1085 JASMINE ST - DOOR L`J
J1 rJvl
0. CITY OF ATLANTIC BEACH
r.) 800 SEMINOLE ROAD
1-.7
ATLANTIC BEACH, FL 32233
"fr!0;3 r.)'' INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0260
Description: ENTRY DOOR
Estimated Value: 1555
Issue Date: 8/14/2018
Expiration Date: 2/10/2019
PROPERTY ADDRESS:
Address: 1085 JASMINE ST
RE Number: 170990 0500
PROPERTY OWNER:
Name: SIMS ANTHONY F
Address: 1085 JASMINE ST
ATLANTIC BEACH, FL 32233-1816
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
ORLANDO, FL 32812
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.
0..A.N-r,,, City of Atlantic Beach APPLICATION NUMBER
ti '' ,� Building Department (To be assigned by the Building Department.)
>r `` 800 Seminole Road �� ( - OZ
��
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 !` Cj
\ort 9) E-mail: building-dept@coab.us Date routed: .z7 �j
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 0 E / ,J PcS(RA(l-C—Snt review required Yeo
Buildin
Applicant: Lc)(.�) ten\E 0._ 10"C (L._Manning &Zoning
Tree Administrator
Project: F -�-reL--( 00E. 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: roved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
ILDN
PLANNING &ZONING ,� i . �Y
Reviewed by: / ' Date: 7 /o
TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied.v ❑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
„.,,:i'--79-,,.:.; Building Permit Applicationt,,
'
City of Atlantic Beach
;, ' BOO Seminole Road,Atlantic Beach,FL 32233
u;r�`i Phone:(904)247-5826'� 1Fax:(904)247-5845
lob Address: [ 17 . (1 1r� )1 ..., ) i _ _.. - Rests-oz D
Permit Number:
Lert:a!Descrl r 38-2S-29E.131 ATLANTIC BEACH SEC H S 6FT LOT 1, LOT 2 BLK 181
---
REP 170990-0500
Valuation of Work(Replacement Cost)51555.00 d SF l
C
Heated ooe
/ Non- ofed
• Class of Work(Circle one): New Addition Alteration Repair Move Demo PooicWindow/Door)
l ✓
• Use of existing/proposed
structure(s)(Circle one): Commercial Residents S
• 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 Remoora)
1Oe=,cribe in detail the type of work to be performed:r 'rte! r \r
Replace 1 door size for size i
f for cia Product Approval 11 Cl for multiple products use product approval form
Property Owner Information
v
Name E"'�""':1t'f `( 7t _.. / 0
r_ 'Y l t•�~I'” { 7
L r- Address )-� :-
City r '1,
/ t_ till C._. Ca.lL,L1— State II7ip I; • ' Phone rt "rt , j' •(. 3
LU
E Mai' _ l l ��. "I l t' _
Cl:•1nr.r or Agent if -------
g ( Agent,Power of Attorney or Agency Letter Required)Contractor,Informationn
Name of Company: Lowes Home Centers LLC Qualifying Agent:— Pete Cafaro rrr
Address PO BOX 781993
City Orlando State FL ,ip 32878
Office Phone (904)806-8387
_.__........_.__—_._.Jog Site/Contact Number Vanessa Wood(904)806-8387
State Certtfication/Regisrration u CGC1508417 E-Mail VW0000630886D MAIL.COM
Architect Name&Phone N N,A
6,0
Engineer's Name&Phone R WA
Workers Compensation WCO23.02416 EXP 0-v01;2019 Z --
txt'+r;pt,'!n.orer/Lcase Ltspipye¢,i rh Malian nate Wr-± _J Z I t }
Application is hereby made to obtain a permit to do the work and installations as indicared.I certify that no wont or installatioRa() Z O L f
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all th,laws regulat i g Q 0 F--
construction in this Jurisdiction,I understand that a separate permit must be secured for ELECTRICAL WORK,PLL WING,SIGN m 1_- z FW-
WEt.t.S,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I terrify that all the foregoing information is accurale and that all work will be done in compliance with aU o E 8
I— CC Z
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY° cn N
J
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEI�a g w
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO`NEY BEFORE W
RECO? s , . OUR NOTICE OF COMMENCEMENT. o w w In
W a —Ill M CI
P.'1" m
W
;r dture o ref or Apar nr including lenir:u.t rri
Signed d sw n to(or affirmed)be{ore me this l.rntrmure of Contractor) W 5
i_.day of Sign d and sworr t/o�( r affirm )before me this •r dayai cc
f �-, T r t1j r,by .... r
,Srgr•ucrte of Not'r1 —
(Signature of Notary)
�.� Yn;•4 NATHAN 1r"nDr'1KS R'i DER •.•.'•• T
�;,' NATHAN
" Notary p:Yrt•State of lancia ' = 'c'l 'Vary Vii'it - r? J
} State of..or€ca
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,+ a? GC t j Pnr;nr.illy Known OP. ^`
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• ( )Produce IJenti,ication '•'.,Eo,cr„
TYpt of Identification. " "eettt,gFS r; r ,v.< I 5vacdr taSr Ntit^H Aver
Type of Identification: a —�—