Permit Garage Door 700 David St 2011 14 , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
T. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4 0.111 9
Application Number 11- 00002381 Date 7/26/11
Property Address 700 DAVID ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 535
Application desc
REPLACE GARAGE DOOR
Owner Contractor
SACKET OVERHEAD DOOR CO. OF JAX
700 DAVID STREET 6884 PHILIPS PARKWAY DR. N.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 268 -1627
Permit WINDOW AND /OR DOOR PERMIT
Additional desc . REPLACE GARAGE DOOR
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 535
Expiration Date . 1/22/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC 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 60.00 60.00 .00 .00
Plan Check Total 30.00 30.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
(SAT)JUL 23 2011 0: 041ST. 23: 57/Ho. 7534999091 P 2
FROM
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office ) 904) 247 -5826 Fax (904) 247 -5845
Job Address: 7,() 4.44 Permit Number: 1/ - a
Legal Description Parcel #
G 2. Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $.�. Proposed Work heated/cooled — non- heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial 'a1
If an existing stracture, is a fire sprinkler system installed? (Circle one): No N /A
Florida Product Approval # / / 7 O '
For multiple products use product approval form
Describe in detail the type of work to be performed: !i, 1 A d.. ' ■ P 41 / _ % t' _ „A ►�
I ,�C4 r . .
3
p
Pro e i Owner Iaforma ' / ,,
Name: Address;
City Tt. alt 1 e i el, Stat� _LZip3 2,2„?Phone 0 • • 1 , - {�
E- ail or Fax # (Optional)
Contractor Information: '
Company N. e: 40r CL H : . A O c _ .. Qualifying Agen : i s � A .�, :.
s
�i ' — _ - , . , ,ii State Zip
Address _ . — — l ,
Office PhonepdV- 24 E,- f bZ, Job Si e/ t ax , y�P�il; , - M l
State Certification/Registration # f +
Architect Name & Phone # % V b 1 1 g :. it it t -
Engineer's Name & Phone # i MMIIIIIyu :Ms a1►y go) :i s s s • .
Fee Simple Title Holder Name and Address 1 •• REQUIREMENTS AND CONDITIONS.
Bonding Company Name and Address _ II, Mortgage Lender Name and Address 1 :4- 1- is ' l DATE: 1
.4pplication is hereby made to obtain a permit to do the work and installations as indicated. 1 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 ofsix !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 and Air Conditioners, eta
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.
1 hereby c ertify that I have read and examined this a plication 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
provisions of any other federal, state, or local law regulating construction or the performance of construction.
7 /
Signature of Owner ' _. Signature of Co : ctor .',o.: _ 4 1 .
_,El
Print Name .0,1t#64-4 Print Name ,�� R ��. ,�. a ..._..__......_..
Swo • t+ and su. d . die i B •:y % Swo ' to : nd sub wed•• . - ' mite, . //
this Day o _ _ • �� • At,. thi /say of , _ i 20
/ ....4 . le,dlinM,,,.,,....01''',P/IIIIIIP'''... tr.14"
Not/ b' c : :; y , � • cS� is � , 9yo.�....•.••46r
�� + +� 1 ' ° et, ...... ..6 ,' �� 1 � t nii� �� 01.26.10
40,40 snit
1,11j1L'f;' ity of Atlantic Beach APPLICATION NUMBER
4$ J � Building Department (To be assigned by the Building Department.)
800 Seminole Road / /,. G g
j . z, Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 7.- 22- //
11� s r E -mail: building - dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 70e) t review required Yes No
Building
Applicant: 5?A--e '�3fl - Z anning & Zoning
Tree Administrator
Project: �J� e L Public Works
Public Utilities
Public Safety
Fire Services
w
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: [Approved. ❑Denied.
(Circle one.) Comments:
(BU ILDING
PLANNING & ZONING Reviewed by: I1' d Date: 7 2 - 7Y
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:
I
Revised 05/14/09
FROM (SAT)JUL 23 2011 0: 04 /ST. 23: 67 /No.. 7634999091 P 1
•
6884'PHPLLIPS PARKWAY DRIVE NORTH OVERHEAD DOOR
JACKSONVILLE, FL 32256 COMPANY OF
PHONE (904) 268 -1627 * F AX (904) 26.8 -7204 •
JACKSONVILLE, INC
F . .
_Iza, .
F 0 11at ' — '75 AL—I-- .
Fax; 4,..- — 5 Pee.: 9
Phone: . . Date: 7.2 .
Ref . _ . CC. •
❑ urgent • ❑ For Review ❑ Phase Conimorit • - 0 Plows ' Re* 0 Please Recycle
• Conninentsr
Cr.", - - --/--/: tZ/e,..._..,
;i al T
. ' - • ��- -P.- -c
A dei,...e.,- . . 0--;--67 att...e.-Z: --
‘ 4 - ; / 1 '
. Q 4 i
.�,•,. .
114e. it L Arze• (.5