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Permit GarDoor 2069 Beach Ave 2013 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J o " ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00001976 Date 2/07/13 Property Address . . . . . . 2069 BEACH AVE Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1400 ---------------------------------------------------------------------------- Application desc Replace existing garage door ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FERGUSON LEE EASTERN SHORES CONSTRUCTION 2069 BEACH AVE 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 322335934 ATLANTIC BEACH FL 32233 (904) 545-7878 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1400 Expiration Date . . 8/06/13 ---------------------------------------------------------------------------- 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 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 CITU 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: I U `oC1 ' t4c n i"yay\ut' Permit Number: Legal Description Parcel# Floor Area of S .Ft. t Valuation of Work S `'�� e j Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition CAIterati Repair M Demolition pool/spa window/door Use of existing/proposed ucture(s)(circle ._._ ommercial esidenti If an existing structure,i a fire5prinkle syste n�I ? (Circle one): No N/ Florida Product Approval j� Z For multiple products use p uct approva orm Describe in detail the type of work to be per ormed: (ti �m S ^ ��'' A o r S Property Owner Information: � V\ ife- ... Name: �/'� V � S " Address: S C�-�/� City e^ t1c>L StateJEL Zip Z Phone w - E-Mail or Fax# (Optional) Contractor Information: �� - Company Name: IGS 3� '^ '�'�' (n V�4d%.,Qualifyi g Agent: "'� — U Vg L j o, Address: 10 1 ' PM i,n�L 3 b444` City .►'k 1�-lti U^ State FE Zip 3 Z:7- Office Phone Roll- $--IS-15 Job Site/ConI LCt T1 12111 -M State Certification/Registration# CQG o S$ 33':! Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address REVIEWEn BY Application is hereby made to obtain a permit to do the work and installations as indicated I cFrto t at no work ora n omenced 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 of work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sax(6)months at anytime after work is commenced. I understand that separate permits must be secured for Electrica Work,Plumbing, Signs, Wells,Pools, urnaces,Boilers,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. 1 hereb certify that I have read and examined this app lication and know the same to be true and correct. All provisions of laws and ordinances governing this type.).work will be complied with whether specified herein or not. The ga anting of a permit does not presume to gave authority to violate or cancel the provisions of any other federal,state, or 1 al law r ulating construction or the performance of construction. Signature of Owner n Signature of C acto �'-- �� f'-' Print Name Qi✓`W Print Name . man . .......... ........:............. ...1.......................................................................... Before e Before me this Day of�lw�ry 20 3 this ice' Day of 20 iwd yx4jf Notary Public � RT + �G0`41tally N#EE 861935 4� Notary Public,State of Florida ;w; $ commission#DD998148 = EXPIRES:January 1,2a Revised 10.24.12 My comm.expires July 20,2014 Bonded Thor Notary Public Undemtlem y 1:sr City of Atlantic Beach FDate PLICATION NUMBER Building Department ity�ed d1/the Stilling Otpartrnent) 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 / rjRI E-mail: building-de"coab-us ed: /! /C//-3 City web-site: http:/Avww.coab.us coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: a o& q &04 OA-e" D epartment review required lies No Applicant: &,& -qdw,� t 1M &Zoning inistrator Project: (S AA orks ilities fety ices Review fee $ Dept Signature Other Agency Review orPermit Required Review or Receipt Date of Permit Yerrifed 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 Totaa000 Qther: APPLICATION STATUS Reviewing Department First Review: (Approved. ®Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by: Dater/ TREE ADMIN. Second Review: ®Approved as revised. ❑Denied. f PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERMCES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10