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Permit garage Door 5107 Fleet landg 2011 : ' s CITY OF ATLANTIC BEACH .r �� s? 800 SEMINOLE ROAD ='1 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002478 Date 8/12/11 Property Address 5107 FLEET LANDING BLVD Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 550 Application desc REPLACE GARAGE DOOR Owner Contractor NAVAL CONTINUING CARE OVERHEAD DOOR CO. OF JAX 1 FLEET LANDING BLVD 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268 -1627 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . 27.50 Issue Date . . . Valuation . . . . 550 Expiration Date . 2/08/12 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 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. ........... ........... _ . 0 ,,„ 3. ,,,: ' t� c BEACH -' I oC 17 1 4' 800 SEM INOLE ROAD, ATLANTIC BEACH, FL 32239 ti s OFFICE: 04)247 -5826 • FAX NO.:(904)247-5845 r BUILDING- DEPTGCOA9.US �w' BUILDING PERMIT APPLICATION DUVAL. COUNTY I !-. rev i r -. .: - , y! ` • c r. ° i- ' t c. ' - , - -: . "'- - d e'6 ti.. I i c hi ii Ff, 32233 ❑ NEw BUILDING ❑ DEIt1Ot.tTION ❑ RESiDENTWAW. LOT BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL e 5 _°,, ! , v° v 1 _ . ,t , 1. a7 ❑ ALTERATION ❑ ACCESSORY BLDG. L j_ LJ } SI i <h _._ ' REPAIR ❑ POOL I SPA ❑ YES ❑ NiA ❑ MOVE ❑ OTHER ❑ • -. „1. tuit,�tt . -.: -r- - - -• - � _:. .. .Li4E ^�; . . . . - a: -: _ .:( :'- � : "'tt�f ';S ?. ['F k° F. .�'�. •:: .. -,-._ �'' _ .i.�' re ` [; , � �PI�� - ::37.• - , r t._.,.__,x • 9. 1 tadirt • /j/� COMPANY `4Y . p 23. COMPANY NAME: fria 1 ,8 N!1) 4 )C k6766/11i 24. LICENSEE NAME: 10. ADDRESS: 17. ST O FLORIDA LICENSE NO.: 25. STATE OF FLORIDA INCENSE NO 9ry 0/1,9 in 0 } , 1 „4//i p ity p,v t _• 28. ADDRESS: - 7 / �,& - it, / 3Z 11. OFFICE PHONE: I 112. FAX NO.: I r.. OFF I20 .1A I : d �� � 72- 27.OFFICE PHONE: 128. FAX NO.: bYom /t z7 / 7 13. CELL PHONE 2 PHONE 29. CELL PHONE 14. EMAIL ADDRESS: EMAIL ADDRESS: 30. BMJL ADDRESS: 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. t certify that no vmdc 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 constriction 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 sbc (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. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in- compliance with all applicable laws regulating construcdon and zoning. I MI not occupy or use the referenced building or any part fherof, until all inspections are finaied and prior to obtaining a certificate of occupancy or completion issued by the building offldal, as required by law. ir • WARNING TO OWNER: *r* 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 NOTICE OF COMMENCEMENT. t • :a ki : "1 '•i r t'.f '6 1 ayi � Dana: I = �/ / t - Datm - /b - / Before me this day of -20U7 in the county of Before me this day • je .. Ai 200715 the county of Duval. State of Florida, has personally a c`D`/ Duval, State of Florida, has • : , • : 5-I 1 p 4 herin by himself / herself and a elf train and declarations are n by himself / herself an' j declarations are true and accurate. �#�v�,A i- Wsp� r y, ,� true and accurate. r :9• •• • Notary Public at Large, S • • \ Ex Coun of Notary Public at Large, Site of: --' n o mtY df • ❑ Personally Known �(' c . ❑ Personally Known = .jr : • • ¢ ❑ Produced Ida • Z m L _______:,' __ • * -= - ❑ Produoed Ides i 4199 1 r Notary Sigrs• e '• r I ; - r. 1r 4 . �, • !t` PR L��! /* ;:• 1/,ii� . a ` Y L f ■ d►1 A BI II ! � t ■ nr'T!. 7'►nf/JK �' IliZ rILWiyA' ? i 54.4`.. / - . ...... t CITY OFATLANTI EACH °'fttitttt "�' ; '' '!61'14 re ii i 1 h � i \ E TS FO R All t, ITIONA L NS F IL C opy • REQ UIREMENTS PERMI AND CONDITIO. i , COMB FORM BLDGDI: REVISED: 11/6/2007 4 - w REVIEWED BY: DATE: /C�'' // , .. •"*v. , . �.. • I .aa1 ; . JJ , City of Atlantic Beach APPLICATION NUMBER . • 1. . '• c Building Department (To be assigned by the Building Department) 800 Seminole Road li f /� 1/ u - . a -te =- . Atlantic Beath, Florida 32233 - 5445 r 0 1 Phone (904) 247 -5826 • Fax (904) 247 -5845 • ` , e`-' oit E -maih building - dept ©coab.us Date routed: Q / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ...S Depa� nt review required Yes No Buiidj� Applicant: / t Manning & Zoning Tree Administrator Project: 6i-7/A-et Public Works Public Utilities • Public Safety • Fire Services `�;5�. cr`a% „g"'�{SF � -,. .e' • lwf}.,' ••,• .w ! ,+ �; ^ Y`9. ' • - e. } fed . AP Y 401K ' ... : iP•�. a • ;' 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: APPL ATION STATUS Reviewing Department First Review: proved. ❑Denied. (Circle o Comments: UILDING PLANNING & ZONING Reviewed by: ni Date: d" /O —/ 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 07127110