477 Helmsman st 2013 garage door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 13-00003155 Date 8/05/13
Property Address . . . . . . 477 HELMSMAN LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 600
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Application desc
garage door
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Owner Contractor
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TOLBERT CAROL T PRECISION DOOR SERVICE OF NF
477 HELMSMAN LA 11389 TRADE COURT STE 101
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(321) 302-2883
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 600
Expiration Date . . 2/01/14
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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
Fee summary Charged Paid Credited Due
g ----------
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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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the BuildiDepartment)
0 800 Seminole Road
y 4 : Atlantic Beach, Florida 32233-5445 +
Phone(904)247-5826 - Fax(904)247-5845 p
E-mail: building-dept@coab.us Date routed: : 1 `
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
ent review required Yes ol
Property Address: � 7-7 &a
Building
Applicant: ��/ �57 6-7� d�� ing &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 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: [' pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ' d.
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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 09TUTT
800 Seminole Road,Atlantic Beach, FL 32233 JUL 2 9 2013
Office (904)247-5826 Fax(904)247-5845
Job Address:
L}'�"� V\ELV-NSMAi-J LANE Permit Num B
Legal Description 4-zCaS'0rLA`'1 Parcel#
oor Area ot sq.Ft. sq.vt
Valuation of Work$ 'Gob yam' 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/pro osedstructure(s)((c
circle one): Commercial Residential
i
If an existing structure, s a fire sprinter system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval orm
Describe in detail the type of work to be performed: 1RtPLAc_C �x``°Z''-�' y"'t'`c�E D""`� �^^TN ►�
Property Owner Information:
Name: P A 0%. -TOk-%FE% • Address: 4�-t ��t�r�St^A+J L��'• -
City ATt_,k& r_ t6%Mc.d Statel-t Zip 3j3 Phone qo4- 41L 19
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: PR,IZT 5,i:74 U*%4% Qualifying Agent: Jt► d-� S�taPAn,+�
Address: b G LT 4cE oo City \AState L Zip 'S-1Z.0
Office Phone cic,4- 61i$--UL-UR JB_ST16rCMffl 90dr
State Certification/Registration# G
Architect Name&Phone# CFFY OF rIXTAldfluNff JILC � - •'�`" ..,x
ISEACH
y1;
Engineer's Name&Phone#
Fee Simple Title Holder Name and Addreff Moe me
Bonding Company Name and Address ,rte
Mortgage Lender Name and AddressREVIEWED BY:
tallation has commenced prior to the
Application is hereby made to obtain a permit to do the work and installations as icate . cert p
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thipis jurisdiction((. This permit becomes null
and work ime after
void ommencted.not Icommenced within six understand that separate permits muor st be secuconstructred for Electrics!Workion or work is ,Plumbing,Sigor ns,aWells PoolsxFurnaces montBoilerstHeaers,
Tanks and Air Conditioners,eta
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 FINANCINGCONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YO1UR NOTICE OF
COMMENCEME
I here 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 gfYwork will be complied with whether speci ted herein or not. The granting of a permit does not presume to gtve authority to violate or cancel the
provisions of any other federal,state, or local law regul 'ng construction or the performance of con tructiotf.'
F�1XISIkD3-`77 7
Signature of Owner Signature of Contractor
�,�l � Print Name. ,.7��.G..........A'.
Print Name R/�•' l ... ...................
...................
Sworn to and subsc ibed fore me Swp��nd subscribed before me 20 3
this�`�Day of 201-5 this Day of 1
Notary Puolic State of Florida
Notary Publi 1� My commission 00918776011490
OF ad► Expires IW312013 ' MY ccRevised 01.26.10
EXPIRES:April 24.2017
��RB;h o• Bonded Thtu Woury
Public UndIwdbn