224 S OCEANWALK DR - PERMIT RES18-0149 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPE&ION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMA77ON:
PERMIT NO: RES18-0149
Description: 34 windows
Estimated Value: 19571
Issue Date: 5/15/2018
Expiration Date: 11/11/2018
PROPERTY ADDRESS:
Address: 224 S OCEANWALK DR
RE Number: 1694630042
PROPERTY OWNER:
Name: LITSET LORETTE F
Address: 224 OCEANWALK DR S
JACKSONVILLE, FL 32233-4676
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 aftached 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$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
J 800 Seminole Road
D -IV -,s- - (--� ( L�-5
Atlantic Beach, Florida 32233-5445 1
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us ate routed:
-U,
Cityweb-site: hftp://www.coab.us AZ7
APPLICATION REVIEW AND TRACKING FORM
Property Address: -Depar_(rne nt review required Yes No
Applicant: Arne—ri czL4-k W vi Ap uc�-3 Zoning
Tree Administrator
Project: -S (2-e Public Works
Public Utilities
ty
Fire Services
qv.ew fee_$ Dep 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: [�`Approved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
E U
U�:LD
PLANNING &ZONING Reviewed by:_ Date:
TREEADMIN. SecondReview: DApproved as revised. OlDeniedu ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. E]Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application
City of At I ant i C;Beach
800,93minole Fbad,Atlantic Beach,R-32233
Phom (904)247-5826 Fax (904)247-5845
,lobAddress: aN C_C%-)0CA_)a
1K f�r-- �3 Permit Number: AgES I G 1
Legal Description)4-9-1 C9-9s-,5q 2S_2
k T-, u6i+'. I 3:cFV- -FE# i(J9 LA 65-G0140
Valuation of Work(Replacement Oost) OD Heated/Cooled cF — Non-Heated/Cooled
M1 Class of Work(Clrde one): New Addition Alteration Papair Move Demo Pbol��r
MI Use of eAsting1proposed structure(s)(Orcle one): Commercial (f9_den_tiaJ_")
MI If an eAsting structure,is afire sprinkler system installed?(Orcle one): Yes
ED %bmit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Pamoval
Describe in detail the type of work to be performed:
1poq - \Q;C)ko
Florida Product Approval# -for multiple products use product approval form
ProDertv Owner Information
Name- E Addrer,,
aty7hEbaedic iter__403_� qate FL Ap Phone 9C4--7c?8-cfc;,9e
E-Mail
ONner or Agent(If Agent,Power of Attorney or Agency Letter Fbquired)
Contractor Information AMERICAN WINDOW
Name of Company: PRODUCTS, INC. QuafifyingAgent: V)ez-kv)
2688 POWERS"A"A'IS-
Address 1'&AKGGNV166E, FI=32207- at Sate Zip
Office Phon�n I_C;04_V_ bb Ste(Oont ber
aate Certification/ftistrat ion#Q@)Q I E-M ai I
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation. \L QhRK - QI 6)Cq R9 1 Sr1 19
I Brampt/Insurer/Lease Brnployees/t5qiiclion Date
Application ishereby madeto obtain a permit to do thework and installationsasindicated.I certifythat nowork or installation has
commenced priorto the issuanceof apermit and that all workwill be performed to meet thestandardsof all the laws reguWiong
construction in thisjurisdiction.I understand that a separate permit must be secured for RECRCALWORK PWMBNQ SGN$
WRLF%POOL,$RJlRNACE5 BOILIEFEi HEATEF;:�TANIrA and AJRO0NDI-nONff;rA etc.
OWNERSAFFIDAVIT I certify that all theforegoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction'and zoning.
WARNINGTOOWNER YOURFAIWFETO FEWRDA N0110EOFOOMMEMCEMENTMAY
FESJLT IN YOURPAYING TWICE FOR IM PROVEM ENTSTO YOURPROPERTY. IFYOU INTEND
TO OBTAIN FINANCINQ CONaJLTWITH YOURLENDERORAN ATI`ORNEY BEFORE
I YOU NO_n OF OOM M ENCEM ENT.
7 74 j', -t1p 7,1,/7
'(sgnature of Owner or Agent including Contractor) (agnature of Contractor)
Sgned and sworn to(or affirmed)before methisz-( dayof Lvorn to(or affirmed)before met his �9 I day of
by
LARRY J.GAI I AGHER &&"A �_/Nh Lu4z2�
Ox
MY COMMISSION#FF 902227 (,9gna,06f Notary) bTgnature of Notary)
EXPIRES:September 6,2019 EVANGELIE CLARKE
Bop.dedThru Budget Notary Services D L Commission#GG 102835
Expires May 9,2021
]Personally Known OR 1,4sonedly Kiown OR
Woduced Identification 57-zr- -4-7-kZ_7_0 [ ]Produced Identification 'r"eOF FT10 Boaded Thru Budget Notary Ssrvloss
'Type of Iderdification: Type of Identification:
OFFICE COPY 18 -809
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
C)Iqq
Project Name: F. 04�seA- Permit # KIP S J
Project Address:—sQ9'4 Ceac-A)LcialK Do.5 qk& R, Sc�;Q,35
As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
)roduct approval ma be obtained at:N"yNy.floridabuilding.....r .
Category/Subcategory Manufacturer Product Description Limitation of Use State 9 Local#
A.EXTERIOR DOORS
1.Swinging
2.Sliding
3.Sectional
4.Roll up
5.Automatic
6.Other
B.WINDOWS
1.Single hung
2.Horizontal slider
3.Casement
4.Double hung
5.Fixed Rrno?-s-
6.Awning
7.Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action
2.Other —N
Category/Subcategory Manufacturer roduct Description Limitation of Use— State# Local 9
H.NEW EXTERIOR
ENVELOPEPRODUCTS
2. 1
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge.I fin-ther certify that use of different components other than the ones
listed in this document must be approved by the Building Official.
�eAk C-'�L-cr AMERICAN WINDOW
(Con tractor Name) (Print Name) PRODUCTS,INC. (Signature);;�
2633 POWERS AVE.
Company Name: JACKSONVILLE,FL 32207
Mailing Address:
City: State: Zip Code:
Telephone Number:noq)—7 QcN-7 Fax Number:M01A) 13?(Pq
Cell Phone Number: E-mail Address:
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Doc#2018109167,OR BK 18379 Page 1465, My COMMISSION#FF909227
Number Pages:1 EXPIRES:September 6,2oig
Recorded 05/08/2018 12:07 PM,
e,, SoneEd Rru B09el Nobry Sinkes
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
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