1296 Beach Ave 2014 garage door CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DIM
Application Number . . . . . 14-00000676 Date 5/08/14
Property Address . . . . . . 1296 BEACH AVE
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2267
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Application desc
replace garage door
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Owner Contractor
-
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CHANDLER, PHILLIP & FRANCINE EASTERN SHORES CONSTRUCTION
1296 BEACH AVENUE 1015 ATLANTIC BOULEVARD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 545-7878
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2267
Expiration Date . . 11/04/14
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 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: Permit Number:
Legal Description ;1)—( f ]1,, Parcel# 17�'� 3"(,)c) i c)
�?=-� Floor 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/spa window/door
Use of existing/propose cul, (crt Commercial Residential
If an existing struct ,is a fires nYcler system in led? (Circle one): Yes No N/A
Florida Product App roval#
For multiple prod u s use product approvalorm
Describe in detail the type o ormed:-� �-� -�f
Property Owner Information:
Name:_All ' � Address: t
'l 7(.
City State_Zip 2__)J33 -Phone Sj U - _S S�I - g19 -
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: to i, C S 4J `1 'A Qualifying Agent:
Address: t u 1 r, pth iL !a 1,, L City tr Lt. State. Zip
Office Phone Job limber e`1 Fax#
State Certification/Registration# C q(,0 S
Architect Name&Phone# C
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address SEEP
Bonding Company Name and Address RWUIREMENTSA!,�, �•�
Mortgage Lender Name and Address Nationhas
DATE:.. — —! yApplication is hereby made to obtain a permit to do th -shat no work or iia c Eri�ir to
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Tltisn�beaojeand void rf work rs not commenced within srx(6)months, or if construction or work is sus ended or abandonedfor a period ofsix16�1 riron�ny te aj
work is commenced. I understand that separate permits must be secured for Electrical'Work, Plumbing, Signs, Wells, Pools, [urnac eis _eate
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 this application and know the same to be true and correct. All provisions of laws and ordinances governing t
type o1 work will be complied with whetker t red herein or not. The granting of a permit does not presume to give authority to violate or cancel
provisions of any other federal,sta "�r local regulating construction or the performance of construction.
/ Y
Signature of Owner Signature of Contract
pct r i
Print Name f� �'� �,�' _.
Print Name �l�" '71��'vl f�,nr,l ...._............
I........... .
........
Sworn ta and subsc ibed before me Sworn to and subscribed before me
"'Day of fA 20 this
I�( N Day of 20
L BRFh MARK CAGNASS1111
otary Public NotaryPublic-SnFlorida ota 1C -*"TE0Ff�l0A
COIMINSSION#FF02MM45
: : • My Comm.ExpireEXPIRES01.26.10
Commission Nt>MMTMRu t � IBondedThrougP Nati
��t I `lr��� City of Atlantic Beach APPLICATION NUMBER
Js Building Department (To be assigned bype Building Department.)
r 800 Seminole Road A .. In
Atlantic Beach, Florida 32233-5445 r/
Phone(904)247-5826 • Fax(904)247-5845 L�
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 0 �c/J Department review required Yes No
uildin
Applicant: /1 anning &Zoning
Tree Administrator
Project: 0b,4,,0,e Public Works
Public Utilities
Public Safety
Fire Services
Reuiew 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: proved. []Denied.
(Circle one.) Comments:
BUILDI G
PLANNING &ZONING Reviewed by: Date:,,-/-/
TREE ADMIN. Second Review: ❑Approved as revised. RlDekild.
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