1054 STOCKS ST - WINDOWS i rL,l��,,
.�� r1 CITY OF ATLANTIC BEACH
,\,,___,.
ar; 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
at
!011 r) INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0299
Description: replace 3 windows
Estimated Value: 1232
Issue Date: 12/28/2017
Expiration Date: 6/26/2018
PROPERTY ADDRESS:
Address: 1054 STOCKS ST
RE Number: 171000 0040
PROPERTY OWNER:
Name: SUTER AMANDA N
Address: 1054 STOCKS ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN WINDOW PRODUCTS
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
JACKSONVILLE, FL 32207
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.
,/i.:�,) ,. City of Atlantic Beach APPLICATION NUMBER
�� S, Building Department (To be assigned by the Building Department.)
800 Seminole Road L �� f�
;� Atlantic Beach, Florida 32233-5445 �-
Phone(904)247-5826 • Fax(904) 247-5845 I f
J;ti)5 E-mail: building-dept@coab.us Date routed: l' ' t (01�11—
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t OS { sOUt--5 Departnt review required Yes No
n ( Building—) 1
Applicant: \Q-(i (_.J•-t' w l 1\t ko Q1Dk(,- ç Planning &Zoning
Tree Administrator
Lc
Project: ' .1 .L ? W ,(\d-OL) 5 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: F pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: /2'/2'/7
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denie 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
, , ,,,,r,.� Building Permit Application --, 1 i �'.--_ 'L `� ,
.ri1/ City of Atlantic Beach ' 1
-1.,. FFICECOP _
800 Seminole Road,Atlantic Beach, FL 32233 201'
\' , r5-
,,�,it� Phone: (904) 247-5826 Fax: (904) 247-5845 DEC � -- ,C6 �
Job Address: 10 v� }` S4---, Pgrmi Number: Q t T-2 ,DGc
n m A"�(c cx> L5 EG ILI �� RE# 1 _I 1 VCOO
--
Legal Description IA�-3'� 11-o7S�-�G�: '�( 0C,C C� F.
Valuation of Work(Replacement Cost)$ I j 03 OO Heated/Cooled SF N-k Non-Heated/Cooled N+ A,
• Class of Work(Circle one): New Addition Alteration Repair Move Demo PoolWindow Door
• Use of existing/proposed structure(s)(Circle one): Commercial CjtesidentiaD
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Nol N A
• 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:
3 lacmW i ncims " S'‘Z— (0r Size .
Florida Product Approval# # /V60 y' $ /' /4/662 4 ,5---- for multiple products use product approval form
Pr.perty Owner Information
Name: fl M< e ?'fir-C Address: ( 0 Se '�O S S'fr«
City RI-1-(r.(1'r C 'g e_c,c..h State Fc_. Zip ,3c 3 3 Phon 0'-1 1 b So71
E-Mail 0.6(_3-t-- t- J-&---jr.r e•S r-,c- 'J\\.e„ e ri(.)
wn r Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information AMERICAN WINDOW
Name of Company: PRODUCTS, INC. Qualifying Agent: t C-uif
Address JACKSONVILLE,FL 32207 City State Zip
Office Phone Job Site/ContactAmbe IIVAL1 —I 31
State Certification/Registration#CPSC 135- 13u-) E-Mail EVE-.0 2)Aen' I C. (1 W l ( ai p(tow
Architect Name& Phone# k _ ,.._ _
C'l —
Engineer's Name&Phone# — `' ,��) — '7 /_ j qy/
Workers Compensation ✓x '2. (CIS /8'
Exempt/Insurer/Lease Employees/Expiration 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 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 . " z..---
/_ -�—...._ _ _
(Signature of Owner or Agent including Contractor) (Signature of Contractor)
Signed acid sworn to(or affir -d)before me th I'./ day of Signed and sworn to(or affirmed)bef•re me this I LI day of
�IJiYriY . in))7- , by ;rl.alter `f>en1hC . by la_ S. . .
.�//. /
(Signature of Notary) (Signa • •f Notary)
1 •1•P. EVANGELIE CLARKE
osP'1 Y L'ae, RYAN ALWARDr Commission#GG 102835
k '_ * MY COMMISSION#GG 000431 0 n i a� Ex'Irea May 8,2021
[.)Personally Known OR NJ Si Qe EXPIRES:June 8,2020 [u,j"Personally Known OR '�f•FFl•! Y•�1NThruDudpetNoury�rrk».
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