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1830 Seminole Rd 2014 garage door X CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ,lit Application Number . . . . . 14-00000846 Date 6/02/14 Property Address . . . . . . 1830 SEMINOLE RD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1335 ---------------------------------------------------------------------------- Application desc garage door ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GUARDIAN AMERICAN PROPERTIES ADVANTAGE DOORS INC 1400 E OAKLAND PK BLVD STE 202 10752 DEERWOOD PK BLVD S FORT LAUDERDALE FL 33334 STE 100 JACKSONVILLE FL 32256 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . 30 . 00 Permit Fee . . . . 60 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 1335 Expiration Date . . 11/29/14 ------ ------------------------------------------------------------- -------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 A,*j a 1)n — [JU Permit Nu ber: Job Address: arcel 4 Legal Description ;!)q.r L ea o q. F oor eated/cooled ---lheated/cooled Valuation of Work$ 1. n Proposed Work h -_T_ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa o!�Lo - Commercial I sidentia .- Use of existing/propose�d st P��*o . Iteture" Zcwijr'c�: talled? (Circle one): N/A If an existing structure, -a fire sprin e sy --"- _r------ . 'L `\ " - Florida Product Appro al # s �rova or For multiple product se pro uct approva or rfo Describe in detail the type o ed: perform Property Owner Information: Name:C-. CP-.k-N Address: L] jj �rx-C�,I r,tc,> State R,Zip _I JL Cit3 - i k-A�, — - ._Phone- E-Mail or Fax#(Optional Contractor Information: Nf- C ',,I �1111 Qualifying Agent: Company Name: City :aw!, State F1 z i 1) Address: 1075 D Oel, _��tA - � !L. . 5 Site/ r Office Phone 90-1 Lt7_51�___,jLjCL, job ax_a_ State Certification/Registra ion# C,Q Architect Name&Phone# Engineer's Name&Phone# oil 7,11-uu. Fee Simple Title Holder Name and Address REOTUR11i'111,11 IP N135o A444 Bonding Company Name and Address Mortgage Lender Name and Address ermit to do the wor an insta atio as in rtify that no work or installation has commenced prior to thi Application is hereby made to obtain a o all laws regulating construction in this jurisdiction. This permit becomes nul issuance o a0pe it and that all work will be per ormed to meet the standar or abandonedfor aWeriod ofsixp6)months at any time aftej rm ction or work is suspended I a void i k is not commenced within six mont , or i const Plumbing,Signs, ells, Pools, urnaces, Boilers, Heaters work is commenced I understand that separate permits must be securedfor Electricar Work, Tanks and Air Conifitioners,eta 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. b certify that I have read and examined this a lication and know the same to be true and correct. All provisions of laws and ordin es governing thi f to give a sth' i��t � olate or cancel th , P The granting of a permit does not presume to give a 0 I here e§ work will be coTplied with whethe eci ted herein or not. f construction. typ e oll 71 r s formance o provisions ofany otherfederal,state, or local law regulating construction or the pe� -C Signature of Owner Signature of Contractor. �_�CIN Print Name .................................. e 1/ 1� P Print Nam ...... ....... ...... .... ................................ ..........PcLf Sworn t� su Sc 'bed before me ,fnd b "W - Sworn to and subscribed before e 2014 y of 20 this Z3."Day of this—Day of 4�2 'OF- MIMM W4N#EEOWO Notary Public EXPIRES:Sepwatm 8,M14 __ 8MM7h?UW"P1ftU11%1W1n evised0l.26.10 Promoting Neighborhood Recovery through Property Redevelopment XX I0 A Strategic Development Partner with the - National Community Stabilization Trust GUARDIAN AMERICAN ,1 FILE COPY March 21,201.4 OWNER'S AGENT SWORN STATEMENT To whom it may concern: This letter shall serve as authorization for Pam Goyette to act on behalf of Guardian American Properties, LLC as it's Agent in all matters concerning Building Permits,Notice of Commencements,Affidavits and other relative construction documents. Should you have any questions regarding this matter please do lot hesitate to contact me. I may be reached by cell phone at 813-299-1177. n rely, It i6it �Robert D.Krieff Managing Member RDK:jb State of Florida County of Bro'ward me this n Sworn to and subscribed to before day of Ma r r 20-d( ............ o M. BONNELL t My COM.MISSIC)N*FF080126 Notg�V Public,State of F onda EXpIRES January 26.2018 Guardian American Companies- 1400 East Oakland Park Blvd. Ste. 202- Ft. Lauderdale, FL 33334, Lo,vw.guardianampdCan es.com 954-533-7118 phone - 888-247-4224Fax City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) 11 SS Building Department 800 Seminole Road H Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 Date routed: 2, -dept@coab.us 5Y—.73h 1 0"IM" E-mail: building City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: Applicant: 4dv des Planning &Zoning rree Administrator Public Works Project: 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: FkfApproved. E]Denied. (Circle one.) Comments: :BU:1L:D 17N PLANNING &ZONING Reviewed by: q�� Date: TREE ADMIN. Second Review: nApproved as revised. F—IDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09