1181 E Linkside Ct RES19-0352 Garage %> '' RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0352
�_ SSUED: 12/5/2019
I
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 6/2/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1181 E LINKSIDE CT RESIDENTIAL ALTERATION GARAGE DOOR $1713.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 5070 SELVA LINKSIDE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
OVERHEAD DOOR CO. OF 6884 N PHILIPS PARKWAY DR JACKSONVILLE FL 32256
1AX
OWNER: ADDRESS: CITY: STATE: ZIP:
GREEN LAWRENCE ELTON 1181 LINKSIDE CT E JACKSONVILLE FL 32233-4396
LIVING TRUST
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 12/5/2019 1 of 2
%,,,I.Airr, RESIDENTIAL PERMIT PERMIT NUMBER4 # .' RES19-0352
CITY OF ATLANTIC BEACH
�y V~ 800 SEMINOLE ROAD ISSUED: 12/5/2019
—vs If ATLANTIC BEACH. FL 32233 EXPIRES: 6/2/2020
TOTAL: $94.00
Issued Date: 12/5/2019 2 of 2
1-Aii;rr, City of Atlantic Beach APPLICATION NUMBER
4.4w- '\ Building Department (To be assi ned by the Building Department.)
' 800 Seminole Road ES (� (,
.,. Atlantic Beach, Florida 32233-5445 1 ` I 1 �^-'�
Phone(904)247-5826 • Fax(904)247-58451111iJ q
. �� E-mail: building-dept@coab.us Date routed: ) ( 1 2 Z I 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 t ' ') I C ( r\y.,str E CZ 11 Department review required Yr No
qii. fTrmildingApplicant: DvER, UT)E� � Oo (� 1—Zoning
j� Tree Administrator
Project: GR KR-G& 4J ®01/2._ Public Works
. Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
ei
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
ti
Florida Dept. of Environmental Protection AdQe )Florida Dept. of Transportation ,\ C/
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: [ proved. ['Denied. ❑Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: /1/1) Date: /)..2--/f
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
o'- '',. Building Permit Application ♦- P:4T ( COPY Updated 10/9/18
,u1 PAW
u City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road Atlantic Beach FL 32233
r vfer r
HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: (ts ( Lt1�tt .ti)e G1__ Permit Number: I� ESI g a O3 Z-
Legal Description Cy442.6I6s t OO11Z eel)LA LC;,r<d.t. RE# VI a 314 So 7o
Valuation of Work(Replacement Cost)$ 11 t 3.O ) Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool 1WIindow/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:\ REM.dviG 4:$1.0 0 p1314µ5�lc_ tali /�A q la 4O)1
Florida Product Ap royal# l 1411D, c for multiple products use product approval form
Property Owner rmation l; c_et_i_ venae. Qt.-Von. L wv•ns 1 ros+
Name t,( H tadNAL/ Address tt61 Lti,tate410 ti-f
City A(L4rl`('"1(... '(tF. l-t State 3&./4 Zip 3).213 Phone Q-(Oc4.' eica-(I5S
E-Mail 3-01,11.4 A 1 t_144. 1.4y
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company OVe,a1+0.110 f7poR Qualifying Agent AhL'Y(,PA1LL cAIV
Addressla teLt e4,t1..l.l�b pk.1t,.l'/. Qtr •. isl,{�1-f City'xprcics�+t- I11,Lt State c--1,.A. Zip 3a.,x.5 ,
Office Phone q64 , a ioi- 1(•937 Job Site Contact Number 9()LI-,So49 1 g
State Certification/Registration# G D18 E-Mail ilik1%<C4 0teWriPht•CDM
Architect Name& Phone# c.
Engineer's Name&Phone# U v
Workers Compensation Insurer Au)C. l1 5 �3 5 OR Exempt❑ Expiration Date Q-le_ao N �
LApplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal lati Kgs 0 ,
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reguln-. z >•_
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGN , Lei O p
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements t9'asa 6 pi
permit,there may be additional restrictions applicable to this property that may be found in the public records of this countRrkl) a U a
there may be additional permits required from other governmental entities such as water management districts,state agent , "C CI
federal agencies.
c7Zr- oa •
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with l f N ice-
applicable laws regulating construction and zoning. Q I- Z
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O �
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYS `-' a W m
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEIQ w o w
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE L5 U Cl) w Lu
_w
RECORDING YOUR NOTICE OF COMMENCEMENT. .) w >
w
dcc
(Signature f Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 3.0 day o Signed and sworn to(or affirmed)before me this 2...D day of
IuWV``a, IPPA 1 • V LCa LL ', r:.k.__ 1\'_la._ ',. , l� , by gt. M ("1-A lie
4C � %i
v40• Notary Pu'is Stets of FiO^d°
,p s Joyce A Lawson
My Commission GG 292750 Y
[ ]PersonallyKnown 0 h` Expires 09118,2022 Y' Notary Public State of Florida
Exp ersonally Known OR ,4 . Joyce A Lawson
[ ]Produced Identif tion Of w [ ]Produced Identiiffcation y �� My Commission GG 292750
Type of Identif i�� Type of Identif)r ation: 1/.0,r. Expires 0911812022
- - - -
Cash Register Receipt Receipt Number
g p
City of Atlantic Beach R11385
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $55.00
RES19-0352 Address: 1181 E LINKSIDE CT APN: 172374 5070 $55.00
BUILDING FINAL** 12/19/2019 RBE $55.00
BUILDING FINAL** 12/19/2019 RBE 455-0000-322-1002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R11385 $55.00
Date Paid: Monday, December 30, 2019
Paid By: OVERHEAD DOOR CO. OF JAX
Cashier: CB
Pay Method: CREDIT CARD 2
Printed: Monday, December 30, 2019 3:23 PM 1 of 1 j