2322 Beachcomber Tr window permit IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0254
Description: REPLACE 6 WINDOWS
Estimated Value: 2945
Issue Date: 11/16/2017
Expiration Date: 5/15/2018
PROPERTY ADDRESS:
Address: 2322 BEACHCOMBER TR
RE Number: 1694630070
PROPERTYOWNER:
Name: JOHNSONJERRYL
Address: 2322 BEACHCOMBER TRL
ATLANTIC BEACH, FL 32233-6607
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ECOVIEW WINDOWS OF THE GULF COAST LLC
Address: 6950 Phillips HW`Y STE 1
JACKSONVILLE, FL 32216
Phone:
PERMIT INFORMATION:
Please see aftached 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.
if City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road -7
[:::�
_z Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904)247-5845 -7
E-mail: building-dept@coab.us Daterouted: b7
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _? '7- t review required Yes -No
( B ildin
_u _q_--,-)
Zoning
Applicant: 0—ov C"-)
Tree Administrator
Project: ��C--)N 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: D?OA'Opproved. [:]Denied. ONot applicable
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Datel/7/5 7 7
TREE ADMIN. Second Review: []Approved as revised. E]DeniU E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application J1
City of Atlantic Beach 0 F F I C E y
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904)247-5826 Fax: (904)247-5845
Job Address: 2,3 2 Z Permit Number:
Legal Descri P RE#
L.
Valuation o on-Heated/Cooled c172
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool CVV_1nd5;;�Do
• Use of existing/proposed structure(s)(Circle one): Commercial
• if an existing structure,is a Fire sprinkler system installed?(Circle one): Yes No <S/_A'D
0 Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed-
Florida Product Approval H for multiple products use product approval form
Property Owner Information
Name:, Aa JJJ/I Address: ZZ"
city il �' -�
AW92A. State Jf4h
-/- Zip --Phone T141-
E-Mail Al 1A
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: 12,(� Qualifying Agent:
Address 6i9,4429 —city __L-rks� ltate 4-1— Zip
Office Phoi4 '?VfZ. Job Site/Contact Nurnw eza&v -1
State Certification/R giStration#(el 144AW'5_�Z E-Mail Add.
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 2' 2 ;2
Fxempt/insurer/Lease Ernploye6/Exi);ration Date'
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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc,
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEWW'd 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.
re I
(Signat re f owner or Agent including Contractor) &00' (Signature of Contractor)
qSii&ene and sworn to(or affirmed)before me thisZ' day of Siped and sworn to(or affirmed)before me this —2day of
&In er 2oj') 7 __20J? , by
ROBERT D.F 'ILLI OArR—TD.F11-01-
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NOTARY PUBLI NOTARY Pt JOL
STATE OF FLORID (SWWa Otary) STATE OF FL ry)
C"nrn*FF196385 f Ccmn*FF196385
its - Expires 3/M2019 Expires 3/20/2019
Personally Known OR Personally Known OR
Produced identification Produced Identification
type of identification: Type of Identification:
Doc # 2017251041 , OR BK 18171 Page 1122 , Number Pages : 1 ,
Recorded 11/02/2017 02 : 31 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
CL
NOTICE OF COMMENCEMENT
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OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project NameJ5�/),S/,J/-? Permit #OFFs 17
Project Address: eombgor '71�a , c Ze,6A I 22,?a3
As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at: www.floridabuildina. rg.
Category/Subcategory Manufacturer Product Description Limitation of Use State Local
A. EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4. Roll up
5.Automatic
6. Other
B.WINDOWS
1. Single hung
2. Horizontal slider
3. Casement
4. Double hung i 7e-,-/7 f-J,00 ;',eC,e-S
5. Fixed )'&A q)o,0 set,,e� 06e-S'r1e4".44.1 NY.2
6. Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11.Dual action
OFFICE COPY
2. Other
Category/Subcategory Manufacturer Product Description F imitation of Use State# Local#
H. NEW EXTERIOR
ENVELOPEPRODUCTS
— 1.
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones
listed in this document must be approved by the Building Official.
(Contractor Name) (Print Name) z4at
(Signature)
Company Name: Loa r
Mailing Address: _�/, I
city: J—,qc 4-sad i'l,Ile oF State: Zip Code:3221 62
Telephone Number: (feV 291 -0667 Fax Number: ( I?Vy 171�1- If 9(;�q
z
Cell Phone Number: E-mail Address: 56,.,q,. ejoIll(a Iza, co._;2
OFFICE COPY
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