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10 10TH ST # 12 - WINDOW , ` \ CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 =mot INSPECTION PHONE LINE 247-5814 t_ 3 WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-WIND-733 Job Type: WINDOW AND/OR DOOR Description: slider Estimated Value: $2,000.00 Issue Date: 3/30/2016 Expiration Date: 9/26/2016 PROPERTY ADDRESS: Address: 10 10TH ST 12 RE Number: 170237-0036 PROPERTY OWNER: Name: J ELAINE HIXON Address: 10 10TH ST APT 12 GENERAL CONTRACTOR INFORMATION: Name: ADVANTAGE BUILDERS LLC Address: 3818 Bettes CIR Phone: 904-200-7530 PERMIT INFORMATION: FEES: PLAN CHECK FEES $30.00 BUILDING PERMIT FEE $60.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 01441A, City of Atlantic Beach APPLICATION NUMBER ( Building Department (To be assigned by the Building Department.) �, �� ; Atlantic tic Seminole Road /1" J /©Atlantic Beach, Florida 32233-5445 /V 4`£ Phone(904)247-5826 Fax(904)247-5845 D• E-mail: building-dept @coab.us Date routed: 3/215//‘17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Addres : /d /17w it # /2- De. . ment review required Ye No Building Applicant: V/s'n ��1 /d¢ ZS • anning &Zoning Tree Administrator Project: QQ j Public Works Public Utilities Public Safety Fire Services 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. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 3/26 G TREE ADMIN. Second Review: ['Approved as revised. ❑Deni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ofic...i• y� f :s FILE COPY BUILDING PERMIT APPLICATION Y , CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 �• 0'ti9r• Office: (904)247-5826 • Fax: (904)247-5845 mA.SrEy. PE.&.,tc 16-RApK-2y1 Job Address: I 0 Will ST , ()N IT 8 P.- , ATtANTIG eat 32-2-33 Permit Number: /o-tv IN/7—7 3 3 Legal Description 1(0 - 2S -2.C1 E- WI SIftz -UNIT 12.- o/ii 1 ic RE# 170 237 - 0636 Valuation of Work(Replacement Cost) $ Z,000 yCool 3 ( p ) Heated/Cooled SF Non-Heated/Cooled /0-4- (-Ross AREA • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool ICVindow/Doo • Use of existing/proposed structure(s) (Circle one): Commercial • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes c 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: OCEAN FRNT ExTE20le sL1oep eu4416E OUT Florida Product Approval#_ Fec-- 132-'41. 1 for multiple products use product approval form Property Owner Information Name: ? LARK N IxoN Address: 38Ig l3ET ei c,1RC1,E City TNc,1cSaNVILL‘ Staten- Zip 3224D Phone gay- 7'2- -Lvii E-Mail 1-11X0/4 ZEL 6 GMAll. C°4l Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) 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. Contractor Information: Name of Company: ADVAIJTAGE gulLt c S, Li-c, Qualifying Agent: TaSJN R PuleuPs,.rR• Address: 3818 BE7TEs Cl2c.LE City 3Ac.K.Sol'YI(LE State Zip FL 32 2-10— 433L Office Phone N/A Job Site/Contact Number goy- 2Aa-'r 3o State Certification/Registration# CGG #mod 1511383 E-Mail NApe.FS M 1 A1h I 6 'A Ioo.coo► Architect Name &Phone# N/A Engineer's Name : ;,'one# A '1\J -IJE(t -• see 1fige+� G� SORTS )� � ��art,. Worker's ►.,� .;I;�.i',' ? �elefir Lc? . 1��9�33. ��ss\U1 • r \\ xempt Insurer Lease mp oyees Expiration .t•,/%//f', IOW,. Ap.l',• Mere to obtain a . it to`.o the work and installations as indicated. I cert5 that no work o �" `ati has corn ��P1/b,. ,t ;�� a 'ermit and thp all work will be performed to meet the standards of all laws regulating construction) ty, 'uri - C •'�'i�permi:' e ,, •nd void if work is not commenced within six(6)months, or if construction or work is suspended o/i s: ,,� or`ll rlop period of six I, 0114 time after work is commenced. I understand that separate permits must be secured for Electrical I ' lan Signs, ells, �1 ,Boilers,Heaters, Tanks a d Air Conditioners,etc. I /�%$8%Qn N�D%res 1Q�jy� s■lis\A , J pp / o V�/4 Signature of Property Owner: ': �- � Signature of Contractor: '_ 1i r 1 pp 1st Before me ` r this Day of 1iG,r # p)04)(p Before me this II ay of i I f ,.. • 0)(0 Notary PubliaK4A i(51ti tfJ0• ' 4/•43 Notary Public: m)‘_ A ' 1 CJak e4t., /tis I hereby certibl that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisi ons of any other federal, state, or local law regulating construction or the performance of construction. 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