Permit Garage Door 53 Oceanside Dr 2012 Ili
. ? -*(
d ...> CITY OF ATLANTIC BEACH
1. A , 800 SEMINOLE ROAD
:4 s)
0 71 Z: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000293 Date 3/16/12
Property Address 53 OCEANSIDE DR
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 775
Application desc
garage door
Owner Contractor
SHIELDS, JANET & DAVID OVERHEAD DOOR CO. OF JAX
53 OCEANSIDE DR 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 . . . . 775
Expiration Date . 9/12/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 2 0 Q
800 Seminole Road, Atlantic Beach, FL 32233 2
Office (904) 247 -5826 Fax (904) 247 -5845 MAC 1 �r 2
tly
Job Address: 3 DU Art■`.S \ti)V N2_. Permit Number:
Legal Description Parcel # \
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 9 15 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 (. esidential
Ef an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # /'V/ ?
For multiple products use product appr orm _
AR
Describe in detail the type of work to be performed: . ,: ,' ., ; ,T 1 ,e , 4 l1 -„, •
Property Owner Information:
'lame: 'ke 3 ik-1 X1,1, \ Address: 3 0 > 40" 0 L 0 ° ...: �,�.•
:ity at . :.,.._11 C- es L IL —1 State ip c)a- 33Phone 0 *, f — to 3 / l ; �
-Mail or Fax # (Optional) ; ',., ! i l
2ontractor Information:
:ompany Name: ! - • ► " % . o CV ' ' (" do/t/v ///-Qualifying Agent: C e9 � T
kddress:(0 a'g PI�.'I /,' ( i ila.k'i.,.41 &' . City,Oz,,er6.t)l. %/e State 1" `-' Zip 3aS�
)ffice Phone cV - LS - / 4 Z 7 1 Job Site/ Contact Number /-- :0 321_
;tate Certification/Registration # _ RIA I F.WFD FOR CODE COMPL CE
\rchitect Name & Phone # n • � 1
?ngineer's Name & Phone # .. -
ee Simple Title Holder Name and Address RF.QTJIBPMENTS AND-CONDITIONS,---
3onding Company Name and Address
/Iortgage Lender Name and Address REVIEWED BY: • 3 - 1 ! Z —
pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior tot e
rsuance 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
nd void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a_ period of six 6) months at any time after
, ork is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters,
'anks 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`\ ,ottili1iii ii , tr
hereb � � A fi:.V i K i .k iap ve / ityd and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
p 9 1gwith whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
rovi31 �sitf iede�•ai or local taw regulating construction or the performance of construction.
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otary ri• es,,„„ p." , t
Revised 01.26.10
4oiAl.J'rra City of Atlantic Beach APPLICATION NUMBER
� � Building Department (To be assigned by the Building Department.)
t 800 Seminole Road /2 — 293
j A j Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
_D;i yy E -mail: building- dept @coab.us Date routed: /i5 172
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �.� D f-71(5-7d 5_ br �eyaptmant review required Yes No
L Id in Ye
Applicant: ( Vf2 /1 L` 77 h ,ij e... Planning & Zoning
Tree Administrator
Project: 90 2129.g Q e- Public Works
Public Utilities
Public Safety
l i c D Fire Services
g „ . Y1 7 F e z- .N ce i ce. :.. ,,° 4 _ . .
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: proved. ❑ Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING 3-1 $-..� Z
Reviewed by: fi Date:
TREE ADMIN. Second Review: Approved as revised. ❑Denied
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: EApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10