1830 LIVE OAK LN - GARAGE DOOR (----j yLy�.lv,4f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
},.\ ___jATLANTIC BEACH, FL 32233
'!OINSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0322
Description: replace garage door
Estimated Value: 1920
Issue Date: 1/22/2018
Expiration Date: 7/21/2018
PROPERTY ADDRESS:
Address: 1830 LIVE OAK LN
RE Number: 172020 0740
PROPERTY OWNER:
Name: JOHNSON DAVID R
Address: 1830 LIVE OAK LN
ATLANTIC BEACH, FL 32233-4510
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PRECISION DOOR SERVICE OF N FL JASO
Address: 11323 Business Park BLVD
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.
•j N.", City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
ss
r 800 Seminole Road V--e.\S -
e Atlantic Beach, Florida 32233-5445
,v= Phone(904)247-5826 • Fax(904) 247-5845 l� 13 I a
wi �% E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 0 L-`J t- O C(k-l-r1 - Dement review required Ye�/No
�uildin� 1/
Applicant: PiLL,St of\ oo( SJC- OF i •. Ft Planning &Zoning
Tree Administrator
Project: cL1)t L 64k &ON
Public Works
U 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: ❑Approved. [Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: )rN y Date: 1 v?'..a0/
TREE ADMIN. Second Review: [Approved as revised. ❑Denied. 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
BUILDING PERMIT APPLICATION OFFICE C O PY
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: \230 Lw e oo\'(- 1-N Permit Number: Ir--6S - 03
Legal Description t\\\O\ NA01'(\1�1O\ U\n \o-,Pk '•- Parcel # -IDC) 0()I 2.S 2°I
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ \C\2•0.0-1 Proposed Work heated/cooled non-heated/cooled 112-
Class of Work(circle one): New Addition Alteration Repair Mov- Demolition pool/sp window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): -s `o N •
Florida Product Approval # 5' '2 . 15
For multiple products use product approval form 1
Describe in detail the type of work to be performed: `( € V\O\Ce GO\YOOGJ'. COC W\�Y 1 new
Property Owner Information: -1
Name:cOW 16,76(- ISOY1 Address: \(2)/ 3 OA- n F C 2 1 2017 Et.
City fr (1-\\C 'Etc\e \ StatJt-- Zip 32233 Phone 0104-241 kkcM
E-Mail or Fax#(Optional) --
Contractor Information: \\
Company Name:VreC\ston OooV5°1. SC`NN\CC p{ r Qualifying Agent:-3-0W-1 e,P )O(
Address:` M-3 '6VA31feSS PM-- 1\Id City 304 State R. Zip Z225.
Office Phone 0 b'-ZoS• 33-11- Job Site/contact Number `' Fax# 010A-21'L- 1? s
State Certification/Registration# Lc,\ba..)1009
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
_.: . . mal tt-e4` L Drt p-AS u fi b.^ - f';d A wc940-Oo3'L7,0"1
sqi) y,tl toA
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or in1 tion has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period 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 herebycertify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances gF • ning this
type ofworkwill be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate • cel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owne Signature of Contractor Ali A
Print Name OO'4 70YUIS61-i Print Name . �
Sworn to and subscribed before m- Sworn to and subscribed before me
thiss 101 D. •• •;,�___ 20 1 this 101 Day •.f c;- -, 20 1-1
t;P,AREditfir Ag
of EXPIRES July 29, ' Not ° ' MICHELLE ABRAHAM (
t of F.•• Service.com MY COMMISSION#F 146360
(407)398-0163
': •o-' kevised 01.26.10
Florioallotary
iFFi,!? EXPIRES July 29, 2018
(407)3913-0103 FloridallotaryService.corn