326 OCEAN BLVD - GARAGE DOOR CAN:r jf)
_0 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1.511, yr ATLANTIC BEACH, FL 32233
;3 9% INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0028
Description: replace garage door
Estimated Value: 2240
Issue Date: 2/7/2018
Expiration Date: 8/6/2018
PROPERTY ADDRESS:
Address: 326 OCEAN BLVD
RE Number: 170176 0500
PROPERTY OWNER:
Name: LUCEY PAUL D
Address: 326 OCEAN BV
ATLANTIC BEACH, FL 32233-5336
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
o J;ye, City of Atlantic Beach APPLICATION NUMBER
Js i\ Building Department (To be assigned by the Building Department.)
800 Seminole Road D / S p _b p a �7-
.. _ . Atlantic Beach, Florida 32233-5445 F—C 0 O
w
Phone(904)247-5826 • Fax(904)247-5845
,,‘,.t
0;3 � E-mail: building-dept@coab.us Date routed: 04'41 I r/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -S "1 (v Ocean TUU • _De artment review required Yes o
Building
Applicant: Q ( L U SI Dr, bo( Sv C v N , FL, Planning &Zoning
�� �w�
� Tree Administrator
�(
Project: QJpk u L e_ l G�-{ ctbu
qc 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: Ric ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: / ;)/ Date:2--- 2_ /8;,-
2 ' L
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
OFFICE COPY
4,04,„, ,., Building Permit Application JANuppttd imst#7
it
City of Atlantic Beach
"'".�' 800 Seminole Road,Atlantic Beach,FL 32233
(`�
Ph
hoone
+:
,(904)247-5826 Fax:(904)247-5845 q d
Job Address: ' 2 G C�v`� 1 A v 6 Permit Number: g i S i o _ o� 0
Legal Description Pt (�tt11\C 9F'`C (*' t-'3 2 'e\X- '2' REa 111 Uri(C __-.!O
Valuation of Work(Replacement Cost)$224c Heated/Cooled SF Non-Heated/Cooled \\'.1...
• Class of Work(Circle one): New Addition Alteration Repair Mov Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commerc" Residential ) -_,
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N N/,
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidav o Tree Removal
Describe in detail the type of work to be performed:
C V-K-e 9Grc\9t. coor \ \-\h t1ev�
Florida Product Approval#allailaill.111P for multiple products use product approval form
Property Owner Information 321 o O Ce G\r\ c \ C k
Name: \A\ LU(.t, Address: C)2
WA
t\o\'(\\1L � _ State t-\` Zip ?.2233 Phone AOA 2 0-^e,. koS
E-Mail 10- '\\\uCt.`A ( \C\' vt6 • Cvin-1
Owner or Agent(If Agent;Power of Attorney or Agency Letter Required)
Contractor Information
Name ofComRany:PCtGS\'i'n'Ow(' �:CV‘Ct Of t-1 '-l-QualifyingAgent: '`'Gf1 `= \�U�V1fr,
Address\1 '..2-/ S\ t,SS Pa( %•.1(_?• City 700' State as225i- Zip c-'—
Office Phone 01041' tiY)- 3
12 Job Site/Contact Number '' '
State Certification/Registration# '2)0\LOq E-Mail (Y\CA\(1C(ANC/4Y\
Architect Name&Phone# f\vc\C C ,*(1\'C�MCA'M
Engineer's Name&Phone#
Workers Compensation' >e. CO\ is
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.NOTICE:in addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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
REIr YOUR NOTICE OF COMMENCEMENT. C
_./.0
(Signature of Ow ent) (Signature of Contractor)
(including ontractor)
Signed and sworn to(or affirmed)before me this\C\ day of Signed and sworn to(or affirmed)before me this 01 day pf
1' ,by PO'lA\ 1-- ACe \ ,by 4 J • .• p' Y
inzatt(6 Warri IL, ,itiarit. 4,A,
(Si:nature of N. .a ignature qf
;.,. MICHELLE Oi� A(Vf
y ""' MICHELLE ABRAHAM ,p,a-Personal) K vy�rn or I
Personal) K .W CIR °'_ MY COMMISSION#FF146360 y y; MY COMMISSION 29 120 S
[ 1 Produced Id= ti)ical16n : [ )Produced Id:rstl - , o,; EXPIRES July
Type of Identific tioi` .'e'` EXPIRES July 29, 2018 Type of Identifi•:tion°`,.; ' �'ervice.com
(407)398-0,53 FloridaNOtan/Service.com
1407)39 -