1918 Oak Circle - GARAGE tY ,Or ` , CITY OF ATLANTIC BEACH
-" ', Y *ss� 800 SEMINOLE ROAD
,�. , jATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0176
Description: NEW GARAGE DOOR
Estimated Value: 1784
Issue Date: 9/26/2017
Expiration Date: 3/25/2018
PROPERTY ADDRESS:
Address: 1918 OAK CIR
RE Number: 172020 1252
PROPERTY OWNER:
Name: KLEINLIVING TRUST
Address: 1918 OAK CIR
ATLANTIC BEACH, FL 32233-4506
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.
rSy‘ii>• City of Atlantic Beach APPLICATION NUMBER
,J' )P"' "`�•;'�\ Building Department (To be assigned by the Building Department.)
j.J800 Seminole Roadn /�y -,, Atlantic Beach, Florida 32233-5445 ' , E t 7 — pc -Phone(904) 247-5826 • Fax (904) 247-5845 / /(
wily.,
, E-mail: building-dept@coab.us Date routed: 1 7
City web-site: http://www.coab.us
C C-)1jj
APPLICATION REVIEW AND TRACKING FORM
Property Address: t 9 ( ) Do Ct I'" De nt review required Ye No
I-
uildin f
I
Applicant: \'pR_N - ' 00 • g &Zoning
--1ThTree Administrator
Project: G Pt c- f oc Q 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: roved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: ril Date: CJ' i g' r7
TREE ADMIN.
Second Review: Approved as revised. Deni d. fNot 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
F-r j. Building Permit Application t 5/
0,0
%c � City of Atlantic Beach
OFFICE Curl
800 Seminole Road,Atlantic Beach, FL 32233
J 0 Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: k 9%$ OAK 5 41R • Permit Number: `ESI 7 — 0176,
Legal Description RE#
Valuation of Work(Replacement Cost)$ % (84 od Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool indow/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• 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:
RermpVE $ luso Aug.. 1.4 4.0 q 64.RAg L (>0444.. (4,)
Florida Product Approval# O ILA-1, ii it for multiple products use product approval form
Property Owner Information
Name: KA1 L. V.Wo4 Address: ` % OA it C.I,R.
City ii:Yi'1,.A#*T't(. Ide.nrC.14 State % S Zip $
17..33 Phone 904• i1+°14. 981.4E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information �
Name of Company:dVeQIrL 44 O1�
oovk Qualifying Agent: 1� ��1',I tl1 U..1. i 444
Address 6484 PLt L.‘p VL4.cr+ OC'z. �. City State ZiO s�1. ..5L,
-- ,a
Office Phone 10 ,l.ait• t Lid;.1 Job Site/Contact Number Co — Kos- Le'X.$
State Certification/Registration# � - —(8�E-Mail
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation AM'.C'. I o9 0 i'c 7 9/cal( 0
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
RECORDI ► G YOUR NOTICE OF COMMENCEMENT.
GIL.
( .na ure o Owner or Agent) ignature of Contractor)
(including contractor)
Signed and orn t or affirmed) before me this/9‘f Sign-: .nd s % V o r affirmed)before me this day of
by , ► Ile'/ by _ . ,t'C
., / /j / -%