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2333 Beach comber Trl 2013 garage door CITY OF ATLANTIC BEACH . 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002885 Date 6/18/13 Property Address . . . . . . 2333 BEACHCOMBER TR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2300 ---------------------------------------------------------------------------- Application desc REPLACE GARAGE DOOR FL11361 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POLAND R MICHAEL & CYNTHIA COMPETITION DOOR SALES INC 2333 BEACHCOMBER TRAIL P 0 BOX 5279 ATLANTIC BEACH FL 322336608 JACKSONVILLE FL 32247 (904) 358-1350 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2300 Expiration Date . . 12/15/13 ---------------------------------------------------------------------------- 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 65 . 00 6S . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 50 101 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. st CITY OF ATLANTIC BEACH . 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002885 Date 6/18/13 Property Address . . . . . . 2333 BEACHCOMBER TR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2300 ---------------------------------------------------------------------------- Application desc REPLACE GARAGE DOOR FL11361 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POLAND R MICHAEL & CYNTHIA COMPETITION DOOR SALES INC 2333 BEACHCOMBER TRAIL P 0 BOX 5279 ATLANTIC BEACH FL 322336608 JACKSONVILLE FL 32247 (904) 3S8-1350 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2300 Expiration Date . . 12/15/13 ---------------------------------------------------------------------------- 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 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 50 101 . 50 . 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 1 013 1 Office (904) 247-5826 Fax (904) 247-5845 rX, Permit Number: k../ I ��_ Job Address: 3 c k,),c .- ��u_ZI Legal Description Floor Area of Sq.Ft. Parcel# Sq*Ft Valuation of Work$ o0 --Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windo,40 Use of existing/proposed structure(s) (circle one): Commercial Residentia If an existing structure,is a fire sprin r stem installed? (Circle.one 0: �i�sNo Florida Product Approval # F- L, YNK0 I For multiple products use product app Describe in detail the type of work to be performed: Property Owner Information: 4 d Address: 6L C� 6DM�� Contractor Information: z Company Name: az, 5�U3 ,,:��,ualifying,��gent: Address: /& //. /__- , ql 3�� -city U,,z— State Zip OfficePhone ?OV 3�;-S'-13S-o Job Site/Contact Number '/�10 f/ (,P/-; � -7 9'61 Fax State Certification/Registration _b11Yj1_ eW4,7- QL_ Architect Name&Phone# -_ f R . _EVWD FOR CODE Engineer's Name&Phone# LNCE V /W (3TY0]FX1UkNTIC BEACH Fee Simple Title Holder Name and Address I ar-E PERMI IS FOR ADDITIONAL Bonding Company Name and Address REQUfREMENTSAND C MONS. Mortgage Lender Name and Address REV1j'fflEj,) ,at o WPAW;i" co me d o t 1. e b n li uspended or abandone ra e t an a arWork, Plum ing Sig, s, e . p9gry, urnac ers, te WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF", COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF DL.,pLj,�3— 11')_— 6-3— "YT-7-()COMMENCEMENT. 1here certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ord' nces governing this on to ta an 0 a ri ord L vo ,lb provisi s 0 ws ori violate or cancel the I th �v 'c's g_"r_',' work will be coTplied with whether specified herein t The_,ranting of a permit does not presume to give authori 7,or no'�ti,n 4 provisions of any otherfederal,state, or local law regula - �on,tru the pe�f grmance of con .4uction. 0 0 / a�v, A . Signature of r Signature of Contractor Print Name CA Print Name ........................................................... ..................................... ............................... . ............L ...................... . ........... ............... .............................. Bef B eff 0 Tiv is rX1 20 thisNncDay of 201-3 this VDay�oof lic VA A If - Not 4ry ubl'c lu NotaVi JENNIFER WALKER MY COMMISSION#FF 001,1460 Revised 10.24.12 EXPIRES:ApdI 24 2G17 Bonded Thru Notary Pubk City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 r;1 E-mail: building-dept@coab.us L Daterouted: U1 1�j City web-site: http://www.coab.us I _ APPLICATION REVIEW AND TRACKING FORM Property Address: 2333 ?rX32(�_ ent review required Ye�z No I-Tril . (-Building--) V Applicant: Planning &Zoning Tree Administrator PublicWorks Project: Publi c 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: _ I APPLICATION STATUS Reviewing Department First Review: R/Approved. ElDenied. (Circle one.) Comments: <:EED PLANNING&ZONING Reviewed by: Date:6 -/7- 10 TREEADMIN. SecondReview: FlApproved as revised. OlDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. DIDenied. Comments: Reviewed by: Date: Revised 07/27/10