222 Magnolia St window permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0 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: RES18-0080
Description: installing 6 replacement windows
Estimated Value: 3937
Issue Date: 3/13/2018
Expiration Date: 9/9/2018
PROPERTY ADDRESS:
Address: 222 MAGNOLIA ST
RE Number: 170537 0010
PROPERTY OWNER:
Name: WAINWRIGHT LISA J
Address: 3830 9TH ST N
ARLINGTON, VA 22203-5819
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.
City of Atlantic Beach APPLICATION NUMBER
Js �� Building Department (To be assigned by the Building Department.)
800 Seminole Road N b
s ,
Atlantic Beach, Florida 32233-5445 1 `..JJ
Phone(904)247-5826 • Fax(904)247-5845
Date routed: Fall
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ent review required Ye No
Building
Applicant: 5 oning
Tree Administrator
Project: �l 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 B
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: Approved. ElDenied. ❑Not applicable
(Circle _ Comments:
BUILDI
/011
PLANNING &ZONING Reviewed by: Date: 3)5 Pot
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
OFFICE COPY
Building Permit Application R
City of Atlantic Beach f F`' 2 7 201$
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904)247-5826 Fax:(904) 247-5845
Job Address: r _ D
Penna Number_-- J
Legal Description 10-8 16-2S-2�E SALTAIR SEC 1 LOT 499 _ REtt RE: 170537-0010
Valuation of Work(Replacement Cost)5`` _ r7 c'? I Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one : New ddition Alteration Repair Mov, i Pool Window/Door
• use of existing/proposed structure(s)(Cirde one): Commercial esldenti i —71
• :fan existing structure,is a fire sprinkler system installed?(Ctrde one): Yes Nif 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:
Fiorlda Product Approva a 16812.2 16812.3 16813.2 for multiple products use product approval form
Property Owner Information
Name.
Address:
)'tYSateLGZip.--
�
City j 1if'/'
E-Mail
J� a Phone '•1—
.
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company' ! ', t/p �C�f pi.�� 4Z� Q ty.
Address uall ink Agent:
"1r-'
_r -
_ ! State.F� zip- 7,
L7ffice Phone 0/" - _ - -job Site/Contact N'lmber_(904)535-3793
State Certification/Registration N CGC1508417 E-MailVWOOD063088(MGMAILCOM
Architect Name&Phone p N/A
Engineer's Name&Phone ti N/A
Workers Compensation WCO23102416 EXP 04/01/2018
Exempt/insurer/Lease Emptoyees i Uplration pate
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 PROPS TY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT RN BEFORE
RECORDING YPUR NOTICE OF COMMENCEME
(Signature of Owner or Agent including Contractor) (Signature of Contranot)
5; ed and swor to(or,affirmed)before me this�I i day of Signed and sworn to(or affirmed)before me this 20day of
by
—„ JAMES S B /
/ Signature of Not?ry) MYGOASAgSSKN (Signature of Notary
t $0GG135259
~ EXPIRES ALIG I6,20'21
/` ikin wd fllrt�,1st St,Rt tri uranP�
p(Personally Known OR
ersonall Known OR
( j Produced Identification � y
I )produced Identification
Type at Identification Type of Identification:
^�� :'a""•,, NATHAN BROOKS RYDER
Nwary Pudic-State of Florida
• •` Commission CG 494638
My Comm,iii ,es Apr 16.n I
....... E.x:fa:,;�roug`ha#ar;r 4stary kyy.