332 7TH ST - DOOR rVl A" A CITY OF ATLANTIC BEACH
,� A 800 SEMINOLE ROAD
j 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-3400
Job Type: WINDOW AND/OR DOOR
Description: install new front french door
Estimated Value: $2,100.00
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 332 7TH ST
RE Number: 169.891-0.000
PROPERTY OWNER:
Name: AGEE, JAMES
Address: 332 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: LONDON BUILDERS INC
Mark Edward London, CBC059374
Address: 10877 HORSE TRACK DR
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $30.25
BUILDING PERMIT FEE $60.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BD PLAN REV. 2ND $50.00
SUBMITTAL
Total Payments: $144.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i';SyL‘�\, City of Atlantic Beach APPLICATION NUMBER
jS \ Building Department (To be assigned by the Building Department.)
800 Seminole Road
u v ' ;',1 Atlantic Beach, Florida 32233-5445 ��— i /U 6— 10C)
Phone(904}247 5826 Fax(904)247-5845
rio;310. E-mail: building-dept@coab.us Date routed: 03 IDa 1.II'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 3 a VA- St - Department review required Yes o
ui m
Applicant: L'O(1_617f\ 6U..1 0-45 7.-(\(-, Planning &Zoning
i Tree Administrator
Project: (\ R Q.kLvl {J')VI ctoo.r Public Works
Public Utilities
Public Safety
Fire Services
•
Review fee P 50/0 0 Dept Signature
Other Agency Review or Permit Required Revw Receipt Date
of Permit ieor 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: '<proved. ❑Denied.
(Circle one.) Comments:
€ NG
PLANNING &ZONING y /
Reviewed b : y- Date: 3/f 7
TREE ADMIN. Second Review: ❑Approved as revised. I (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
BUILDING PERMIT A -Lh:
441
CITY OF ATLANTIC BE LVED DATE
800 Seminole Road,Atlantic Beach FL 322MAR " Iart OFFICE COPY
Office:(904)247-5826 • Fax:(904)247-5845
t3w!ding Department
Job Address: 332 `�-5 PIW'-of Atlanticrcirf r: 3 -too
Legal Description Zvi O� 8/ocit c/ 47//444,44e4r P>1 n G'/ RE##
Valuation of Work(Replacement Cost)$ (07, I OG Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Doo
• Use of existing/proposed structure(s)(Circle one): Commercial J1esiclential—>
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No 010
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No ree Removal
Describein detail the type of work to be s erformed: i=eeo 1 errb „k 6. #2.0.4.,vve=1 R..,cl v iv y atQe-4:1,-
i/ t oclt dope tv.A s;off l' - -"a!s cc#774a t'f-,d1,737`, l4r.e��./ ., ,
Florida Product Ass royal# FL /52/3. 18 for multiple products use product approval form
Property Owner In o •
Name: 'J me4 to• 46f" Address: 332- 7 c5'-t1- .1
City a A A Stater'-C. Zip 32233 Phone / /- 4/33
E-Mail ✓.4mafe SPtn�` ;l r1,
Owner or Agent (II Agent,Power of Attorney or Agency Letter Required)
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 NOTIdE OF COMMENCEMENT.
Contractor Information:
Name of Company: 1O4ViO&z/ i 4.s Ages hit.C Qualifying Agent:
Address: /6S7 7 , 6L514 7 PACK AA • City 1"i4CitSa.4-1,i[RState Zip /3 .Ji7
Office Phone f D Pa• 26 R2 Job Site/Contact Number
State Certification/Registration# C6C O.S`? 3 7 y E-Mail .LOActort 61 c"S 4 ALd 444se a
Architect Name&Phone#
Engineer's Name &Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert fy 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 sus ended or ndoned or a
period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for ectric o ,Plu g,
Sins, Wells,Pools,Furnaces,Boilers,Heaters, Tan nd Air Conditioners,etc.
Signature of Property Owner: "M Signature of Contractor:
Before me
this ' Day of M Before mehis '1.` " Day ofe/ AkurCk, au-74.Fettered
-3a^,� c "kir` . r. aRe.A.0 /kf%crr c,JCs'�L Yl
Notary Public: Notary Public: _ L�.�_, •
� �� an' e; ine this application and know the span �?6'�tr : •�'� , 7—;,--71;4-17 s e
rrt 7 ,a. s rn erru�i ' � '♦ ,n•' ill be complied with whether specified herein or 1.e �' "'. rurrlin ' .e.',•f gr
Ali;� givity 400:44iW 'r t 2 .2UZa or .I'ncel the provisions of any other federal, state, or , *' lL,r .gu?t4) 9 :yf raviipim r'di
��.�i at N aic U en I 0 '�* . . .Mj, u.fic U
__.___ndenvett J = ti V,.e EX t ndernriters
7i; -•., CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J OFFICE COPY ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 3.3.2017
Permit#: 17-WIND-3400 Site Address: 10877 Horse Track Dr.,JAX
Site Address: 332 7th St. Phone: 886-8680
Review: 1 _ Email: londonblds(ahotmail.com
RE#: Homeowner: James M. Agee;
jamesagee(a,sprintmail.com
Applicant: London Builders, Inc.
CORRECTION COMMENTS:
guy .. . . I . /2c , 3/7//2
Mike Jones
Building Inspector/Plan Reviewer
City Of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233-5445
Ofc (904) 247-5844
Fax (904) 247-5845
&mailed Q-evi `l?w COrnvre444-5 713 / i 7 //1")-7
31‘011;-- c p ,thil. a S kAs 0 s',re.d seakea da g S -
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