61 EAST COAST DR RESO22-0030rS`Building Permit Application Updated 10/9/18
MI Ilk City of Atlantic Beach Building Department ALL INFORMATION
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800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
on 9.?REQUIRED.Phone: (904) 247-5826/[E //mail: Building-Dept@coab.us
1JobAddress:C/ 2crCb Q5? f/bl? 14/
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16' c d L. .322PUnit Number: \ j D 22- — CC 3 O
Legal Description 15-3Y 21 -2 S "2 91 /If/6LN1'/c Cch Terr SAS pt 15P RE#/7Zars'36-0000
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Valuation of Work(Replacement Cost)$ 25 6 0 i7 Heated/Cooled SF 7i. Non-Heated/Cooled //9
Class of Work: New Addition "Alteration Repair Move ODemo Pool Window/Door
Use of existing/proposed structure(s): Commercial PResidential
If an existing structure,is a fire sprinkler system installed?: Yes "No
Will trees)be removed in association with proposed proiect? Yes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed:
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Florida Product Approval#for multiple products use product approval form
Property Owner Information
Name ^a/ii Tre/9to Address 6f AQ 51 Cala /Jri
City 17 /C
ire
State/2. Zip 3LZ Phone 9o4/.- 8 ./•- 7 Y r%
E-Mail Sher-JP-ale r Wc/ccld. Lo," s Cc -v- cAS'i-. 1K
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 5 htr i vie, S 5
Contractor Information
Name of Company/n///ery/um Coivi-z tf/Ni '/e V Qualifying Agent Idi 1 /71 504/
Address v'95 ?)%t, t /rs//y'r City 7-a, State AZ Zip3eezf
Office Phone YO(7/ 2 41 S'o 3 41 Job Site Contact Number PI' fs//V,8
State Certification/Registration# CBC (250112 E-Mail*CON eV//1/ DCOO)Car.1',gar-
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt al Expiration Date B J,Z 3
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,SIGNS,
WELLS,POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. 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.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 •R4; ,A EY BEFORE
RECO G YOURATICE OF COMMENCEMENT
Signature of Owner or Agent)Signature of Contractor)
znd
Signed and sworn to(or affirmed)before me this 06 day of Signed and sworn to(or affirmed) before me this day of
JvnC' , 20)1,by -01 /,Y.I f . 2V ,by 10 .+ -'(5'e'k,
e. 4411
W4, '
got,c) F:tr ELINE F.TACANDONG
JANMAURICIO WALKER ROBERTSON MY COMMISSION#HH 196158
MY COMMISSION#HH 009325 EXPIRES:March 7,2026
1 Personally Known OR EXPIRES:June 11,2024 Personally Known OR FFb?•` Bonded UhruNotary PubUcUnderwriters
Produced IdentificatioN ,",/./O`J`OQ Bonded ThruNotary Pubic Undenvrllas {1.,]Produced IdentificationTypeofIdentification: Ur; ,icr Type of Identification: fL02r'5 Vice
By Mike Jones at 1:58 pm, Jun 17, 2022
REVIEWED FOR CODE COMPLIANCE
iv
The Home Depot Special Order Quote
TCustomer Agreement#: H6365-261741
Printed Date:6/6/2022
IN
Customer: MICHAEL SOPER Store: 6365 Pre-Savings Total: 1,916.56
Address: 602 CHERRY ST Associate: CURTIS Total Savings: 0.00)
NEPTUNE BEACH, FL
32266 Address: 12721 ATLANTIC BLVD Pre lax Price: 1,916.56
JACKSONVILLE, FL 32225
Phone 1: 904- 635-1148
Phone: 904-220-0822
Phone 2: 904-635-1148
Email: MSMASTERBUILT@ATT.NE
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All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products.
Standard Width = Custom
American Standard Height= Custom
Craftsman Frame Width =48nrtdmPlyGem .001.0401•
J Frame Height= 36
Cataiog Version 96
Line Number Item Summary Was Price Now Price Quantity Total Savings Tptal Price:,,
100-1 50 Series Nailing Fin Single-Hung-2301 Equal Sash,286.08 286.08 6 0.00 1,716.48
Fixed/Active,48 x 36,White/ White
Unit 100 Total: 286.08 286.08 0.00 1,716.48
Begin Line 100 Description
Line 100-1----
50 Series Nailing Fin Single-Hung-2301 Performance Rating=PG25/DP 25/25 Foam=No
Overall Rough Opening=48 1/2"x 36 1/2" Glass Construction Type=Dual Pane Drywall Return=No
Overall Unit=48"x 36" Glass Option=Low-E SC Argon Extension Jamb Type=None
Installation Zip Code=32225 High Altitude Breather Tubes=No Room Location=
U.S.ENERGY STAR®Climate Zone=Southern Glass Strength=Standard Unit U-Factor=0.29
ENERGY STAR Required=No Glass Tint=No Tint Unit Solar Heat Gain Coefficient(SHGC)=0.23
Standard Width=Custom Specialty Glass=None U.S.ENERGY STAR Certified=Yes
Standard Height=Custom Gas Fill=Argon Florida Product Approval Number(FL#)=14911
Frame Width=48 None SKU=244957
Frame Height=36 Number of Sash Locks=Double Vendor Name=S/O SILVER LINE BLDG PRD
Venting/Handing=Fixed/Active Lock Type=Standard Vendor Number=60660514
Drywall Access=No Insect Screen Type=Half Screen Customer Service=(888) 504-0005
Exterior Color=White Insect Screen Material=Fiberglass Catalog Version Date=05/10/2022
Interior Finish Color=White
End Line 100 Description
Page 1 of 2 Date Printed:6/6/2022 9:37 AM
Standard Width = RO: 23 7/8" I UNIT:
23 3/8"
American ° ?° 1 Standard Height= RO: 35 3/4"
Craftsman p UNIT: 35 1/4"err/-'PtyGem ..........
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Frame Width = 23 3/8
Frame Height= 35 1/4
Cataiog Versior 96
Line Number Item Summary Was Price Now Price Quantity Total Savings Total Price
200-1 50 Series Nailing Fin Single-Hung-2301 Equal Sash,200.08 200.08 1 0.00 200.08
Fixed/Active,23.375 x 35.25,White/ White
Unit 200 Total: 200.08 200.08 0.00 200.08
Begin Line 200 Description
Line 200-1----
50 Series Nailing Fin Single-Hung-2301 Interior Finish Color=White Foam=No
Overall Rough Opening=23 7/8"x 35 3/4" Performance Rating=PG35/DP 50/50 Drywall Return=No
Overall Unit=23 3/8"x 35 1/4" Glass Construction Type=Dual Pane Extension Jamb Type=None
Installation Zip Code=32225 Glass Option=Low-E SC Argon Room Location=
U.S.ENERGY STARS Climate Zone=Southern High Altitude Breather Tubes=No Unit U-Factor=0.29
ENERGY STAR Required=No Glass Strength=Standard Unit Solar Heat Gain Coefficient(SHGC)=0.23
Standard Width=RO:23 7/8" I UNIT:23 3/8" Glass Tint=No Tint U.S.ENERGY STAR Certified=Yes
Standard Height=RO:35 3/4" I UNIT:35 1/4" Specialty Glass=None Florida Product Approval Number(FL#)=14911
Frame Width=23 3/8 Gas Fill=Argon SKU=244957
Frame Height=35 1/4 None Vendor Name=S/0 SILVER LINE BLDG PRD
Unit Code=20x30 Number of Sash Locks=Single Vendor Number=60660514
Venting/Handing=Fixed/Active Lock Type=Standard Customer Service=(888) 504-0005
Drywall Access=No Insect Screen Type=Half Screen Catalog Version Date=05/10/2022
Exterior Color=White Insect Screen Material=Fiberglass
End Line 200 Description
Page 2 of 2 Date Printed:6/6/2022 9:37 AM
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OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.rlWe
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COMPASS BANK
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ATTORNEYT11S LE INSURANCE FUND, INC.
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L.LAND SURVEYS O _ CONSTRUCTION SURVEYS 0 SUBDIVISIONS
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s‘CITY OF ATLANTIC BEACH
e >800 SEMINOLE ROAD
ATLANTIC BEACH, FL 322337,-') ; _________y-i 904)247-5800
SURVEY AGREEMENT
NOTICE
All new projects creating more than 250 Square Feet of impervious surface or requiring on-site storm water
retention, including swimming pools, will require pre-construction and post-construction topographic surveys,
as required by COAB, Section 24-66 and described in Bulletin 2-18, Surveys. The surveys must be new
original documents, from a licensed surveyor, signed, sealed, and dated.
Other small projects, such as fences and construction less than 250 SF, will not require a new topographical
survey, but a current original-size survey with all relevant details is still needed. These surveys, when included
as part of a building permit application, must be complete, up-to-date, and original size and scale, as produced
by the surveyor.
Copies of old surveys lacking details or copies not of original size cannot be accepted. Building permit
applications with unacceptable surveys cannot be reviewed and the application will be returned to the
applicant.
Thank you for your cooperation in this matter.
AGREEMENT
I have read and understand the Notice above and affirm that the outdated survey I am
submitting is still accurate and complete, and all structures and impervious surfaces on the
property are shown on the survey.
I further understand that, if the survey is found to be inaccurate or incomplete, a $50.00 Plan
Resubmittal Fee will be charged; or if the permit has been issued, a Stop Work Order will be
posted with the associated $110.00 Fee.
JOB ADDRESS to t e ask- W a SA" D(' 1 vc, A 6 rL., 5z-z-33
OWNER or NTRACTOR (Print)
r
Signature Date 6 I 1 -a D-
1
t try,
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
Project Address:6t ettwST t 2,\V E Permit#:
Owner/Project Name: SHe,R t‘Z,SS
As required by Florida Statute 553. 842 and Florida Administrative Code Rule 61G20-3, please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at:www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4. Garage Roll-Up
5.Automatic
6. Other
B.WINDOWS
1. Single hung A fouk% Co%obr4 SfN 14°111
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6. Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12. Other
Page 1 of 4 Updated 06/21/21
By Mike Jones at 2:35 pm, Jun 17, 2022
RESO22-0030
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
E.SHUTTERS
1.Accordion
2. Bahama
3.Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F.STRUCTURAL
COMPONENTS
1. Wood
connector/anchor
2.Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11. Wall
12.Sheds
13. Other
G. SKYLIGHTS
1.Skylight
2. Other
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 of 4 Updated 06/21/ 21
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
C. PANEL WALL 0418 04
1.Siding 3p inftES Kpoto%C. PP eAlL.
2.Soffits
3. EIFS
4. Storefronts
5. Curtain walls
6. Wall louvers
7. Glass block
8. Membrane
9. Greenhouse
10. Synthetic stucco
11. Other Z i c {3p Patti
D. ROOFING PRODUCTS
1.Asphalt shingles
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7. Single ply roofing
8. Roofing tiles
9. Roofing insulation
10. Waterproofing
11. Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14. Cement-adhesive
coats
15. Roof tile adhesive
16. Spray applied
polyurethane roof
17. Other
Page 2 of 4 Updated 06/21/21
tr 4'
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
tW 1,LL, ALS 4
Contractor Name(Print Name):, trf 1-r-c Contractor Signature:
Company Name: Viv Co WilliCtl,d6
Mailing Address: 4(3s-0 13@.tC.ES S t LL 0
City:TA State: Zip Code:
L-SG(54 v..k L w•
Telephone Number: ct04 Ca 2,3— (lam'. E-mail Address: e xit.. e " c,;rc : . 1. 3-Et
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 06/21/ 21
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