1224 Ocean Blvd 2014 Garage Door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000186 Date 2/14/14
Property Address . . . . . . 1224 OCEAN BLVD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 1000 -----------------------
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Application desc
INSTALL GARAGE DOOR FL 7679-R2 -----------------------
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Owner Contractor
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LADA JENNIFER OWNER
1224 OCEAN BLVD. BEACH FL 32233
ATLANTIC BEACH FL 32233 ATLANTIC
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc - - 55 . 00 Plan Check Fee 27 . 50
Permit Fee . . . . Valuation . . . . 1000
Issue Date . . . .
Expiration Date - - 8/13/14 --------------------------------
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Special Notes and Comments 08 NATIONAl ELECTRIC CODE
2010 FLORIDA BUILDING CODE, 20
*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
- -----------------------------------------------------------------2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited- Due---
----------------- ---------- ---------- -------- . 00
Permit Fee Total 55 . 00 55 . 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: CX600.yA &C( Permit Number: -14F( 6(D
Legal Description Parcel# 1 9
Floor Area of Sq.Ft. Sq.Ft 1110A_ Ew
Valuation of Work$ (000 C"�- Proposed Work heated/cooled non-heated/cooled-ma
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa eW5Jow/_do5r--�0
Use of e�xi�ting/pro osed structure(s)(circle one): Commercial <e�sidentiia
If an existing strucInre,is a fire sprinkler system installed? (Circle one): 0
Florida Product Approval# P1, :7(a:z 9 - 2-7-
For multiple products use p1roduct'approval f6r_m
Describe in detail the type of work to be performed: �A r Ck e ckz-�,
Property Owner Information:
Name: Je_4#4-er Lab Address: I ZZ-Or a-P—ot 2"L
City &j C.M1;,'0cAn tate ip 32=Phone +12——
T_
-Mail or'fax#(Optio /L-%
E nal
Contractor Informati R EMAEL ADDRFSS: E P V
,ice j2&,tYKtfQ
CompanyName: 1�meoujincr VOL ualifying Agent:
Address: I - I -,, ,
Office Phone Job Site/Contact Nu D V"
MR %�, �_"J_1 11
State Certification/Registration# RaM11
Architect Name&Phone# A
Engineer's Name&Phone Uh .1%DDM0.r4AL
Fee Simple Title Holder Name and Address V
Bonding Company Name and Address WMVED MY-
)_ a
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
issuance o),ra permit and that all work will be pe?ybrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void ffwork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor ajeriod ofsix�6)months at any time after
work is commenced I understand that separate permits must be securedfor Electrical—Work,Plumbing,Signs, �ells,Pools, furnaces,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 YOVi NOTICE OF
COMMENCEMENT.
I herelb certify that I have read and examined thi's application and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisi.ons ofany otherfederal,state, or local law regulating construction or the peFformance of construction.
Signature of Owne Signature of Contractor
PrintName Print Name ........................................................................................................................................
................
. .. ...... .. .. .
.. . ...... .............
Before me Before me
this .5 Dav ofFtbwni 20 ILI flu's Day of 20
JEWOM L.TKIM
5;zl�
ota ' uM6' LT EON"jua ublic
A
YM W
my Gomm I
COMM""off 016410 Revised 01.26.10
EL'Uj-�r-" City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6 W Q it review required Yes�-No
Building
Applicant: L P_1an_nFn_g &Zoning
Tree Administrator
Project: GGV kq&� d 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: [9A/pproved. E]Denied.
(C> Comments:
CB U I L D I DNG
PLANNING &ZONING Reviewed by: Date: C�
TREE ADMIN. Second Review: F
]Approved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09