1805 SEA OATS DR - GARAGE DOOR - 1,r\1y7\
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J' sir • ,
• ,. Sf CITY OF ATLANTIC BEACH
_., 1 .;) 800 SEMINOLE ROAD
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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: 16-WIND-1208
Job Type: WINDOW AND/OR DOOR
Description: New garage door
Estimated Value: $1,770.00
Issue Date: 6/1/2016
Expiration Date: 11/28/2016
PROPERTY ADDRESS:
Address: 1805 SEA OATS DR
RE Number: 172020-0554
PROPERTY OWNER:
Name: JOHNSON, BRIAN D & MEGANNE. *
Address: 1805 SEA OATS 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:
PLAN CHECK FEES $29.43
BUILDING PERMIT FEE $58.85
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $92.28
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rit,, City of Atlantic Beach
Building Department rT APPLICATION NUMBER
( o be assigned by the Building Department.)
r s 800 Seminole Road
Atlantic Beach, Florida 32233-5445 (Q— WIND— t2 cx'
Phone(904)247-5826 • Fax(904)247-5845
',< E-mail: buildin de t coab.us
must ��' 9- P @ Date routed: Sla,S/dGl fo
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (Bas Sea oot$ Dr. Department review required V Ye No
uildiri.
Applicant: Precision Door Seruic2 Planning &Zoning
Tree Administrator
Project: (V8_, Gwragr boarPublic Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
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: RAP—proved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING&ZONING Reviewed by: � Date:5/c VI 6
TREE ADMIN. Second Review:
Approved as revised. ❑Denied.
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
BUlE..Jt%ki ,i-ERMIT APPLICATION
CITY OF ATLANTIC BEACH _ W-1.‘3 .-- 1aot=?
FILE COPY t 800 Seminole Road, Atlantic Beach, FL 32233
. Office (904) 247-5826 Fax (904)247-5845
Job Address: / c 0 s SCR O4( s 7):7 Permit Number:
Legal Description e`s \X\OV \0\ WfV\ \ LO7 21 Parcel # (19-2C) 0c1 - 2S-2°1 t
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ \-11 b Proposed Work heated/cooled non-heated/cooled r\0. 4
•
Class of Work(circle one): New Addition Alteration ' �Ti r Move Demolition pool/sp window/door
Use of existing/proposed structure(s)(circle one): Commerci. . reside
If an existing structure,is a fire s rinkler systeminstalled?(Circle one): Yes k No N /A
Florida Product Approval # b'2-. \�
For multiple products use product approval form
Describe in detail the type of work to be performed: "Z"--4L1 6-'4fz4 6e717.'oZ I/ljSf--4
'477 "-✓
Property Owner Information:
Name: fs .a-v __370tis0.✓ Address: l�o S` cf ref o s Z .
City ea 7-G a.,,r-c Z£.4,4z..er Staterclip 7zL33 Phone 5-7( — 2-z e - T2s-
E-Mail or Fax#(Optional) gr-..r,/ (,�,, r.----1 4 5-- -)A" - o••-\
Contractor Information: p
Company Name: CAS10N SURNICt Qualifying Agent: �ASO►� S 1'C1Y�`
Address: 11323 fess ?o - i\'& City 70kC1=� 1'41110 State 1^L Zi 3225cOffice Phone OtC TA.A51
98` 3 'l2 Job ite/Contpct Number I t " Fax# �}O4-x.12- (S'6
State Certification/Registration# A�� 13 0'b� 2 C 2 !I'VE I
Architect Name& Phone# AO.V'(- ,n r jyD z Q D l`-� v L� u �J LS
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address !vie 2 5 2016
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 to work or installation has commenced p 'or to the
issuance of permit and that all work will be performed to meet the standards of all laws regulating constr ' ' ' ' ' mes null
and void if-work 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
COMMENCEMENT.
I hereby certify that l have read and examined this a plication and knothe sante to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specs w ted herein or not. Tire granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner` �.-. Signature of Contractor C
Print Name eeCe.4.t/ _ r77 a/vsa ' Print Name _�06o1J SPAS
Sworrd� to and subscribed before me Sworn to and subscribed before me
1; this C`r'"ba of , 20 l"' this 24 D.y of 1A s, , ,20
/Ai
.,,"..:."'•1: MI MA!(f AHAM • 's!�. vA ' „ �(/
Notary e Not r b
• MY COMMISSION#FF146360 MY COMMISSION MFF1483E1U
??:, de'' EXPIRES July 29, 2018 ,, EXPIRES July�9Zev 110I.26.10
(40;)".398-01s3 FloridallotaryService.com (407)398.0153 Floridallot8 SONIce.cam