590 OCEAN BLVD - WINDOWS t CITY OF ATLANTIC BEACH
• " i� } 800 SEMINOLE ROAD
1510 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: RES18-0001
Description: replace 2 windows
Estimated Value: 780
Issue Date: 1/22/2018
Expiration Date: 7/21/2018
PROPERTY ADDRESS:
Address: 590 OCEAN BLVD
RE Number: 170142 0000
PROPERTY OWNER:
Name: FULLER ROBERT H
Address: 590 OCEAN BLVD
ATLANTIC BEACH, FL 32233-5340
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ECOVIEW WINDOWS OF THE GULF COAST LLC
Address: 6950 Phillips HWY STE 1
JACKSONVILLE, FL 32216
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.
sy��tr , City of Atlantic Beach APPLICATION NUMBER
J1 r,�1 Building Department (To be assigned by the Building Department.)
800 Seminole Road //�� P_ l�
5.„ a .f Atlantic Beach, Florida 32233-5445 c5 0 v00f
Phone(904)247-5826 • Fax(904)247-5845
"Zo;i !.) E-mail: building-dept@coab.us Date routed: I 'L( ( I ic
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: J Ci 0 Ocean bud • Department review required Yes No
•
' "� n uilding
Applicant: k o j l Lvx) V6k!\IJ_(D►A)S k Obv1 S Planning Zoning
\ Tree Administrator
Project: c Q p\ ft d W a n oLD� 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: 14proved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
:UILDING
PLANNING & ZONING _ C�,W
Reviewed by: {�� ' Date: r
TREE ADMIN. Second Review: nApproved as revised. ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
pr.
Ate OFFICE COp uilding Permit Application Updated 12/8/17
City of Atlantic Beach JAN - 3 2018
440 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 590 OCEAN BLVD. ATLANTIC BEACH, FL 32233 Permit Number: -6 Si $ -0001
Legal Description 5-69 16-2S-29E ATLANTIC BEACH LOT 6 BLK 18 RE#
Valuation of Work(Replacement Cost)$ 780.00 Heated/Cooled SF 2990 Non-Heated/Cooled 3715
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Indow/Doo
• Use of existing/proposed structure(s)(Circle one): Commercial esidentia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No NAOlk
• 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:
REPLACING 2 WINDOWS SIZE-FOR-SIZE LIKE-FOR-LIKE
Florida Product Approval# 9333.1 for multiple products use product approval form
Property Owner Information
Name:ROBERT AND JACKIE FULLER Address: 590 OCEAN BLVD
City ATLANTIC BEACH State FL Zip 32233 Phone 904-249-8947
E-Mail jackie.fullerCdloutlook.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: ECOVIEW WINDOWS AND DOORS Qualifying Agent: GEORGE BECK
Address 6950 PHILIPS HWY STE 1 City JACKSONVILLE State FL Zip 32216
Office Phone 904-281-0067 Job Site/Contact Number 904-781-0067
State Certification/Registration# CRC1330954 E-Mail lisbeth.ohillioseecoviewnfl.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation EXEMPT/EXPIRES 12/04/2018
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.NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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 YOU OTICE COMMENCEMENT.
i4 61r__
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this 21 day of Signed and sworn to(or affirmed)before me this 21 day of
rnCIADCD 9(117 .by DECEMBER , 2 ,by
li,.... DOROTHY WAPLE filk.,, t 1 % y►"'w'• DOROTHY WAPLE 1' 1.�'
MY COM _ �.�>
�5 Notary) N►Y A �S �r 12312
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I Personally known uR (*Personally Know(+
[A Produced Identification [ )Produced Identification
Type of Identification: DL Type of Identification: