1985 BRISTA DE MAR CIR - WINDOWS e 1 s� CITY OF ATLANTIC BEACH
r ` " 800 SEMINOLE ROAD
\, .. ATLANTIC BEACH, FL 32233
` �;���% INSPECTION PHONE LINE 247-5814
RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RESO17-0019
Description: 20 WINDOWS
Estimated Value: 10169
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1985 BRISTA DE MAR CIR
RE Number: 169506 1676
PROPERTY OWNER:
Name: SHEKLIN MICHAEL A
Address: 1985 BRISTA DE MAR CIR
ATLANTIC BEACH, FL 32233-4525
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Window World OF Northeast Florida
Address: 8110 CYPRESS PLAZA DR APT 405 BRIAN WALL
JACKSONVILLE, FL 32256
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
y 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.
0
City of Atlantic Beach APPLICATION NUMBER
js
to" . 0 Building Department (To be assigned by the Building Department.)
800 SeminoleRoad
A1�E�O( ' QO�
j.. � AtlanticticBeach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 //_
g? v E-mail: building-dept@coab.us Date routed: W
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
e C
Property Address: I `"I B5 IThr( sTPt pC 1 ► I f} e ent review required Yes No
uilding
Applicant: ,) ., I&) C)00LR_LD Planning &Zoning
` ,� ` Tree Administrator
Project: ?Q V v ( &) Q (k)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: [ approved. ['Denied. . ['Not applicable
(Circle one.) Comments: ,/� to C-
:UILDING /V
PLANNING &ZONING Reviewed by: ' Date: O'/3'07
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
BUILDING PERMIT APPLICATION OFFICE COPY ,
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 R so 17_ OO( 9
Job Address: \0185 S1 \ 4? Ma( C,1( Permit Number:
Legal Description'iv'31 a' '�'?KNerte Unit S l q3 Parcel # 1 -1 A D•(LP1 ca
r,� F oor rea of q t. q t
Valuation of Work $ 10,I[9"I Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa • indow/door
Use of existing/proposed structure(s)(circle one): Commercial Lesidentia
If an existing structure,is a fire sprinkler system installed? (Circle one): ' - o N /A
Florida Product Approval #
For multiple products use product approval form I n
Describe in detail the type of work to be performed: �Z epla c,e -o kNIR ibw' S1Zc - ( i—z
Property Owner Information: np l
Name: IGIi1Q 1 4 Ju She IL It n Address:I '7D S r&5l a Q r £i
City lull'hC e'eacl State Zip 32233 Phone i(•g10-v?i�
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:W1( \1\16(114Qualifying Agent: I�1non Wa t I r
Address:14QZ W%\iPS %W9 Ste.( Cit JNAL5on,4 1-1(fie State Zip 32.2SCo
Office Phone 9A2. 0.33(t D Job Site/Contact Number 9Uy-443- '7001 Fax # 352.861—^1S8'7
State Certification/Registration # cisc 125'71 0
Architect Name& Phone# All A
Engineer's Name& Phone# NIP
Fee Simple Title Holder Name and Address /J
Bonding Company Name and Address N�p
Mortgage Lender Name and Address /JP,
Application is hereby made to obtain a permit to do the work and installations as indicated. l 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)inonths at any time after
work is commenced. l understand that separate permits must be secured for ElectricalpWork, 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 hereby certify that/have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local aw regulating construction or the performance of construction.
Signature of Owner ii...�, J _/ Signature of Contractorg/vI- 4A tAl !
/
Print Name J.ud . heV`10 Print Name .an Wail
Sw r to and sub c ibe�efore me i.
o s d Swor to and subsc t o before me
this Day of Y11 , 2011 _ •is , ..-:. Day of a/U , 20 17
/L.� _ ;►*�:': MICHAEL BENNE•f'� $ c 1aY°uBi.
F23668 �� ANNE S.ROMANO
Notary Public ::...?"`;::::•••:.,1
., nw co 'stary Public ' '", •" ""'
-"':..'11144: EXPIRES June O.2019 *°•. * EXPIRES:October 21,2018
' ,,,, rlordmo:a•yS�^v•ce`M.' �r'9l 1=yEged .T2r86 t Notary Services
a .►Referred By: ^'-. 21io41dB
1 "11 LIC.#CBC1259710
Installer:
jj`' _
of NortheastLea
OFFICE COPY
------------ for"Simply the Best for Less"
9452 Philips Hwy#1•Jacksonville,FL 32256
(904)443-7001 •Fax (904)443-7778
Name:.i.ils.1.'f ��C� __..s�' &L..AtJ_ 910-' 07 /cf-
-- . ___ _.. Phone(H):_ 0�= - --- `f
-
Install Address: 15 ___R,1 ST A---')E ._1�N'1._ -C.�C 1C- _ Phone(W):
City,State.Zip: -AtTLA-iv s c_ 7$G.,s c- 3 ._.—._._—_-- Phone(other):_._
DOUBLE HUNG SLIDERS-CASEMENT-FIXED
*SIZE LIMITATIOi'VARIES ON LOCAL CODE REQUIREMENTS — 2- 2 Lite Slider All weld&Insulated $385 770
2_-.-- Series 4000 OH All-weld&Insulated S205_/690 3 Lite Slider All Weld&Insulated $569
_Series 4000 OH All-weld&Insulated,to,ui S239 /(Q7, _-- Casement/Awning $355
__..._Series 4/6000 3H All-weld&Insulated S269 2 Lite Casement/Awning $615
_-.__-•- Half Screens $20 _ Picture Windows Large(141-154 U.I.) $465
__ , Full Screens $30 __�—Picture Windows Medium(106-140 U.I.) $385 _
_. ._ -_ Double Locks(on windows>2T) $11_ ___ __ 2 Picture Windows Small(0-105 U.I.) $269 SAA'
_ Double Strength High Performance Glass $21 Colonial Grids(Contoured/Flat) $69 _
..� PPG Solarban 70 Low-EE Elite Glass $85_ 1 .CL^ _ .5. PPG Solarban 70 Low-EE Elite/Argon Gas $85 %ZS
—__ Argon Gas $21 - Almond/Beige $79 __
—_ Foam Insulation on Jambs and Head $16.—_-A _ Lifetime Glass Breakage Warranty $19 _ _
. _,.-_-_ Colonial Grids ;Contoured/Flat) $49-__ _� —_Wood Grain Interior $gg
_-_Specialty Grids__- __— $.__ -- Color Exterior(FS Included) $155_
--____ Simulated Divided Lite $199__ _
Half Screens $20 _
Almond/Beige $79 _ Full Screens $30
_-_-__ ._Wood Grain Interior $99 Tint(Gray)or(Bronze) $49__
Color Exterior(FS Included) $155__ _____Specialty_ Specialty_ _ ___� _ _ $__ -_
_____.Oriel/Cottage Style(40/60 or 60140) $49__—_ SH Arch Tops 5415
—__,._ Lifetime Glass 3reakage Warranty $19_—___ Specialty Grids $_
_—_. _Tint Gray or Bronze $49—___
—.__._.Window Color I Inside _—Outside—__ 2-1 I b+
— _
---
MISCELLANEOUS DOORS
___,. •_Customer Cap&Wrap(INT)(EXT) $70--=__— Vinyl Rolling Patio Door 5ft.or 6ft. $925 _ _
Custom J Char net $25 _Vinyl Rolling Patio Door 8ft. $1129—_
Window Removal/Labor $75_/ QQ Vinyl Rolling Patio Door 9`t. $1235 T
20 Steel or Cut-ou:Window Removal S40__ a __ French Rail Upgrade S309_--_
—_-., .Mull to Form Multi-Unit 575_ fry ' Door Color_ _ _/
__../.2._ Tempered Sash (BSO)(TSO) S49— Sat Specialty Patio Door.— __ S
____._N Obscured Glass _ $45 Screen For Patio Door �— S65
— _..__Repair Sill or Jamb $75 .."- -- -
PPG Solarban 70 Low-EE Elite/Argon Gas $205___
--.--•___-_Remove Storm Windows S25_--. . Colonial Grids for Patio Doors $129
___ Remove A/C $150.. `--
- - ----- ___._- Removal and Install S150-
—_.----.------------.------------------- _.. CustomExteriorTrim $75 _
PRE 1978 built homes (Federal lead containment-law) — Wood Grain Interior 5335_
RRP fee per unit 525 __ _ —_Exterior Designer Colors $439 —
-Mir-home was built in tie Year Initial — _—Specialty Door $
You the buyer are responsible for the removal and — ___Storm Door $—�—
Installation of any exis•:ing security system,burglar bars, S--'-
drapes, blinds,A/C.
You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Notice of...4
cancellation must be:in writing postmarked no later than midnight pm the following third business day.THIS IS A CUSTOM ORDER
LWindow World takes great pride in being a Corporate Sponsor for St.Jude Children's Research Hospital.And will donate$1.00 for
every window jou have purchased. Would you like to join us in our contribution toward the children in need? $ _
r______ Customer Agrees to the terms of Payment as follows: 9 Q
I NO EXTRA WORK IF NOT IN WRITING! g" /
-- 4L' Do A/C r 1.--6-1-A✓t ) /`'''dGw,i Extra Labor$
�`Q %` Landfill Disposal Fee$y $150.00
/y Permit&Fees$ 21b.Du
Total Amount S._....L2(6.y',('Q
Custom Order Deposit 50%S .SON SD Ck#t .1354
Balance Paid to Installer upon Completion$ SO' '/. Cb
Please see reverse.side for additional terms&conditions. Buyer agrees that he has read and understands all terms and conditions on front
Iand back o this contract and rees to each and every term and condition.
Salesman Date Owner Date
-his Window World`Francaise is in tapendently owned and operated o.'Wail to Wall Windows and Doors LL.C.d'b/a Window World o'Northeast Florida.under iconse hem Window World.Inc.
Nhite Copy-Original Yellow Copy-Customer
C-,-ce5 LL�.1 I , !, L
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------ Date _..___..----•------ Stories:
Alarm System Yes
... Fr
_... Burglar Bars
C.amment`• caw-f. LEE .... •--.------
osted Color Grids
I viii'.of Construction Block
Brick Wood Stucco
hardy Board VinylI,:cr of PvrtQnv•f Aluminum Woos Iron No Window 3 /a ( 3(f3/
4
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OFFICE COPY
1 TY
FA-� i� ,i
iti
I, wil ry`
"Simply the Best for Less"
Of NE Florida
9452 Philips Highway Suite 1
Jacksonville, Florida 32256
(352)443-7001 • Fax: (352)861-7587
Limited Power of Attorney
Date:" )\q.-$\1i
To: Building Dept.
From: Brian Wall
I hereby name and appoint, Gregory Galas, Christy Galas, Donna Biggers, Megan Constable,
Joshua Galas, Hailigh Schwingel, a permit service for Window World NE Florida, to be my lawful
attorney in fact to act for me to register my license and apply to:
1 \(0C &t&C,\ for a ddb W permit fore/work to be performed at:
Lot: Blk: Sec: 1 a Twp:2.5 Rge2CIL
SubdivisionSella t ( l'e Parcel or Altkey: 1 W-1 JULY—(1.01 6V
Address of Job: 1 Q g'S ibyi S 1 GL be Ala( Cie
9ozwic)
Owner of Property:
and to sign and do all things necessary to this appointment.
Thank you for your assistance.
Sincerely,
Brian Wall
State Qualifier
CBC1259710
State of Florida
County of Duval
The foregoing instrument was acknowledged before me by Brian Wall,who is personally known to me and
who did not take an oath.
Sworn to and sscribed b fore me this 2.3 day of 2017.
n
Notary Public �•- 14 I(.a�•-----
o��a:?�a�� ANNE S.ROMANO
My Commission Expires: 10/21/2018 a`F• MY COMMISSION FT 166860 [SEAL]
* EXPIRES:October 21,2018
r, o Braided Thfu Budget Notary Series
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