RES18-0213 F) ;' _11
rtCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
��slvINSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 41PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0213
Description: install 2 french patio doors
Estimated Value: 3434
Issue Date: 6/21/2018
Expiration Date: 12/18/2018
PROPERTY ADDRESS:
Address: 2216 ALICIA LN
RE Number: 169519 0820
PROPERTY OWNER:
Name: DEPADUA VIRGILLO G
Address: 2216 ALICIA LN
ATLANTIC BEACH, FL 32233-5974
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
;j Building Department (To be assigned by the Building Department.)r-
800 Seminole Road OSI
Atlantic Beach, Florida 32233-5445 ll..• 0
Phone(904)247-5826 Fax(904)2475845 p
E-mail: buildingdept@coab.us Date routed: I I a ( p
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: A-AlL t 6t Lu A e De artment review required Ye No
A �n wilding
Applicant: a�W lS M� `� t'�-1 Planning&Zoning
I� Tree Administrator
Project: R S I 17 Q Whb Public Works
Cotj 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: U✓Approved. ❑Denied. . ❑Not applicable
(Circle one.) Comments:
IkU
ILDIN �,,.. �p
PLANNING &ZONING Reviewed by: Dater
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
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone:1904)247-5826 Fax:1904)247.5845
loo Address: . SIG: k}I1Cik-L. o )E'
Permit Number
Legal Description 46-94 37-2S-29E TIFFANY BY THE SEA LOT 22 REp 768578-0820
Inluadon of Work(Replacement Cost)5 3434.00 Nested/Coaled SF Non-Heinad/Coded
• Class of Work(CircleNew ddion Alteram
Alteration Repair Move Deo Pool Window/Door
• use of etining/proposed structure(s)(Orcle one): Commercialesldenti 1
• It an existing structure,is a fire sprinkler system installed?(Orc a we• yes N=)N/A
Submit a Tree Removal Permit Application if any trees are tp be removed or Affidavit of No Tree Removal
Describe In detaN the type of work m be performed:
)) `.r�`cliu✓� ..:.' 4-vr11C�z�sE�l/ c�CCr�2
Florida Product App teal l 13541.1 for multiple products use Product approval form
Prooerty Owner Itdormatlon
Name: 4 i y.. .: 'Cc<." Address: i/I,)Cc,• L�.kf7F.
State rl- Zip•.JZ>�.� Phone9'7. - %$'-6&Sr17—
E-Mad--
Owner
!--E MallOwner or Agent If O
g ( Agent Power of Attorney or Agency Otter Required)_
CptltEll Info snation rt,
Name of Company: Lowes Home Cawwa LLC WIU
Address PO BO%)87993 Qmkfying Agent Pole Coleco f.1
[Icy Odantlo State FL Zip���_ (01,
Office Phone Iam15aS3793 lob Site/Conhct Number Dan smM1a0415353793 "_ •1 Z l
Stat!Certif¢atbn/Regist2tion p cocclaossI7 E_NEIR d .dun Z O
Architect Name&Phone# WA _ p
Engineer's Name Ik Phone k wA _ Z 111
Workers Compensation Wtlp33FD341g IXP olumno" O QO
FumPt/Wurn/Lfn•Emplg ,111rnbn Date F Q O I
Application is hereby made to obtain a permit to do the work and inmllatons as indicated. certify that no work or install rs'Sas� Z `I
commenced prior to the issuance of a Permit and that all work will be performed to meet the standards of all the Iaws e a e
construction In this jurisdiction,I understand that a separate Permit must be secured for ELECTRICAL WORK,PLUMBING,SI SF N F
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,eta Q 1-
2
LLLLLL0{� LL W
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be donein compliance witslalV W
applicable laws regulating construction and zoning. Ll 6 ¢ TO
W
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M/ tj Ww 3
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ININND ¢ W
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A A ORNEY BEFORE W
RECORD '/ UR TICE OF COMMENCEMENT.
IL s eot0 /yennndutliry Contractor) Signature of Conrad,.,)
Sign and sworn to(or affirmed)before me this S day of Signed and sworn toforaffirmed)before me this dayof
��.Lt_,by ty Qa4 r s L]a. .�p �y /IF _
INpiature of Nnal)
WISSIONarFnd373
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