1122 Linkside Ct door permitCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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 -2698
Job Type:
WINDOW AND/OR DOOR
Description:
REPLACE FRONT DOOR
Estimated Value:
$2,400.00
Issue Date:
12/12/2016
Expiration Date:
6/10/2017
PROPERTY ADDRESS:
Address:
1122 E LINKSIDE CT
RE Number:
172374-5110
PROPERTY OWNER:
Name: BROWN, JACOB S
Address: 1122 E LINKSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: PARDE CONSTRUCTION, LLC
,CBC3256676
Address: 2035 Forbes ST
Phone: 904-685-2202
PERMIT INFORMATION:
PLAN CHECK FEES $31.00
BUILDING PERMIT FEE $62.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $97.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-t - City of Atlantic Beach
rs Building Department
0 800 Seminole Road
Atlantic Beach, Florida 322335445
Phone (904) 2475826 Fax (904) 247-5845
_�;19>• E-mail: building-dept@mab.us
City web -site: http:1Aw w.coab.us
APPLICATION NUMBER
(To he assigned by the Building Department.)
-2098
Date routed: I Z Z
APPLICATION REVIEW AND TRACKING FORM
Property Address: i (ZZ Lm)ys(oc i 67
Applicant: (—�FZRc) l nC)P p '
Project: I_ (Z(7!J T L) oC:;, IZ
Review fee
DepArltment review required I Yes o
uildin
-Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Dept Signature _
Other Agency Review or Permit Required Review or Receipt Date
Of Permit Verified B
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.
Reviewing Department
First Review:
[gApproved.
❑Denied.
(Circle one.)
Comments:
UILDIN
PLANNING & ZONING
Reviewed by:
TREE ADMIN.
Second Review:
❑Approved as revised.
❑Denie .
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES
Third Review:
❑Approved as revised.
❑Denied.
Comments:
Reviewed
Revised 05/14/99
Date: /2-6-16 1
Date:
BUHAINGPERMITAPPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1Cr9r Ee51- Permit Number:
Legal Description t{Li - 23 -2 5 - 24F Iia �.t.,�, J� (�k;� I lof11Parcel # /Z74(-9110
Valuation of Work S ,?, 406 .w
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed.structore(s) ((cmcle one): Commercial esidenti
If an existing structure, is a 6 spnoklI r system installed? (Circle ooe): o N /A
Florida Product Approval # FLJ`s9L'+-
For multiple products use pp�uct a— form r� I
Describe in detail the type of work to be performed: KCD �acG �ro-JC- �m�
Procerty Owner luformation:
Name:J—SGn+-
City 4.4t< Teed,
E -Mail or Fax # (Optional)_
Contractor information:
Company Name: ca,�e C
OfficePhone 7ep-(q5-Z-70&
State Certification/Registration # i
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and A
Bonding Company Name and Addre
Mortgage Lender Name and Address
Job
�•rjr
I here cert that I have mad and esamined this nation and know the same to be true and correct. All provisions of laws and ordinances governing the
type o work will be complied with whether specy red hereto ar not. The granting of a permit does not presume to give authority to violate or cancel th
provisions ofarry other federal, state, or twat law regularing coratruction or the performance ofconrtruerion.
Signature of Owne O Signature of Contractor
Print Name f1 frown Print Name T
Sworn to and sobs ribed be ore me Swom and subscr'11
IS
Day off . this Day of IC LE COLETiE 6
,r;�:.:"•. WINDI G.ItAM1GW :'p^ N. Notary
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