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Permit Garage Door 1155 East Coast 2011 } CITY OF ATLANTIC BEACH ' s11 800 SEMINOLE ROAD j calf ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002122 Date 5/26/11 Property Address 1155 EAST COAST DR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . 1547 Application desc GARAGE DOOR REPLACEMENT Owner Contractor BRYSON JONATHAN & CHARLENE D & D GARAGE DOORS INC 1155 EAST COAST DRIVE 1177 CATTLEMEN RD ATLANTIC BEACH FL 32233 SARASOTA FL 34232 (941) 371 -7242 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 60.00 Plan Check Fee . . 30.00 Issue Date . . . Valuation . . . . 1547 Expiration Date . 11/22/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,;$∎ ,y,i City of Atlantic Beach APPLICATION NUMBER �" , .�' Building Department (To be assigned by the Building Department.) < s.- '✓ 800 Seminole Road / P Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 - Fax (904) 247 -5845 j r � t !. o si E -mail: building- dept @coab.us Date routed: S 23 / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / /i3 G a,d- . artm t review required Ye No p Building .3' Applicant: 1--5 ' g & Zoning L Tree Administrator Project: I Public Works Public Utilities Public Safety . Fire Services • Review fee $ .y. Dept Signature •9,. i 4? Review or Receipt Date �� VVV � � Other Agency Review or Permit Required of Permit Verified By e y 2 F lorida Dept. of Environmental Protection y � <, .41' Florida Dept of. Transportation ,/ < St. Johns River Water Mar‘aggment District ''.*%s•N„,,,,...." l , ` Army Corps of Engineersy '` °. • . Division of Hotels and Restaurants. • Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. 2-9 7— " 5 (Circle one.) Comments: 4_005' e 4 /.5' - S 7 BUILDI PLANNING & ZONING Reviewed by: /n Date: 7 - '1--/1 TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 JD u 11J iJ1N ti rI RIV11`T APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 1 165 T (a>S U Permit Number: , I ( � L Legal Description 15 4,01 / g 5 - cgq; C; .riatil; , h Parcel # ` ? 0 3 Co -! 6 PA a l uati � o n o f Work $ / / • o 6 Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa iindow /do Use of misting/proposed structure(s) (circle one): Commercial cKesidenti If an existing structure, is a fire sprinkle tem installed? (Circle one): Y�?3 o N /A Florida Product Approval # A.. , 'S For multiple products use product ap v form AP Describe in detail the type of work to be performed: `'� ' .�� 7� Property Owner Information: Name: L- 3/' ,bpd ' �, , . , � .� ea5T ( D,QI 1/4.- pidtfrass���� City '' 4ku•I ���' 11°' ,. ' ' ip t ►j ' zone ' 9 41 / ? 9 e '79� E - Mail or Fax # (Optional) •y C 0 P Y Contractor Information: � p Company Name: DA D e,r.► r cry lveX.) s " ,. , - "-"* n ifSing Agent: WI s /vlr tie('" Address: /1 "?1 e k f ie. mc Ad. City to 41 State Ali Zip 3 t( Office Phone • _ter: •• ... i nu • rump= bubo,', Ah►�a .J v x # qd " S o 1 State Certification/Registration D,..1 i 3! Di ).'r r''+! • -, ' 1 1 � [ [I 1 g li / \►`CM 9/ iF4 % n � Architect Name & Phone # „ . // Engineer's Name & Phone # ,. _ .: ,; : , . • // C ' U F . Fee Simple Title Holder Name • d Addre-. 4 . , A ,, Yw . I s , u YY s , Ail irm Bonding Company Name and A • ess lag iiiiffigiaini / / Mortgage Lender Name and Ad J 1 M : •: . /Ai DATE: 3ICAZI !� = // ■ Application is hereby made to obtain a permit to do the work and installations as indicated I certify that n work o ,, • latton commenced prior to the issuance vi wor is permit a l = will six performed ) months, to o f construction �� of laws us or construction n orthis riod o� 0 6) months at � ti work is commenced I understand that separate permits must be secured for Elearice Work, Plumbing, Signs, Wells, Pools, maces, Boilers, Heaters, Tanks and Air Conditioners, eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. hereby ertify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this ype of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the mov =s=ons of any other federal, state, or local law regulating construction or the performance of construction. >ignature of Owner s Signature of Contractor utit k- / icc(i,,, 'riot Name - p,,, , ill AI Print Name D ..Jj.c Ill l ' 1 - e I1/ .. ....... ............ worn to and subscribed before me Sworn o and subsc before me his 2. Day of m , 20 r t this Da of // l , 20 11 `� WO lrI4c a Ji Jot ublic ; , Notar ' ub c * 1 , MY COMMISSION #EE040706 0 EXPIRE S: NOV 08, 2014 ; 1; y 'e , UNDA M SMITH R e ers , . ed 01.26.10 ) Bonded through 1st State Insurarlt;0 •, iiy.: ,o Bonded ru Notary , i. � ;'! <- r MY COMMISSION Pub # DD 2013 8745 nderv+ 56' rtt EXPIRES: Th May 14lic U,