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750 W 14TH ST WINDOW PERM I JSrS'�:Lyr, . RESIDENTIAL PERMIT PERMIT NUMBER F ' RES19-00 55 V� CITY OF ATLANTIC BEACH ISSUED: 3/1/2019 55 y,,;„� 800 SEMINOLE ROAD EXPIRES: 8/28/2019 ATLANTIC BEACH. FL 32233 MUST CALL INSPECTION • • • 1 PM FORDAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! BUILDING CODE NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: RESIDENTIAL ALTERATION 750 W 14TH ST RESIDENTIAL replace windows $3910.00 TYPE OF ZONING: : ! • CONSTRUCTION: NUMBER: GROUP: 171050 0000 ATLANTIC BEACH SEC H COMPANY: ADDRESS: LOWES HOME CENTERS 4948 TELSON PL ORLANDO FL 32812 INC • ADDRESS: ' THACKER LAUREN ETAL C/O MEGAN WALSH KAMMERER ATLANTIC BEACH FL 32233-1803 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $70.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00 TOTAL:$109.00 Issued Date: 3/1/2019 1 of 2 Building Permit Application OFFICE �° City of Atlantic Beach COPY 800 Seminole Road,Atlantic Beach, FL 32233 Phone.(904) 247-5826 Fax: (904) 247-5845 Job Address: LU/ / � `It `` �''�c Permit plumber: cSlq ©WS Legal Descrlptin 18-34 38-2S-29E 0.281 SEC H ATLANTIC gLK 223 # 171050-0000 Valuation of Woi*(Replacement Cost)5 3910.00 Heated/Cooled SF __.Non-Heated/Cooled + Class of Work (Circle on • ddition Alteration Repair M Poo( Window/DoorUse of existing/proposeds rNucturs) L�T (Circle one): Commercial Residential • If.an$wasting structure,-is a fire sprinkler system installed?(Cirde one : es No N/A • Submit a Tree Removat 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: FEB 1 G 2019 Florida Product Approval d 16812 16812.1 ; 16812.5 fit11`muftleproducts use product approval form Proaerty Owner Information Name: lac r —�-- -- Address: L l City —ate L- Zp. 3 ; Phone Owner or Agent(If Agent, Power of Attorney or Agee Required) Q� cY bitter Re ui►ed f`1 Contrattor information Name Of Company: Lawes Horne Centel LLLz Address PO BOX 781993 Qtialitying Agent: P Cafero N tr Orlando Zip, ' office.Phone 19012 1 53-5-3793 ""' Slate FL Job Site/contact Number aan Smirh Isoal sas37ss a Z n State Certification/Registration#f CGC1508417 E-Mail Architect Name&Phone# NIA °0f`1 W -- Q til Engineer's Name&Phone f# wA. aLj Q Workers Compensation _ O wCO23102416 EXP:0410112018 Exempt/insurer/Lease Employees/Expiration Date O Z Application is hereby made to obtain a permit to do.the work and installations as indicated. I certify that no work or inst%04ar commented prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws r IatrcbIgZ construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING IUS2 W WELLS,POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. OWNER`S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance OtlFelxu 0 >. CL cc m applicable laws regulating con struction.and zoning. _ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF w U cWn w w Cr. w RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU Ikl'T'END AAY > TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R.NO�TICE OF COMMENCEMENT. 7 If (Sig atur of Owner or Agent including Contractor) L� Signed,and wo n to(or affirmed) before me this�day of signed and sworn to(orarffirmed) before'alt'lle ofcontractme by this day of (5i nature o s ^�i�5 NARDEIt (Signature o Notary) MYr COMWS10N#GG135;59 EXPIRES AUG i ti.20?i ;WZ'-i"'tt' ';ia NATHAN BROOKS RYDER � ,,IPr �tip's,l$121B lr+sctarfi ._'�.Personally Known OR � ```' ,"'• Notary Public-StateofFlorida PeRonally Known OR Commission90009a838Produced Identification MyCommssion GG09 838 Type of Identification, i l Produced Identification o. r Type of Identification: "" Borded througk National Nwry Assn. r5I-Ai1jr�, City of Atlantic Beach APPLICATION NUMBER } � Building Department (To be assigned by the Building Department.) 800 Seminole Road pp _ Atlantic Beach, Florida 32233-5445 L L S i 00S,S Phone(904)247-5826 Fax(904)247-5845 dTI19' E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: PTSD I t review required Yes No �C m,,� rr' / Building Applicant: �-(�1,� �J1' �n '1 Planning &Zoning Tree Administrator Project: la-c W i ,n � � 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 B 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: Approved. ❑Denied. []Not applicable (Circle one.) Comments: O (Ei;� N PLANNING &ZONING Reviewed by: Date:d/ TREE ADMIN. Second Review: A roved as revised. Denied. ❑ pp ❑ []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