335 2ND ST WINDOWS 2015 J Ss1
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
+� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-151
Job Type: WINDOW AND/OR DOOR
Description: REPLACE GARAGE DOOR. FL 5302
Estimated Value: $1,599.00
Issue Date: 1/30/2015
Expiration Date: 7/29/2015
PROPERTY ADDRESS:
Address: 335 2ND ST
RE Number: 169783-0000
PROPERTY OWNER:
Name: CHAVOUSTIE, STEPHEN M
Address: 335 2ND ST 335 2ND ST
GENERAL CONTRACTOR INFORMATION:
Name: AMERICA'S GARAGE DOORS
Address: 1110 SHETTER AVE STE 104 QA RONALD C STEPHENS
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $29.00
BUILDING PERMIT FEE $58.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $91.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
;_' VILDING PERMIT APPLICATION
FILE CCITY OF ATLANTIC BEACH JAN 2 0
800 Seminole Road, Atlantic Beach, FL 32233
' Office (904) 247-5826 Fax (904) 247-5845
/� •r� C BY—__ --
Job Address: 3 `h S Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ IrJ��• Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial _side
If an existing structure,is a fire sprinklers stem installed? (Circle one): es No N/A
Florida Product Approval# Ft- 50 O9!5
For multiple products use product approval form
Describe in detail the type of work to be performed: �G�. ' 2 64 W11,
A.
Property Owner Information: mf
Name: Address: ✓ �� �n r
City Stat ,Lzip Phone t,
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: km itIrl ' S (.S Quali ing A ent: Cn-a ekx5
Address: I� City X L State Zip.��Z
Office Phone Job Site/Contact Number JD 4 Fax# �� -3
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPEAL
. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDEOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
hea� nd _ '3ti1 _000MMENCEMENT.
I hereby certify that I havi ed h* Ucation and know the same to be true and correct. Allprovisions of laws and ordinances governing this
type o work will be comr eci eed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfeal aw regulating nstruction or the performance of construction.
Signature of Owner Signature of Contractor � ` -
Print Name . d.. ..b..... .... .. J .�.(.�•.....5.. ............... Print Name 15 S�eQ V�Qh
Befo Be ekme 1
this '!'Day of— 20) S thi 20
P Y NNIFER WALKER 0 arley L G haMYCOMMISSION C FF 011480EXPIRES: mmission FF 086990
Bonded 7hru Notary public Underwriters ires 02/14/2018 Revised 1.26.10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road I 5_W , N0-1 5 '
Atlantic Beach, Florida 32233-5445
V V Phone(904)247-5826 Fax(904)247-5845 21
-ufs >r E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
3352,r�d ��-- ment review required Yes o
Property Address:
Buildin
Applicant: / S ��Jw D�' Planning &Zoning
Tree Administrator
Project: Cil 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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: I-o) 6.IS
TREE ADMIN. ❑App
Second Review: roved as revised. ❑Deni d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10