609 BEACH AVE - DOOR 1I.- .
rL\�r
� CITY OF ATLANTIC BEACH
SS� 800 SEMINOLE ROAD
J
'- " r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'�J3319�
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-WIND-3310
Job Type: WINDOW AND/OR DOOR
Description: SLIDING GLASS DOOR
Estimated Value: $2,975.00
Issue Date: 3/23/2017
Expiration Date: 9/19/2017
PROPERTY ADDRESS:
Address: 609 BEACH AVE
RE Number: 170115-0000
PROPERTY OWNER:
Name: TAYLOR, ROBERT
Address: 609 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: LOWES HOME CENTERS INC
Peter Anthony Cafaro III, CGC1508417
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $32.44
BUILDING PERMIT FEE $64.88
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $101.32
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
sLyr,_ City of Atlantic Beach APPLICATION NUMBER
�•r '� Building Department (To be assigned by the Building Department.)
• •;?) 800 Seminole Road !' _ W ) (V Q �� IC)
s , Atlantic Beach, Florida 32233-5445 i
Phone (904)247-5826 • Fax(904)247-5845 J '2Z 1 7
� -j? E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 67(DA 1 ) & .& i \'..IE- Department review required Yes/ o
uildmg
L �� 14C-T- 41uPlanning &Zoning
Applicant: o S O rnE Tree Administrator
Public Works
Project: C� LASS OCA 2
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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:
APPLI TION STATUS
Reviewing Department First Review: Approved. ❑Denied.
( • - • Comments: cvo
/ C?BUILDING Ci
PLANNING &ZONING Reviewed by: Date: 2 -2 •I7
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. 1
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 OFFICE COPY
CITY OF ATLANTIC BEACH - - ". - •
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 17 _ WI N-.)0 _•-- l 0
Job Address: Le,01 ' t 4, Permit Number:
Legal Description ,4 -2s-- Z l� ,c S-7 �CIWI e/PParcel# �D U .--(5-Ar Z�
Floor Area of Sq.Ft. q.
Valuation of Wor 7 Cl� Proposed Work heated/cooled non-heated/cooled
; enovSh -rt Alb c. 7
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) circle one): Commercial Residential
If an existing structure,is a fire s ri er s to installed? (Circle one): Yes No N/A
Florida Product Approval# /'" 0/6),6
For multiple products use proproduct approval form
)
Describe in detail the type of work to be performed: • /4,. 7,� : a,. sZ i�-/4"p"
67L A S S. i'Y-i,� E i ,e E-ft c /7 c1/47C
Property Owner Information:
Name: /c 'e, 7 ��'� ,Address: '�?� S' f C /
City /1744 L SA:" : Stated Phone O •-(7T 6-94-7
E-Mail or Fax#(Optional)
Contractor Information: / `)
Company Nwne: /-.04,-'F'4 �,71 e/l t�T.G�/ .444—Qualifying Agent: /vL?e �/rf �'d
Address: PCS _! G,,� '7,""/ %2 City � ZAAA`/�C State Zip..-?L 1-5-1!'r
Office Phone Job Site/Contact Number Fax#
State Certification/Registration# L /S-45�'//7
Architect Name&Phone# Alm
Engineer's Name&Phone# /1/l
Fee Simple Title Holder Name and Address
Bonding Company Name and Address it),/
Mortgage Lender Name and Address N Ad—
Application
d _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 herebycertjfy that I have read and al fined this a plication and know the same to be true and correct. All provisions of laws a ordi•• ces governing this
type ofworkwill be complied with then specified herein or not. The granting of a permit does not presume to give a ity I, olate or cancel the
provisions of any other federakst , or localalJaw regulating construction or the performance of construction.
/— ./
Signature of Owner( -` /44"v- Signature of Contract •
-Ti 'r Print Name 4:—. 7E-� (.4ie O
Print Name ��,� , C//
Sworn to and subscribed be ore meSworn to and subscrt ed before me ,
this Day of •f 20 1.7 this II• •f I 20
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Notary Pub 1c Won htblic-State of Florida M�' if My Comm.Expires Mar 18,2017
N o f( NY OWN.Expires Mar 18,2017 `?-t ;' Commission I EE 8746111@vi d 01.26.10
- EE 874638
,;.r Commission 0