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Permit Garage Door 2215 Alicia 2011 (2) ' • CITY OF ATLANTIC BEACH 1 i- r s) 800 SEMINOLE ROAD J , r ., ATLANTIC BEACH, FL 32233 � �'� INSPECTION PHONE LINE 247 -5814 Oil Application Number 11- 00002418 Date 8/09/11 Property Address 2215 ALICIA LN Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 1500 Application desc REPLACE GARAGE DOOR Owner Contractor LEWIS DENISE KLETT LIVING TRST COMPETITION DOOR SALES INC 335 W 107TH STREET P 0 BOX 5279 CARMEL IN 460329587 JACKSONVILLE FL 32247 (904) 358 -1350 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee 60.00 Plan Check Fee . . 30.00 Issue Date . . . Valuation . . . . 1500 Expiration Date . 2/05/12 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 fiTgEgi Office (904) 247 -5826 Fax (904) 247 -5845 A /, AUC 01 ZU II Job Address: c2 ,2 /s -f z V I- Permit Numbe g l J 4'/ Legal Description Parcel # oor ' rea o q. t. q. t Valuation of Work $ /5 — Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Use of existing(proposed structure(s) (circle one): Commercial CResidentiL.l-- If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # / 0 7,2 7- / For multiple products use product approval form �./ Describe in detail the type of work to be performed: R� f2ti. -c" /J e .' k Property Owner Information: Name: /. 7 t)� Address: a e l5 ey - City A41.;t tae.,, /: State I Zip 32.2.3? Phone 3/ &- 3G' E -Mail or Fax # (Optional) Contractor Information: Company Name: C� 9.e 0 o--,r Qualifying Agent: - u '' k Address: � L 7 Ci i . , . _ , State f-( Zip 32_247 Office Phone ° 94 4"- 5e 5a , Job . _ T - R ,!/ ,. ; 0 r(_ 4 75 26, er.z i 1 - 1 2,W 1„ 1 � , � I � i� 5 ia 4 I A ,1 II State Certification/Registration # - ..� Architect Name & Phone # V 1 Y .�Y Y # \ r a i Neu + i� _ Engineer's Name & Phone # 1 ' ; .� • r . _.. . , l 1 I + Fee Simple Title Holder Name and Address ! REQUIREMENTS / 1. II r • . _ 111 SI`U fl 4 Bonding Company Name and Address . _ I Mortgage Lender Name and Address 1p r4owI a'Zi alU'i' r DATE: :MEM .._� ,. _ 1 ■•=1/wwwwws I Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 apercod of six 6) months at any time after work is conimenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, W ells, Pools, Furnaces, Bo 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. 1 hereby ertify that 1 have read and exa 'ned this ication and know the same to be true and correct. All provisions of laws and ordi. .nces governing this type of work will be complied with wl er spe ie` herein or not. The granting of a permit does not presume to give authors • violate or cancel the provisions of any other federal, state, cal law r`± lating construction or the performance of construction. A4I'v Signature of Owner /A/ Signature of Contractor Print Name 6A4ti ( UM/TS Print Name Aae z e ' lzre Swore t and subscribed before me Sworn to and subsSsibed before me thi Day of .+� 20 1 t this 2_,1 Day of ...1k,1.-YkSt , 2011 1 //w I A.", 4 .1, sissomimMIIIIMON.■ o any ub i ,.,..1.. � AMANDA . ODEON 1:1 Prlttliw M ala y Panic - ti11 M Rondo , �tilri: ALISON COLLINGS P .• Commission # EE 033670 Revised 01.26.10 Mir Caws Was del !!. 2014 .: 1 ' �s Ex fires October 11, 2014 -�':4 P t ..iA di � � r . ; Bonded Tlru Troy Fain Insurance 800-385.7019 • City of Atlantic Beach APPLICATION NUMBER r " Building Departm Road Phone (904) 247 -5826 • Fax (904) 247 -5845 ed (To be assigned by the Building Department.) a 800 Seminole Atlantic Beach, Florida 32233 -5445 / _ S �� / l / E -mail: building- dept©coab.us Date routed: f City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 /C 4 l / 0 `G'- ,Z ent review required Y_e No o iri)/017 1 � / Buiidin v Applicant: A � 2)OQ J J` 4 (� awing & Zoning // Tree Administrator Project: �G /GCS a zi9g A0d Public Works 9 Public Utilities Public Safety Fire Services 10.0 fee t/ - �� ,» �-• eig �' F 1-4iA' >ti. ' � • s R ��n �k`3�`y'�•:' -'7 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: roved. ['Denied. /� (Circle one.) Comments: �� SSi y - t , (. O Y1. r Q (•�c, r S L ' r: P ✓' S' v C v\ / ), BUILDING 1 � PLANNING & ZONING Reviewed by: 0 Dater /" TREE ADMIN. Second Review: [Approved as revised. ['Dent . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. ❑Denied. 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