2393 Ocean Breeze Ct - New Garage Door f
AI r CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
1 ': ATLANTIC BEACH, FL 32233
..J v
INSPECTION PHONE LINE 247-5814
,�� F
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-2900
Job Type: WINDOW AND/OR DOOR
Description: new garage doors
Estimated Value: $2.400.00
Issue Date: 12/30/2015
Expiration Date: 6/27/2016
PROPERTY ADDRESS:
Address: 2393 OCEAN BREEZE CT
RE Number: 168908-8230
PROPERTY OWNER:
Name: HANSEN, KIRK & BONNIE, *
Address: 2393 OCEAN BREEZE CT
GENERAL CONTRACTOR INFORMATION:
Name: PRECISION DOOR SERVICE OF NF
Address: 11389 TRADE CT STE 101 JASON EDWARD SHEPPARD
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $31.00
BUILDING PERMIT FEE $62.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $97.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID.%
BUILDING CODES.
it
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road, Atlantic Beach,FL 32233
Office (904)247-5826 Fax (904) 247-5845 / 5- doevz - j co
23c\3 )Qeo ? ze C�. E_: C, E v F Job Address: P If?) � �
Legal Description A -05l 3-1-25 - 20\ V\. • Pa r��3 b w : (IF EIS •
oor ' ea o '1 (A q. t. koy I Iti t Valuation of Work$ 24 00 - Proposed Wor heated/cooled non-heated/cool MI
Class of Work(circle one): New Addition Alteration Repair . - = • - AM sor
Use of existing/proposed structure(s)(circle one): Commercial :.esidential •
i
If an existing structure,is a fire sprinkler system installed?(Circle one): •es • • N/A
Florida Product Approval # 5821.3
For multiple products use product approval form v n p. `,,`
Describe in detail the type of work to be performed: ?ep1OCZ, y\1 a \ , 60Y25 \1 ,
\A-e- A
Property Owner Information:
Name: \-'\0- ,Q��Se1J Address:
23613 OCeo1N Bree-2e C b-
City 4\1 .ftWc\C SC V• State Fl-Zip 322 33Phone 041. 241- 10 5°'■
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Q'(eC'5\Ors OooY SeYV\Ce; o4' t-. L. Qualifying Agent: -SA 50N 5Y\eppelrel
Address: \1323 bustNe Palm 81 City 3acY- 6%.,4 mt. State FL Zip 322611
Office Phone°134-14, - 3312 Job Site/Cop�It ct Number « \t Fax# aOA- 2l2•- I g is 'r
State Certification/Registration# C.0\3 3 0 1 0 C)
Architect Name& Phone# } k--40∎ V I i,1•. vet, f t C
Engineer's Name&Phone# I
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 aperiod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalWork, 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 thisplication and know the same to be true and correct. All provisions of laws and ordinances go • 'ng this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to v''late • • el the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
signature of Owner � 7`g Signature of Contractor •
Print Name 13011fl...te I-ta.h e Print Name .S4Sa,J S'& .1
Sworn to and subscribed before me Sworn to and subscribed before me
this 15 Day o 'er..% V •--- 20 15 this 15 s of ''CC1-t.i"✓ • 20 1 `>"
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otary Pu•ic• Y , ._.
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rs�-=�`Ir,J. City of Atlantic Beach
APPLICATION NUMBER
' y Building Department (To be assigned by the Building Department.)
r - 800 Seminole Road
v � � Atlantic Beach, Florida 32233-5445 /1- ID/4 - 2 900
Phone(904)247-5826 • Fax(904)247-5845
J;319'` E-mail: building-dept @coab.us Date routed: /2//5//5"°
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Cr
Property Address: 2393 ( t nCC 77 Br1ILE _ Department review required Yes o
Building-
Applicant: R 6G I�J Planning &Zoning
/ Tree Administrator
Project: 9a,ea.9 G D��e Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt 1 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:
APPLIC ION STATUS
Reviewing Department First Review: Approved. I IDenied.
(Ciro Comments:
BUILDIN
PLANNING &ZONING Reviewed by: r71 1 Date: /Z 2�
TREE ADMIN. Second Review: QApproved as revised. ElDenie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I lApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10