Permit Garage Door 341 11th St 2012 I CITY r \ ' �
OF ATLANTIC BEAC
1 4
H
J . 800 SEMINOLE ROAD
0 =7' ATLANTIC BEACH, FL 32233
j I : INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000536 Date 5/17/12
Property Address 341 11TH ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1300
Application desc
garage door
Owner Contractor
STEIN, DEBRA OVERHEAD DOOR CO. OF JAX
341 11TH STREET 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 . . . 60.00 Plan Check Fee 30.00
Issue Date . . . Valuation . . . . 1300
Expiration Date . 11/13/12
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 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: 3 Y'/ / 17' Permit Number: f — C 3 &
Legal Description Parcel #
c Floor Area of Sq.Ft. Sq.1-'t
Valuation of Work $ /, Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Res'• tial
If an existing structure, is a fire spri - nkler system installed? (Circle one): No N /A
Florida Product Approval # // 2, (p 7
For multiple products use product approval form
Describe in detail the type of work to be performed: D /p ,„ / E , 6)'
Property Owner Information: p
J C /�,�
ame: �.,g ..S 4.... Address:.,. / /'' ' S 7"-.
:ity/4 /LA r �'ive State i4Zip ,?z,7 - Phone 7 V Z -- X 34 F /
-Mail or Fax # (Optional)
:ontractor Information:
t
:ompany Name, s , . ;, Qualifying Agent: e e; ,.- 0 ` ti 1
kddress:469y / i, C� -La ,its' g ,-1r ,
r,;,I,r State _ / :3 �-
Zip .�
)ffice Phone ?/ ' - 4, ? 7 Job Si l / . ° s . _ . • e - _ Fax # - 41 ..
;tate Certification/Registration # -sue 9 / '1 1 ' 1 ' 1 1 ' 1 ' ' 1 ----,- °..,..,•.°°,.,.,,tµ.•••••,
lrchitect Name & Phone # i lib $ 4. Y : 01V 1 _
?ngineer's Name & Phone # SEE PERMITS FOR ADDITIONAL �iJil i;
ee Simple Title Holder Name and Address REQUIREMENTS AND CONDITIONS. 1
3onding Company Name and Address _ 14 • _ ..,� .a...w
4ortgage Lender Name and Address ' ' • " "' ' ��� �., ..,.
r
pplication 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
asuance 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
cork is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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.
hereby 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 goveruif/g the
pe of work will be com lied with whether spe ied herein or not. The granting of a permit does not presume to give authority to violate 0 con._ el ti, ;,.!
revisions of any other '-, - 1, state, or local la..gulating construction or the performance of construction.
/ / , "( /
ignature of Owner 0 • ! L)■ f" _ . I Signature of Co tor % t/.,. __ ` , ` .:
rint Name ,..1° <,r" A /1 i Print Name ,1;,, ,_`�Gtc,P.��wS���rxi`
4 C,, .°.' ,? . • worn ± nd subscribed before me Z *. " ° o � � e E ' 18,,. <<s tic •: � 1 8 ? et,
c, e ic - worn nd su • -d before m e ; > °,, cJ' *
lis say of ,1, . .941 -AZ 1 �. : .*his a o .././ _ _ .. . •® 20
Alla D ' / � _ j r ° g 93 � 1 : o / �, +' �i .'
notary ' ��'� i; . l ,/ // ii y A/r .., o w , `
!rot s •, lc :•' -' ,,,,„"1/9;p• ;rery;;„,;• • � .��0'� Notary ° r A ' ; , , f ;� br .� c�
/1 li6�� 'pi Revised r (�"1 t6 €o)((IA' "��
.si City of Atlantic Beach
APPLICATION NUMBER
a Building Department (To be assigned by the Building Department.)
v 800 Seminole Road
Atlantic Beach, Florida 32233 -5445 / .c8
Phone (904) 247 -5826 Fax (904) 247 -5845 v �
.9' E-mail: building- dept @coati.us Date routed: /
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 0( / / = Bup
e ilding t review required Yes o
_
Applicant: lanning & Zoning
.�� Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature t
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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:
BUILDING
PLANNING & ZONING _
Reviewed by: � Date: 9 /)--
TREE ADMIN. Second Review: DApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09