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972 Ocean Blvd 2013 garage door �SrL`Ir CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �,..JIT Application Number . . . . . 13-00003106 Date 7/23/13 Property Address . . . . . . 972 OCEAN BLVD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 ---------------------------------------------------------------------------- Application desc garage door ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ZIEBELMAN PENNY J ET AL AlA OVERHEAD DOOR COMPANY INC ARONECK CHARLES M SR 14286-19 BEACH ABLVD STE 329 972 OCEAN BLVD JACKSONVILLE BEACH FL 32250 ATLANTIC BEACH FL 322335432 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 1000 Expiration Date . . 1/19/14 ---------------------------------------------------------------------------- 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 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rsy��rf�, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /� l0 ws•--- �� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 q E-mail: building-dept@coab.us Date routed:? -/ City web-site: http://Www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 9�z o c��-� 6/v(J ent review required Yes o Building Applicant: Vy/ �� 6 r Zoning Tree Administrator Project: 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: EDApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: L Date: TREE ADMIN. Second Review: [—]Approved as revised. ❑Deni. - PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Ju1191311'28a AlAOverheadDoor 904-821.8408 P•1 BIJUMING PERMIT APPiTCATION D (� CrN OF ATLANTIc BEACH lJ 800 Seminole Road.Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 JUL 19 Z 13 ab Address: Permit Ne bei: bY Rgal Dcscriptiou Parcel t# o0r rea 0 Q. 9 L sluatiou of!York S 6�� Proposed Work he non-4eabedlwoled 1w017Work(circle oue): New Addition Alteration Repair '.41m'e Demolition pool(spa window 'ac of exisciagtprepposed str tun(s)(( ircle ooe): Con nnemial n t' an existing stru IM is a re kler eyat!�'o ?(Circle one): ; cs No N i A lorida Product Appproval K L ' t✓ 2 or multiple products use proftct approwl lorm Q �� rescribe in detail the type o work to be performed: Krn1kA ro ntner nfornta6e ame: bror'CrAL I Address: ity 3 Zip .3433 Phone tN 4P 1 -Mail or Fax;O(Options]) 'ontray.tor Information: '. ll_ 7Paz'Y N I [Tui quay Agent:_ .ddms:I ,, City State�'� _ zip -ffice Phone Job SitgConwctN mtbcr – 7 Fax Jt tone CUtirKatimbf Cgistratior,8 .mhiteot Name&Phone 0 ttgineer s Name&Phone# ee Siioyle,'Title Holder Name and Address ouding Comparary Name and ddress lort�pge Lender Name and A idress rplicariop is 1wrehy mode m nota: a wit to do 1ha ww't OTO renal/oder.•uF�In9leeted !..+rely'rAat no w ar Uaroflaton Fux minwomeed pito•to the vuancc vfaptrmu and rha[atl vo!!�w/!I bB p[rfLnittrl ro 1Aexl r/b ftondu ds�(oll re M: Jori :,,onm,Vf uriidiuion. 7htr prmur banner null and ,id%wont u not onm mccd ssttlun six(6)n nFh5 or rjconrtruaMn ar wro tr s+r�an/e�3 0! eJ� a ppesvv7�rop of (6)rnonlAr e!airy tlmC u4b xd tr imawmed. .r undenwnsd Ihor.rCprt W Penni..,rrud he.vecrmJjor flerri/n/W061.PI&MMIg,SOIL4 Kd%Paerlr,FarAwer,Eriikt;Nesters,T ed Ab rrefilirson,'ee� I WARNING TOO YOUR FAILURE TO RECORD A NOTICE OF COM MIENCEA7IENT ,IAY RESULT U4 YO PAYING TWICE FOR IMPROVEMENTS T PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH Y LEI KR OR AN ATTORNEY BEFORE RECORDING YOUR NO'T'ICE OF 1CONIMEN NT. hero ccrrrjy that J hurt,read wWl"e%wod IhK o plrcwtion and know the.sumr Iv be'me and comm. All 'Ilam ojlo r d gnvcmmg!Mr pe uJ��grk wJl bt ied xith rc.Yr w nal- bt lurng pja permti dog nes prerans tr vudrnnry a v Wroctl fhe prarrl Ons tory lRbtr f•JIMI.s!G(e,or sling sons rwh-m the pe rZw njarntr�i m Signatilre o Signalers of Conttactolr C (� Print N _ Print Name -rAT1 o� 3 m p u 5r v s om this payor Of LIVIA 20 Y 2 Notary nc u c Revised 01.26.10 ARONINs LORI LYNN HOLBEIN MY C MISSION#EE 678681 st;: EXPIH S:February 27,2017 MY COMMISSION#EE847677 t •, eoedrd NotsnwetenW1°16 EXPIRES November 17,2016 (407�38a 0153 FloAda Setvke.com .f'1lUNY:n.RTr.IYa.'J4}.�.-.. •v, •.v..5 a FILE QPM r F t � REVIEWED FOR CODE COMPLIANCE - i CITY OF ATLANTIC BEACH. - SEE PERMITS FOR ADDITIONAL ! . REQUIREMENTS AND CONDITIONS. P T REVIEWED EY: DATE: l