2216 ALICIA LN - PERMIT RES18-0151 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC 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: RES18-0151
Description: GARAGE DOOR
Estimated Value: 1945
Issue Date: 5/8/2018
Expiration Date: 11/4/2018
PROPERTY ADDRESS:
Address: 2216 ALICIA LN
RE Number: 169519 0820
PROPERTY OWNER:
Name: DEPADUA VIRGILLO G
Address: 2216 ALICIA LN
ATLANTIC BEACH, FL 32233-5974
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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
1f� � 800 Seminole Road f
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: buildin de t coab.us Date routed: 6
9- p @
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZZ( to A C-t A LN Department review required Ye No
Applicant: P(2,&C-I S( C)/\_) -
ree A minis a or
Project: C--)(gyp-p-(�:,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:
C,,UJIL1DING
PLANNING &ZONING Reviewed by: Date:
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
�v ut_"
BUILDING PERMIT APPLICATIONFj
IF
CITY OF ATLANTIC BEACH
OFF
800 Seminole Road, Atlantic Beach FL 32234 1 APR 2 6 2018
Office (904) 247-5826 Fax (904) 247-5845�1��
Job Address: PAWA Q\ Wnt,_ Permit _C_Y(S
Legal Description AV-C1A ';-I 2S--20\E 90j'M%SC%rcel# W51LC)OKO
Floor Area of S .Ft. 'q
ICE COPY V,
J,
Valuation of Work$, \C�'AS 75 Proposed Work heated/cooled 'n=�theated/cooled 111
Class of Work(circle one): New Addition Alteration Repair MQyz-Demolition pool/spa window door
Use of existing/proposed structure(s)(circle one): Commercial QResidenti
7--
If an existing structure,,is a fire sprinklers t installed? (Circle one): es es No (SN
Florida Product Approval#
For multiple products use product approval ro—rm
Describe in detail the type of work to be performed:-- (Amy \N\�
I U J
Property Owner Information:
Name: Address: 22�\,p M\r\gN L�
city State VLZip S23 Phone C\OA- CAS - 89F,/A
E-Mail or Fax 4 (Optional)
ContractorInformation:
Company Name:Pmc\skrjn0Wrc_k*(\j\m & n1. 1PL Qualifying Agent: TaGOT) shtway
Address: t� _ -zi1132?, N�uv�:�yoess POSY \j RFA city State FL
Office Phone Job Site/Contact Number Fax
State Certification/Registration 9 - 13301004
Architect Name&Phone#
Engineer's Name&Phone# /\DDO%T1r
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
'i a' is ere 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
d thatall work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
t n
n commenced within six(6)months, or if construction or work is suspended or abandoned for aWeriod of six months at any time after
Apc
Application
a by
issuance" pe i it-
and void i work ,not co" -i Work,Plumbing,Signs, ells,Pools,
work is commenced. I understand that separate permits must be secured Electrical Purnaces,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.
Ihere certify that I have read and examined this lication and know the same to be true and correct. All provisions of laws and ordinances gov this
type '11work will be complied with whether speci e herein or not. The granting of a permit does not presume to give authority to vi e o cant the
provisions of any other federal,state, or local 'w r g lating construction or the performance of construction.
&,i—gn-a1--urM-W_-w-n-e-rjW Signature of Contractor
Print Name U(N..f�_Ak' ....................... Print NamebSa.... ........ ......** S "'.Q...........................................................
Sworn to and subscrib&Refore me Sworn to and subscribed before me
this '2G Day of -A-01c 20 this 26 .Day of A06V 20 I
flNg
019t If P1
Public,, MICHELLE VAN VUREN Notary Pu 1
VU
tarY Public-State of Florida Notary Public-state of Florida
GG 203�6&
Commissio�g
Commission#GG 203567 Comm.Ex MQ .10
Notary C, :'@ 9, 0
Comm.Expires Jul 29,2022 my Q
I Notary Assn
An ed through National Notary Assn, Bonded through National Notary Assn.