374 Magnolia St door permit 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 NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-WIND-3365
Job Type: WINDOW AND/OR DOOR
Description: ONE DOOR REPLACED
Estimated Value: $8,227.00
Issue Date: 3/8/2017
Expiration Date: 9/4/2017
PROPERTY ADDRESS:
Address: 374 MAGNOLIA ST
RE Number: 170441-0000
PROPERTYOWNER:
Name: PISCITELLI, STEVEN V & LAURIE,
Address: 374 MAGNOLIA ST
GENERAL CONTRACrOR INFORMATION:
Name: AMERICAN WINDOW PRODUCTS
,CBC1251207
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $45.57
BUILDING PERMIT FEE $91.14
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $140.71
PERMIT IS APPROVED ONLV IN ACCORDANCE Wl� ALL C� OF A�ANTIC BEACH OUDINANCES AND THE nORIDA
BUILDING CODES. I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 1-7 Av i x)
Atlantic Beach, Florida 32233-5445
Phone(004)247-5826 - Fax(904)247-5845
E-mail: buIIdmg-c1ept@caab.us Date muted: —7 (7_'%_ b
City web-site: hffp:11www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3741\Aptato�tSr ;uel P—a t review required Yes 44o
ld,rrS
Applicant: [��f ME 9-10 At, Pra—nMg &Zoning
Tree Administrator
Project: LL)(nQ 9, R PublicWorks
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
diher Agency Review or Permit Required Rev'.e-,t=pt,
of Pe Date
Horde 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
_61her.
APPLICATION STATUS
Reviewing Department First Review: E]Approved. E]Denied.
(Circle one.) Comments;
(:�B
_��UILDING IVO C—
PLANNING &ZONING Reviewed by: Date:V V/ 2
TREEADMIN. Second Review: F]Approved as revised. 013enied.("
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denled.
Comments:
Reviewed by: —Date
Revised OSIIV09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845 1-7 -\Ajik)b- 33(c)G
Job Address: -314- M(12rio I(a St- Permit Number:
LtegalDescription ,S-ff� 2 SaItQjir U� Q0 parcel# onoo
Floor A�or Sq.rL
Valuation of Work$ 2'9"9-1 -0 0 Proposed Work heated/cooled 'nln"heatedilcooled_
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa A-,n-do—./d-w-r->
C amercia' CIFQid—ential-
strat ture(1112%le.0tv 1.112?(Cttcl
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If an e td%Pm,= aflemsprin erl e :install e one)`�No Gz3D
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Describe in detail the type of work to be performed:
Property Owner Information:
E-Mail or Fn#(Opti nal) AMERICAN WINDOW
Contractor Information: PRODUCTS, INC.
2633 POWERS AVE.
Company Name: jArKqQNVILLE. FL 32207 QualifyingAgent: Y-UM (AW
Address: city -State Zip
Office Phone -IA I-7-ez 4�1 Job Site/Contact Number Fax:
State Certification/Registration# CESC17shl-L-0-1
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Hold"Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations ar indicated Iccr6 Mat no work or installation has commencedprior to the
issuance ofapermit andthat all work will bepe. din mini the standards ol-all laws regulating construction in thisjurimfiction, Thispermitbecome,inall
and void ffwark is not communted within ar(61,0=ha, oritconutruction or work is�:rndrd or abandionvoijor aWeriod of,16),months ar entv timpr
work a commenced I understand dot Separate Permits most baecuradjor Elixtric Work Plumbing,Sigans, d1h;Pwk% urnaca,Boilers,He ers,
Thinks andAir CondideneM dul
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 WrM
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y&i NOTICE OF
COMMENCEMENT.
gove . this
here viol or C the
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