254 S Oceanwalk Dr RES19-0136 Window RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0136
ISSUED: 5/13/2019
800 SEMINOLE ROAD EXPIRES: 11/9/2019
ATLANTIC BEACH. FIL 32233
ALL WORK MUST CONFORM TO THE CURRENT 6TH tUl I juil tZ0171 11- 1 fit II A DIII-j III.
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
F 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,
RESIDENTIAL ALTERATION ONEWINDOW $1375.00
254 S OCEANWALK DR RESIDENTIAL
TYPE OF REALESTATE BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: ZONING: GROUP:
1694630508 OCEANWALKUNIT02
-- CITY: STATE: ZIP:
COMPANY: ADDRESS:
PELLAWINDOWAND 7818 PHILIPS HWY JACKSONVILLE FL 32256
DOOR
OWNER: ADDRESS: CITY: STATE: ZIP:
BRANDSTAETTER 254 OCEANWALK DR S ATLANTIC BEACH FL 32233-4676
RAYMOND
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
way.
Roll off container company must be on City approved list. Container cannot be placed on City right-of-
FEES
DESCRIPTION $60.00
"'PT'UN
BUILDING PERMIT 455-0000-322 1" 0 $3000
BUILDING PLAN CHECK 455-OM 322 1001 $2.00
7
STATE DBPR SURCHARGE 455 0000�20S-0703 0
STATE DCA SURCHARGE 45541000-208 06M
issued Date: 5/13/2019 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0136
800 SEMINOLE ROAD ISSUED: 5/13/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 11/9/2019
issued Date: 5/13/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be apned by the Building Department
800 Seminole Road c's�C1 - (D 13 (5,
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-deptQwab.us Date routed:
Gity web-site. http 11wwwcoalb us
APPLICATION REVIEW AND TRACKING FORM
Property Add ress: ZS4 0ceAowALi< De rtment review required No
A�_ �
Applicant: I A-210 0('(')_S PJannmg &Zoning
Tree Administrator
Project: 0 11 C�- Public Nar_ks
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or a It Date
ofPermItV fiedBy
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy orpsofEngineses
67n ision of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: E]Approved. E]Denied. [:]Not applicable
(Circle one.) Comments:
G�
PLANNING&ZONING Reviewed by: ri je—_ Date: 6-Z1&J24CV
TREE ADMIN. Second Review: E]Approved as revised. E]Derl E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: F-JApproved as revised. E]Denied [-]Nat applicable
Comments:
Reviewed by: Date:—
Revised OW1912017
Building Permit Application Updated 10/9119
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY
Phone:(904)247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: Permit Number:
LegalDescriptlon �RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-HeatedLogled
• ClassofWork: 46New C]Acldli OAlteration E]Repaj�[]Demo OP�l�flQWimdow/Door
• Use of existing/proposed structure(s): jzInnihmercia(EgRescle—n1b.
e�'t_:l)
--MY—
• If an existing structure,is a fire sprinkler system installed? as WIN.
• Will tree(s)be removed in association with proposed proieCt4&es(must submit separate Tree Removal Permit
Describe in detail the type of work to be performed:
W,4A6- �lit.4r
Florida Product Approval# I LOU 6. 57 for multiple products use product approval form
Propertx Owner Information
Narr:,��r�j$�*Tl�ee Address 2Y1 �- D
State ZIP
St
Phone ?OY-
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) me
Contractor Information
Name of Company. s f-vool 5 ClualifiVingAgent '36m&5 ao�"L
Address city L,,l3w State J�L Zip 3,1210 1 1
Office Phone Job Site Contact Number
State Certification/Registration# LiSr_01f 674al- E-Mai
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer sle,Vrj S CC' '741 OR Exempt D 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 rag ting
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLI 15S,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requiremeda of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this coud*,=cW 2
< 0
there may be additional permits required from other governmental entities such as water management districts,state agalgi"
federal agencies. Lu 2
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance wa 0
applicable laws regulating construction and zoning. Uj
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT PA
I
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I
TOOBTFAI INCING,CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE
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Sil of Owner or Agent) (Signature of Contractor) LU U (j) w
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Signe ands or to(o affir d)before me this day of Signed and sworn to(or affirmed)before me this-Vay of W>
Vr.1 b ur.1,67m- jprd 1011 by
cul (Signature of Notary)
40-T4',', TWO
S t,,q THY .OUALLEY MAUJIFY
4H R
YCOMMIS&QN#GG117135 WCOMMISSION
EXPRESA.g
EXPIRE
NO
I Personally Known OR �27;. IP Kn OR WCOMMISSION NGG 11713:
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EXPIRES.August 7,2021
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