2020 VELA NORTE CIR RES24-0017 Revision Corrections 2-1-24_1Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone:, (904) 247-58.26 Email: Building-Dept2coab.us
❑ Revision to Issued Permit
DR 191 Corrections to Comments
"ALL INFORMATION
HIGHLIGHTED I
GRAY i5 REQUIRED,
PERMIT
Project Address: v afcleofil-
Contra ctor/Conta ct Name:� 1� ► a 5
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Contact Phone: C oLi S(0)) �)-(ocl Email: )f, �ie VV IrQs
Description of Proposed Recision / Corrections:
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nni-om t) 1 A,; affirm the revision/correction to comments is inclusive of the proposed changes.
(Printed name
• Will proposed revision/corrections add additional square footage to original submittal?
kN o L Yes (additional s.f. to be added: }
•
Will proposed revision/corrections add additional increase in b
XNo Lj*Yes (additional increase in building valn,;o�
❑ Approved
*Signature of Contractor/Agent:
U Denied
(Office Use Only)
Iding value to original submittal?
1-1 Not Applicable to Department
r must sign if increase in valuation)
Permit Fee Due $
Revision/Plan Review Comments M=ft
department Review Required:
building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17118
BUILDING PERMIT APPLICATION
City of Atlantic Beach Building Department
800 Seminole Road., Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: 8uHdin&-DePt@coab.us
FOR rnrrERruaL OFFICE USE ONLY
ERMIT #
��ALL information required to process
Jab Address 2020 Vela Norte Cr, Atlantic Beach, FL 32233 RE# 169506-1044
Legal Description 394 04-25-29E SELVA NQRTE UNIT ONE LOT 22
Valuation of Work (Replacement Cost) 60.000 Heated/Cooled SF 260 SF fon-Heated/Cooled SF p
+Class of Work: ❑New []Addition ZAlteration []Repair Omove Demo El Pool Mwindow/Door
• Use of existing/pro posed structure(s): El Commercial OResidential • If existing structure, is a fire sprinkler system instalfed'?:E]Yes Q No
• V11i[f tree(s) be removed in association with proposed project? Yes (Must submit separate Tree Removal Permits FXl No
Describe in detail the tope of work to be performed:
Adding a room and a bathroominside the attic_
Creating emirs from the garage, one a grass window for the bedroom and a small window for the bathroom, with carpet f[oorin.o+
Florida Product Approval # (For multiple product5 use Frodu ct Approval lnfvrmatian Sheet)
Property Owner Information Name Ted Hauser Phone 9044229697
Address 2020 Vela 'Norte Cr Cih' Atlantic Beach State FL
Email tih t irzinrr frim r nm
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company
Address 2Q71 Emerson St #19
Qualifying Agent _, OH �
Email uniquegcservices@gmail.com
Worker"s Compensation Insurer
Unique Renovations
City Jacksonville
StateCertification/Registrationti
iP 32233
Phone 9048624269
State FL ZIP 32207
CGC1507001
Job Site Contact Number 7-A9R?��?[)d
Architect's Name Email
OR Exempt Expiration Date 52024
Phone
Engineer's Name Francisco Rias Email Francisco@1ucas-scatt.com Phone 9042602690
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 willbe performed to meet the standards of all the laws regulating
construction in this jurisdiction. !understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, FOOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDMONERS, etc.
NOTICE: -in oddr"tion to the requirements of this permit, there may be additional restrictions applicable to this property that maybe found in
the pubic records of this city/county, and there maybe ❑ddiciona! permits req urred from other governmento/ entities such as wQter
manogemenr+dl'stricts, state agencies, orfedero! agencies.
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is aCcurate and that all work wi{I he done incompliance with all applicable
laws regulating construction and coning.
**WARNING TQ OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOU PAYING TWICE AOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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(Signattre of Owner or Agency
Signed and sworn to dor affirmed) befor me this ln day of
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