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533 SEASPRAY AVE - WINDOW 'r _ik JJl,• �" rallPr• ' `- CITY OF ATLANTIC BEACH 1.2 s1 800 SEMINOLE ROAD \ J }:z: 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: 17-WIND-2963 Job Type: WINDOW AND/OR DOOR Description: replace door with sliding french door Estimated Value: $2,490.00 Issue Date: 1/18/2017 Expiration Date: 7/17/2017 PROPERTY ADDRESS: Address: 533 SEASPRAY AVE RE Number: 170703-0312 PROPERTY OWNER: Name: Cook, Charles F III Address: GENERAL CONTRACTOR INFORMATION: Name: ACE DOOR & WINDOW SERVICE Gary Hale QA &Victor Hale QA, CBC035180 Gary Hale & CBC048957 Victor Hale Address: 9123 E HARE AVE QA GARY SHALE CBC035180 Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $31.23 BUILDING PERMIT FEE $62.45 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $97.68 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 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: 533 Q' / QAJQ_ Permit Number: ( ti 1)— � t(- Legal Description 3 5'•.(o1 1 �J —( !Q Parcel # 1 -0l c} D Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ di/ / ©i 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): Commercial Residential If an existing structure, is a fire spryikler siiystem I installed? (Circle one): Yes No N/A Florida Product Approval # — t 0 ( g 1 For multiple products use product approval form Describe in detail the type of work to be performed: i€ ace_,vt ace_, bo( J ' e-(lMR h 0 0( S fc-r.nc k boo R. Property Owner Information: ��++ Name: • C h a ( f-C S C D 6 K Address: J 3 ? a C4-C, , City ( -$' frA/kir . L State gZip 3 2223 Phone 9 D t f .7 a F- E-Mail or Fax#(Optional) Contractor Information: • Company me: A C S D o o c W I n ct010 Qualifying Agent: v 1 y�C )`'C • '�t Address: I i ? 3 //Qre. QV e City SaC�or\\-)"1(e State 'L Zip 3ZZl Office Phone-7 a-7 ((t� if Job Site/Contact Number 3 lf 3--P l/) Fax# '7 02 7 g t 3 State Certification/Registration# C P,G C) 4 g ! 5 7 Architect Name& Phone# Engineer's Name& Phone# Fee Simple Title Holder Name and Address ,� l Bonding Company Name and Address A-1 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 certifj'that I have read and examined thisplication and know the same to be true and correct. All provisions of law 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 ' thorny to violate or cancel the provisions of any other federal.state,or local law regulating construction or the performance of construction. Signature e of Owner;. :-i�.__. I Signature of Contrac • ' �, k Print Name (� /�� ))), Print Name V L+0 ( Savo ads .sc '.ed •• ere me l Sworn to and subscribed before me this 1 " ' of \ , 20 I this Day of JA-AI)A ,20 /7 X'Alcillk aVA ' utary Public wit mew_ otary P lie SPERGER .41/2 ry'�1;. KAREN A STAM� sed 01.26.10 TONI GINDLE = •*c MY COMMISSION#GG042103 =4' MY COMMISSION t FF 924951 *-.:61t.,. EXPIRES October 25,2020 r•. EXPIRES:October 6,2019 'a �? Bonded Thru Notary Public Underweters P;, ?S sir' City of Atlantic Beach APPLICATION NUMBER js fl Building Department (To be assigned by the Building Department.) tt� 800 Seminole Road � Atlantic Beach, Florida 32233-5445 1 - - aCl ID3 Phone(904)247-5826 Fax(904)247-5845I _on 9P. E-mail: building-dept@coab.us Date routed: U I I Del City web-site: http://www.coab.us • APPLICATION REVIEW AND TRACKING FORM Property Address: 6 3 3 S ('‘ 5 p 1 cry N De artment review required Yes o Building Applicant: A C.c._ k) ,n&tor,J "' 0 D i> ( Planning &Zoning Tree Administrator Project: tt c f w \ S3ct Public Works Public Utilities Public Safety Fire Services Pe-view- 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: r4oproved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: l—/7�['7 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