1748 Ocean Grove RES18-0236 Dlw-'
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
~� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL-ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-SS14
PERMIT INFORMATION:
PERMIT NO: RES18-0236
Description: Replace 3 Windows&Front Door
Estimated Value: 3612.5
Issue Date: 7/25/2018
Expiration Date: 1/21/2019
PROPERTY ADDRESS:
Address: 1748 OCEAN GROVE DR
RE Number: 169616 0000
PROPERTY OWNER:
Name: RAY TERRI L
Address: 1748 OCEAN GROVE OR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ACE DOOR&WINDOW SERVICE
Address: 9123 E HARE AVE
JACKSONVILLE, FL 32211
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.
UMBERCity of Atlantic Beach EM]
ing DeparlmentJBuilding Department dZ.��P800 Seminole Road
Atlantic Beach,Flonda 32233-5445Phone(904)247-5825 . Fax(904)247-5845
.rD E-mail: building-deptacoab.us
Cityweb-site: hap://w .mab.us
APPLICATION REVIEW AND TRACKING FORM
D
ent
revi
ewre wired Ye o
PropertyAddress: Buildin
annln &Zoning
Applicant: �Sce T'f ooY irvI&I t Tee Administrator
Public Works
Project: e- Public Utilities
V7 fj -tOO� Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
ftOther _�.�M
ency Review or Permit Required of Permit Verified B
ept.of Environmental Protection
ept.of Transportation
River Water Management District
rps of Engineers
f Hotels and Restaurants
of Alcoholic Beverages and Tobacco
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑
Denied. ❑Not applicable
(Circle one.) Comments:
f3UILDIN �j�) 7 2d
PLANNING &ZONING Reviewed by: � - - Date:
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 009/2017
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)147-5826 Fax:(904)247-5845 �.S' 6Z3�
Iota Address: 174E OCEAN GROVE DRIVE Permit Number: dd V
Legal Description
20-0 09-2S-29E OCEAN GROVE UNIT 2 N 1/2 LOT 21 REa 169616-0000
Valuation of Work(Replacement Cost)$3612.50 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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 workto be performed: REPLACE 3 WINDOWS SIZE FOR SIZE fL
QUO GC vJiNJ
(LIP e Florida Product Approval# FL239 5+R S L 1-73 Y7. / for multiple products use produ��r Q 0
av = 1=
Property owner Information 1748 OCEAN GROVE DRIVE W �_
Name:TERRI RAY Address:
ATLANTIC BEACH State FL Zip 32233 Phone 994-825-2218 13 0a
City _ 0 U G
E-Mail NONE
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) ¢Q 0 Q
Contractor Information U F on
'o
N—
Name of Company:ACE DOOR&WINDOW SERVICE,INC qualifying Agent:
Address 9123 HARE AVE qty JACKSONVILLE =t=FL 7m W
904n7-6911 fob Site/Contact Number eo4ers2zle�W n o, CC r
Office Phone OR CEDOOR.COM ...
State Certification/Registration# CBC035180 E-Mail VICT_ @A � �
Architect Name&Phone# f'#A W U m W
Engineers Name&Phone# WA �
Workers Compensation ON FILE /. Exempt/Insurer/tease E... — e-s1E,iratkn Due
Application is hereby made to obtain a permit t,7o the work and installations as indicated.I certify that no work oritallation 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.NOTICE:In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that maybe 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.
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 PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
/ (SlgnMur�r Agent) lSignature of Contractor)
(including oMractor)
Signed and sworn to(or affirm d)before 1e t is_day of Sign and sworn to(or affir d)befor e h s day of
�� UL by L'f d-P& by
_ ISIR ure of Notary) (Si tatureof Notary)
KAREN A STAMPER
AtE ER
` qqqi; onallY KnownOR 42103XPI
y{yPersonally Known OR MV COMMIBSIONa GG0121o3 ( ]produced Identificationh]Produced ldenti8cati EXPIRE30doMr25,2020 020
Type....entification:
Type of Identification: