1643 SEA OATS DR - GARAGE DOOR r
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' `' \ , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0331c
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-2520
Job Type: WINDOW AND/OR DOOR
Description: GARAGE DOOR
Estimated Value: $268.00
Issue Date: 11/2/2015
Expiration Date: 4/30/2016
PROPERTY ADDRESS:
Address: 1643 SEA OATS DR
RE Number: 172020-0138
PROPERTY OWNER:
Name: SOO TRUST, CLARA
Address: 1643 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: D & D GARAGE DOORS INC
Address: 1177 CATTLEMEN RD DALLAS MILLER
Phone: 941-371-7242
PERMIT INFORMATION:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
FEES: ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
PLAN CHECK FEES $27.50
Cashier Id: aspcust\atlbbja
Receipt Date: 11/2/2015 1:33:38 PM
BUILDING PERMIT FEE $55.00 Receipt Number: 05-58545
Job ID: 15-WIND-2520 - GARAGE DOOR PC - P
LAN CHECK FEES $27.50
Job ID: 15-WIND-2520 - GARAGE DOOR BLDGFE
Total Payments: $82.50 E - BUILDING PERMIT FEE $55.00
Amount Due: $82.50
Tender Information: Cash $82.50
Tender Type: CC
Tender Amount: $82.50
Change Due: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WI'I II ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH COPY 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1,616 Ste. OriAS c0 r t U.L Permit Number: /5 "U/I)tl0 —c25?O
SeAU A UA Z4'
Legal Description —s 1 0 off/ 'Maxine. & Parcel #1740:0=0.17:3,_____
cc�� loor ea o Sq. t. qt
Valuation of Work$ d(.a. Proposed Work heated/cooled `Le \\ non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indow/door
Use of existing/proposed structure s ci Commercial Residential
If an existing structure '. ire s win • er sys 'm ' rlstalled? (Circle one): 1'es o N/A
Florida Product Ap oval # 5. -7'. [p 7
For multiple prod •ts use pro uct approv• 'brill
Describe in detail the type o wor to be performed: # b coa-rcL - ,Dc r-
Property Owner Information:
Name: C1/4. SOO Address: 1,l2(17.2) S 1'
S Dr U _--
City State 4p _jarAa3Phone SOLI,- "ad-A— 1QI.1
E-Mail or Fax #(Optional)
Contractor Information:
Company Name: b+D Cinra[�.e b0[^r5 Qualifying Agent: L>allac /ViiiiPr
Address: II�i7 ('o�i(erne i1 Pooa City Sorq_n-f. State FL. Zip 3t6,„2
Office Phone CPO• :-S'7!- 'f;t<j . Job Site/Contact Number qt4- Bl lit-14 Fax # qty . 377- .2.7Di
State Certification/Registration # 1 ,,' •
Architect Name & Phone# M.,• 1 — '377-490 ' al
Engineer's Name & Phone # P•Alc
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. l 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 conunenced 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.
/hereby certify that I have read and examined t/his a plication 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 s eci red herein or not. The granting.of a permit does not presume to give authority to violate or cancel the
provisions of any otter federal,state,or local law regulating construction or the performance nonce of construction.
Signature of Owner C . , - Seri) _ Signature of Contractor ilt..1
•Print NameCZ; '' •t';. NE . ,r.�LEy Print Name bQ lja6 M j 1)e.r
i�1 ' A •EE 851266
Swot.. f h suhsc,' •d b l`c •i i,2017 5 Sworn to and subscribed before me
this ;r1 D. SI ,'.+�� ► 20 this Day of .20
Not ry Public + MYCO1.1
Notary P •l-ti X41 o Expires March 11,20' 17• ,.a. 'MISSION#DD 820134 12
',p�'afi' Banddfl, Troy FlinMsmance800-3354C 19 . `•-�' ''k^,:13 EXPlli , ri.2
City of Atlantic Beach APPLICATION NUMBER
d ��� Building Department
. .{ !s 800 Seminole Road (To be a signed by the Building Department.)
1,� •, Atlantic Beach, Florida 32233-5445 fit/4 Sc2'°
/ Phone (904)247-5826 Fax(904)247-5845
E-mail: building-dept @coab.us Date routed: I A jfff
City web-site: http://www.coab.us Almol■
APPLICATION REVIEW AND TRACKING FORM
Property Address: /) 3 rte, D nt review required
re uired Y1e /
(Vo
A pp licant: 9)aralA 004‹ &Zoning
Tree Administrator
Project: Qaeaaji aot 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: [pproved. [1]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: fr Date: /'/'2'/r
TREE ADMIN. Second Review:
❑Approved as revised. ❑Deni .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10