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315 Garden Ln RES20-0043 Garage rt''''e RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES20-0043 �.„4 " ISSUED: 3/3/2020 800 SEMINOLE ROAD EXPIRES: 8/30/2020 ATLANTIC BEACH. FL 32233 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: 315 GARDEN LN RESIDENTIAL WINDOWS/DOORS GARAGE DOOR $2416.00 TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172020 5060 SELVA MARINA GARDEN COMPANY: ADDRESS: CITY: STATE: ZIP: PRECISION DOOR SERVICE 6676 COLUMBIA PARK DR S JACKSONVILLE FL 32258 OF N FL JASO OWNER: ADDRESS: CITY: STATE: ZIP: CRUISE JOSEPH F 2310 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-6607 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 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $101.50 Issued Date:3/3/2020 1 of 2 01.Akr RESIDENTIAL PERMIT s r PERMIT NUMBER , CITY OF ATLANTIC BEACH RES20-0043 800 SEMINOLE ROAD ISSUED: 3/3/2020 04 ATLANTIC BEACH. FL 32233 EXPIRES: 8/30/2020 Issued Date:3/3/2020 2 of 2 City of Atlantic Beach APPLICATION NUMBER f. Building Department (To be assigned by the Building Department.) j800 Seminole Road R E- j•C) _0043 0/� AtlanticBeach, Florida 32233-5445 1.1�--�� Phone(904)247-5826 • Fax(904)247-5845 / f�� !7�J'�E-mail: building-dept@coab.us Date routed: Z/1 LJ Cil ' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: _�j t_5 G 1p(2..E o L IU De artment review required Yes No uildin Applicant: PR E:C`_,( ( O,v 00 2 arming &Zoning Tree Administrator Project: rTh 1ki-2._- C D 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: �IApproved. ❑Denied. nNot applicable (Circle one.) Comments: BUILDIN o. PLANNING &ZONING Reviewed by: / 7 ' Date:01/�'5-,h Ci TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. I 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application OFFICE COPY Updated 10/9/18 J J `..` _ City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. /' Job Address: 3\rj GOK\t,r ''N C Permit Number: R 3 Zc l 3 Legal Description 3"1-S41 0Q-2S-2Q\F Se\JO MQYtt•-ick GCt.16e1"RE# 11 /620-Sblv6 Valuation of Work(Replacement Cost)$ '2.4\ ..0 Heated/Cooled SF Non-Heated/CoolecAyC 259 • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool Window/Door • Use of existing/proposed structure(s): ❑Commercial "tesidential • 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: 9-e?fit CplOtei 4 , 'k\ln \n e,` Florida Product Approval# 1'11 . 1 for multiple products use product approval form Property Owner Informa ion Name "SOSW1n C YutSe Address 2 O geokch (lb. -- City ftkicWq_ 2cCh State FL Zip 32"2 02 Phone ( E-Mail *WC,fv"eS e corm,a k Owner or gent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company pi'een1On Qip(;,Yt,TI1CC Of N F1-Qualifyi�Agent lbsOn 5\-. \ pcir0) c AddressIOOU USIVArflOtCt 'i)0 Or S City 100' State FL Zip .. 2S Ss" Office Phone C\OA-1pSB-2220 Job Site Contact Number State Certification/Registration# . C.13'O E-Mail('(\O1 XQ O11'Y1. Aa 1 I �Y-'\ Architect Name&Phone# �J Engineer's Name&Phone# Workers Compensation Insurer °Dee. (,t'(-1 OR Exempt❑ 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 regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGIN9, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirementf this permit,there may be additional restrictions applicable to this property that may be found in the public records of this count s •. 2c\ there may be additional permits required from other governmental entities such as water management districts,state agenc s, 4 O� federal agencies. O. cc g Hrk nw � ❑ ti COOWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance withal Z F applicable laws regulating construction and zoning. FEB 1 8 2020 U o V C wF. ao WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMSMENT MA' a o RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERT . IF OU INTEND) N TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 ATT f2 EY EFO111.6E1E p Q wi >L RE ORDI� OUR NO„I1C 0 MENCEMENT. n 0 a W 5 �' (Signature of Owner or Agent) (Si nature of Contractor) U„ Wi w5 c W vw 3 cc u. Signed and sworn to(or affirmed) before me this t day of Signed and sworn to(or affirmed)before me this 1% dgof 5 %VuCtr' ,10-2s3 b Sostrpn r S-e Ftbrucuti , '2026 ,b . Q S :1'6 • Lt cc I rot, rw.— , FA, 'cm., (Signature of Notary) oat u.glizirV ( i `Yv� MICHELLE VAN VUREN ` 1 ..oiair ii •.., MICHELLE VAN VUREN 1 ( `?� Notary Public-State of Florida = 1� `: Notary Public-State of Florida Commission p GG 203567 [ ]Personally Known 00 (�� 'i Commission b GG 203567 1 [ ]Personally Known OR 4 `••..Fry ' My Comm.Expires Jul 29,2022 [ ]Produced Identificatbn'�•o;I My Comm.Expires Jul 29,2022 l [ ]Produced Identification( Bonded through National NotaryAssn. Type of Identification: I Bonded through National Notary Assn.a Type of Identification: