2142 FAIRWAY VILLAS LN S - WINDOWS CITY OF ATLANTIC BEACH
;�(---
,' 800 SEMINOLE ROAD
iATLANTIC BEACH, FL 32233
''��;3» INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0253
Description: 4 Windows
Estimated Value: 2500
Issue Date: 8/6/2018
Expiration Date: 2/2/2019
PROPERTY ADDRESS:
Address: 2142 S FAIRWAY VILLAS LN
RE Number: 169398 1018
PROPERTY OWNER:
Name: WOOD MAXINE A
Address: 13202 DAMRON PL
JACKSONVILLE, FL 32225-3399
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: Sun Tech Industries of North Florida
Address: 5203 Cruz Road
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.
�S!,.Lyjy�, City of Atlantic Beach APPLICATION NUMBER
Js Building Department (To be assigned by the Building Department.)
r l 800 Seminole Road Q
U-..,,, - Atlantic Beach, Florida 32233-5445 I� rg O2.53
Phone(904)247-5826 • Fax(904) 247-5845 +� / /fg.
12_,V E-mail: building-dept@coab.us Date routed: ` 11 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
1 (4 S
Property Address: 2 l l� S. F-( rw V 'De. rtment review required Y'es/No
: ildin• V
Applicant: Sur\ Teck l 1 Q.S _7_
Planning &Zoning
Tree Administrator
Project: Li V v 1 r\d V W S Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection = r
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 I First Review: W pproved. ❑Denied. fNot applicable
(Circle one.) Comments:
:UILDI► '
PLANNING &ZONING Reviewed by: 7Y1), Date: d d"��
TREE ADMIN.
Second Review: Approved as revised. ❑Denied. [1]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable
Comments:
IReviewed by: Date:
Revised 05/19/2017
;;, ,t,„.„,4„� Building Permit Application Updated 5/5/17
�4 `.. c. City of Atlantic Beach JFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904)247-5845 c Q'
Job Address: ZI 1 Z tet;r�,7t«( V;lUaS 1 4 S Permit Number: ' E31 p -012-
Legal Description ,39'ZZ De-2 5-2-FE ,--;144/4i" i'/lc44Slst)S RE# /l 93578 -l018
Valuation of Work(Replacement Cost)$ Z O .LC-2-
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 •esident'.
• If an existing structure,is a fire sprinkler system installed? (Circle one): Yes VD 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 work to be performed:
7 W.'44tw rZkplacevAevU1-
Florida Product Approval# 5/ 3 7 for multiple products use product approval form
Property Owner Information �l(�
Name: 6,9{1JE? 4 . 0-,e4 Address: Z y). i1DA! gibs S•
City 4 ; A s. , State___ _L__Zip 3 2t. j3 Phone qty- --e-./ 1646/
1j7
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: 5'v / /'✓01..r 7 Qualifying Agent: 51ef4s-/ / `' '`I,"J _
Address 5203 ed vZ la'/ff) City trAteete.uf//[t,e. State f:k- Zip 5 7
Office Phone(V) i'9 -Z(# Job Site/C9ntact Number ✓?jWW'f(9e,Y') 953-::-GBD
State Certification/Registration# CRCOS'ti 7Vf E-Mail Alile 44" • ,6 c /44.' •40,-pr N �
Architect Name&Phone# = -r-
1 Z `i0
Engineer's Name&Phone# a 7 E Vp
Workers Compensation WI O p
.Crxempt,�nsurer/Lease Employees/Expiration Date O m F Z H
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or inItallcjoh8 a
0
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the lawsitli5np
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBIN S g Z
Q
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
U FJ- NH
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in complianc 'vi[E i Z
applicable laws regulating construction and zoning. LL IL ¢ 2
pp�o Wus us m
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTL�L1 5 0
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOUDIMEN[E w
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE W °C
RECORDING YOUR NOTICE OF COMMENCEMENT. = cc
ei4,0,. a . 1 ,z. ,e.--,
(SignatureAgent) (Signature of Contractor)
of Owner or g
(including contractor)
Signed and sworn to(or affirmed) before me this '7 day of Signed and sworn to(or affirmed)before me this/7 d. of
holy( ,1-0! 1 , by Ce ' . . ` . C 6 TV(y/ , 'n1'' , by en' 4 et^i. C 'ebwtar
't;: BENJA fil e'.
i: '`: MY COMMISSI X(FII;Rp1Qr�etI Notary) (S;na ' N
=? 2 : ° JAMIN C REBMAN
EXPIRES June 17,2019 `� MY COMMISSION x FF241271
i�Ci�19}�!51 fbl6WooeySew+ce.corr - �
�+ ,,.` EXPIRES June 17,2019
I40 196-0tg� f e ,y5 e.
l'i]Personally Known OR Personally Known OR •
[ ]Produced Identification [ ]Produced Identification
Type of Identification: Type of Identification: