RES18-0215 CITY OF ATLANTIC BEACH
o:. .
800 SEMINOLE ROAD
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: RES18-0215
Description: Window Replacement(13)
Estimated Value: 8428
Issue Date: 6/20/2018
Expiration Date: 12/17/2018
PROPERTY ADDRESS:
Address: 671 SELVA LAKES CIR
RE Number. 172027 5888
PROPERTY OWNER:
Name: "CONFIDENTIAL•`
Address: "CONFIDENTIAL••
"CONF—, )(X
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 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
Building Department (To be assigned by the Building Department.)
600 Seminole Road D /Q' O z/S-
Atlantic Beach,Florida 322335EC 445 f` J U
Phone(904)247-5626 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hdp://w .mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 10 I J ,e'I`�C�. L.[C,KS �,r ent review required Yes No
Applicant: Nme"CG.Iti Planning &Zoning
Tree Administrator
Project: W ��( UJ ( �4CeMe,Y�� Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Reviewor 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: t2Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments: tv
BUILDIO G
N ' (I
PLANNING &ZONING Reviewed by: Date: bL 6' Ol
TREE ADMIN. Second Review:
❑Approved as revised. ❑Demed. ❑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 0511912017
Building Permit Application 119-SSD
aty of Atlantic Beads
80DSlimincle Road,Atlantic Beach,FL32233 OFFICE COPY
Rwrte (9M)2475826 Ftc(904)247-5845
,bb Address: 1 ( •-R:1� IC-) o;(-80 Ikrnrit_N_umber:
Leo Decriptim 4q-(10 IALGSOt 1 IAF a1-s�8
Valuation of Work(Faplacernent Cod)$5.497 w Heated/Cooled IT n-Fleatedltboled _. .
O aassof Work(arde one): New Addition Alteration Repair Move Demo Pool ndowy r . �;� ti
ED lke of eri6ingrproposed structure(s)((3rde one): Commercial dentia)
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If an s/3eWAninstalled?(ardeone): Yes No ,jflN 1 4 Q018
r0 SfbmitaTree Removal FYrmit Applicationifmytreeswetoberemovedor AffidaMof No Tree Ferro
Dee vibe in detail thetypeof work to be performed:
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canmenced poor to the isaranceoFapermit and that all workwill be performedto meet the standadsoF allfhe lays regulao has construction inthisjunaiidan-I understand that a s�aate permit mus be�vred for HH,TROIL WOFi(FWM6ING,9C3J$
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OM4ERSAFRCVAMT I certify that all theforegoing information is accurate and that NI work will be done in compliance with all
applicable lawsregulatingoonstruction and zoning
WARNINGTOOWNERYOURFAILURETO F600MANOM EOFOOMMENCEMHJTMAY
RESJLT IN YOUR PANT NGTWICE FOR IM PFmVEM BNTSTO YOUR WCPERTY IFYOU INTEND
TO OBTAIN RNANaNG, OONEJLT WITH YOURLENDERORAN ATTOM Y MU;E
R ZOMNGYOURNOMCEOF COMMENCEM HNT.
( orA9enl indu6r5 Qxd air (94atnaeM mrRrata)
a,.,=,l and sworn to or am ore this day of 9 and sworn to(oraffiir bar mel is�daY of
�s{--.-;- naeof aY) �25L� (9 ve of Notary)
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Number Pages:1 2 fnr.y EVANGE IECLARNE
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RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL A i Eephea ay 6,2021
COUNT
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PRODUCT APPROVAL INFORMATION SHEET FOR TETE CITY OF ATLANTIC BEACH FLORIDA
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Project Name: T ` �I��^ Permit M ESA ����r
Project Address: I(Pl I �`yC� G(-
As required by FloridaStatum 553.842 and FloridaAdministmtive Cade Rule 9B-72,plea¢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
yourpmduct supplier ifyou do not know the product approval number for any ofthe applicable listed products. Ldomialionregandingstalewide
troductapproval may bcobtainedatnvuw.Floridubnildin urc.
Category/Subeategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.Swinging
2.Sliding it
3.Sectional
4.Roll up
5.Antarctic
6.Odw
B.WINDOWS
1.Single hung
2.Horizontal slider
3.Casement
4.Double hung (y11
5.Fined p1.S (4GP&
6.Awning
7.Passthrough
t.-Projected
9.Mullion
10.W'vhd breaker
11.Dual action
2.Other
Category/Subcategory ManufactureProduct Description WitafiDnoflTse State q Lora19
H.NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
N addition to completing the above list of manufacuums, produd description and Shore 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 manufacturers primed specifications and installation
marracoons along with this Product Approval Sheet.
I reality,that this product approval list is Was and correct m the best of my knowledge.I further certify that use ofdilferem components other than the ones
listed in this document must be approved by the Building Official.
(Contractor Name) (Print Name). �t „ 1 ` ocr � " (Sigreture)
Company Nam� 2��n \�v��l�/�f� 1C—V�
MailinggAAddr�ess,:�nL�.�.�73 1(`Y�
City:` XJLZI�JI V1I`C �J Staler— Zip Code: pCXQ��` 1��
Telephone Number PO4—73' -009 1-1 Fax Number-Poq)��7,5�-889 _` __JJ
Cell Phone Number.( ) Iy I PY E-mail Address:l����-YJY1'f1Cf'C'1 W 1 C 0 Cd CC