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2256 N Fairway Villas ln 2013 garage door CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003690 Date 11/19/13 Property Address . . . . . . 2256 N FAIRWAY VILLAS LN Application type description WINDOW AND/OR DOOR Property Zoning . . . . . PLANNED UNIT DEVELOPMENT Application valuation . . . . 1200 ---------------------------------------------------- Application desc garage door -------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BEACHES HABITAT FOR HUMANITY BEACHES HABITAT 797 MAYPORT RD 797 MAYPORT RD ATLANTIC BEACH FL 322334410 ATLANTIC BEACH FL 32233 (904) 241-1222 ------------------------------------------------ Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 5/18/14 ---------------------------------------------- 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 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 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 2256 N. Fairway Villas Ln. Atlantic Beach Fl. 32233 Permit Number: Legal Description : 39-22 08-2S-29E Fairway Villas; Lot 55 Parcel# oor Area o q. L. q. t Valuation of Work$ 1200.00 Proposed Work heated/cooled_ non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door X Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle'/one):D Yes No N/A Florida Product Approval# :�L For multiple products use productapprova form Describe in detail the type of work to be performed: Remove and replace wooden garage door w/steel reinforced garage door Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 MMort Rd. City Atlantic Beach State FL.Zip 32233 Phone : 904-241-1222 E-Mail or Fax#(Optional): 904-241-4310 Contractor Information: Company Name: Beaches Habitat Qualifying Agent: Robert Peterson Address: 797 Mayport Rd City Atlantic Beach State FL. Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# REVIEWED Fjt DE COMPLIANCE �.� ,�--�. ...�...�9� ,: �� Architect Name&Phone# Engineer's Name&Phone# Pni) Fee Simple Title Holder Name anjAddres tBonding Company Name and AdRE UIR MENTS AND I Mortgage Lender Name and AddREVIEWED DATE: allation has commenced prior to the Application is hereby made to obtain a permit to do issuance of a permit and that all work will be perfor ne to meet the standards o a aws reconstruction or work is susgu ahng construction m t ppis�urisdiction. Tmonths a his permit becomes nu ll and work Disc owork is mmenced.not commenced within six I understand that separate permits must be secured for Electrical-Workpende, Plumbing,Sigor ns,or aWells�Pools,X Furnaces,Boilers,tHeaters,t Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IEND TO OBTAIN FINANCIN YOUR PAYING TWICE NG CO SU VEMENTS LT WITH TO YOUR PROPERTY. IF YOU INT YOUR LENDER OR AN ATTORNEY BEFOCORDING YOUR NOTICE OF COMMENCEMENT. I h type certify that I have,read and!l be complied with whetherhis eciaedlherein or not.n and ow the same to be true and The granting of a permit doesct.no�p umell i�o gins veaauthority to ws and l violate nances gor cancel the J. p provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner .A��- Signature of Contractor ` � Print Name t.'.��'c"S..S'�............................................ Print Name A6► .K. .. Sworn to and subscribed before me Sworn to and subscribed before me 20 t 3 this jg'► Day of 60VrAlbet2 2013 this !&hDay of NoVya i��e-►? ��aryPublic ry Pu is ,�r � FREEMAN ��;v�'P"'••, JOYCE M.FREEMAN 1� Notify POW-stsM of wo v"�: s of Florida g I.ExpM�,NMI 10.t01 My Comm.ExWes Jw 10.2017 OiMl1 Commission N EE 878497 CoII►miss" • �,. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 3 —S( 9CI Atlantic Beach, Florida 32233-5445 ~~ Phone (904)247-5826 • Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Z� De rtment review re uired Ye No Property Address: Z2� `ter ��a� g Iding n d 7 T Planning &Zoning Applicant: y /,� (:!/�Jl Tree Administrator Q',C Q � Q Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature -- Review or Receipt Date Other Agency Review or Permit Required 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: Approved. ❑Denied. (Circle one.) Comments: (2BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑D ied. 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