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39 FORRESTAL CIR ALTERATION DOOR s f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 0,3»'' INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0113 Description: ONE DOOR Estimated Value: 2100 Issue Date: 3/27/2018 Expiration Date: 9/23/2018 PROPERTY ADDRESS: Address: 39 FORRESTAL CIR RE Number: 171741 0000 PROPERTY OWNER: Name: MARVIN CRIS P Address: 39 FORRESTAL CIR N ATLANTIC BEACH, FL 32233-3323 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. r11 N1f,JCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road jES 12 Atlantic Beach, Florida 32233-5445 `� J Phone(904)247-5826 • Fax(904)247-5845 11E-mail: building-dept@coab.usDate routed: J City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 39 I`0 f�f��5��(�e1Q_ Department review required YesNo uilding Applicant: L © Plann n i n g Tree Administrator Project: v C:�)Q�2_ 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: roved. ❑Denied. ❑Not applicable (Circle one.) Comments: =BUDI PLANNING &ZONING 3 Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. Denied. ❑ pp ❑ ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date.- FIRE ate:FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 OFFICE Copy Building Permit Application City of Atlantic Beach 800 Seminole load, Atlantic Reach, FL 12:)33 any/ Phone- (904) 247-5826 Fax (904) 247-58=;S Jo.)Address. ,� (j"S171 _ 'r It rs�101'I !1� �1 rL -�2 _321 Permit Number: — t egai Description 30-56 38-2S-29E ATLANTIC BEACH VILLA UNIT 1 LOT 13 BLK 1 REN 171741-0000 Valuation of Wor<(Replacement Cost)$ 2100.00 Heated/Cooled SIF _ _Non-Heated/Cooled • Class of Work(Circle on=ddition Alteration Repair Move Demo Pool Window/boor • use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one) Yes No 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: -- tt Replace 1 Front door size for size i _ i d!LirY} ------ Florida Product Approval* Uiy�, y( 20481.1 --_for multiple products use product approval form Pro ert Owner Information Name: l . 1 — —Address: 2`1 f 7 , ;r :th_S (l; Al ILL —_ City — State i/ Zip 'Sia' > Phone 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 E;OX 781993 Cit Orlando -- FL Office Phone ( l'535-3793 y— —_ State Zip 32878 te _ Job Site/Contact Number Dar)Smith(904)5353793 State Certification,rRegistration N— CGC1506417 E-Mail, dspermrttingAgrnail.com Architect Name&Phone tr NIA Engineer's Name F. Phone q wA — — -- 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.1 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 rel:ulating 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;ANYA ' EYBEFORE RECORDING 'FOUR NOTICE OF COMMENCEMENT. (Signatuif Ower or Agent including Contractor) Contractor) Signed and sworn tofor affirmed)before me this day of Signed and sworn to(or affirmed)before me this 2 day of L911-1LJA f �7 ,by0Jy' V I t'1— _tcU Cy-'i Lam►rte, by �---- t-rg*tyre of No JAMES S RAROtary) EN f ' MyO)MMISSiONaGG135259 a. NATHAN BROOKS RYDER UPIRES AUG 16.2021 °. Notary Public-State of Fbnda ( f ' M ttrG 1$11StaiE,rsurance ' Commission 8 GG 094838 P M'PersorsallY Known OR MY Comm.Expires Apr 16.2021 t I I Produced Identification °.. Bardedthrou6+hatioralNotary Assn. ( )Produced Identification tvpe of icsentrficat4m: �— Type of identification.