1486 BEGONIA ST - DOOR C
,`.� CITY OF ATLANTIC BEACH
S- 'l',_, ' 800 SEMINOLE ROAD
v ATLANTIC BEACH, FL 32233
\-"--Z-01119 - INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0058
Description: replace sliding glass door
Estimated Value: 974
Issue Date: 6/19/2017
Expiration Date: 12/16/2017
PROPERTY ADDRESS:
Address: 1486 BEGONIA ST
RE Number: 170704 0010
PROPERTY OWNER:
Name: Amy Saucke
Address: 1486 Begonia Street
Atlantic Beach, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
ORLANDO, FL 32812
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
r0ALy14 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
j
800 Seminole Road p !51(t _ 00S
V
Atlantic BeachJ1 , Florida 32233-5445F-1 O�vPhone(904)247-5826 • Fax(904)247-5845 /E-mail: building-dept@coab.us Date routed: OV''7I 0-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 L"14 l�Q(�l 1.1 sA • artment review required Yes No
�_ v(� Building 3
Applicant: LA,�.Q S WNx-e. `.S4 (.S LLL Planning &Zoning
Tree Administrator
trator
Project: 1 Je Jk ` p.Ls a.06/ 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, ICSTATUS
Reviewing Department First Review: I �i'Approved. I (Denied. . ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING //��
Reviewed by. ' 1� Date: 61.5.?
TREE ADMIN. Second Review: Approved as revised. ❑Denied. . ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. . ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
06/22/2014 15:35 3524733167 KEYSTONE DOORS & ETC PAGE 02/02
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: I a �--! l�nt!c •- ` f Permit Number: V-1 Srt. bpS 0
Legal Description 5-4-97 17-2S-29E .22 Hidden Paradise Lot 1 Parcel ll 170704-0010
OM • tea o q. t. q. t
Valuation of Work$ 11/A//•6r Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial It: fttTsttrl1111
If an existing structure,is a fire sprinkler system installed?(Circle one): 'es `o N/A
Florida Product Approval # 11646.2
For multiple products use product approval form
--:.1Describe in detail the type of work to be performed: i.* Ih'z't.°• �7Q-�'il' f Ill
e_{, t/74 de)`r-
c.,
Property Owner Information:
Name: F+I),y li t L•e--/ ' Address: /.1)1 57(- r-if2;9 r,)'I/et . S 1 • —
City/I1 1 Q 11-)t C 7-I1)F4 e ii Staten Zip -z-74.--C 1.5 Phone 6'4" - g'.3c' 7 717
E-Mail or Fax 0(Optional)
Contractor information: j�
Compan Nan p:Le tc c Ile'1)"ie.' .L�i t-it I f> Li-- t !_'-1 _.,(....`�.�Y D
L �' • Qualifying Agent: f
Address i l5c')c 7 S-'/4C/3 - City Cc • - s, - 39'26,
Office Phone yr 7 -1‘14 -gm-,I Job Site/Contact Number (904)535.37 ( _���w
State Certification/Registration 0 CGC1508417
Architect Name Sc Phone ti N/A Iif JOINIIII
Engineer's Name& Phone# In
f
Fee Simple Title Holder Name and Address 1' t '
Bonding Company Name and Address I 1 1V
Mortgage Lender Name and Address ---
Application is hereby made to obtain a permit too the work and installations as indicated. i certyry that no won't or installation has commenced prior to live
issuance o a permit and that awork will be performed to meet the standards of all laws regulating construction in this jurisdiction' Thiss permit becomes null
and void i7l(work is nor commenced within six(6)months. or if construction or work is suspended or abandoned for a period of sir(6)months at any time after
work is commenced I understand that separate permits must be secured for Eltaricaf Work.Plumbing,Signs, Wells, Pools, Furnaces, Bolters,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 hereby certify that 1 have read and examined this application and know the same to be true and correct All provisions of laws and• dinon• s governing this
tape of work will be complied with whether specified herein or not. The granting of a permit does not presume to give author to v,rate or cancel the
p.nvisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner'L ICI(:1 - Signature of Contractor _Alit
•
Print Name ArkA.Nf , i,ejL•f, _ Print Name PETE CAFARO
Sworn to and subscribed •efore me Sworn to and subscribed before me
thi: 7 •Day of _ ,20 /7 this 7 ,Day of June ,20 17
... . i_ ,0-t. ploti' a k*el"
NotaryPublic rotary 'u. is
'" ROBERT C CURTIS JR _ _ _ _ _
• NATHAN BROOKS RYDReV IS!d 01.26.i 0;w t.4Y COMMISSION aFt:OS0258 I `: Notary Pudic-Stated Flada
'..;„.„,:1:7.' EXPIRES September 22 2017 J rit'
- Commission*00094838,10713515•0%sO FierballotarySence.com1 . ... •' My Comm.Expires Apr 16.2021
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