2310 Beachcomber Tr RES21-0050 Garage DoorOWNER:ADDRESS:CITY:STATE:ZIP:
CRUISE JOSEPH F 2310 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-6607
COMPANY:ADDRESS:CITY:STATE:ZIP:
PRECISION DOOR SERVICE
OF N FL 6676 COLUMBIA PARK DR S JACKSONVILLE FL 32258
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169463 0066 OCEANWALK UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2310 BEACHCOMBER TR RESIDENTIAL
WINDOWS/DOORS GARAGE DOOR $2116.00
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
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 2/23/2021
PERMIT NUMBER
RES21-0050
ISSUED: 2/23/2021
EXPIRES: 8/22/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/23/2021
PERMIT NUMBER
RES21-0050
ISSUED: 2/23/2021
EXPIRES: 8/22/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $101.50
RES21-0050 Address: 2310 BEACHCOMBER TR APN: 169463 0066 $101.50
BUILDING $65.00
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN REVIEW $32.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14974 $101.50
Printed: Tuesday, February 23, 2021 10:08 AM
Date Paid: Tuesday, February 23, 2021
Paid By: PRECISION DOOR SERVICE OF N FL
Pay Method: CREDIT CARD 426378348
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14974
~+; CENTRALSQUARE
RES21-0050
Building Permit Application ~ ~JU<t-,
City of Atlantic Beach Building Departmen /
Updated 10/9/18
800 Seminole Road, Atlantic Beach, FL 322 3
Phone: (904) 247-5826 Email: =B=ui=ld"""'in..:.c....;-D::...;e::.q:..:......:==
.. ALL INFORMATlf>N
HIGHLIGHTED IN G~V
IS REQUIRED.
Job Address: ---~~:.,_...r...1o..~~~~.,U~l.l.il~~;,_-l..l.....-\--l-
;.......:....;;;;...____;,"'--___...~~~~~~AU--RE# \\oEli.\\nS--0 G \p ~
Valuation of Work (Replacement Cost) S ... _ -u.a~.;;aJ~-SF _____ Non-Heated/Cooled \ \ l"2_ I
j
•
•
Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool 'f,Window/Door
Use of existing/proposed structure(s): □Commercial ~sidenti I
• If an existing structure, is a fire sprinkler system installed?: □Yes □No
•
Owne
Cont
Wil
State Certification/Registration#
pproval form
\
Architect Name & Phone #-----------------1--------=-----------
Engineer's Name & Phone #-.,.,..,....,,..=:,,:T" .... .,="'"'~e,w,........,,--==--======---+----,--------===-=-----
Workers Compensation Insurer ;..!lo~g.......,;-.ii.,.g..,....bi.:--------Expiration Date--------
Application is hereby made to obtain a permit to do the work and installations indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performe to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be se ured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, tc. (NOTICE: In addition to the requirements of this
permit, there may be additional restrictions appllc:able to this property that ma be found In the pul:Jllc records of this county, and
there may be additional oerrn~ulred from oth~'1!JJW',_&l.lllWll~ s QtC[,JTIJ.D@semenLdlstrfats, state agencies, or
federal agendet
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and hat all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD AN ICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS T YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR
REC Nl~--..-:,-V-.,._ E
(Signature of Owner or Agent)
Signed and sworn to (or affirmed) before me this \D.... day of
ffiruru~2D1\~\ ~\~~
(Signature of Nata
.--~•fi',i;;•-.. MICHEL LE VAN VUREN . /~BJ.,:,;-., Notary Public-State of!lortda ~
[ ) Personally Kn .n J! Comm1ss1on ~ GG 20 j567
[ I Produced Ide if{ ~-' My Comm. Expires Jul 19, 2012
. •~~"·.,· ;Bo;nd;e;.d ;th;,;;ro;U%:;;_h a,Na;,;.t1.,on,.a\•N•ot..,ar•y ,..As,.sn,_. "---Type of ldent1fica "on:
ER RNEY BEFORE
,··,i,_,'pij•·•. MICHELLE VAN VUREl-1 \ /fm-~~-Notary Public. State of Florida ~ ~= · •,i , commiss ion# GG 20)567 .
[ ) Personal! Known OR \~'f-0 , r-~' My comm. hp1m Jul 19 . lOll
[ ] Produced entifica.t .. io=n~b!!··~ .. ·!'.•···;·so~n~de~d~th~ro~u'i~h!N~at~lon~a~I N~ot~ar~y~As~sn~.
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