1835 HICKORY LN - WINDOW & DOOR - \J`jr
�' ' '' \s, CITY OF ATLANTIC BEACH
;-';er, 1..: - c) 800 SEMINOLE ROAD
"� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
l''''' i 1319
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-WIND-3588
Job Type: WINDOW AND/OR DOOR
Description: replace 16 windows & 3 sliding-glass doors
Estimated Value: $27,400.00
Issue Date: 4/12/2017
Expiration Date: 10/9/2017
PROPERTY ADDRESS:
Address: 1835 HICKORY LN
RE Number: 172020-1438
PROPERTY OWNER:
Name: STORY, GRAHAM N
Address: 1835 HICKORY LA
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN WINDOW PRODUCTS
, CBC1251207
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
Phone: - -
PERMIT INFORMATION:
FEES: - _ - ---- ---
PLAN CHECK FEES $93.50
BUILDING PERMIT FEE $187.00
STATE DCA SURCHARGE $2.81
0
STATE DBPR SURCHARGE $2.81
0
Total Payments: $286.12
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BIUII.DING CODES.
oJay,:,,, City of Atlantic Beach APPLICATION NUMBER
:-, iik-0:-0O Building Department (To be assigned by the Building D " t.)
'�• ,u-A800 Seminole Road ` k/3- -
c
. _ r� — W Atlantic Beach, Florida 32233-5445 1 !OD �J8
Phone(904)247-5826 • Fax(904)247-5845
E-mail:� E building-dept@coab.us Date routed: 0 h 1:1-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 0- S--- �� c l(-0( `{ __ct n t- Department review required 7-No
n ,, ayild
Applicant: A (�L n k,n(,�0, t'(D�tAG-k S Planning &Zoning
Tree Administrator
Project: f Q-p1&-L L 1 \s)Vn 61. S c- 3 55 d s Public Works
Public Utilities
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: roved. ❑Denied.
(Circle one.) Comments: oc________BUILDIN
PLANNING &ZONING l/•�J
19 Reviewed by: m Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑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 APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904) 47-5845 3,-) - 1 --)
Job Address: 1_535- 1�tCkO`y 1-,--).1 f5) t)l�i EL 2233.' 1 Permit Number: /2-k/l71//J'3S-Pi'
Legal Description `�3 �C\ Lli�� LA1 i.pcel# i.—/ZC 20 - ) L 36
` -, Floor Area of Sq.Ft. Sq.Ft -
Valuation of Work$ ,01►y4C)! Proposed Work heated/cooled V/ non-heated/cooled /
Class of Work(circle one): New - Addition Alteration Repair Move -Demolition pool/spawindow/door
Use of existing/proposed structare(s)(circle one):, Commercial a identi
If an existing structure,is a fire sprinkler system Totalled? (Circle one): es No N/A
Florida Product Approval# 5C c�-�`h'1CA'
For multiple products use product: approval form
. Describe in detail -\: ,--.1),-oci
the type of work to be performed: \ %0c�:21. JET U (�-
'r a ')\c -YCo- (-- )* 5 C--)VD -ize I -Fcc ►w
Property Owner Information: .
Na ie. ' $ sg • Address: I ei= \ —y tici-n(.
City ::'l..:e ia ��'s itk State ..Zip 3Zx.39 Phone 90'1-_ 219- 51;kv
E-Mail or Fax#(Optional) AMERICAN micrErOw
Contractor Informatikon: .PRODUCTS, INC.
2633 POWERS AVE. I I
Company Name: JACKSONVILLE, FL 32207 4- n C�uic
Q��$Agent: �1
Address: 7 r� d State • Zip
Office Phone`-lc�i-13 1-7-2 -7 Job Site/Contact Mama. L' u ' ` Fax# 9 C 1--13 I- z.y
State Certification/Registration# C 6C t 2-5 I? 1 L -
Architect Name&Phone# �"�' "lUl! • f
Engineer's Name&Phone# titill
Fee Simple Title Holder Name and Address
Bonding Company Name and Address f
M Lender Name and Address
• Apon 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,
issuance ofa permit and that all work will beormed to meet the standards of all laws regulating construction in this jurisdiction This permit becomes n
and void work is not commenced within six(6j months,or if construction or work is suspended or abandoned for aperlod of six(6)months at any time a}
work is commenced I understand that separate permits must be secured for Electrical Work,Ptstwtbieg,Signs, Wells,Pools,l irnaceJ,Boilers,Heade
Tfed Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
OMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
O YOUR PROPERTY. IF YOU INTEND TO OBTAINFINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herr certify that I have, . • - • ' • this placation and know the same to be true and correct. All provisions'of laws and ordinances governing t
type o work will be complied " specijled herein or not The granting of a penrtit�does not presume to give authority to violate or cancel,
Prrs of airy other federal, r' local Saw regulating construction or the performance of onstruchon.
.1 .
_
Signature of Owner ' � Signature of Contractor
Print Name - ,4W\ t , I2-2-/ _ Print Name ),)C_C � N.1 C
sworn. . and subscri.-' before me Sworn to and sub '.-. before me
this . Day of - i 1• i • ...21) Li this 110 Day of c..a , 21
f"o %moi �— �I`.iL
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MY COMMISSION tt GG 000431 oosr ova, ••,1, 1 ARDT
* = I• ) * * 'A �.'k‘* W COMMISSION 0 GG 00044ReviSed 01.26.10
EXPIRES.June 8.2020 r ; , '
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ST.JOHNS COUNTY PRODUCT APPROVAL SPECIFICATION SHEET
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and
approval numbers on the building components listed below,if they will be utilized on the construction project for
which you are applying for a building permit. We recommend you contact you local product supplier should you not
know the product approval number for any of the applicable listed products.Information regarding State Product
Approval may be obtained at www.floridabuildin2.org ;30- l7
CATEGORY/SUB- MANUFACTURER PRODUCT DESC. LIMITATION OF USE FL#OR SJCR#
CATEGORY
1.EXTERIOR DOORS
ASSEMBLIES:
OFFIC ` COPY
A.ROLL-UP
B. SECTIONAL
C. SLIDING
E�►5 (0 23 - I`-1(Oo5 3
D. SWINGING
E. AUTOMATIC
2.WINDOWS
A.AWNING
B. CASEMENT
C.DUAL ACTION
D.DOUBLE HUNG
EeN5 @5to1
E. SINGLE HUNG
F. FIXED
E et5 alt(0(0 ILI(coact
G.HORIZONTAL
SLIDER
H. PROJECTED
I.PASS THROUGH
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Doc#2017078233,OR BK 17935 Page 951. , , • . •N"GG CLG
Number Pages:1 ? -�' ,"1
aia f cr i ne 8,2020
Recorded 04/05i2017 at 11:48 AM. 1 `
Ronnie Fussell CLERK CIRCUIT COURT DUVAL "������ o" .Q` etNatarySences
COUNTYEp
'% AV-.71., ;7i�LJYl
RECORDING$10.00 �f - -�
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