Permit 1241 Ocean Boulevard CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000656 Date 5/26/10
Property Address . . . . . . 1241 OCEAN BLVD
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 400
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Application desc
FABRIC AWNING ON METAL FRAME OVER FRONT DOOR
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Owner Contractor
------------------------ ------------------------
GOLDKNOPF LESLIE ADVANCED AWNING & DESIGN
1241 OCEAN BLVD. 2155 CORPORATE SQUARE BLVD
ATLANTIC BEACH FL 32233 BLDG 100
JACKSONVILLE FL 32216
(904) 724-5567
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Permit . . . . . . BUILDING PERMIT
Additional desc . . AWNING OVER FRONT DOOR
Permit Fee . . . . 69 . 00 Plan Check Fee 34 . SO
Issue Date . . . . Valuation . . . . 400
Expiration Date . . 11/22/10
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 69 . 00 69 . 00 . 00 . 00
Plan Check Total 34 . 50 34 . 50 . 00 . 00
Grand Total 103 . 50 103 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
/0
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 z
E-mail: building-dept@coab.us Date routed:
City web-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
J
Property Ad P___ Duaftent review required Yes No
/J J-41
Applicant: Planning &Zoning
Tree Administrator
Public Works
Project:
Public Utilities
Public Safety
Fire Services
Oepj, ;gp
_ptpre—
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation /140 5 "'Al
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLJCATION STATUS
Reviewing Department First Review: O/Approved. FDenied.
(Circle one.) Comments:
Q!�S)
PLANNING &ZONING Reviewed by: _�Iw Q:� Date:
TREE ADMIN. V
Second Review: []Approved as revised. ElDenied.
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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC 13EACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: k 0 C_ C� Permit Number:
Legal Description —Floor Are-a-5-f— —S'q-.Ft-- -- Parcel# Sq Ft -_
Valuation of Work 4 o o —Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): 4� Addition Alteration Repair Move Demolition po
Use of existing/pro osed structureQ)(circle one): Commercial
,�QR,,—, _�n
If an existing structure,is a fire sprinkler system installed?(Circle on Yes No N/A
Florida Product Approval# MAY 9 if
For multiple products use product ap jroval form
By_ j1_j
ormed:
Describe in detail the type of work to be perf
Property Owner Information:
Name: L e s\'. g_ (-, J��-
Address:
City. Q�, 'State�-LZip Phone
E-Mail or Fax#(Optional
Contractor Information:
Company Name: A Qualifying Agent:
Address: -2-1-g C —city :y,-- State zip
Office Phone_2 it=(O.-I 'Job Site/Contact Number 0 Ift 15=1-1 Fax# -72 eii- I 34-t
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#-'--ell A C-v_c
I *X_�t\_�6
Fee Simple Title Holder Name and Address
Bonding Company Name and Address 5.-
Mortgage Lender Name and Address
A a'- s here ade ain a do work and ins a'a '�ns a' n�c or installation has commencedprior to the
f t ' t' i,,
r �e an ar a'Ls thisjurisdiction. This permit becomes null
k a Period of sixp�)months at any time after
st 0
r ct'on r 10'
'r f
p ic 'o i m 0 erm t to or t e`c e d 0,Ejec c W S
P' _e ' obt pill be i e m d om
is uanc o aperm and hat a, ork w
)mo t or, c s
s 0� fwo, is it ot c i'P(6 n 0
and v d 17 k n ommenced w thin s
work is o" ncd 1 udersta t at separate Per ii s m, t be s
T S j,Co �jdo r"eta ell,Poio&, urnaces,Boileis,Heafers,
ank =A e n n
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMIENT MAY RESULT ]IN YOUR PAYING TWICE FOR ]IMPROVEMENTS
TO YOUR PROPERTY. YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR Al
I here REVI C 0 PLIANCE Obli NOTICE OF
,lb ceryfy that I have read and examined th a licateeon
h
work will be coTp fi er in Allprovis ns oflaws and ordinances governing this
lied with whether spe i Te herein
provisions of any otherfederal,state, or local lami not presume o give authority to violate or cancel the
liregulatinjWIQ tion.
REVIEWED BY: DATE:fZ,25
Signature of Owner 7'1
A
Print Name c,k��
I a li rint Name
.............. S�............N
....................................... .........................
.. .........
Sworn to and subsc jibped before me
this1W Dayof 20) worn to and subser'b d before me
of Qe
24--Day 'm I A
t,Totary Pu lie
o arjRw�Ler
NWaill Public state of Florida
C=
Notary Public state ofPonda
Alanna Latham Alanna Latham rVeVISed 1.26.10
MY commission D0730405
�y My commission DD730405
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