103 Fleet Landing 2012 garage door 'f CIT��, OF ATLANTIC BEACH
800 SEMINOLE ROAD
; ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5814
III
Application Number . . . . . 12-gi0001098 Date 8/28/12
Property Address . . . . . . 103 �FLEET LANDING BLVD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 550
---------------------- ------------------------------------
Application desc ti
garage door replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ �' -
-------------------- ---
NAVAL CONTINUING CARE OVERHEAD DOOR CO. OF' JAX
RETIREMENT FOUNDATION, INC I' 6884 PHILIPS PARKWAY DR. N.
1 FLEET LANDING BLVD JACKSONVILLE FL 32256
ATLANTIC BEACH FL 3223345991 (904) 268-1627
II
----------------------------------------'------------------------------------
Permit . . . . WINDOW AND/OR DOOR PERMIT
Additional desc �!
Permit Fee . . . . 55 . 00 ;' Plan Check Fee 27 . 50
Issue Date . . . . jl Valuation . . . . 550
-----Expiration-Date 2/24/13----,
---------------- ��-----------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 N TIONAJ ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL D GE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED11
*ALL STICKERS ARE TO REMAIN ON THEIWINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO NSPECT FASTENERS
------------------------------
Other FeesSTAT DCA----SURCHARGE---CHAR--------------2 . 00---------
STAT DBPR SURCHARGE 2 . 00
---------------------------------------- -----------------------------------
Fee summary Charged P�id Credited Due
----------------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 iI27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 50 . 00 . 00
7,
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFA LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1,
PERiR417 AI"P'PLICATION
CITY O ATI. '
� � AN rlca11 BI.ACIT
�v 800 Seminole Road, Atlantic Beach, FL 32233
Q��S" Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number:
Legal DescriptionFloor Area 7— S .Ft jl
Parcel #
Valuation of Work $ v�S O c, Proposed Work heated/coilpled non-heated/cooled
'lass of Work(circle one): New Addition AlterationRepa' Move Demolition pool/spa window/door
Tse of existing/proposed structure(s) (circle one): Commercia Re �ntial
f an existing structure,is a fire sprinkler system instOled? (Circle one'): Ye No N/A
/7 U
'lorida Product Approval# / Q
�or multiple products use product approval form
)escribe in detail the type of work to be performed: � II C is<-
,roperh Owner Information:
lame:A6?C57' (1ba,'' j _Address:_/ 6
'rty 4 i—( .1 _�_ State0q—Zip Phone -
-Mail or Fax #(Optional) i --
'ontractor Information:
ompan Nani,00 6p-rmf(d b, (20 Qualifyin Agent006A l /
ddres Ei y /� �r t,✓��, 0 A. yl,e City o.-,L 6 _Statel!�_ Lip,?_�
ffice Phone(? y ZGL.
.ate Certificatioi-VRegistration# IL
rchitect Name& Phone#
i(yineer's Name& Phone# CITY OF
_r
,e Simple Title Holder Name and Address SEE PERMITS F R ADDITIONAL t, rn to
-
:)ndirig Company Name and Address _ yy
- -
ortgage Lender Name and Address
plicrxion is here,,made to obtaii? a permit to do thew ion has corm elle d p ror to lire
csance of a pe wzt and that all work 1,vrll be performed to meet the standards oj�all laws re Iating construction in this jurisdiction. Th,",p.r out becomes nu<"
!i oid rf work i., not c rmmc need within six(6)months, or if consttarction or work is sus en ed o, abandoned for ape,iod of sis 6)mornt .,at ani. time afier•
kis commenced. l understand that separate permits must be secured for Electricair-W rk, Plumbing, Signs, Wells, Pools, �n7'llaces, Boilers,
nks and Air Conditioners, etc.
NVA.RNING TO O'AAER: YOUR FAILURE O RECORD A NOTICE; OF
COMM I', T('_EMENT MAY RESULT IN YOUR PAYI G TI�V'ICE FOR IMPROVE;MI+;1`TS1
TO YOUR PROPERTY. IF YOU INTEND TO I-IN FIlN_�NCING C'ONS11;LTWITH
'OUIl LENDER OR AN ATTORNF)" �3UAI-a"11�. : c'ORDING YOURi�(OT��. 3I+'
C€�t� N/1EN(_.11,1 E__i .
)t t 7F! l` 1.e S�eCi led l er('n? o,
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Budding Depa bwt)
S0 Sennirwie Road
Atlantic
Beach
.Florida 322 -
33-s4.4s
9
��'�� Phone(904)247M - Fax(904)247-5845
;- E-mad: building-dept@coab. Date rased: /z
us
Cityv"406! IftJlAiww.eegb.ug
APPLICATION REVIEW
AND 11� RACKING FORM
it
Property Address: �f � / /1l nt review required Yea No
Build!
Applicant: � �' f31S �F 1
lanni &Zoning
Tree Administrator
Project: Q Public Works
Public Utilities
Public Safety
Ali Fire Services
Other Agency Review or Permit Required Ri wiew or Receipt Date
Of wrmit Verified
Florida Dept of Envirorwnental 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: �
APPLI TION ST TUS
Reviewing Deparhnent First Review: ved.
Denied.
(Circle ore.)
Comments:
BUILDING
PLANNING&ZONING
Reviewed b Date: �TREE ADMIN.
ADMIN. Second Review: QDenied.
QApproved as revise
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed b Date:
FIRE SERVICES Third Review: OApproved as revi . ❑Denied.
Comments:
'I
I
Reviewed by- Dom:
R2vind 0=1010
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