2038 DUNA VISTA CT - GARAGE DOOR ,. yA,yrJt,
..4 , i„ CITY OF ATLANTIC BEACH
___
800 SEMINOLE ROAD
Jv ATLANTIC BEACH, FL 32233
at
INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0282
Description: Garage Door Replacement
Estimated Value: 2477
Issue Date: 9/10/2018
Expiration Date: 3/9/2019
PROPERTY ADDRESS:
Address: 2038 DUNA VISTA CT
RE Number: 169506 1612
PROPERTY OWNER:
Name: JEAN ROBERT R
Address: 2038 DUNA VISTA CT
ATLANTIC BEACH, FL 32233-4534
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.
01,, vrie... City of Atlantic Beach APPLICATION NUMBER
�S � Building Department (To be assigned by the Building Department.)
J , '
800 Seminole Road QES I g
-a2
gz
,• Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: IJ /Q
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 263E Tecildt. V`Sia s Department review required Yes No
Cuildin� V
Applicant: LWec i s i Or Dot,( Svc. Planning &Zoning
Tree Administrator
Project: ,Qrete '7-Dr 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:
BUILDING
PLANNING &ZONING /�
Reviewed by: , / ' Date: —old
TREE ADMIN.
Second Review: ['Approved as revised. ❑Deni d. 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
E , RECEIVED
Amir Building Permit Application Updated 12/8/17
, City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 AUG 15 2018
Phone:(904)247-5826 Fax:(904)247-5845 �C�_ ,�E"-'
✓ 012. 82.Job Address: 2032, Dv1Oi V\svo\ CSC Permit Number:
Legal Description 40-31 001 2 B5 3-20\E rtf r
Valuation of Work(Replacement Cost) / ,traChi FL
( p $ 2�1 Heated Cooled SF Non-Heat Coyle
• Class of Work(Circle one): New Addition Alteration Repair Move o Poo Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential I
• 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 o Tree Removal
Describe in detail the type of work to be performed:
rtp\cxee o)aYo\gt 0AOop. mh nt\i
Florida Product Approval oBO 2.� for multiple products use product approval form
Property Owner Informa
Name: C1Nt`'1\0\ --. 0 001 Address: 2-0)321 OUNGZ v nia C-k
City A hQ\' C ,pje Q(*'i State FL Zip '32.233 Phone C :A-(0 3t- 30 A S
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of CompanyS tC‘ , 6r\ poor SeYV\Ce OF N- PL Qualifying Agent: arGOn \eppoMra
Address \t323 p,USINe55 Payr vd e,\ City PE 1C 3O State \- Zip ?,2.25kf
Office Phone C\01\'2hot- 31)'12 Job Site/Contact Number t ` t t
0
State Certification/Registration# 0\33 04 E-Mail YY\CAbf0t\1lA�5 e ,ma►1 . C 6i.�
Architect Name& Phone# J
Engineer's Name&Phone#
Workers Compensation ' , i r j!�
Exe t/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 kO
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws r lationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBINGIGNS, 1
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requiremOts of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this co ttcarril
there may be additional permits required from other governmental entities such as water management districts,state acenWspDrp
federal agencies. 2 w 2 a li�i
Z
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance Wtlolla U G
applicable laws regulating construction and zoning. LU gyp a Q
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT o a
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP ' . IF YOU II N ~
z
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR EY :EFORE 2. u. 5 g
RECORDING
I Y¢UR NOTIC OF ENCEMENT. " a CCC m
,i l W h• w o
(Signature of Owner or Agent) (Signature of Contractor) > w
11
(including contractor) W W
CC
Signed and sworn to(or affirmed)before me this 15 day of Signed and sworn to(or affirmed)before me this 144 day of
AUg k i- , 2018 ,by C-INZMA S�Qh AUC.LtSV , 20 1V ,by -RASO n She .a vel
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uc-State o F :
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[ ]Produced Identific on Sonded through National Notar [ ]Produced Identifica
Bonded through .ationai Notary Assn.
Type of Identification: �'—— '———�——--— Type of Identification: