1850 Live Oak Ln 2013 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Application Number . . . . . 13-00003180 Date 8/02/13
Property Address . . . . . . 1850 LIVE OAK LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1497
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Application desc
garage door
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Owner Contractor
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SHELLENBERGER ROBERT T AMERICA' S GARAGE DOORS
1850 LIVE OAK LANE 1110 SHETTER AVE STE 104
ATLANTIC BEACH FL 322334510 JACKSONVILLE BEACH FL 32250
(904) 998-0200
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1497
Expiration Date . . 1/29/14
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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 ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH (�,r
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 AUG 01 2013
Job Address: C $S l7 L.;J G Q&C A+) Permit NumL3"3 00
Legal Description 161TI Parcel#
Floor Area of Sq.Ft. Sq. t
Valuation of Work$ �7 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposedr Commercial Residential
If an existing structur s a fire sprinkle m i talled? (Circle one): Yes No N/A
Florida ProductApppr val# 30� )e'
For multiple produc use product approval o
Describe in detail the erformed: (i �G-1✓ A3�dL-
Property Owner Information:
Name: ��17 Address: %t5o L. ✓.c.
City State tZipZZ•sb Phone
E-Mail or Fax#(Optional)
Contractor Information: LE burf
Company Name: _ CA41#1 i 1 IA-kA(4 0&k4 ill. Qualifying A ent: =-= ^M=•� ' e
Address: A.. City �{ c !cc State Zip 3 2LSo
Office Phone i JoTIREQUIREMENTS
Fax#
State Certification/Registration# 13
Architect Name&Phone# REV" E
Engineer's Name&Phone# CITY OF All-.A XMC!BEACH
Fee Simple Title Holder Name and AddressSEE PERMITS FOR AnnjUON
Bonding Company Name and Address AND
Mortgage Lender Name and Address
DATE:
Application is hereby made to obtain a permit to do the wo ins a on has commenced prior to the
issuance ofa permit and that al[work wtll be performed to meet the standards of all laws regu ating cons ru tion. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical 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.
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether spect ted herein or not. The granting of a permit does not presume to give authority to violate r cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Names , J�� „� Print Name
1 ........ .... .... .. .t.1.�.4.x�...... ...... .P-r. lr.... ..................................... .......: ,....
Befor e Before me
th s. Dav ofS �" 20 t
es'' LEY
Ualy Notary Pub is aona h My Public undembrs ub eXPIREs•May 21,2015
/D Bonded itru notary Public uneerwriiers
�� /'7� 3(6evised 10.24.12
Ys. ,y City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the BuildWe
rtment.)
1 800 Seminole Road
. Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
OR g E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: A. 6Z_�7 Department review required Yes No
p wilding
Applicant: Cularaq'c nQ)e anning Zoning
Tree Administrator
Project: r6 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 B
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: OApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05!14109