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1002 BIG PINE KEY - GARAGE DOOR ;S J. \s\ CITY OF ATLANTIC BEACH n. 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 JOB INFORMATION: Job ID: 15-WIND-2709 Job Type: WINDOW AND/OR DOOR Description: garage door Estimated Value: $1,000.00 Issue Date: 11/20/2015 Expiration Date: 5/18/2016 PROPERTY ADDRESS: Address: 1002 BIG PINE KEY RE Number: 172027-5066 PROPERTY OWNER: Name: MILLER TRUSTEE, THOMAS L Address: 1002 BIG PINE KEY 1002 BIG PINE KEY GENERAL CONTRACTOR INFORMATION: Name: COMPETITION DOOR SALES INC Address: P 0 BOX 5279 MICHAEL ALTON Phone: - - PERMIT INFORMATION: FEES: ------ PLAN CHECK FEES $27.50 BUILDING PERMIT FEE $55.00 STATE DCA SURCHARGE $2.00 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. suv l?k. City of Atlantic Beach 's` �" APPLICATION NUMBER :; �' Building Department sr� 800 Seminole Road (To be assigned by the Building Department.) 1a'� • Atlantic Beach, Florida 32233-5445 /4. - A/41 - 2 70 9 Phone(904)247-5826 • Fax(904)247-5845 — pp ',on 9'.:. E-mail: building-dept @coab.us Date routed: // j/O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /OO 2 id/9 r/ by De•artment review re.uired Ye No Building Applicant: _ / / I /Ai ,/, / _ ,. - -.- ing &Zoning 94/eet Tree Administrator Project: y c ))/V iC 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: [Approved. ❑Denied. (Circle one.) Comments: (BUILDING PLANNING &ZONING firReviewed by: Date: it a/S— TREE ADMIN. Second Review: []Approved as revised. ❑Denied. 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH v A r" �`.r 800 Seminole Road,Atlantic Beach, FL 32233 I.w,_.■ 1 A Office (904)247-5826 Fax (904)247-5845 Job Address: - /002- g/C- /D/'ve- f/ Permit Number: J7 09 Legal Description Parcel# Valuation of Work$ GrpU Floor Area of Sq.Ft. t / Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa Qindow/door Use of existing/proposed structure(s)(circle one): Commercial qesidential If an existing structure,is a fires rinkler system installed? (Circle one): Yes No N/A Florida Product Approval # / /Z -/ For multiple products use product approval form Describe in detail the type of work to be performed: 4 ej C. 6.3,trC9yf 4, - Property Owner Information: �/ Name: ./t/414141e---� ' !` Address: /OO - 6/ (3 P/.119.-- City �- 344(/ tat Zip)ZZ34 Phone 5O - 2 4'/-/rYZ `� E-Mail or Fax#(Optional) /l!` Contractor Information: CONTRACTOR EMAIL ADDRESS: /ta ,/j►,/t 6 �L1 611e7-- Company Name: f 16vil )? D6/461_ J t t Q ualifyi ent: /iA A701//// e-. C4IvcW City - State �fi' Zip �ZZ02. Office Phone 3$1?-/3SZ Job Site/Contact Number /3 . 9 Fax# Y/J -94,1.2_ State Certification/Registration# ©(tfg... CO.' �,f/77 e pti Architect Name&Phone# 3 �'� Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six_(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical York,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEM 11 '' g TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT H e YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE N COMMENCEMENT. , ,; I hereb cert fy that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and or ' .noes g e$ing this, type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give auth. . vi. --• o c cel the: provisions of any other federal,state, or local law regulating construction or the performance of constructio. z i p Signature of Owner Signature of Contractor A� ,��'.• .i./o,A/� 4 4/ 1`f,� Print Name Print Name /�/ Z. 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