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1296 BEACH AVE - GARAGE DOOR ii �S.A CITY OF ATLANTIC BEACH SS �'" � 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 \ �J131�`� INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0077 Description: 2 GARAGE DOORS Estimated Value: 2200 Issue Date: 3/5/2018 Expiration Date: 9/1/2018 PROPERTY ADDRESS: Address: 1296 BEACH AVE RE Number: 171833 0010 PROPERTY OWNER: Name: CHANDLER PHILLIP Address: 1296 BEACH AVE ATLANTIC BEACH, FL 32233 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. 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. 01.avr.4., City of Atlantic Beach APPLICATION NUMBER ys PP �� Building Department (To be assigned by the Building Department.) ,,° � 800 Seminole Road - a j �r Atlantic Beach, Florida 32233-5445 h\Es L a – pi? 7 Phone(904)247-5826 • Fax(904)247-5845 _o,3 9%' E-mail: building-dept@coab.us Date routed: /2 3 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I z9 Co EC---_Pte4.4 V'E Department review required Y7 No ui dint' ' Applicant: w �I IBJ b O© 2_ nning oning Tree Administrator Project: 7 Pt-QA CE �12,S 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: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: ILDI 1 PLANNING &ZONING Reviewed by: fr Y,�/ Date: 3' 'o7v/r 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. [1]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 �'9;- � OFFICE Cr r Building Permit Application Updated 12/8/17 El.'* City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: v acp e,CJ <.\4 Ave.. Permit Number: R--'S t B - C) 7 7 Legal Description GAI?.jPGt Dbat'--' pl.r ck,N1 ri,r RE# Valuation of Work(Replacement Cost)$ aaOO • up Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Poolindow/Doo • 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: RepiaCC A CsACLAlz DOORS Florida Product Approval# (_Q ` g • $ 5 for multiple products use product approval form Property Owner Information Name: Ftz1PINN (,‘-1,4N OiLER Address: MC110 Ct1 C,VA AVE- City ( TL t )4T(C (3E1a-Gi,-I. State c1.1A. Zip 3 a33/ Phone Ql>y-•553" 3x38 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: OVtLf A4Et0d) Dv'(Z Qualifying Agent: Ivy 1.14. '-M t 1 I-LitPrA Address()$$4 QIa 1 lA..AitS /401ALL 'f V R. )--kCity. A(,14S d N V)UAState c-LA tig %J:gL Office Phone c►MLi' awe- !LA7 Job Site/Contact Number q Qom( - 50q- (A1�' State Certification/Registration# - /S E-Mail Architect Name&Phone# Engineer's Name&Phone _ Workers CompensationA /#PIS) (p r/ go GZ'o 11 Exempt/In rer/Lease Employees/Expiration I to 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 FI NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO DING WR NOTICE OF COMMENCEMENT ( _4/1 _ 4ti,v(_ I / t (Signature of Owner or Agent) . (Signature of Contractor) e• (including contractor) —Signed and s affirm • fore me thi C..i Signed and swo _ o affirme• fore me this •� o L �, b �: / �%� I, , A��. b •� i_' & �\ _%I1_!�l�rw%�,// •A • SON I :.:°�''• JOYC A.LAWSON ,a.,.„,,• r • , CEA, #FF 142405 _± it •."_ MYCO §lQPltFtft-VeNot ) t ', w ,,:r EXPIF(61giatt 1049f kb $E° { o` EXPIRES:S fn er 18,2018 "'� Public Underwn oF'F„e< Bonded Thru Notarry Public Unde r l''','7,1-:."'',:r/ Banded Thru Notary nvn.ers [ ]Personal _ [ ]Personally Kn. • [ ]Produced Identification [ ]Produced Identification Type of Identification: Type of Identification: