5416 Fleet Landing Blvd garage door 2012 j 1'�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000744 Date 6/18/12
Property Address . . . . . . S416 FLEET LANDING BLVD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation S50------------------------------
-- ------------- --------- - - - -
Application desc
garage door -----
-- -------------------------------------------------------------------
Owner Contractor
------------------------
OVERHEAD DOOR CO. OF JAX
6884 PHILIPS PARKWAY DR. N.
JACKSONVILLE FL 322S6
(904) 268-1627
-- -------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc - - SS . 00 Plan Check Fee . 00
Permit Fee . . . . valuation . . . . S50
Issue Date . . . .
Expiration Date . - 12/lS/12 -----------------------
-------------------------------------------- -------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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 5S . 00 5S . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total S9 . 00 S9 . 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 JUN,11�3
Office (904)247-5826 Fax(904)247-5845 2w
n
Job Address: (S) A 6 Permit Number-&_�_ , 7
N I
Legal Description Floor Area of Parcel Sq.Ft
Valuation of Work 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/pro osed structure(s) (circle one):. Commercial Res4>ial
If an existing structure,is a fire sprinkler system installed? (Circle one): r'"e No N/A
Florida Product Approval# k L� '-7'0
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name: Ree_+L6_r1C1inQ Address: Ele—ef land, Blycl.
city 14+1 . C-0 0 Statel�L Zip_'3Z2331&ne_ (40q- 24id- q900
E-Mail or Fax# (Optional)- qDq_ 2--46- C1q_C1_!!_L
Contractor Information: d3qT&d1 U,Aye 10r, W,
"C
CompanyName: .Pule- Qualifying Agent:`7
Address. city �S-Ax State a Zip
Office Phone -7--2 6!y
ax#
State Certification/Registration# -R—EM M11_D FOR CODE COMMM
-7.
Architect Name&Phone 4 Uh
Engineer's Name&Phone# MY OF X11ANTIC BUM
Fee Simple Title Holder Name and Adjess PhRMUS FOR Tk_Dbm0NAL
2-H r1lL r n n
Bonding Company Name and Address 1-1%J*LKRkE"1V1!jr21!114 T1 as AND CUNDMONS. 11 r 11r
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Mortgage Lender Name and Address REVIEViMny.
DATL.
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issuance ofa permitand that all work-4411 be performed to mee the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or ifconstruction or work is suspended or abandonedfor a period ofsix months at any time after
work is commenced. I understand that separate permits must be secured r Electricar,Work, Plumbing,Sikns, Wells,Pools, Au'rnaces, Boilers,Reaters,
fo
Tanks andAir 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 here certify that I have read and examined th' lz ation and know the same to be true and correct. All provisions of laws and ordinances governing this
1�work will be com lied with whether s e erein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other e eral,state, or lo, aw regu ing construction or the pe�fbrmance of construction.
Signature of 0 h . Signature of Contractorne-
Print Name Print Narne
.... ... .............................. .................................................................................. ...... .... . .........................................
SworOfnd scri ed Sworn to and subscri e
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City of Atlantic Beach APPLICATION NUMBER
A
(To be ass%ined by the Building Dqmrbnwd
Building Department
800 Seminole Road 2 - NY—
Aftnfic Beach. Florida 322&3-W5
Phone(W4)247-,%26 - Fax(904)247-5845 ro
[Date routed:
E-mail: building-dept@coab.us
City web-aRe: http:JAwPw.co*b.ua
APPLICATION REVIEW AND TRACKING FORM
Denartment review required —Nol
Property Address: Ell ii1ding 71
Applicant: &�4—hkb :�Fgj' "�' Z o�nii n g
Tree Adminisixator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review o Daft
of Perink Vedfled 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: E3�pproved. [:]Denied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date:-6-/q-/2-
TREE ADMIN. Second Review: E]Approved as revised. nDegied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:
RevWW 07WI10