1035 BIG PINE KEY - GARAGE DOOR ,,,,„
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'� ' CITY OF ATLANTIC BEACH
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r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"tort19'' INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0284
Description: Garage Door Replacement
Estimated Value: 2337.33
Issue Date: 9/10/2018
Expiration Date: 3/9/2019
PROPERTY ADDRESS:
Address: 1035 BIG PINE KEY
RE Number: 172027 5076
PROPERTY OWNER:
Name: BRITTLE CHERYL M
Address: 1035 BIG PINE KEY
ATLANTIC BEACH, FL 32233-4363
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.
-1Livi;. City of Atlantic Beach APPLICATION NUMBER
ys 1� Building Department (To be assigned by the Building De.artment.)
800 Seminole Road R.• / —O 2-p
j 5 Atlantic Beach, Florida 32233-5445 R• !8 O
Phone(904)247-5826 • Fax(904)247-5845
� E-mail: building-dept@coab.us Date routed: 2-ifigr .
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1035 131 rifle Key D ent review required Ye No
Applicant: Pre c si o n Ioor Svc-. Planning &Zoning
/ _ Tree Administrator
Project: &a-raj e ( Te.{Aett_ement 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: Mrcoproved. Denied. ❑Not applicable
(Circle one.) Comments:
BUILDIf
PLANNING &ZONING Date: P-do/Q
Reviewed by: •
TREE ADMIN. Second Review: Approved as revised. ❑Denie . I '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
i Building Permit Application 4` CEjpv),: :,4
K City of Atlantic Beach
• • v, 800 Seminole Road,Atlantic Beach,FL 32233
_ Phone:(904)247-5826 Fax:(904)247-5845 AUG 62-C 018 Q
Job Address: 'O'b 2\ p\Ne -t.-1 Permit Number: Pt-5M " n\-
Legal Description `+`'5 5 \ 2S - '20\E. Rf#u rio rt661�U
Valuation of Work(Replacement Cost)$ -.2. -1---7• ?j?j Heated/Cooled SF rr:JornY14gAgeligki et h, FL t
• Class of Work(Circle one): New Addition Alteration Repair Move Demo PoCndow/D o y
Z Ch
< 1 -JZ
• Use of existing/proposed structure(s) a r.:(Circle one): Commercial Residentia J 0 Z O
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A E W 2 a W
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit o o Tree Removal 0 m Z �c
Describe in detail the type of work to be performed: ILI V U Q u a
o ~ ao
replace go\ra o� w��� nevi o d a a
V J to
Florida Product Approval# 1"I IS01. �` for multiple products use product app(zV�o�t
Property Owner Informatio O 1 w
cc 2
Name: Che V, c\t'r\e Address: \03 5 VD‘ C)\Nt C'e/ n 0 5.:
} am
City Pt WV \ ZC\C,� State CL Zip p 32233 Phone (\04- 20£x- 3(D Hit, -)¢ 0
E-Mail W V cn W
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) CC W
Contractor Information ^\ W W
CC m
Name of Company: PMC\5\OYl 10lCif cleat'\Ce Of N 1•LQualifyingAgent: Tots()Yl Sheppaluk
Address 113')3 G s.YneSS P(\t Y- 131V(A City :1(x2c. State F L Zip 322 (o
Office Phone C\CA- l`D B - '3'93/2 Job Site/Contact Number t' .`
State Certification/Registration# CV-C\?)'),aDCA E-Mail \C\D'C\ fl"\. pc 0' gmct\\ CCM
Architect Name&Phone# J
Engineer's Name&Phone#
Workers Compensation e3e e C ef\-kf uC G.k•e t 1
Exempt/Insurer/Lebse E ploys/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 PROPER r . IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNE BE ORE
RECORDING Y. • tie! (U• F�.• k MENCEMENT.
1
.„spl.
• (Sig .ture : e ner or Agent) 11.ignat "e of Contractor)
ding contractor)
Signed and sworn to(or affirmed)before me this 15 day of Signed and sworn to(or affirmed)before me this 15 day of
A IBlAs-r , --CO\�5 ,by Che -i\ i t�1� U9��St 1B ,by -500a S 'fif t a
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`:° s Notary Public-State of Florida _'' ? . Notary Public-State of Florida
[ 1 Personally Kn. Z Commission
#GG 203567 [ 1 Personally Know �`` Commission#GG 203567
[ 1 Produced Ide K. My Comm.Expires Jul 29.2022 ?�
[ ]Produced Identifi atrof\`.,..•. My Comm.Expires Jul 29,2022
Bonded through National Notary Assn. Type of Identificatio Bonded through National Notary Assn,
Type of Identifica on: _ _