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2232 BEACHCOMBER TR - WINDOW r1�`l\., r CITY OF ATLANTIC BEACH , �"", .._ .) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 �rif;>>r INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0254 Description: Window Replacement(30) Estimated Value: 33567 Issue Date: 8/7/2018 Expiration Date: 2/3/2019 PROPERTY ADDRESS: Address: 2232 BEACHCOMBER TR RE Number: 169463 0052 PROPERTY OWNER: Name: MICHELMAN JEFFREY E Address: 2232 BEACHCOMBER TRL ATLANTIC BEACH, FL 32233-4566 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: MIRACLE WINDOW AND SUNROOMS Address: 8933 WESTERN WAY APT 11 JACKSONVILLE, FL 32256 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. ( J\J City of Atlantic Beach APPLICATION NUMBER 1, Building Department (To be assigned by the Building Department) 800 Seminole Road 8— Q2 S� s Atlantic Beach, Florida 32233-5445 / Phone(904)247-5826 • Fax(904)247-5845 Email: building dept@coab.us Date routed: /20/f City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1232- 415tCON-10'°,r De artment review required Yes o Building d g Applicant: M(rc1 e 1A) Ae S Planning &Zoning Tree Administrator Project: IN(Ad6 ,,j Qce et-(3v) 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 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: oved. ❑Denied. ❑Not applicable (Circle one.) Comments: TV C� v 0 PLANNING &ZONING 4) — F.7 -1P".7 -1P" Reviewed by: Date: TREE ADMIN. Second Review: nApproved 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 „orBuilding Permit Application Updated 12/8/17 +• City of Atlantic Beach 4,vi . 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: 01o�,3oZ /.e�G/!G/D/? //dt�L2°/' j�'� Q TG•/ m Numbe Q 3 l�Esl 8 o 25(f 09 .tS-.29c v�,rirc - .CusUT1 Legal Description Vi-LX;'/ d i-2S-df dy�tJ'-29(o ! a29E 401-01 RE# /6W6 3 -4 .S;;} Valuation of Work(Replacement Cost)$ Slog Heated/Cooled SF Non-Heated Cooled • Class of Work(Circle one): New Addition Alteration Repair Move D Poo Window/Do • Use of existing/proposed structure(s)(Circle one): Commercial Residenti • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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: • ) such. 1)40.5 6/g c 7P4_, 5/ Florida Product Approval# //t//Q•/ / ///099.G for multiple products use product approval form Property Owner Information Name:/✓C7/ E 44, he//rru/'7 Address: d R3.7,G,',e'l�L�?' eomlxr71,ea/ City / /-/L/ G / 41-e__44 State ft Zip 3223,3 Phone 9GV- 2 '7 `O.PD E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: AiiiMe Z 0/43'VSaletc/en/ s't5,tdeir- Qualifying Agent: ,th Address 0133&1,Sf/i/l City ,pe,C�Seitdtl/c-- State r-4 Zip ,3226Z, Office Phone fz53-4,73a ,SSS/ Job Site/Contact Number State Certification/Registration# CRe/330V-Ar E-Mail e/ac /614-t /,thee,4)r-rin cZ 1 f COili Architect Name&Phone# Engineer's Name&Phone# A/A- Workers Compensation St)NZ- loft ($ Exempt Insurer/Lease Employees/Expiration Date 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 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 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. 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. • (11/1.4.6, Ustin-Q_ (Signature of Owner or Agent) t(Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this day of ,y — -- . . • e-oTNor,5ry i t• `pPY34015 � LISAM.TOMASINO •t MY COMM.COMM•5• ' "`fir [ ]Personally Kn •;;, [ J Personally Kn. �; ; .1 EXPIRES.July t,2'v22 * MY COMMISSION#GG 234015 [ ]Produced Ide Produced Ide 7 .t 1,2022 f; ,y;:511c underwriters [ 1 EXPIRES:Juty Type of Identific• •, =_'-,- - . -:- -- Type of Identifica •M1',!!^oT:' r„ ..:,, PubNcurrderwrKers ' I OFFICE COPY MIRACLE INSTALLERS MEASURE SHEET . Sales Rep: &Veit,rIN Tp6r6-S Date: 6-Ili-At Customer: -/li-/t- Customer: 'Ta 'f- inR(J/LQ ( /Z it a 4 4274/{ Street�Atddress: a.2 3 2 Ae Q c rf Go,, e.2 arta;l _ tatY: iy t la N ait, Bens o he State: .r1 Zip Code: 3223 3 //vivo Phone: 901/- _2 '17- I-1060 /1)n s Phone: Jo 5'- 5-36- 6 2 q3 Mit: Phone: 9011-6-36 -6.2 S'.2 _ Phone: .S 4) ?V i Ors�j�urricane�JMirage Gtass 25--41d Haow$ Color Window In (,t1 h i ico i-T142r4 41(0 or Half Screens Color Window Out ldb rte.e, V 'r"1 No. We Opening she Room Glass Glass Grids Mutt Raine Opening Make stx$ WxHT s - W x H W x N 17-77) SP 7a x 3.i" ENTety l 72 x(2:H1/2_ H1/2_ 7t3Jq x Wf _ a p,cr 7A x 4-`7 &tity x 1 i3/4 x SA3/so 3 P/SP 3a x /6 aari4 ?('s.. x (‘Y4 3t'f. x ‘SG/� _� 7 Aalcf. 36 x 7/ ICAs r 3Ce x/ I _ �/�s x `7D 7/g 2.RYttl1�l CD 8. St1- 3 6 x 7/ Misr i ! , asp x 71 s-A x -7D l� Co _P-r'f'srr 3 G x 7/ MRST , 7 x - p` 36 x -707/v Ga /O 5t 3� x 71 11124 sr x 35 1 x ?6.7`5 1 I� ,Co ii SHCH) 36 x 1y l/No %ff,Ary _ _ 3Sx q3 3531 x `6'1-7(fi 2w&S' ' D la S/1(H) 36 x SAY LrvtM YJ� - - 7* x _x3/4( x / t I StirrH) 36 x t L,v,Ng I x1' x 274 CP 0 stf(N) 36 x gy Liv/N3 . /g( x cl3 3‹ x 2!/� �fl is SN 01) 36 x 511 Los/101 x 3S x //s! 4)6 tygitt36 x 7/ Ki rcpt _ _ _ _SCP4 x ( l',f 3S / x 1 (Vf ,c i17 Sly 36 x 7/ k,rcn 30* x 7( '74 3071 x1( `A‘ 2.112 `!t /S 9r 3 x 7/ x,rcN 3S% x I Vet 3S`k x i('ke ' l i, — --ii 3 6 x 7/ S" e ' , ...1 # RI 3S/rs- x 71 'Ai 3S 1r x-7t A( a o, fi_ 3 6 x 7/ C-41149e ! �j s d 3x (cl��t� �. „at- 2 l -0Kt 36 -x 7/ „a me 7 ,6,: 7 3W x (9 l 1/' 0A 44/jt- 36 x 7/ Dintn43 x 32-0 x 70N l 3_ ONS 36 x 7/ Drx,ks �l' x Alt x70 7 a0 TOTAL WINDOWS(Isr/Ldo2) (1)/ 7/51/4r G n. TOTAL DOORS tautomer Slgnature Date (11 PA-ll 60L6:- QA,M C. 5.PLiT 'To flit.o. T&E't tic:c Oej I REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS REVIEWED BY: DATE: F g-i r MIRACLEINSTALLERSMEASURE SHEET Sales Rep: aeAr7-/N �!pNcS Date: 6-/y-/t Customer: Terri) ¢ if,q u2ee/i /19ic E,R/./rlAnr Street Address: ,2,232 gfle0_cti com4ez 7,te , / city: 4t/r~Nit c lie -,u - State: ,c4 Zip Code: 3223 3 /comp Phone: goy- -2V7- J/060 Mns Phone: 909- Sag- 62v3 /r//t Phone: goy S-36 -x.24/2 Phone: S woNnorrs'' Com/ t�� �nurticar� r Miracle Glass �S 41�Hna.,s Color Window In �j)`j Ile r1 *Pin ap or Half Saeens Color Window Out G./h r I C".7411. frosted No. Style Sim Room Glass Grids PAW Rough �+g Make St=WxH WxH B C) _ay P,cr 36 x .S/ _Living _ 34 xSl �z 35�r� x Si 6-a as- P,cr5P 7A. x s/ Liv,Ni t x , i -7i r x %; 0.9 a6 P/' 73 �'� 7 P,�r 3 x s L,v ag x t771 I-4 , So��t�, a� RI-5 7/ x vs Qed� 3CQ x S! 1-:r 3��l� x � 1 /� Al DH 36 x '1l z x 36 'QArH 3(a x 3 Izx 3S 3o P/SP 7Z x 3C- 13e<? I -.71,1, x . /� 3 ''f - o.LS 7 2 x y6 /3e4 �X� 1�1" `�'- ,-i 33DH 36 x I -7( 7���-3 X i/t� 7/ Bed . , I x x [ x x - x x x x _ — — x x X X x. x — X x x X x X X x • x x x X ; X x f I I ' X /0 TOTAL WINDOWS aivn F/oort IQ TOTAL DOORS �����Customer Signature Date - a/■lI■1 a■■1a ,. ■ +.4:kg_ ■ ll + f 1 1 iiiiiiiini 'C, II ppr; mun qyv: 111..■1■1111 �[ . i� _1■ ./�// 1■■■■■■11 /1 _ - _ _ . ice' ■�.■.■/■■ , ■ �_ :• . 111 EN rillaimil - 11 - - -- \:11111th -I I __--. !--.- - - 1 ■ il _ �, _ __ ___. _ , al$ 1 d --- • SIM LX11 ., anwsrqm l ma cfc war - 1-L .1- _.-; -r -- - i- w>_ _J. um ;�k-ami, 1■ 1% • l.. 1 - �, _ . -- ; ►_l- 4 7111 .,6 . . _-:_-1 r7.--.,.' . ,ci • 7 1 Fr _i. v_J.,:ili !,),:i a, c0a--L I 5Li-, w:-3-:1,7--7i,- .-.. ..4;• I ,� 1_ _ _ ,T--VI, 1 /. I! ia - -4-- -14 -1-1--- .1-1-1-1_1_L.. _,_I:1_4_1_. ---i- --desanin e . "lc. ,4-- iii 1 st • ••-t.___...... --,---7------- • . -:-+-4_,7--4 f :. 1 1 _..pici -b . •___1 ___1. ___t 4 . .7` iiii . 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