270 5th 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
JOB INFORMATION:
Job ID: 17-WIND-3046
Job Type: WINDOW AND/OR DOOR
Description: replace two garage doors FL5302.4
Estimated Value: $1,362.60
Issue Date: 2/3/2017
Expiration Date: 8/2/2017
PROPERTY ADDRESS:
Address: 270 5TH ST
RE Number: 172557-0000
PROPERTY OWNER:
Name: FLYNN, GAY E
Address: 270 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: PRECISION DOOR SERVICE OF N FL JASON
SHEPPARD
Jason Edward Sheppard,CRC1330604
Address: 11323 Business Park BLVD
Phone; 904-638-2220
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $28.41
BUILDING PERMIT FEE $56.81
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $89.22
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�csarir, City of Atlantic Beach APPLICATION NUMBER
j+ A Building Department (To be assigned by the Building Department.)
800 Seminole Road I�— VJTA)0—3 Oy
_ Atlantic Beach, Florida 32233-5445
Phone(904)247-5828 Fax(904)247-5845 ( I Q I I<F
E-mail: building-dept@wab.us Date routed:
Chyweb-site: hdp:1A~v.wab.us
APPLICATIO-Ny REVIEW AND TRACKING FORM
Property Address: �ctc) J J Si De Fentreviewre uired Ye No
(� Building
Applicant: Q� 2G!.. lD 0obr( s0A Planning&Zoning
Tree Administrator
Project: 1 C(_LQ Q Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ De t Signature ..�
Other Agency Review or Permit Required Review or Receipt Date
of Permit VedFled B
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.
AP�PPLICATIO STATUS
Reviewing Department First Review: EApproved. ❑Denied.
(Circle one.) Comments:
BUILDI
PLANNING&ZONING Revi wed by: Date: 1-d
3-�7
TREE ADMIN. Second Review: ❑Approved revised. ❑De led.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Rev awed by: Date:
FIRE SERVICES Third Review: ❑Approved E 3 revised. ❑Denied.
Comments:
Rev awed by: Date:
Revised 05/14/09
BUILDING PERMI r APPLICATION
CITY OF ATLA TIC BEACH OFFICE COPY
800 Seminole Road, All tic Beach,FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address: ' Sts PermitNumber: I�"-tl)",
Legal Description D Qt N 251 parcel# \!S'':JA \U ZS 20\ E •��
oor a o q. t. q.
Valuation of Work$\3102. \06 Proposed Work h ted/cooled nou-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window oor
Use of existing/proppoosed structure(s)(circle one):. Commer ial sidenti
If an existing struMure,is a fire sprinkler system Installed?(Ci rcle one): No N
Florida Product Approval # 5 'A
For multiple products use product form
Describe in detail the type of work to be performed:
Property Owner Information: c
Name: \J� Address:
City Statev\-Zip 31233 i1hone - \'
E-Mail or Fax#(Optional)
Contractor Information: T \
CompanyName: C)OO R- SC`lZV\Ce', uali ing Agent: , kSD p) aril
Address:ll \ ity Os,h State fr\- Zip S22S
Office Phone 6t0A Jo *te/Conta Numbe 1% k , S—
State Certification/Registration#
Architect Name&Phone# 1
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 indicated ! ertify that no work or installation has co mencedprior to the
tssuarxe
fa permit and that all work will be peformed to meet the standards o all laws regal permit becomes null
and void fwork is not commenced within six(6)months, or ifconstrucdnn or w rk is susPended or abandoned for a pperiod ofsis/6J months at arty time after
work is commenced. l understand that separate permits most be secured far lassie l n'ork, Plumbing,Signs, a'eils,Paoli, Furnaces,Bailers, Nesters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAI URE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND T OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BE ORE RECORDING YOUR NOTICE OF
COMMEN EMENT.
I herebp certify that l have read and examined this plication and know the sa to ire true and correct All provisions of laws and ordinances governing this
type o)work will be complied with whether sppeci sed herein or not. The gra ing of a permit does not presume to give authority to violas r cancel the
provisions ofany other federal,state, or locallaw regulating coos uraction or da 9erformance ofconctraction.
Signature of Contractor
bolmomGral
. . 1, _ L\]N ..... Print Name ....,J15.a+,L..
......_ ..............
Sworn to and subsccrr'bed before me Sworn to and subsc ' ed before me
this 18 Day of JONI�nP 20 !1 this 1 Day of XY`i O\Y 20
No IlbjlayNotary P bW♦ n',r;
at
rMVC0MMISSI0N#FF146]80 // MV COMMISSION xFFvI+ '�
EXPIRES July 29. 2018 G -.S Jagivis'd 011 .I0
(4m1 a15] Fbou nor 1y5ervi X... 40 •JY oa IYv i No:ary$ervicecon,