2279 Seminole Rd #8 garage door permit CITY OF ATLANTIC BEACH
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
70B INFORMATION:
Job ID: 17-WIND-3003
Job Type: WINDOW AND/OR DOOR
Description: replace garage door
Estimated Value: $3,434.65
Issue Date: 1/26/2017
Expiration Date: 7/25/2017
PROPERTY ADDRESS:
Address: 2279 SEMINOLE RD UNIT 008
RE Number: 168345-0325
PROPERTY OWNER:
Name: HENNIG, CHRISTOPHER
Address: 2279 SEMINOLE RD APT 8
GENERAL CONTRACTOR INFORMATION:
Name: D & D GARAGE DOORS INC
,CBC1258205
Address: 1177 CATTLEMEN RD DALLAS MILLER
Phone: 941-371-7242
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $33.59
BUILDING PERMIT FEE $67.17
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $104.76
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CM OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Spar,. City of Atlantic Beach APPLICATION NUMBER
o� Building Department (To be assigned by the Building Department.)
800 Seminole Road
:r Atlantic Beach, Florida 32233S445 I JJ
Phone(904)247-5826 Fax(904)247-5845 1
X119 E-mail: building-dept@mab.us Date routed:
Citymb-site: hdp:/Mmnv.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a 'ak Y4 St_jA', WIJ_ De artment review re ulred Ye No
ul ding
Applicant: Ua-� y �aac__ t1WS Planning &Zoning
1 Tree Administrator
Project: WV6LCt._ A"Uq Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review of Permit Vedfied or ReceipBt Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
E'
(Circle one.) Comments:
BUILDING ,/Lr
PLANNING &ZONING Reviewed by: / / ' Date:/^)-3-/7
TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH JOBSITE COPY
800 Seminole Road, Atlantic Beach, FL 32233
p/1p `_,,-
Office (9014) 247-5826 Fax (904) 247-5845
Job Address: aZol lI JC'JRIIOlE R0aJ_bA;}A 30.33 Permit Number: I'l-Vi3WA -.1Rou1
Legal DescriptionitC-mIt 37- r,C' 9t .o 7s tDelA) ra_.fS�arcel#
ooT�a ot�q�t. Sq�'t
Valuation of Work$ 4 y.(n Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addit' teration Repair �ovvee Demolition pool/sp• window/door
Use of exisI ng/propose ruclure(s) (circle e): Commercial Bt` "•yak, t,I ,
11'an existing slruc[ ,is a tiny sprinkler sys m ins! led'? (Circle one): Yes No N/A
Florida Product A roval # ,
For multiple pro acts use pro act approva or
Describe m detail a type of work to be ormed:�,PO�C.2YN.1vl+ A f l7Llraa� 'Doo r
Property Owner Int'onnation: 1, �A p r� rya
Name: Ilrvl f e T� , Address: X0.7 ` S2-Yt•�\nb l� lC.��A+'8
City„ i ern Statef Zip 2233 Phone
E-Mail or Fax #(Optional)
Contractor Information:
Company Name: b+/� �Z�Yd Qru hoor5 Qualifying Agent: DOIIO< lv ;der-
Address: 1)1!1Z'Qfibme Rned City $ora<n}A StateL
r • - — Zip 34x3''
Office Phone
Job Site/Contact Number
Stale Certification/Registration #
Architect Name & Phone#
Engineer's Name & Phone#
Fee Simple Title Holder Name and Address Ind IAN -1 7 9ni
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is l+ereby made to obtain a permit to do the work and installations as indicated. 1 cert need prior to the
iasvancr 1, a permit mid drat all wank will be prrfoonth to meet the stmtion or of aft favus wdeding obanduction in diisjurisdiction. This perrr+it becomes nuN
and void t work isnot cmnmenced within six(b)months,or if construction or work is sus nded or abartdaned far a period of six l6)months at any time after
work is rommenced. I understand that separate permits must be secured for Elettricaf Work,Plumbing,Signs, Wells,Pooty furnaces,Boilers,Nemers,
Tanksand Air Conditioners,eic.
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 1 have rear!and esamineul this�plicmimi mW know the sans m be irtm aa+d correct All p u0siona of laws and ordinances govm'ning this
type o work wit/be comp/' with whether spec+ed herein or not The granting of a permit does not presume to give authority to violate or cancel the
Per is vm+/y lncal[awrrgu#whg cotntrunion or die prrfrmance ofchea,hction. V
Signature of OwnpperlI Signature of Contractor
Pi int Namd��f 1 ,57oP tr Print Name 1106 ti
...........
Sworn pnd subs-cribcd before me Sworn and subs a efore me
LNDay o J 20 this Day of i•.---< 20
Nol y Public Not rY Public � i
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