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1783 PARK TERR E - DOORS -- ,' ,,,, '` ;'' CITY OF ATLANTIC BEACH S1 -.,- , r) 800 SEMINOLE ROAD �� ATLANTIC BEACH, FL 32233 �' PHONE LINE 247-5814 ��.�;i��r INSPECTION ACCESSORY - SINGLE OR TWO FAMILY ACCESSORY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACC18-0015 Description: REPLACE 3 DOORS Estimated Value: 5491 Issue Date: 3/2/2018 Expiration Date: 8/29/2018 PROPERTY ADDRESS: Address: 1783 E PARK TER RE Number: 172020 0416 PROPERTY OWNER: Name: RICCI DAVID J Address: 1783 PARK TER E 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. 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. * 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. t�tv.i City of Atlantic Beach APPLICATION NUMBER rf Building Department (To be assigned by the Building Department.) i 800 Seminole Road (� r, n t j -001-S 0 0 I C �� - yr Atlantic Beach, Florida 32233-5445 ly�l� (� lOOJ Phone(904)247-5826 • Fax(904)247-5845 Date routed: ��Z��V •iJS3 )r E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: PARKDepartment review required Y‘eyilo uilding) Applicant: L o w s }-__tcy-y,.6-, C E& TE S Paing &Zoning nn pP Tree Administrator Project: 3 s L-LO I N3C\ Cf c j 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: oved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILD-IN PLANNING &ZONING M, 3' /. )01p- TREE ' a O1 p- Reviewed by: / / '�/ Date: 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 -1U' Building Permit Application ,� City of Atlantic Beach /,/ 800 Seminole Road,Atlantic Beach, FL 32233 •(r.4',%. --." Phone: (904)247-5826 Fax: (904)247-5845 Job Address: 1783 PARK TER E ATLANTIC BEACH, FL 32233 Permit Number: 1\ e e i g-1 mo O IS Legal Description 34-85 09-2S-29E SELVA MARINA UNIT 8 LOT 10 BLK 14 REN 172020-0416 Valuation of Work(Replacement Cost)$ 5491.00 Heated/Cooled SF Non-Heated/Cooled___ • Class of Work(Circle one)Mr.dition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial • sidenti. • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Nc 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: REPLACE 3 PATIO SLIDING DOORS SIZE FOR SIZE Florida Product Approval a 11646.2 Atrium Door -_ for multiple products use product approval form Property Owner Information Name: DEBRA RICCI Address: SAME AS ABOVE City State _Zip Phone (904)894-5551 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Lowes Home Centers LLC Qualifying Agent: Pete Cafaro Address PO BOX 781993 City Orlando State FL Zip 32878 Office Phone (904)535-3793 Job Site/Contact Number Dan Smith(904)535-3793 State Certification/Registration q CGC1508417 E-Mail dspermitting(Bgmail.00m Architect Name&Phone U N/A Engineer's Name&Phone$t N/A Workers Compensation WCO23102416 EXP:04/01/2018 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. 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 ATT RNEY BEFORE RECORDING �YOUR NOTICE OF COMMENCEMENT. x.- ��i— _ (Signature of Owner or Agent including Contractor) Signature of Contractor) Signed and sworn to(or affirmed)before me this t.?-day of S. ned and sworn to(or affirmed)before me this t qday of 1 ;20 65 ,by bGb pa- 12J j�_ b ,_2--01 _,by—EL rRrI) of Nva••;'pr a'''.., NATHAN BROOKS RVDER= Notary Public-State of Florida Lerwpispw.griapwwerj(Signature •.,• NATHAN BROOKS RVDCommission t GG 094838 Notary Public-State of F1';vr� 471 My Comm.Expires Apr 16,2021 I •_. Commission r GG 0948I )PersonallyKnownOR &rdedvrougtinatioralnsury0.sv (Pers on ally Known OR My COMM.ExpiresApr16.T,(VProduced Identification — —---.0 --— —— ( I Produced Identificatiosordedvcus �zuorairctar Type of Identification: Type of Identification:_ _ _