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1735 SELVA MARINA DR - GARAGE DOOR { 1 '\ ,,, f ' r, .;'� CITY OF ATLANTIC BEACH S1� �`° 1 800 SEMINOLE ROAD -' ATLANTIC BEACH,FL 32233 \ INSPECTION PHONE LINE 247-5814 \Jiil )r WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-WIND-1896 Job Type: WINDOW AND/OR DOOR Description: GARAGE DOOR Estimated Value: $2.320.00 Issue Date: 8/12/2015 Expiration Date: 2/8/2016 PROPERTY ADDRESS: Address: 1735 SELVA MARINA DR RE Number: LOC ID-0000 PROPERTY OWNER: Name: SHORE, BRENT D Address: 1735 SELVA MARINA DR GENERAL CONTRACTOR INFORMATION: Name: PRECISION DOOR SERVICE OF N FL JASON SHEPPARD Address: 11323 Business Park BLVD Phone: 904-638-2220 PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $61.60 STATE DCA SURCHARGE $2.00 PLAN CHECK FEES $30.80 STATE DBPR SURCHARGE $2.00 Total Payments: $96.40 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r�ri;1,4 City of Atlantic Beach APPLICATION NUMBER Building Department T( ),, . 800 Seminole Road ( r ed by the B ilding Departmen ) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax 'Al ' r /�� (904)247 5845 %;;,iri- E-mail: building-dept @coab.us Date routed: IN City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ---P4- Property ' p y Address: Z31iJt,� ,()4q ent review required Yes o Building Applicant: — M7 I__' (S i arming&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 of Permit Verified By Date 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: I-(Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: fil Date: k'? ^/ 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 07/27/10 BUILDING PERMIT APPLICATION D TgE .1A m R L E cppir CITY OF ATLANTIC BEACH . . [j ` 800 Seminole Road, Atlantic Beach, FL 32233 A U G 0 7 Office (904) 247-5826 Fax (904) 247-5845 diall lr�� ,p Job Address: \-135 SeVA \J\ex\ (, Z1 . Permit Number: 5 �i / r 76 Legal Description Parcel # 2?J © ZUFloor Area of Sq.Ft. Sq.Ft Valuation of Work$ 2, Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door • Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes o N/A • -Florida Product Approval# `1pg4_Z For multiple products use product approval form Describe in detail the type of work to be performed: \'q\O\ OCX\( \O Q,O0e• \ \*\ Property Owner Information: \ Name: U�'�\ \* X\Me- Address: \-735 CJ�',\�0. \"\OV\\)O/\ p\( City P\k\O‘Nk\C' t _OCY\ State FL Zip 32233 Phone Ct04-24(.-1224 E-Mail or Fax#(Optional) Contractor Information: \ Company Name CXt \�\O gyp* cjev�\C e, Qualifying Agent: �a5N S\AC ctv d Address: \\32 S■vess ?ova- B\\ City -3G0-SO\.v \\e State F - Zip 3225 Li Office Phone WA-2'.i - "3-2.1 2. Job Site/Contact Number Fax# olo°l- 22- \8e ,' State Certification/Registration •ila ? ) S i % VC- Architect Name &Phone # ' ,A, &Wen - -' t• • g •' , • !f l.EM • 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 aperiod 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 FMS 4 -b614 -u—1 lei(D -O COMMENCEMENT. I hereby certify that/have read d examined this�ap plica ''n and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied waw.s ed :�n or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal.s r •,1 S co struction or the performance of construction. 1 OP r-n .4 1 iii§ignature of Ow �' V" • Signature of Contractor 1/ . .Iamc /Letit 1 Print Name Y,�AS.�� C 4R,Q Swqn ,keld subscribed efore • e Sworn to and subs ribed befo e me this `, Day of lIU 201 S this Da of it ,A, ► , 20 \5 ♦tA'A AAIA 1a AM v raMeR!lINy l `` _ Not.p°u.lic 4 j .,pYway%,, JENNIFER WALKER .. • MY COMMISSION#FF146360 ;;a•'.'''; • °f` EXPIRES July 29. 2evi. d 01.26.10 ,,, ;r MY COMMISSION#FF Ot 1480 ��4 • '" EXPIRES:April 24,2017 Service.com ,i °` Public Underwriters (407)398.0153 Fbridallotary ''14Or' 4dS•` Bonded ihru Nora?