1650 E Park Ter 2013 garage door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
,it
Application Number . . . . . 13-00002683 Date 6/04/13
Property Address . . . . . . 1650 E PARK TER
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1400
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Application desc
GARAGE DOOR REPLACEMENT
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Owner Contractor
------------------------ ------------------------
HOLLWARTH DOROTHY C DUVAL OVERHEAD DOOR CO INC
1650 PARK TERRACE E. 6101 LOTTIE STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 724-3636
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1400
Expiration Date . . 12/01/13
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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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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 ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 MAY 16
Office (904) 247-5826 Fax (904) 247-5845
13Y
.Job Address: W-50 AfIA04-0- 8caA , PL Permit N mber:
Legal Description 314-S-Q Oq-QS--'Xi 6 540A fIA-6NA UM I t OJO 7 P*po*# "+3 61 k.
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S 11400.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spaC�jndowldoor
Use of existi ng/p ro posed structure(s) (circle one): Commercial I
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product A proval # i 6_'al� - S4''4
For multiple prosucts use_p_r_oJuct approval form
D-es-c-r-iFe-lin detail the type of work to be performed:
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FILL UUU I
Properjy Owner Information:
�60'004'Lk Address:
Narne:
City CM0,0AAC' _Stat&j_zip 3:1Q, �33Phone 9(2q OR 6130'4
E-I�lail or Fax#(Optional)
Contractor Information:
CornpanyName: tuwhL (DuQ4�gwA Qualifying Agent:
I
Address: U1011 Lojtit �4c-4-- City 7Z�4"i3O"Q',Lke —State 'r-L zip _Z�ik*
Office Phone�AL)4--1 QtA- ?)(o6Le Job Site/
State Certification/Registration# !Lib�-��L
Architect Name& Phone# AlkiLd VqJLBJL:d ViT TOD FOR CODE COMftll MINW.1—rd
Engineer"s Narne & Phone # MY OF ATLANTIC BEACH
Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITIONAL
Bonding Company Name and Address REQUIREMENTS AND CONDITIQNS.
Mortgage Lender Name and Address 7-1'-, ,
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Signature of Owner 06-AA4 Signature of Contractor 4
Print Name 00M+k Uva 1-f Print Narne Row. ....................................
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ary Public,state of Florida Revised 0 1.26.10
Commission#EE 49709
My comm.expires Dec.16,2014
Nt City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
80 le Road
emino
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: h3-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -De. t review required Yes No
Building
Applicant: 1i a't �V-g fz f L –Ma—nning &Zoning
I ree Administrator
Project: ]&/&a Public Works
Public Utilities
Public Safety
Fire Services
Review fee Dept Signature
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: (Approved. ElDenied.
(Circle o_De.) Comments:
QB U I L D�IN t
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. V
Second Review: ElApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09