2305 Barefoot Trace RES18-0216 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
r p INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0216
Description: GARAGE DOOR
Estimated Value: 2247
Issue Date: 6/28/2018
Expiration Date: 12/25/2018
PROPERTY ADDRESS:
Address: 2305 BAREFOOT TRACE
RE Number: 169463 0626
PROPERTY OWNER:
Name: WRAY BRIAN P
Address: 2305 BAREFOOT TRCE
ATLANTIC BEACH, FL 32233-6604
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PRECISION DOOR SERVICE OF NFL 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
u"r Building Department (To be assigned by the Building Department.)
600 Seminole Road Z
Atlantic Beach, Florida 32233-5445
Phone(904)247-5626 Fax(904)247-5645 RES
E-mail: building-dept@wab.us Date routed:
Cityweb-site: hmp:/hvww.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z 30-S nLppOT De artment review re uired Ye No
uildin
Applicant: 1p z 16N p�L anning &Zoning
Tree Administrator
Project: C',�Q1�Q4-. Lon 2 Public Works
Public Utilities
Public Safety
Fire Services
Review f'
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
BUILDIN
PLANNING &ZONING 2
Reviewed by: Dat,-6 Y-1 d
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 05119/2077
OFFICE COPY
Building Permit Application
City of Atlantic Beach
. . 800 Seminole Road,Atlantic Beach,FL 32233
/� C
Phone:((9904)247-5826 Fax:(904)247-5845 1�
Job Address: 230S
CJ.JI�(L�I VV\ \t(Q�7, Permit Number. �G(7S�L 1�_� OZ�-t
Legal Description "1L',a Oa' � �1g1F RE# `�QO �{W��`OUQU
Valuation of Work(Replacement Cost)SO. A-1 . L, Heated/Cooled SIP Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move mo Po Window/Door
• Use of existing/proposed structure(s)(Qrcle one): Commercial Residential
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit. .Tree Removal
Describe in detail the type of work to be performed:
aCt N l
Florida Product Approval for multiple Products use o.,sd„n approval r......
_-_ -"product '''Loom
Property Owner Information ��//��UU..,,
Name: 'i �Q cl Addre,,:QS -J ?)Wtoo-t TMCe-
City \Q. State 32 Pno - 13- 1'1 2
E-mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:ETLSS �QSOYI S 'OYYYt�c�
15�Lp1�Q' f 4 qualifying Agent:
Address 1 City J Tty State L.. Wp
Office Phone - - Job Site/Comet d�umber I` a3
State Certification/Registration M E-Mail M, lyrA rf1_
Architect Name&Phone g a
Engineer's Name&Phone If tC
Workers Compensation =z �T(�}yC,pr
Exempt/insurer/lease Employees/ExPlre.un 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 AFFI DAVIT: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 ATTORNE BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signatlreof Owner or Agent incl ding Contractor) (Signa ure of Contractor) 1�y
11re jt_' dswornt(raffrmed)bef eme this day of Signed and sw/o�rnn to(or affirmed)before me this day of
by 1 �I AY
M_ Ld21.0—.byS9Yl S
t o (Signature of Notary)
MICHELLE VAN WREN
/P;.Ny `:. Notary Publi<-State of Florida t• MICHEllE y4N WgEN
? /�, Commission r GG 203567 P• } Notary Public-Srateof Florida
( I Personally Known OR ^•- "' My Comm.Erpires JN Iq,IOi3 =' Commisslan B GG 30356]
I I Produced Identification Beetled tMwlh NationalNotary Ran. sonally Known Oft `....p / My Camm.EaPlro Jul IN,E033
T ( IP reduced Identification 'Bonded through Natbnal Notary bm.
Type of Identification:__ Type of Identification: