2218 Laughing Gull Cir 2014 Garage door CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
j .. ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
l f.131)?
Application Number . . . . 14-00000185 Date 2/25/14
Property Address . . . . . . 2218 LAUGHING GULL CIR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 1200
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Application desc
REPLACE GARAGE DOOR FL 15012 .R1
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Owner Contractor
-
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MILLER THOMAS AND CONNIE COMPETITION DOOR SALES INC
2218 LAUGHING GULL CIR P O BOX 5279
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32247
(904) 358-1350
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . Valuation 1200
Expiration Date . . 8/24/14
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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.
City of Atlantic Beach APPLICATION NUMBER
Js n� Building Department (To be assigned by the Building Department.)
800 Seminole Road / l _ ' �C
Atlantic Beach, Florida 32233-5445 '`'I 5
Phone(904)247-5826 • Fax(904) 247-5845
�oil E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2- 93 LAAAQ4ihA G411 D ent review required Ye No
�L Buildin
Applicant: r - 1 m Dr , Planning &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 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: dApproved. ❑Denied.
(Circle one.) Comments:
EHBUILDING
PLANNING &ZONING _/2
Reviewed by: J� � Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH IIII
800 Seminole Road, Atlantic Beach, FL 32233 FFA 0 6 ,4 lei
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 12. /�r ka04ChiA4% rr,il' (m(e Permit Number: 7�
Legal Description 6C,°4A)W4/e t&l f/ L Of/-z Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spaendow/door
Use of existing/proposed structure(s)(circle one): Commercial a identia
If an existing structure,is a fire rmkler system installed? (Circle one): es o N/A
Florida Product Approval# L /S-V/ Z Q /
For multiple products use product approva orm
Describe in detail the type of work to be performed:_ 94i�4-*de_ 5,"e7-
Property Owner Information:
Name: t (t r Address: Gu 1(
City State nZip 12433 Phone TOL( - 4- — Y- "
E-Mail or Fax# (Optional) r (( " I't'r' a..Iq t I. d vs1
Contractor Informaattii"on: CONTRACTOR EMAIL ADDRESS: �/
Company Name: W/'hPdf7rs�/ AWK Qualifying Agent: /t1t L An"I
Address: 9 �,'� Lam. / 'V X! City %M1C State c- Zi__
p—
Office Phone 9G 42
State Certification/Registration# /000 OO
Architect Name&Phone#
ter.
Engineer's Name&Phone#
Fee Simple Title Holder Name and Ad ss i PERM Ts
Bonding Company Name and Address P1�TSl1
Mortgage Lender Name and Address •� �:,1;
Application is hereby made to obtain a permit t installation has commenced prior to
issuance of a permit and that all work will be performed to meet the standards of all laws rega�ating construe aon m is jurisdiction. This permit becomes null
and void if 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 hereby certify that I have read and examined thisapplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume to give auphate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Ow Signature of Contractor
Print Name CONS M..vl ............/Lf i/�LC=R Print Name
....................... ....... '`... ._!.. 1
Before me Befome
this�Day of Ft-�c , 20 this r Day of 20
Notary Public Notary Public , otary Public State or Florida
Notary Public State of Flo ida
Nancy E Bailey :� Nancy T�) nn 1 1
My Commission EE 156116 My Comaro �1581ffS
ori► Expires 02/OS/2016 Of Explres 02/08/2016