2218 Barefoot Tr 10-00001142 Garage Door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
DAIS
Application Number . . . . . 10-00001142 Date 9/17/10
Property Address . . . . . . 2218 BAREFOOT TRAC
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
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Application desc
garage door replacement
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Owner Contractor
------------------------ ------------------------
ROHRBAUGH, MICHEAL COMPETITION DOOR SALES INC
P 0 BOX 5279
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32247
(904) 358-1350
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 3/16/11
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
—W
CITY OF ATLANTIC BEACH UL I VC)
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
;Z,;?/9 1-76t�'e—rWof Z&er Atlantic Beach, FL 32233
0 NEW BUILDING 0 DEMOLITION RESIDENTIAL
LOT—BLOCK—SUB DIVISION E3 ADDITION 0 CONVERTING USE COMMERCIAL
[I ALTERATION 13 ACCESSORY BLDG.
[3 REPAIR 0 POOL/SPA YES E3 wA
—7) �a-) El MOVE Fil-&THER NO
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
116.NAM9: 24.LICENSEE NAME:
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4.
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
C-9-C / 72r2- Y9
18.ADDRESS: 26.ADDRESS:
ff-�-
3 2
111.OFFICE PHON 12.FAX NO.: 19.OFFICE PHONE: 0.�I/NO.: 27.OFFICE PHONE: 28.FAX NO.:
12�
z q'2- z,;, 90 q-
13.CELL PHONE: 21.CELL PHONE: 29,CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
low
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
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 laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced Within six(6)months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEWS AFFIDAVIT- I certify that all the foregoing information is accurate and that all work Will be done in compliance with all applicable
laws regulating construction and zoning. I YAII not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
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 NOTICUF COMMENCEMENT.
Signed: Date: Signed: Date:
Before me this day of 2007 in the county of Before me this day of 2007 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. and accurate.
Notary Public at Large,State of_,County of_ ry Public at Large,State of Countyof
[I Personally Known Personally Known
[3 Produced Identification- Oft Produced Identificqtio
I NotarYS' ature: �ary Signatur
CITY OF ATLANTIC BEACH C..".)
KAYLA BERTOLET
SEE PERMITS FOR ADDITIONAL
Notary Public-State of Florida
REQUIREMENTS AND CONDITIONS. f My Comm.Expires Mar 28,2014
OAB FORM BLDG01:REVISED:11/6/2007
Commission#DD 975488
REVIEVIED BY: DATE.tL7//d--
Loh.
V
BUILDING PEPNnT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Tob Address: a�IL�' PermitNumber:
.egnal Description Floor Area of Sq.Ft Parcel 9 Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
�lass of Work(circle one): New Addition Alteration (��)Move Demolition pool/spa window/door
Jse of existing/proposed structure(s) (circle one): Commercial <�Eeside '
f an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
'lorida Product Approval 9
For multiple products use product app-r-o-vaffo—rm
)escribe in detail the type of work to be performed: e(e-I'e�-171af�e_ r-a 9 C__ Q16)(9 e-
)roperty Owner Information:
&me: 1_;11"r'_ka e /�o /I t-'z a VV Address: 6-�- _75,
'itY -H2�k Z LL State 642ip 2f�Ihone qa:��
-Mail or Fax#(Optional
lontractor Information:
Qualifying Agent:
.ompany Name:
�ddress: city State- zip
)ffice Phone Job Site/Contact Number Fax 9
;tate Certification/Registration 4
=hitect Name&Phone 4
,.ngineer's Name&Phone 4
'ce Simple Title Holder Name and Address
londing Company Name and Address
4ortgage Lender Name and Address
fto 3 e by m d an a erm�''�do'he work and installations as ind or installation has commenced prior to the
P or dtom Ztt e tan�a ds , , thisjurisdiction. This permit bkomes null
work e me h s r f months at any time after
8 0" 0
ca re a e to 0" ' P
1,and ,a'"' w
not W't m or t ..t'o
!rm n, n a eriod ofsbc(6
�-an 0 ap
7d"id�w"k i n"d hil ('6) nth 0 1
, i , 1 " , t� P" Per,
e e it,_. t ,secure jo 1"t,
k s Co' d ta d at e b d rE Zs,Pools,Furnaces,Boile�s,Heaters,
a,k andA er�,'ta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LWROVE MENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMY[ENCEMENT.
here ceryfy that I have read and examined th' application and know the same to be true and correct. Allprovisions of laws and ordinances governing this
111�work will be co�nplied with whether 111iyTed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
rovisions ofany otherfeHeral,state, or localsplIrw regulating constr tion or the performance ofoonEtruction.
igaatare of Owner L,-U Signature of Contractor
rint Name a.,) i Print Name
.. ..... .......
� 1� an s cri d be Sworn to and su b s ci i b e d b efo r e m e
s
70 e
1i of this —Day of
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09/17/2010 08:22 9044759682 COMPETITION PAGE 01/01
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road - 1142-
Atlantic Beach, Florida 32233-5445 Id
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: ;;;��17/A�)
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: &C6/'T r '4'" _P_a�ment review required Ye ' No
Building :>
–ft�g &Zoning
Applicant: &)17 g5_7_i-Air;�q 2)7,06
Tree Administrator
Project: 6 0 k-'— Public Works
Public Utilities
Public Safety
Fire Services
I'M
RE", '101- ",01"
�,1 2
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: dApproved. ElDenied.
(Circle one.) Comments:
B:U:1L D:I:NGD
PLANNING &ZONING Reviewed by: Date: Y/7J/0
TREE ADMIN.
Second Review: FlApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09