1761 Ocean Grove Dr 2013 garage door .� •. � CITY OF ATLANTIC BEA
I 800 SEMINOLE RO DR
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003827 Date 12/13/13
Property Address . . . . . . 1761 OCEAN GROVE DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 300
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Application desc
garage door
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Owner Contractor
-
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CURY JAMES D & REAGAN MATHIEU BUILDERS
1761 OCEAN GROVE 15899 SHELLCRACKER RD
ATLANTIC BEACH FL 322335844 675 ATLANTIC BLVD (SIGN)
JACKSONVILLE FL 32226
(904) 813-3661
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 300
Expiration Date . . 6/11/14
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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.
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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 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 4eidd r we.. Permit Number: 13— 39f 27
n w, o
Legal Description Zo-to o�-2.S-L'1E'./03 (�csw`rie�� L Parcel# /�E/LQ60 f/aod
a m oor Area o q. t. t
Valuation of Work$ -300, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed ruefnre(sPeperformed:_
ane): Commercial de
If an existing structur ,is a fir spAn dinstalled? (Circle one): es o N/A
Florida Product Appro al# / , f
For multiple products a product apa m
Describe in detail the type of wor o ey�ssGt
Property Owner Information: /
Name: R e a" Cur Address:_ I T`1 OCea,,
City •tom State/r_t Zip LL3f Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: KcyekG& ; 1414SQualify'ng Agent: /tcS�i ave�✓�.-
Address: i v` City
,*,f i- t&a,4- State Zip
Office Phone Jo Fax#
State Certification/Registration# G
Architect Name&Phone# '
Engineer's Name&Phone# TIC
Fee Simple Title Holder Name and Address SEE PEMI—TSFOR ADDITIONAL
Bonding Company Name and Address MQUIREMEN IN AND CONDfffONS. WWI I
Mortgage Lender Name and Address ,:--
4
Application is hereby made to obtain a permit to do the wor an ins a a llation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void rf work is not commenced within six(6)months, or if construction or workis 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 cert that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction.
Signature of Offer Signature of Contract
Print NameT-Lill 4 Print Name
Be Before me
t s Da of 200— this ay of 2013
a r i�'•
Notary PuMb ^Y COMMISSION#DD 957760 * 1 @OMMISSION#FF 011480
(EXPIRES:February 14,2014 0- EXPIRES:April 24,2017
ded Thru Nnty N. Bonded TMu Notaryd1Public Unde waters Revised 01.26.10
_____� ry Public Underwriters
vf�� City of Atlantic Beach APPLICATION NUMBER
`Js Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 O
Phone(904)247-5826 • Fax(904)247-5845
-`!10)T'19 E-mail: building-dept@coab.us Date routed: A�/
L
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Q"n V 46r Department review required Yes No
�� Building
Applicant: / � �a�,� s Planning &Zoning
Q p 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: [g/Approved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: / 1
TREE ADMIN. Second Review: ❑Approved as revised. ❑De 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