1845 Sea Oats - Door Permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
!n �'V� INSPECTION PHONE LINE 247-5814
WINDOW ANDIOR DOOR PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-WIND-3391
Job Type: WINDOW AND/OR DOOR
Description: Replace back entry door size-for-size
Estimated Value: $997.52
Issue Date: 3/8/2017
Expiration Date: 9/4/2017
PROPERTY ADDRESS:
Address: 1846 SEA OATS DR
RE Number: 172020-0544
PROPERTY OWNER:
Name: SHELDON, PETER J
Address: 1845 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: GEORGE BURTON CONSTRUCTION INC
,CGC1515993
Address: 1SUNNYRD QA GEORGE FREDERICH BURTON III
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PE"IT IS APPROVED ONLY IN ACCORDANCE WITH ALL CIT'V OF ATLANTIC BEAM ORDINANCES AND THE FLORIDA
BUILDING COIXES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, Fl. 32233
PHONE (904) 247-5826
Cashier Id: atl1dcld\atlb1bja
Receipt Date: 3/912017 10:41:26 AM
Receipt Number: OS-72596
Job ID: 17-WIND-3391 - Replace back entry d
Job ID: 17-WIND-3391 - Replace back entry d
Job ID: 17-WIND-3391 - Replace back entry d
J,b ID: 17-�WIND-3391 - Replace back entry d
Am,,unt Due: $96.50
Tender Informatim: Check f IOG&2 SBS-50
Tender Type: CK
Tender Amount: $815.50
Change Due: $0.00
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 11-W-3-00-339/
Phone(t,04)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date muted: 5-1-01611
City welb-site: http://�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: IR45 S& oakft-_ Qppffliniant review re-guired Yes �No
0"dWQ_--' _�7
Applicant: 1141C. Planning &Zoning
Tree Administrator
Project: 'kAQEQa Public Works
Public Utilities
Public Safety
Fire Services
,Review fee $ Dept Signature
"t er Agency Review or Permit Required Review=PEI Date
of Permit y
Florlida Dept.of Environmental Protection
Florida Dept.of Transportation
St.-Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
MA-slon of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
0*�
Reviewinig Department First Review: ffAipproved. DDenied.
(Circle one.) Comments:
<!!F�
PLANNING &ZONING Reviewed by: e oo� Date:. 7
TREEADMIN. Second Review: E]Approved as revised. ODenW.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: E]Approved as revised. F�Denied.
Comments:
Reviewed by: —Date
RevlsGd 06114/09
02/27/2017 16:42 2475920 FLETCHER PAGE 02/02
BUILDING PERmrr APPUCATION OFFICE COPY
Crry OF ATIANTIc BEAcH
800 Scarinole Road.Adantic Beach M 32233
Offi.c;(904)247-5926 - Fax;(04)247�5945
Job Addressi 1845 SEA OATS DR.. ATLANTIC BEACH, 32233 —Permit Nnb or.
Legal Description 30-20 09-213�29r SELVA MARINA UNIT 9 LOT 22 SLX I__RE* 172020-0544
Valuation ofWork(Replacronam Cost)k 997-52 Heate&C"led SF_Noo,UntedIC"led
• Clow ofWork(arcla oney New Adrdtfign Alteration Repair Move__Pemo Pool :�w�dowlm
• Use ofaxisfirtoroposed 9tructulc(s)(Circle one): Commercial (I�Mdn
• [fan existing structum�is a fire spridjder system installed?(Cirdeoue); Yes W N/A
• SubmiiATfte Rcmoval Permit Application iftry,trocs rac tobe removed.or Affidavit OfNo TreeRemoval
Describe in dartait the Pipe of"rk to be performed:
REPLACE SACKENTRY DOOR -_StZET0R75IAE_
Flmid,Product AVprtivl.# FLO lW74.1
Property Owner
M: 1545 SEA OATS DR.
City ATLANTICIRrACH —State FL Zip i72-0099
E-Mail
OwnermAgent wAzmLP�orAwrawa,Agr*y�-RN
WARNING TO OWNER, YOUR FAILURE TO RECORD A NOME OF CFMMENCEMENT MAY
RESULT IN YOUR PAYjRG TWICE FOP. lb4PROVEMFNT.S TO YOUR PROF kTY, IFYOU UND
TO OBTATN FINANCING, CONSULT WITH Yauk' LENDER OR AN ATTORNEY EFORE
RECORDING YOUR NOT[CE OF COMNlENCEMENT.
Contractor Informsidmi:
Nam,ofCoMpany. GEORGE BURTON CONSTRUCTION INC. OnelifyingAgent: GEORGEBURTON
Address: I SUNNY RD. City_ORMONDBEACH State Zjt� -FLOW& 32174
Office Phone 306) 076-2031 Job Site/Contiact Numaher 380 676-283Z
State Cartificatiun/ReSiStratiOn# MC1918993
Architect Name&Phone P NLA
Engineer's Name&Phone#
Worker's Compensation MI. ..........
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1845 SEA OATS DR 1845 SEA OATS DR "332-00365 9409
1 A�ANTIC BEACH,FL 32233-4511 AtIalatic Beech FL 32233
SHELDON DEBORAH C OFFICE COPY
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