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Permit Windows 440 Ocean 2011 CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002885 Date 11/17/11 Property Address . . . . . . 440 OCEAN BLVD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1300 ---------------------------------------------------------------------------- Application desc REPLACE GARAGE DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HILL CURTIS V JR & JENNIFER J OVERHEAD DOOR CO. OF JAX 440 OCEAN BLVD. 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256- (904) 2256(904) 268-1627 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1300 Expiration Date . . 5/15/12 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONAL 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: "Tc) lr)CL`A�" &\X) Permit Number: Legal Description Parcel# Floor Area of Sq.Ft. Sq* t Valuation of Work$ 1300 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 eside If an existing structure,is a fire s rinkler system installed? (Circle one): es No N/A Florida Product Approval# - I For multiple products use product approval form ot�r� Describe in detail the type of work to be performed: {�Kk- Property Owner Information: [Name:�G{-a 11�t.2 IAR-L,. Address: L(0 0CS1-k �l V City 61...A�.. I- 6g��L-k State dip _Phone S)CQ- L 4> E-Mail or Fax#(Optional) Contractor Information: CompanyNaine:OVf�W_-jA-� r)Dr)K Qualifying Agent: i\4 k15L&- vk.Lls"-L-lSA,,t ;dZress:(P£5" PK(u.- > GA4"0'j -�/Z. 9 - City S_"kC145,--v+ State tai., Zip 3a�S to )ffice Phone GO cc-4 Ll- 1 co:)'71 Job Site/Con hate Certification/Registration# < 3 SREX_M_WI —D FOR CO •; krchitect Name&Phone# ' engineer's Name&Phone# ee Simple Title Holder Name and Address RADDITIONAL REQUiREMEN'M AND CONDT HUNS. 3onding Company Name and Address Mortgage Lender Name and Address R1RVTEVMD Ry. — / ' fpplication is hereby made to obtain a permit to do the work and installations as in zcate . T r z aJ_ mmen 'd AAdjof1h ssuance ofapermit and that all work will beperformed to meet the standards ofall laws regulating construction in thisjurisdiction. Thispet'm becom nd void if work is not commenced within six(6)months, or if construction or work is suspendedor abandoned for a_periodofsix(6)months�a,an}ri�r�)orkis commenced. I understand that separate permits must be secured for Electrica Work,Plumbing,Signs, Wells, Pools, urnaces, erzrrii� auks 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. hereby certify that I have r ad a examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this pe here, work will be comp d wi h whet r) 7ecz ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions of any other fed Tal,s te,or al'law regulating construction or the performance of construction. ignature of Owner Signature of Contractor rint NameC ` `0IN ' .......................................................... ...... PnntNamew�, N ; ......................... ,..... ......... worn to and subscribed b SOON FXp�•.• -,aol 1 Sworn t u s m$ 20�/ its ay of l �e'18 0 _ thisy of 4 Cn '� • ¢r otary lety NBoilot •. �� w ary P ,�� We 'i T � Pub O � // /'gyp .....•.�� i. /�r9yDliBLIC+S��e°�*` ,��,,�l�lf t►l 11 l��a� Revised 01.26.10 oil Illltt`�� JT City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road SO �- Atlantic Beach, Florida 32233-5445 �� Phone(904)247-5826 • Fax(904)247-5845 Date routed: •��Jf1 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Address: �` " fZe �- JFiree ent review required Yes No Property &Zoning Applicant: Administrator orks Project: lities fety ices Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Per Verified B 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: QUILDIN PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. 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