185 Pine St 2014 garage door Jvy
�� 's� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r ar At
Application Number . . . . . 14-00000667 Date 5/07/14
Property Address . . . . . . 185 PINE ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1368
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Application desc
garage door
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Owner Contractor
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SANDERSON, JOSEPH PRECISION DOOR SERVICE OF NF
1101 SANDPIPER LN E 11389 TRADE COURT STE 101
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(321) 302-2883
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1368
Expiration Date . . 11/03/14
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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.
BUILDING PERMIT APPLICATION
Y �, "
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FILE C OP
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 APR2 201
6 ... ..�... ... - - Office (904)247-5826 Fax(904) 247-5845 $ 4
Job Address: 185 P QC S-Mlc T Permit Nu y
Legal Description w-1 to 1 b-zS-Z°1>i S 4CV A,R --)C-C_ 03 Parcel# \7 u63s - 00 S r_>
Floor Area ot SO.Ft. �'q. t
Valuation of Work$ \'S6Y� �° Work heated/cooled non-heated/cooled---- Proposed
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windo /door
Use of existing/proposed stru a s)((circ Commercial qeFsQO
If an existing structure,>ts ire sprinl;ler�s stem talled? (Circle one): N/A
Florida Product Approv #
For multiple products se pr�p�
Describe in detail the typed: RCPk_A(_ yA kAug- Zook wmx ,,�
Property Owner Information:
Name:_�oStL-PA Address: kwt Sa P►QI-SL l,A•
City State Zip Phone Sor4 - 'b%6 -'7 Ug-1
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: PfLtLASN,---J Dom Qualifying Agent: _�Ilbl;10 StJr_-09An_n
Address:kj61 -[RAu C c- %,z e: "I City State i-%-- Zip 311,56
Office Phone (036-mi-o Job Site Fax# 7,N7_-k9,9,S
State Certification/Registration# i3
Architect Name&Phone#
Engineer's Name&Phone# I
Fee Simple Title Holder Name and Address FOR ADDITIONAL
Bonding Company Name and Address AzVVffUMEN I Y7MD7MN_DMONS.
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the worK an n has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws r gulating construction in this jurisdiction. This permit becomes null
and void f 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 ElectricalpWork, Plumbing,Signs, Wells,Pools, Arnaces,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 certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ojYwork 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,st or cal law lating construction or the performance of construction.
Signature of Owner \ Signature of Contractor `,1
Print Name ✓�1 :.. '� �..L �.................... Print Name 115! .........+QAC........A^�......................
Sworn to and subscribed before S an subs ribe me
this�-3 Day of 0 s Da of IlP L 20\
N SHEPPARD
61ale of NOW.
Notary Public __ My Com Expires Oc123,2017 ota
r• Commission N FF 062778 /f�] Revised 01.26.10
....
i� Badco rnouph Natiaml Nolsry Assn //I / -
City of Atlantic Beach APPLICATION NUMBER
Building Department ment (To be assigned by eBuilding De artment.
all?
r � 800 Seminole Road
Atlantic each, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845 Z
E-mail: building-dept@coab.us Date routed:
City web-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: lg6� n,,E S7- Department review required Yes No
uildin
Applicant: C 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 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:
BUILDING
PLANNING &ZONING Reviewed by: Date: S��—
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
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