1637 BEACH AVE - WINDOW CITY 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: 17-WIND-3344
Job Type: WINDOW AND/OR DOOR
Description: REPLACE WINDOWS AND DOOR IN COTTAGE
Estimated Value: $6,000.00
Issue Date: 3/3/2017
Expiration Date: 8/30/2017
PROPERTY ADDRESS:
Address: 1637 BEACH AVE
RE Number: 169652-0000
PROPERTY OWNER:
Name: Eckstein, Joseph P
Address:
GENERAL CONTRACTOR INFORMATION:
Name: STYLES CONSTRUCTION, INC.
, CBC1250669
Address: 1537 PENMAN RD SUITE A QA DARRELL GLEN SMITH
Phone: 904-545-9107
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $40.00
BUILDING PERMIT FEE $80.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $124.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
Bl'II,DING CODES.
iravi:y„ City of Atlantic Beach APPLICATION NUMBER
J3�# Dl Building Department (To be assigned by the Building Department.)
le ii
800 Seminole Road 17 _ \A) 1k)0`334 4
�� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 /74/1
E-mail: building-deptcoab.us Date routed: Z 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
0-04( Cse_
Property Address: i C31/47 t`� ei.k EA v6 De art�ient review required Yes/No
uilding V
Applicant: T v _ptSi ng &Zoning
Tree Administrator
Project: Rept N f/di k) _(-‘)coS Public Works
Public Utilities
D CD I 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: 1.41Approved. ❑Denied.
(Circle one.) Comments: - I S Q n o-I 1 v t
1errn ; a�Y�a�y ems, s , jot,
/V 0C- r1P-eded ? 1 C _RNA e-Z(06,3 `ONI.L( (4)OO4 t`ef to e/nenf
PLANNING &ZONING tZ,Ovd V7.24Reviewed by: Date: /
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
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 COF�i�
—) 800 Seminole Road, Atlantic Beach, FL 32233
(0 37_.. ) Office (904) 247-5826 Fax (904) 247-5845 I _ i J o -3344
Job Address: /J 3, e,<4 a,„. (cetfa3 c ) Permit Number: -
Legal Description Parcel #
Valuation of Work$ C eo , Prop ed Work he ted/cooled x/3'0 or Area of S .Ft. 5 1~'t
v
non-heated/cooled
Class of Work(circle one): iwo 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 sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# (.4/;,.d./..,., AZ iii sz D - Ft ,y?92
For multiple products use product approva orm
Describe in detail the type of work to be performed: /a S/-.-.t/f c✓,%✓u1ows- ..,,..! b oa r-
7l
Property Owner Information:
Name: 70 e fe ks 44, Address: /G 7? �cace Q ti
City /974-20,.///c 6a, State..Zip 32 2 3., Phone ,Zy q_ /47 0 2-
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: CA/c-s Co,✓s-7 c-,.fio„✓ ,z-.....1 e Qualifying Agent: /)arr<If S',•n y
Address: /S ?7 ..y,.,.r,, City J71�x Is eel State P.4 Zip 32-2 S-a
• Office Phone SI's—9/47--7 Job Site/Contact Number Sys-- 9,,.,-7 Fax#
State Certification/Registration# G iC /z s-01 d 9
Architect Name&Phone# w�ja
Engineer's Name& Phone# f��
Fee Simple Title Holder Name and Address ,-.0,yr
Bonding Company Name and Address ,.��
Mortgage Lender Name and Address .„‘,/,q
• 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•vork is not commenced within six(6)months, or if construction or work is suspended or abandoned for as 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 herebycertify 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 ofworkwill be complied with whether speci 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 law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor ,r,.,.w(
Print Name 2- .SPs4 7. GG„ s Print Name $^0” x`111 ,, //
`N1►i111l�►llty�r �a 6/`yi„'N S1lroti`A,
Before e �NscoT / � ;•'��iUIOry`' s.
Before
I Day o � v..„0-••.....orv• • -* Before P7' y� �,
R c) .0Y�E. •. 1., this Z% Day of C63x-�- 4 �t'+ 20wJ�
Notary Public *' •:* - •: goo,
xocoso380 • o = Notary Public � ��`