1644 PARK W TERR - GARAGE DOOR '. ,a` � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
70B INFORMATION:
Job ID: 15-WIND-1607
Job Type: WINDOW AND/OR DOOR
Description: REPACE GARAGE DOOR
Estimated Value: $1,000.00
Issue Date: 7/20/2015
Expiration Date: 1/16/2016
PROPERTY ADDRESS:
Address: 1644 W PARK TER
RE Number: 172020-0164
PROPERTY OWNER:
Name: HARDMAN ESTATE, CHARLES H. *
Address: 1644 W PARK TERR 1644 PARK TERR W
GENERAL CONTRACTOR INFORMATION:
Name: DUVAL OVERHEAD DOOR CO INC
Address: 6101 LOTTIE ST
Phone: - -
PERMIT INFORMATION:
FEES: �------------- --- -BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2 00
PLAN CHECK FEES $27.50
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r-
BUILDING PERMIT APPLICATION
• CITY OF ATLANTIC BEACH
14IF 800 Seminole Road,Atlantic Beach, FL 32233 :li COPY
Office (904) 247-5826 Fax(904)247-5845
Job Address: 44 Par I< TCvrac. w est Permit Number: /5-WIND-/6 07
Legal Description 3+S1 oq aS-aqE '9Aa.maylvia IJl.yli r l.P Parcel# o, J3-A SIva_l\AGJ(i.- L.tt ono
pfl Floor Area of Sq.Ft. Sq.Et
Valuation of Work$ 1000• Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa C----
ow/doos)
Use of existing/proposed structure(s)(circle one): Commercial .esid-
,
If an existing structure,is a fire sprinkler system installed? (Circle one): 'es No
Florida Product Approval# I c5 D-1 a . S D-
For multiple products use product approval form
Describe in detail the type of work to be performed: Y.R.I9 iaCe go.Y-o1e &We-
PropergeTuviner Information: .
acs if FiCtrcl vrIewl ESFa tc
Name: L l o J-i-e-v tV% a- i-EGU''CirvlGt n Address: I l.Q 44 PCU'K T ty rLZCe W
City At 1Qrlt- c r3e_a State Zip3 ►,3 Phone (.1 09-).;-1461-- 3'.P41P
E-Mail or Fax#(Optional) V1G1Yd.YYlgn5(2 C1.01.Ctm
1
Contractor Information:
Company Name: OIAVCLI OvfrhfOit ObCY co I VIC- Qualifying Agent: - 0.L t2 Q,}2
Address: Lolv) Ld+i►e Sfiy>°P.* City JCiC,KSDY1v111-e. Slate Ft Zip 3)Igo
Office Phone L010-4-T-04-?4.13‘..P Job Site/Contact Number Fax# Licrfl t
State Certification/Registration# el()- ‘3,-
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 cert'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 hereby certify that I have read and examined this goplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether sppeci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federa.state, or local law regulating construction or the performance of construction.
0 /
Signature of Ow `e--4 -etr✓M' 1:144,-4.4- ature of Contractor • d AWL.
Print Name / ; /r ./f/�/ Print Name . ir Ai
.„„„„..,,,ut,
Swor to and subscribed befo `� E.!vs�'�,, Sworn to and s ubscri ed before me 6
this � ay of J-��� /Pf..;"'c�s o,' --..04)..20 15 this 2 Day of t 20 i
t
diary ublic - ,*.a. Notary lic
f,1 #FF 168900 i Qg TIFFANY N WILSON
9 +-Bo �. /'P� NOTARY MAIM.STATE OF FLORIDA Revised 01.26.10
'11. %v.*'h Sul n ��4�: COMMISSION* FF16i56Y
'''rr��i�n,suit°�````` RONec+TMRRU 1461-NOTARw
t
800 Seminole Road
`j- � ► <� Atlantic Beach,Florida 32233
s Telephone(904)247-5800
may. ;) FAX(904)247-5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading/unloading area and material storage
area.
3. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
4. Location of dumpster. (Dumpster must be from approved waste company in
accordance with Chapter 16 City Code)Also, dumpsters will have tarp covers
or rigid covers on windy days. Dumpsters must be removed prior to issuance
of Certificate of Occupancy.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion& Sediment Control Plan(silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Created 10/28/08
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ijAhr City of Atlantic Beach APPLICATION NUMBER
��s ,, - _•' �`, Building Department (To be assigned by the Building Department.)
y ,� 800 Seminole Road
, Atlantic Beach, Florida 32233-5445 /r— AJ/AQ v /�0 7
vv Phone(904)247-5826 • Fax(904)247-5845 7/4// .5--
% ,tt 9Y E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addressz
JkPrii
g- pant review required Yes No
•Applicant: j)24,VaL OVki h f,4-h Nanning &Zoning
p Tree Administrator
Project: a Ea o,f--' 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: proved. ❑Denied.
(Circle one.) Comments:
BUILDI
PLANNING&ZONING Reviewed by: ill Date: 7- /6
TREE ADMIN. Second Review: ❑De
❑Approved as revised.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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