Permit Wind/door 225 Nautical 2011 6 J.s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
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Application Number 11- 00001770 Date 3/10/11
Property Address 225 S NAUTICAL BLVD
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 800
Application desc
new garage door
Owner Contractor
HANCOCK CHRISTINE THOMAS D & D GARAGE DOORS INC
225 NAUTICAL BLVD. SO. 1177 CATTLEMEN RD
ATLANTIC BEACH FL 32233 SARASOTA FL 34232
(941) 371 -7242
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 55.00 Plan Check Fee . . 27.50
Issue Date . . . Valuation . . . . 800
Expiration Date . 9/06/11
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
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 55.00 55.00 .00 .00
Plan Check Total 27.50 27.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 86.50 86.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION D iT g > M
CITY OF ATLANTIC BEACH U
800 Seminole Road, Atlantic Beach, FL 32233 MAR U $ 20i1
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: ,),A5 /JL IL *1 C a/ AL[) D S Pf 10.1th ( i3 Ch Permit Number: ��%C�%T% .-.-•�
Legal Description 5 - (12 Li (7 -a S aq ea .s ir0. Parcel # 0 0 -- 0 "..
FoorAreao q. -t. 5c, q. t
Valuation of Work $a Proposed Work heated /cooled non- heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa wit +ow /doc
Use ofexisting /proposed structure(s) (circle one): Commercial RL al •
If an existing structure, is a fire s rinkler s stem installed? (Circle one): es 0 N /A
Honda Product Approval # 6? /71.- 3-8—P
For multiple product products use roduct approva orm
Describe in detail the type of work to be performed: elea m nor ( 'Q\ , --
Property Owner Information j( n11' S
Name: � t�n Qt 1 1 () r'� Address: ,A). E / 1i o c 6 L.DL9
City Ell i a A State j, Zip 3 '33'hone ) 14 q- q' S 5
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: -V e, cvmsco k' Qualifying Agent: ( pC1t1.4,5 rA, ter
Address: a - I. . „ _ • � State Z ip
_ City_ y_ ,� . � tip �t 3 • Office Phone ' 1 w; � � •1 1 Mit 1 1 ' � -- _L:ri. loy) (0 s act -�
State Certificatu)n /R # o?Q • J •�: I. ;y� :. ' Fr
Architect Name & Phone # 1 CITY 0FATL,ANTiC
BEAcji .; ,�; .,
Engineer's Name & Phone # I SEE PERMITS F . ._ bp is . _ r "
Fee Simple Title Holder Name and Addre, 1 i REQUIREMENTS AND CONDITIONS. 31 I KM 1111 I Lk,
Bonding Company Name and Address - t 1 _ ? 1 i
Mortgage Lender Name and Address r BATE: ti t > 4;rA •,,,,t,ft : ,, : -. i
Application is hereby made to obtain a permit 10 do the work and installations as indicated. / 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 iwor is 001 commenced within six (6) months, or if construction or work is suspended or abandoned for a period oJ'six 6) months at a tin
ny e after
work is commenced. l understand that separate permits must he secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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.
I hereby certify that l have read and examined this application and know the sane 10 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 10 violate or cancel the
provisions of any otter federal, state, or local late regulating const - action or the performance of construction.
Signature of Owner : ■ 1 1 Jhbil (.ef OPAL- Signature of Contractor ) '
Print Name Chri - Mgr f' / CK t--- Print Name PCLI aft tI..e:.r'
Swor• o and subscribed l fo c 1 CA, Sworn to and subscribed before me
this ., Da of .:.s :.20a�
Day '''` -t /� �! this a y of
i .
W f u j I/ I. Q - ` Q 1 ° v ' o e, TARREE ROUSE
OUSE
`= MY COMMISSION # DD 820134
Otary Public � � Il lt l � ! l � Ot 1 11 woe 1 Not' ry UbIic EXPIRE ^ ep nitii,Undenvriters
r . . r' My comm. expires Dec. to 2014 r '
L..... , ised - O 26:I0
City of Atlantic Beach APPLICATION NUMBER
Js
A-40fet i 1 Building Department (To be assigned by the Building Department.)
800 Seminole Road l f l _ 7 7 J1
Atlantic Beach, Florida 32233 -5445 Y
Phone (904) 247 -5826 • Fax (904) 247 -5845 3
st' i'r E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2-z c/11/ ea L- vJ S Department review required Y`ey No
(uildin_g'
Applicant: 4) Alt galiGtqc Planning & Zoning
Tree Administrator
Project: 9CVJL £ 0 Public Works
Public Utilities
Public Safety
Fire Services
,^, z �, .,' -° ax - s =p "', .�,,, ad:,� ref 3 -,- �^ �,is
Reviev fee s , � `� �fi , 54, Deifffi atur,, T ,w r 1WV4740 a 1 .141 ,
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: lErAPproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING by: m Date: 3—
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
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