1945 Brista De Mar 2014 garage door CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000731 Date 5/09/14
Property Address . . . . . . 1945 BRISTA DE MAR CIR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 1400
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Application desc
garage door
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Owner Contractor
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SIMON, KENNETH AMERICA' S GARAGE DOORS
1945 BRISTA DE MAR CIR 1110 SHETTER AVE STE 104
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 998-0200
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1400
Expiration Date . . 11/05/14
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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 I1I^Lr7 IIM—/ I—hr�
f CITY OF ATLANTIC BEACH
E ' 800 Seminole Road, Atlantic Beach, FL 32233
LE COPY MAY 072014
Office 904 247-5826 Fax 904 247-5845
/g�.� - B
Job Address: /�TQ �� �� �/� Permit um er:
Legal Description Parcel Z #
oor rea o q. t. Sq.Ft
Valuation of Work S Q� 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/proposed structurg(s)( i"role one-: Commercial C:_. identi�l
If an existing structure,is a sprinkler system insta ed? (Circle one): Yes No N/A
Florida Product Approval �-- l 5 3 -0
For multiple products se product approva orm p
Describe in detail the ty of work to be mir e rfned: 6 4e
Property Owner Information:
1
Name: �r z i�c1 a tJ t (11N y� _ Address: I q q S f3 r^ISfi 0 —
City Ai 1 A h 1,'c f3eo-c In State=tzip2�Phone -
E-Mail or Fax#(Optional) nn /
Contractor Information: CONTRACTOR EMAIL ADDRESS: t Pl A t2VY12Yl CC(s qa+rQOjE'a��S �a�
LL C
Company Name: C'11 CGt 5 Ga r-0,Oe OWt-3Qualifying Agent:
Address: I t oo fel, Aof 1 OY City JgCK50AV'1 :c l9eaCk State C- Zip Z G
Office Phone BOLI- q o • 0200 Job Site/Contact Number Fax# gbW.328.3?171
State Certification/Registration#
Architect Name &Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application 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 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 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, 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 YOUR NOTICE OF
COMMENCEMENT.
I here b 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 this
type qwork 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
provisions of any other federal,state, or local w regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name r� d� Sl...rn. ..... Print Name I Y l 1�31�1 ��S
................................................................................................................................
Befor — yy� / Before
thi Day f / 20 / this Da of 20�
a Public id
.►
!&f& Notary Public State of Flo
Notary Pu tc . Shirley L Graham Notc t ►� y ommission FF o86990
My Commission FF 086890 or s 02/14/2018
OF Expires 02/1412018
r
City of Atlantic Beach APPLICATION NUMBER
Building De
�s Building Department (To be assigned b the Buil2g/Department.)
800 Seminole Road 3
9 Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 .�
E-mail: building-dept@coab.us LDate routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Add re s: Department review required Ye No
uildin
Applicant: 'Pranning &Zoning
O Tree Administrator
Project: 0Q O "' 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: [f�Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:S� ^J
TREE ADMIN. Second Review: ❑Approved as revised. ❑D 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