197 Poinsettia RESO18-0037 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
• INSPECTION PHONE LINE 247-5814
RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES018-0037
Description: Replacing 5 Windows
Estimated Value: 2389
Issue Date: 6/29/2018
Expiration Date: 12/26/2018
PROPERTY ADDRESS:
Address: 197 POINSETTIA ST
RE Number: 170641 0005
PROPERTY OWNER:
Name: HAMILTON KATHY
Address: 197 POINSETTIA ST
ATLANTIC BEACH, FL 32233-4017
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ECOVIEW WINDOWS OF THE GULF COAST LLC
Address: 6950 Phillips HWY STE 1
JACKSONVILLE, FL 32216
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$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
600 Seminole Road Peso 19—
Phone
O—f�n']�7
Atlantic Beach, Florida 322335445 RL U WJ
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date routed: t
City web-site: hftp:/Nrww.coab.us
APPLICATION REVIEW AND TRACKING FORM
ti -
Property Address: I 1 III
I1 PO( h Se- Cl ant review required Ye No
Applicant: ECOV 'eW Planning &Zoning
S
Tree Administrator
Project: 5 I �{ �J Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
Of Permit VeXZ B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: RaApproled. -]Denied. ❑Not applicable
(Circle one.) Comments:
UILDIN
PLANNING &ZONING Reviewed by: rr Date: 612.7bol
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05He12017
OFFICE COPY
Building Permit Application u JUN 1199. MI11117
Ory of Atlantic Beachfe i=.
800 Seminole Road,Atlantic Beach,FL 32233 i l
Phone:(904)2473826 Fax:(SOWS)247-5845
Job address: 197 Poinsettia St. Atlantic Beach, FL 32233 Permit Number-
Legal Description 10-16 16-2S-29E SALTAIR SEC 3 W1/2 LOT 693 RE8
Valuation of work(Replacement Cost)$ 2389.00 Heated/Cookd SF 1386 Non-Neated/Cooled 1497
• Oass of Work(Circle one): New Addition Alteration Repair Move Demo Pool indow/ 00
• Use of existing/proposed structure(s)(Circle arra): Commerciales errrx. �
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No (27
• Submit a Tree Removal Permit Application if any trees are to be removed at Affidavit of No Tree Removal
Describeindetail the type of work to be performed: Replacing $windows SIZe-tOf-SIZC
Florida Product Approvalti 7883.2 for multiple products use product approval form
Property Owner Information
Name: Kathy Hamilton Address: 197 Poinsettia St.
city Atlantic Beach State FL Zip 32233 Phone 1 (904)307-1916
E-Mail My ma monvoyahoo.com
Owner or Agent(If Agent,Power of Attorney or Agency letter Required)
Contractor Information
Name of Company: EGOView Windows and Doors qualifying Agent: George Beck
Address 8950 PhilinR Hwy Ste, 1 0ty .lanknnnvilla State FI zip '42216
Office Phone 904-281A067 lark She/Contact Number 90M2
State Certification/Registration 9 CRC1330954 E-Mail lisbeth Dhjllips((7COVIeWn Com
Architect Name&Phone 8
Engineer's Name&krone
Workers Compensation FvemDVExalres 12/4/2018
exempt/Insurer/lease Em plow,a l Expirznon 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 m 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.l understand that a separate permit must be secured for ELECTRICAL WORK,PW MBING,5165,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirementZof this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this courrg.ajd
there may be additional permits required from other governmental entities such as water management districts,state ageagyl O
federal agencies. W O O
N
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance wi®am l] Zp Q
applicable laws regulating construction and zoning. U a U
W C.)
p
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MZ�'� a
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN!BFWN ';
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ¢O Q t w
RECORDI G OUR NOTICE Of MENCEMENT. �� a
m W
W ¢ {•}mjY
I t l Q W
µmature ofowneror Agen Signatureof Carnme (f W U U') ¢W
(Including contracror) S
Sign'�edswu
-a'nd m to(or affirmed before m i, day of Signed and swom to(or affirmed)before this�MY of
•JIInG L-- •3@.18 �'��i+-J
ry) 5 na Notary)
[ I Personally Known OR rA Personally Known OR ROBERT D.PHILLIPS
N Produced Identification A ROBERT D.PHILOP9oduced idendflcation NOTARY PUBLIC
Type of Identifications / i LICTYPe of ldeml8ca[lon: e_s:ATcOF-I BRIDA
W3 STATE OF FLORIDA CarxNl FF196385
CormW FF196386 Expires 3/20/2019
T ' Eipiras 3/20/2019