE $64.55
Total Payments: $96.83
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
S.Ari;.��„ City of Atlantic Beach APPLICATION NUMBER
vs -f t .* Building Department (To be assigned by the Building Department.)
r,_;. i f 800 Seminole Road 1�_W� •,�_
;�� ••- �� Atlantic Beach, Florida 32233-5445 1" b
Phone(904)247-5826 • Fax(904)247-5845 `�,-1 '
(13
' u;119%- E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` cll % S \I`V 0. A ifu ,QC D ent review required Yes o
Building
Applicant: W k(\d,t r Wo140V il- ing & oning
1 Tree Administrator
Project: ( �,p\- -IL. lo 1�J, I�I��S St'tQ Public Works
1 Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St. Johns River Water Management District
Army Corps of Engineers
EDivision of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLI TION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle Comments: J
BUILDING ! V U i/,e7eC4C/
PLANNING &ZONING Reviewed by: Date: 7- 9/6
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 I
1
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: \ \vo,h Permit Number: J t' - (042
Legal Description \O'k e).at-aS•DcW r Sc'3 1_0A-166 Parcel # 1 -113 Coq- - boo
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa vindow door
Use of existing/proposed structure(s) (circle one): Commercial Residen
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: (Z.19.0 C,Ce. t o w't ndovv 5 Si`z.e. -( Si Z e
Property Owner Information:
NameT€c€5 o. S bow S Address: 1 (AUCt n 1)
City PA-,Cor* c I5Q h State+�t Z_ip32233 Phone�10y j,2- 342
E-Mail or Fax # (Optional)
Contractor Information:
Company Name:�}j!\c�p yv \l�lb(Act E t_ Qualifying Agent: n c+\ W q l
Address:gVSZ Ph\l;(n Pvicj Ste. l CityJa_Ckst.c,,; he_ State fi=t Zip szzs
Office Phone 552)Sop- 33C9 Job Site/Contact Number()py+43-700 t Fax#
State Certification/Registration#� vac R'1 i O
Architect Name& Phone #
Engineer's Name& Phone #
Fee Simple Title Holder Name and Addres
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 pet formed 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 sig(6)months at any time after
work is commenced 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.
/hereby certify that I have read and examined this a plication and know the sante 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 ofany other federal,stale, or local law regulating construction or the performance of construction.
Signature of Ownel�J�QAQSi
t�
__— gnature of Conti-actor
Print Name rte y ei —PQ wVit Print Name ja..+r\
Sworn to and subscribed before me Sworn to and subscribed before me
thisd%�`'1 Day of j7 20 /( this ) Day of Jvt - • 20 )C/
-'171C". y/�- -.- _ I RE�o •
''CT 'f I
Notary Public *':} �, a aMtil�iss�ortrFFteast2 No ry Public �`Q pq `''hl�` ROAlR"A
MY C 27,2019 t;h: 4 i C1'Al! siorl D FF i oe"CO
'*. .. EXPIRES:Febt y2„1, :writ�n '' ' EXPi4 C7!t 2i,?
iia ' 'fs
Booed `rl syr eds�D;lu 6:, Q:t,c!ar;
�8t„ e;
OFFICE COPY
Av ,l >G,r-rcioza sir
"Simply the Best for Less"
Of NE Florida
9452 Philips Highway Suite 1
Jacksonville,Florida 32256
(352)443-7001 •Fax:(352)861-7587
Limited Power of Attorney
Date:1('uI IC_I'
To:
Building Dept.
From: Brian Wall
I hereby name and appoint, Gregory Galas, Naomi Mason, Donna Malvar, Megan Constable,
Phillip Romano,Joshua Galas, Sabrina Sierens a permit service for Window World NE Florida, to
be my lawful attorney in fact to act for me to register my license and apply to:
A Q RAtt
C C 1PAGn for a 01\80W permit for work to be performed at:
Lot: T)1)C) B1k: Sec: It' Twp: J Lo Rge: 2
Subdivision: 0+0..x'f Se C. 3 Parcel or Altkey: 1 16 Co LI 3' 00 O 0
Address of Job: �g S3, 1/414.n 1{
Owner of Property: bo w(\..5
and to sign and do all things necessary to this appointment.
Thank you for your assistance.
Sincerely,
.�- 4w
Brian Wall
State Qualifier
CBC1259710
State of Florida
County of Duval
The foregoing instrument was acknowledged before me by Brian Wall,who is personally known to me and
who did not take an oath.
Sworn to ands 'bed bef re me this / day of 2016.
Notary Publid/p�
My Commission Expires: 10/21/2018 (SEAL]
+`,•...•e, ANNE S.ROMAPO
�. �C�•'.a�ii ;,3J t 1-r
• D I'i': _;i,.,,r•
•
OFFICE COPY
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Customer Name: Te—re-5 A. Dc c.1 S Date:
.. Stories:
Alarm System: Yes No Burglar Bars: Yes
No
Comments: Low-E LEE Frosted Color
Grids
Type of Construction: Block Brick < ui Stucco Hardy Board Vinyl
Type of Windows: lumi Wood Iron
1. 5 l ��`' X 48'i4
13.
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5. 34 Ste X S 13/4
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