2069 Vela Norte Cir RES23-0196 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
DELEGAL SHANNON ANNE
STRONG 2069 VELA NORTE CIR JACKSONVILLE FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
THE REVERED GROUP OF
AMERICA 4338 W CHELSEA HARBOR DR JACKSONVILLE FL 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169506 1090 SELVA NORTE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2069 VELA NORTE CIR RESIDENTIAL ALTERATION
RESIDENTIAL
LIGHTING STRIKE REPAIRS
TO ROOF, FRAMING, WALL
AND FLOORING
$117295.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING ROOF IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
a. The roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved. All roofing projects require an In-
Progress Inspection. Sheathing installation and replacement guidelines per APA. Underlayment must conform to FBC-R Table 905.1.1. Shingles must
conform to ASTM D3161 G or H, or ASTM D7158
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: 9/22/2023
PERMIT NUMBER
RES23-0196
ISSUED: 9/22/2023
EXPIRES: 3/20/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $534.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $267.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $12.02
STATE DCA SURCHARGE 455-0000-208-0600 0 $8.01
TOTAL: $821.03
2 of 2Issued Date: 9/22/2023
PERMIT NUMBER
RES23-0196
ISSUED: 9/22/2023
EXPIRES: 3/20/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
LIGHTING STRIKE REPAIRS TO ROOF, FRAMING, WALL
AND FLOORING
2069 VELA NORTE CIR
THE REVERED GROUP OF AMERICA
RES23-0196
revcon, i n voici nq@ \nutl 'cnwt
)L)
BUILDING PERMIT APPLICATION
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247 -5826 Email : t) r.r il cl i ng l)ept@ r:oa [r. us
FOR INTERNAL OFFICE USE ONLY
PERMIT #
Job Address 2069 Vela Norte Circle RE# 169506-1090
Legal Description Lot45,SelvaNorteUnitOne,accordingtotheplattlrereofasrecordedinPlatBook3g,Pagesg4,g4\,andg4Bofthe
Valuation of Work (Replacement Cost) $'1 17,295.43 Heated/Cooled SF 3019 Non-Heated/Cooled SF
- Class of Work: I New f] ROaition [Alteration ERepair []vtove flDemo I Rool Iwindow/Door
- Use of existing/proposed structure(s): ICommercial [XResidential
- lf an existing structure, is a fire sprinkler system installed?: fYes Eruo
- Will tree(s) be removed in association with proposed project? IYes (Must submit separate free Bemova! irernrit) X ruo
Describe in detail the type of work to be performed:
Repairs to roof, franring, wall, and flooring due to lightning strike.
Florida Product Approval #
Property Owner lnformation Name
Address 2069 Vela Norte Circle City Atlantic Beach
Ernail h.delegal @corncast.net Owner or Agent (lf Agent, Power of Attorney or Agerrcy Letter Required)
Contractor I nformation
Address PObox54225
Name of Cornpany The Revered Group of America, LLC
City Jacksonville State FL Zip 32245
Qualifying Agent Kevin Riviere State Certification/Registration# C8C1254668
Email trg@bellsouth.net Job Site Contact Number 904.627.7533
I
I
I
I
I
(For multiple products use Product Aoproval lnformation Sheet)
Delegal Fanrily Revocable Living Trust Phone 1904.423.5664
state FL zip 32233
Phone 904.878.9333
Insurance Cornpany of the West oR Exempt f Expiration Date 09,1]9/2023
Email Phone
Engineer's Name Lucas Scott Engineering Email doug@lucas-scott.com Phone 904.260.2690
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 perrnit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc.
l\t()tlt--t: ln oddition to the requirements of this permit, there may be additional restrictions opplicable to this property that may
be found in the public records of this county, and there may be odditional permits required from other governmentol entities
such os water monagement districts, state ogencies, or federol agencies.
OWNER'S AFFIDAVIT: I certify that allthe foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning.
,}.I.VVIlIii!iI{f.:i IT-} I!\II/idI:II:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE
NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
(Signatu re r or Agent)
Worker's Conlpensation lnsurer
Architect's Narne
Signature of Notary
[ ] Personally Known OR [)f,Produced ldentification
Signed and sworn to (or affirmed) before me this / Li day ot
I t.x , ec)i o, k,". ^ EIV,.,,.
Signature of Not";y'V)'/ tiG
Type of ldentification: fl
[ ] Persooally Known 9n -pyProduced ldentification
bz-
,rsY Pue, -
-O! rf ,t r/a
,rwj
JOHN E. NARNi
Conmission li tlH 13i$10
Explres hlaY 25' ?.tr?i)
Bon,ltr!Thru euoget tlolury Sei !tc0$
rype of rdenrif ication : aCrlq5fiCgO!&
REBECCASIMMONS
Commission # HH 131192
Exphes May 19, 2025
Eonded Ihru Troy Fain
NG, CONSULT WITH YOUR LENDER OR AN
(Signature of Contractor)
**A!! information required to process
OF
Signed and sworn to (or affirrned) before me this \ \ day of
RES23-0196
DOC r ZVZSL|6LZZ / 9K uK 2Ulvl
Recorded Oe/24/2023 10:58 AIvr,
RECORDTNG $10.00
Page zllt Number Pages: 1/
L]ODY PHILLIPS CLERK CIRCUIT COURT DWAL COUNTY
Pcrnrit No,
NOTICE OF COMMENCEMENT
rax Folio No. 169506-1090
Statc ofFkrrida, Couuty ofDuvsl
THE UNDERSICNED hereby givc uoticc tlrat the ilrprovernellt lvill be nrarle to oertain real propcrty in acconlance rvitlr
Chaptcr 713' Florida Statutes, thc tirllowing irrfbnnation is provitlcd in this No(icc ofConlnrerccnlont.
Owncr Information:
a; Natne nnd Adclress: HICKOfiY & SHANNON OELEGAL, as Trustees of lho D€legal Fomlly Revocsblo LMng Trust dat€d 1012820
b)hrtcrsstinproperty: feesmota - -__ .__-:._-.*._._
o) Noutas$d ed-cjrq,sii-a"tliuple-ttttsbo-ldcr 0f"etlt-Qrllr-qn ownc0:
Conlractor lnfirnnatiou
n) Nrme and Address: Ibg-BgyeIeg GJouo,el.Amerlca. LLC. p O Box S42Afu,lac]hgonvllo. FL 92245
b) Pho ua lluubsui.lt04lS?&9333*
Surcty lufunuation:
7. Persott withiu th$ Statc of Florida designatcd by owner u;rrrr whorn noticcs ur other docunrcnts nray bc servcd as
provided by 7l 3, I 3 ( lXs) 7, Fk)ridl Srfltrtcs:
rt) Nanrc atxl Addrcss:
h) Phone Nunrbers of Desigroied Persort
lo reccive a
n) Ntttuc ruxl r\dtlrcss:
h) Phone Nunrbcr:*__
c) Anrount of Bond: $.
this{&idny of ., by,
Lcnder lnlbnuation:
a) Nunrc lnd Addrcss:
tr) Phonc Nuurben_-__
ln addition to hinrselfllrcnclfl Owner dcsiguutes pgapg Q-o.ope-r of 99d@tg
copy ofthc Lieuor's Notice as providotl in Sectiorr ? 13. I 3 ( I ) (b), Florida Stntutes.
f he foregoinglrfnrneut was ackuowletlged bcftrre rnc hy nreans of Eplrysical preseucc orftrtlirte notrtrizrtiorr,
ilis4laav ot fluil,olJ .z&-9 .* rrliDkpri Ne\ego1- rvho isnersonatlvl
o) Naure nod Address:
h) Phonc Nunrhu of pusoll or eulity
Expiration date ofNoticc ofConulensorncut (the cxphation date lu0y not bc bclirro thc rxlnrplction ofconstruclion
attd final pnyrrurt to the ooDtra0t0r, but will hc orrc ( I ) year tronr tho date ofrscording unlass a di$brent d0t0 is
spccificd:
WARNING TOOWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOT]CE
OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7I3, I'ART I, SECTION
713.IJ. FLORDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO 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 COMMENCING WORK OR RECORDINO YOUR NOTICE OF
COMMENCEMENT.
Undcr I
thr.rcitr
have rend the forggoillg [otise ofool)lnlc[0cnreut and that thc factE stated
nrrd hclicf./
rnuorproduccil -?D!- *-asitlerrrilir:atiotr,irs'"_*F
+ ^1-q" )t tc
rvho is personally kuown to
Repairs to robf, frQrniryi, walt, and flooring due to lightning Btrike
-fuW*t J,*fu
S ignttory' r l'ri ntctl($urnc &'l'i I lc/QJ[i',:c
FAZITAMIRAJUDDIN
Co,nml8elon # HH 407i0g
E4rlG6 Juno ?,2012
for
4
Revised llll2O2O
L
7
3.
Minimum Submittal Checklist - New Single-Family Dwelling
City of Atlantic Beach Building Department
800 Seminole Road
Atla ntic Beach, FL 32233
Phone: (904) 247 -5826 Email : Bu ild i ns-Dept@coa b. us updoted 4/27/2022
Please note: this Iist is the minimum documentation required for a new single-family home permit
submittal. Additional documentation may be required depending on your specific scope of work. This
summary resource does not replace or limit compliance with all applicable codes.
Y N nla Section 1. APPLICATIONS AND FORMS (FBC -BUILDING 705, COAB CODE OF ORDINANCES)
Completed Building Permit application (FBC-Building 105.3)
Owner/Agent letter, if applicable
Owner/Builder Affidavit, if applicable with copy of recorded warranty deed (F.S. 459.103(7))
\/Affidavit of No Tree Removal OR separate Tree Removal Permit application
/Recorded Notice of Commencement (F.5. 713.135)
J Revocable Encroachment Agreement, if proposed driveway is not concrete material or proposed work
encroaches easement
"/Right-of-Way Permit Application, if proposed work connects to right of way
,/Water/Sewer Tap Request Form
n Stormwater Covenant
\/Floodplain Development Permit, if project is located in Special Flood Hazard Area (SFHA) (COAB 8-23)
Other required permits from outside agencies (FDEP, SJRWMD, etc. if applicable)
Y N nla Section 2. SITE !NFORMATION AND SITE PIAN (FBC-Buildins 107.2.6)
{
Current scalable, certified topographic survey with elevations of all corners of lot, plus a sufficient number of
elevations to determine finished floor elevation (FFE) and drainage patterns (COAB 24-68 (See Bulletin 2-18 ond
FFE Memo))
a. Calculated Average Grade will be required for parcels that have a topographical variation of more than two
(2) feet and for all oceanfront parcels, as demonstrated by a certified topographical survey. Calculated
Average Grade is based on points dispersed at ten-foot equidistant intervals. (COAB 2a-81(m))
{Construction Site Management Plan showing silt fence, dumpster, portable toilet, and parking (COAB 6-18)
\/
Proposed site plan showing north arrow, all building dimensions and setbacks from indicated property lines, all
areas of impervious surface, direction of surface stormwater flow, areas of water retention, and finished floor
elevation initialed by qualifying agent. The building orientation and footprint should match all floor plans.
,/Pre- and post-construction lmpervious surface calculations (COAB 24-68)
"/On-site stormwater storage plan if building 250 s.f. additional from pre-existing construction (COAB 24-68)
{Calculations of pre- and post-construction drainage conditions (COAB 24-68 (See Bulletins 2-18 ond 1-20))
Y N nla Section 3. COVER SHEET !NFORMAT]ON AND PROJECT INFORMATION (FBC-Buildins 707)
{Project address, design criteria and code analysis, including occupancy class, applicable codes with currently
used editions (buildine, plumbing, mechanical, electrical, fire prevention, and COAB Code of Ordinances)
lndex of all drawings and attachments , with all pages numbered
Contractor's business name, certificate/license number, address, phone, and email contact information
,/Printed name, contact information, date, and signature of person responsible for design
lndicate area of enclosed conditioned space, enclosed unconditioned space, unenclosed space, and volume of
space within thermal envelope
Y N nlc Section 4. FTOOR PTANS
,/Dimensions of all new additions, or internal reconfigurations and their new dimensions
Page 1 of 3
,/ldentifyroomlabels,dimensions,window/doorlocations/sizes,locationsoffixtureffi
^/
ldentify the minimum window size and pi L.r* '-
r ooms ( F BC-Resid e ntia I R3 10)
one bath/toil"t room
intersections /FBC-Buildrng L07,2,4, FBC-Residentiot R703),l
{Providesmokedetectorsandcarbonmonoxidedetectors(ifapplicable)(rgc-suiM
R314 and R31"5)
,/ldentify dwelling/garage opening penetration protection and dwelling lgarageseparation GBcRrtidr"tiol
R302.5, R302.6)
Y N nla Section 5. EXTERIOR ETEVATIONS
/
Dimension of building height, measured using the applicable method below:a. Measured from finished grade to roof peak
b. Measured from calculated average grade for parcels that have a topographical variation of more than
two (2) feet and for all oceanfront parcels, as demonstrated by a certified topographical survey (CIAB
2a-Uhil. Calculated average grade is based on points dispersed at ten-foot equidistant intervals.c. Measured from FFE for structures built in a SFHA (flood zone).
lndicate floor to floor height(s) or plate to plate height(s)
,/ldentify the exterior finish material(s) on all elevations
Y N nla Section 6. WALL SECTION (FBC-Building t07,2.4, FBC-Residential R702, R703)
,r/-Provide wall section(s)from foundation through roof, including watt jssernOty Gxter@
ldentify fire resistant construction materials (if applicable) (FBC-Residential R302)
/All projections 2 2 feet to < 3 feet are required to have minimum fire separation distance (FBC-Residentiol
R302.1 (Toble R302.1))
Y N nla Section 7. STRUCTURAT PLANS AND DETATLS (FBC-Building 707)
Drawings signed and sealgd by Florida Engineer or Architect of Record (FBC-Residentiot 301.2.1.1, F.S. 477, 487)
ldentify the minimum basig wind speed and exposure category (FBC-Residential R307.2.1)d Provide the Buildi!g Risk Catego ry (FBC-Building Table 1604.5)
l4qllfy the design loads (gravity and laterat)
ldentify the complnents and cladding pressures (psf) ffBC-Residentiol Figure R301.2(7))
The foundation footprint and orientation should match the Floor Plan and Site Plan
Provide foundation details, such as slab thickness, reinforced steel/fiber mesh and dimensions, etc. (FBC-
Residentiol R401)
\/lndicate flood zone, elevation of structure(s) and compliance (if applicable) (FBC-Residentiot R322)
lndicate shear walls (if applicable)
ldentify framing details and gable end bracing details
,/ldentify the size/dimensions of beams, lintels, and headers
Provide a connector/clip schedule
ldentify the wall and roof sheathing nailine size/pattern
\/Provide maso!ry details (if applicable), such as filled cells/reinforcing bars (FBC-Residential R606, R607, R609)
Y N nla Section 8. FORM R402, REScheck PRINTOUT, FORM 405 (FBC-Residential Chp, 17)
Provide project information in header (Property address/Builder name/Jurisdiction No, 261100) filled-in\f lnclude the number of bedrooms (should match floor plans)
lnclude the conditioned floor area (should match the square footage on floor plan(s))
J lnclude the glass area (should match square footage on floor plan(s) and exterior elevations) NOTE: Quantities
in Manuals D, J, and S must match
ldentify the floor, wall, and attic insulation R-valuesdComplete the Prepared By and Owner/Agent certification block; print name and date
\/Check off all applicable components on the Code Compliance Checklist
Complete the Energy Performance Level (EPL) Display Card page, provide builder's signature and property
address
lnclude the air barrier and insulation inspection checklist (FBC-Energy Conservotion R402.4.1.1, Table R402.4.1.1)
ACCA Manual D 2009, including duct supply, return air and air distribution system design on duct layout drawing
(FBC-Residentiol M 1601. 1)
Page 2 of 3
lnclude mechanical ventilation (FBC-Residential R303.4, FBC-Energy Conservotion R403.6)
Y N n)a -Section 9. tOAD CALCULATIONS (FBC-Residentiol Chp. 11)
lnclude calculations, based on the ACCA ManualJ 20L6 and Manual 5201.4 (FBC-Energy Conservation R403.7.1)
The equipment's total cooling should be within L00-1,1,5% of the project's required cooling load, or other
approved method(s)
Y N nla Section 10. PREFABRICATED ROOF AND FTOOR TRUSSES
The truss engineering shall be signed and sealed by a Florida engineer. The Engineer of Record's (EOR) name
and address information shall be included on the cover sheet (FBC-ResidentiolR802.10.2)
/The EOR must approve the truss package (shop drawings). Provide written approval on the truss profile(s)
package(s) or truss layout plan(sl (F.A.C. 61G15.31".003)
The truss layout plan must have same footprint and orientation as the foundation and floor plan. Conflrm roof
lines with exterior elevations (gable, hip)
/
The truss bearing points shall match the footing location(s) on the foundation plan(s), and truss deslgn drawings
(prepared in conformance to Section 802.10.1) shall be provided to the Building Official and approved prior to
installation and shall include the minimum information from items L throush L2 found in Section 802.10.1
Y N nla Section 11. PRODUCT APPROVAT INFORMATION SHEET (PAIS) FOR THE CITY OF ATIANTIC BEACH, FIORtDA
Complete the project information in the page header (F.5. 553.842, F.A.C. 61G20-3)
\/
Complete all applicable sections, i.e. Categories, Sub-Categories, Manufacturer, Product Description, Code
Version, Florida/Miami-Dade Product Approval Number (including sufflx), and Quality Assurance Expiration Date
(F.S. ss3.842, F.A.C. 61G20-3)
lnclude product approval information for all roofing material. A separate roof permit will be required prior to
any roofing inspections if proposed roof is non-shingle, unless qualifying agent holds current roofing license.
Provide sea turtle lighting protection, if project is in turtle protection zone (COAB 5-34 - 39)
Page 3 of 3
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