Permit Door 1668 W Park Terr 2012 44 3 fey
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CITY OF ATLANTIC BEACH
;. 800 SEMINOLE ROAD
tj ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002964 Date 1/04/12
Property Address 1668 W PARK TER
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 3686
Application desc
REPLACE ENTRY DOOR
Owner Contractor
SCHARE HECKARD'S DOOR SPECIALTIES INC
1668 PARK TERRACE W P 0 BOX 357445
ATLANTIC BEACH FL 32233 GAINSVILLE FL 32635
(904) 545 -4586 (352) 338 -0552
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . 35.00
Issue Date . . . Valuation . . . . 3686
Expiration Date . 7/02/12
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 70.00 70.00 .00 .00
Plan Check Total 35.00 35.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 109.00 109.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION Pei- int 'i o2 9°6y
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 DECO 2 2011
Job Address: 1668 Park Terrace West Atlantic Beach , Florida 32233 By ( D-9
Legal Description 34 -51 09- 2S -29E Selva Marina Unit NO 6 LOT 12 BLK 6
Parcel # 172020 -0156
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 3685.25 Proposed Work heated /cooled 984 non- heated /cooled N/A
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structures) (circle one): Commercial Residential
If an existing structure, is a fires nnkcler system installed? (Circle one): Yes No N /A
Florida Product Approval # 976 -
For multiple products use product approval fo m
Describe in detail the type of work to be perfo d: Install entryway unit size for size
Q 1)64,-
Property Owner Information:
Name: Schare, Andrew I i+
City Atlantic Beach State FL Zip 32233 Phone 904 -241 -4305
E -Mail or Fax # (Optional) F 11 E Cop y ,,
Contractor Information:
Company Name: Heckard's Door Specialties, INC Qualifying Agent: Barry Heckard
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Address: 1315 NW 53rd Ave. Ste. C City Gainesville State FL Zip 32609
Office Phone 904 - 370 -4967 Job Site/ Contact N is • - • t • 4 ' • ._•_ -' '
State Certification/Registration # CRC1330289 (—. _. . 1 . v , l
Architect Name & Phone # N/A 1 ` 1 '���
Engineer's Name & Phone # N/A simk t M`LS :M Y 1roam !'�i s��l
Fee Simple Title Holder Name and Address N/A SEE PERM F • R D P 1
Bonding Company Name and Address N/A � mi1`ll imm
Mortgage Lender Name and Address N/A
1111.11. .1
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Application is hereby made to obtain a permit to do the work and installat ' • ^ • , • , i • ' menced 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 tf work is not commenced within six (6) months, or if construction or work is suspended or abandoned a�for 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, F urnaces, Bo 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 1 have read and examined this a placation 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.
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Signature of Owner % Signature of Contra -
Print Name Andrew Schar- Print Name Barry P. Heckard
Sworn to and subscribed b- f. e • Sworn to and subscribed before me
thi Day of ►t' u g ,► 1 l t 's2 Day of 1{2;i • ..- , •
A Notary Public - State of Ren HEATHER A. TCHOU
otary Pub is ' S ` otary ' e , 1• .41 1F,? My Comm. Expires Jun 1, 2015
,isv, Comm N EE 99351 'o;i-� o. Commission 1/ EE 99351
_ _ _ — — '' -gym -.n ise 741I-�_...----
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Fax (904) 247 -5845 r City of Atlantic Beach APPLICATION NUMBER
6 , } Building Department (To be assigned by the Building Department.)
r • •_ s� 800
Phone Semin(904) 2 ole 47 -5 Road / ` , , `/ �p
, Atlantic Beach, Florida 233 -5445
° i " , 01119Y- E -mail: building- dept @coab.us Date routed: Z APT/ City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
•
Yeses No
Property Addre s: , i i it' nt review required = � • r/
Building
Applicant: f 6 i�ieb 'S )Ooh 6 arming & Zoning
Tree Administrator
Project: 2P91,9 m my 2) 0 D Public Works
/ Public Utilities
Public Safety
Fire Services
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Review or Receipt Date
Other Agency Review or Permit Required 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:
/V O C
c:
BUILDING
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: DApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10