2087 VELA NORTE CIR - GARAGE DOOR .lis\J��,.,
,�1 ,,
' SP CITY OF ATLANTIC BEACH
"'�f s> 800 SEMINOLE ROAD
J� v ATLANTIC BEACH, FL 32233
A-o; 9_, INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0103
Description: NEW GARAGE DOOR
Estimated Value: 1687
Issue Date: 8/2/2017
Expiration Date: 1/29/2018
PROPERTY ADDRESS:
Address: 2087 VELA NORTE CIR
RE Number: 169506 1084
PROPERTY OWNER:
Name: ROSE PATRICK A
Address: 2087 VELA NORTE CIR
ATLANTIC BEACH, FL 32233-4533
I GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OVERHEAD DOOR CO. OF JAX
Address: 6884 N PHILIPS PARKWAY DR
JACKSONVILLE, FL 32256
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
-f�.tvir, City of Atlantic Beach APPLICATION NUMBER
t\ Building Department (To be assigned by the Building Department.)
rr.) 800 Seminole Road R es ( 7 , 40103
- , Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
` ,;;j9r= E-mail: building-dept@coab.us Date routed: 1 Z.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2 OF777 V ,-L-13k I\) n2 E D ent review required Yeses No
Buildin (/
Applicant: C,Y6f_l-(E (l co i-- Planning &Zoning
Tree Administrator
Project: C R ZAGE -OCD 2 Public 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: ElApproved. ['Denied. ['Not applicable
(Circle one.) Comments:
UILDI
PLANNING &ZONINGReviewed by: / i ' Date:2 O s'/7
TREE ADMIN.
Second Review: ❑Approved as revised. ❑De ' d. [Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
'r' Building Permit Application
.,' ,,i101111.11
, OFFICE COPY'
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
="''vl- Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 30/CI v�.l..A, iK t RSV; cra• Permit Number: R ES ' 7- d [ o 3
Legal Description RE#
Valuation of Work(Replacement Cost)$ [(•t2F1 b OD Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door__.._--___-- _._-_.,_
• Use of existing/proposed structure(s)(Circle one): CommercialResidential) j i(11 �l_., r p j V 1 ��
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: JUL 1 7 2017
1K%')VV1/c.. i'.(t:,t..) &A '(z- J
Florida Product Approv. # 1400 for multiple products use product approval form
Property Owner Info ation �+
Name: 1-P(44-420c4,
C+ - - Address:�L)1 V�sL�t v ate CA(tGL .
City a'C t.,A;_cr\L nf--_, •Gl...s- State tDiA Zip 3a-,1 31 Phone Ot-t-3.14 I. 6 3'-C (
E-Mail ( '3'tZ-tC.I.C.Arra)a`.+L.::, C0iMf...A . 1•-it.--C
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information ` '
Name of Company: 00:40.14_,_, pt O' Qualifying Agent: 111 S LC% v 1..At •
Address(j X641-•[ 1A 1u-t 1 Pl ()a•K1• City noel. • State (%LSA- Zi� �•a.�514
Office Phone gut aL,W •-1 le Job Site/Contact Number 10q" 5OG-L,oy�g
State Certification/Registration# E-Mail Mi*(. '- ® 0 tAp 1 q X+ LON\
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/Lease Employees/Expiration Date
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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS,POOLS,FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 OUR NOTICE F MMENCEMENT
,, ./ed -----_
(Signature of ip er or Agent) (Signature of Contractor)
(includi Sig ed a d sworn to(ora it .•)be be ore a his day of S . , and sworn to(ora irmed)before me this day of
2 0 .. A , Aa/ y
(Signature of No ary) - r"Yv.SotJ
1pYCE A
_ `'� F= MY COMMISSION t FF 14240'5
.: r tember 18,2018
`,.�"• TONI GINDLESPERGER j, EXPIRES:Sep Publ'q U�rwrders
+Ar ';�- oe`; Seeded Thru Ne.a�'
;.: ki+ •+: MY COMMISSION it FF 924951 3i„•
[ )Personally Known OR - , = EXPIRES:October 6,2019 ersonally Known OR `�” -. Y�
Produced Identificati.: Sanded Sanded ThruNcaryPubScUnderwmers [ I Produced Identification
Type of Identification: Type of Identification: 4. / �, . 121
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