2025 Seminole Rd Unit 101 res24-0065 Perit and appRESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233
PERMIT NUMBER
RES24-0065
ISSUED: 3/21/2024
EXPIRES: 9/17/2024
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 a itional ermits required from other
governmental entities such as water management districts, state agencies, or ede I agencies.
2025 SEMINOLE RD 101 RESIDENTIAL 9 IND S AIS ONE $10993.00
WINDOWS/DOORS SLIDW GLASS D0 -OR
1NORTH SHORE
69723 0202
CONDOMINIUM
COMPANY: ADDRESS:
AMERICAN WINDOW 2633 POWERSV JACKSONVILLE FL 32207
PRODUCTS
• ADDkFSS: CITY: STATE: ZIP:
HALL MARY E ESTATE 2025 SEMINOLE R PT 101 ATLANTIC BEACH FL 32233-5956
WARNING TO OWNER': YOUR FAI URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR.IM OVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BERRDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND 0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I 1 1 BUILDING I IN -PROGRESS INSPECTION REQUIRED I INFORMATIONAL I
Notes:
IN -PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING, WINDOW, AND DOOR INSPECTIONS, AND SHOULD BE SCHEDULED FOR THE FIRST
DAY OF WORK.
Issued Date: 3/21/2024 1 of 2
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PERMIT NUMBER
RES24-0065
ISSUED: 3/21/2024
EXPIRES: 9/17/2024
I 2 1 BUILDING I NOTICE OF COMMENCEMENT I INFORMATIONAL I
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
DESCRIPTION
ACCOUNT
QUANTITY
PAID AMOUNT
BUILDING PERMIT
455-0000-322-1000
0
$105.00
BUILDING PLAN CHECK
455-0000-322-1001
0
$52.50
STATE DBPR SURCHARGE
455-0000-208-0700
0
$2.36
STATE DCA SURCHARGE
455-0000-208-0600
0
$2.00
TOTAL: $161.86
Issued Date: 3/21/2024 2 of 2
Updated l0/9/18
Building Permit Application
City of Atlantic Beach Building Department **AMl1NIMfMTl0N
800 Seminole Road, Atlantic Beach, FL 32233 HIIGNUGHMl WGRAY
e1.4 iS REQUMM.' D tC� oab us
Phone: (904) 247-5826 Email. Bul IPli;- ep =1
p RES24-0065
Job Address: Wit_} S � YV1�'f1D�E= -RA *-ici Permit Number:
Legal Descriptionh X11 n•�-1 ()ei3K(Q(}31-1(�iSZRE# (Qa-
4�/ t }rte_
Valuation of Work (Replacement Cost) $1a 1a3 Heated/Cooled SF Non- Heated/Cooled
• Class of Work: []New OAddition []Alteration []Repair []Move ODemo []Pool Window/Door
• Use of existing/proposed structure(s): []Commercial Residential
• If an existing structure, is a fire sprinkler system installed?: []Yes ONo N1 It
• Will trees be removed in association with proposed ro'ect? OYes (must submit crate Tree Removal Permit
Descnbein detail the type of work to be performed: [� SH ) J ; Od C t-, R PPw e VVI x �F-
� � r f' P � C1C�' rrrn � t i-� C� �� 4 • Z C �--ti % J `z G -
Florida Product Approval
for multiple products use product approval form
Property Owner Information C�
Name i' t`i < Address aJt�'
raS rmi nE bo—
City � c State �`-L Zip � 3 Phone 171) ` '71 L.
E -Mail
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Compan ri Qualifying Agent �, A �i 6% T
Address` 3 city. -T- State �-�- Zip- -RaRa;
Office Phone 1- QLa Job Site Contact Number I
47
State Certification/Registration # 0,kt 'ami Qt)() E -Mail r i i c r 77
Architect Name & Phone #
Engineer's Name & Phone #
Workers Compensation Insurer OR Exempt ❑ Expiration Date lr,� -I -
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. 1 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 maybe 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 OLIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE�IG OTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to (or affirmed) before me this a day of Signed a d sworn to (or affirmed) before me this day of
by — by
(Signatuggyrp,fiKOWA*P ignat a of No
•SPRY P�Bli
Commission # HH 008277 r au RYAN ALWARD
s° � ' "• ° =ora ., e�,c
* * Expires June 9, 2024 Commission # HH 008277
ersonallyKnown OR "r9Q'� BondedihtuBudgetNolatyServices erSonallyKnownOR" Q Expires June 9, 2024
[ ] Produced Identification FOFe�° [ ] Produced IdentificatiX10FF�oP Bonded ThtuBudgetNota'yServioas
Type of Identification: Type of Identification:
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH_ FLORIDA (*REQUIRED)
*Project Address: ab a!S Se-wino IL° Rd #)01 is Ir CBPaC.h Permit #: [RES24-0065
*Owner/Project Name: I`�b 10 ITl (_nA r f c
k_
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
IO O m h
D O� f es
3. Sectional
4. Garage Roll -Up
5. Automatic
6. Other
B. WINDOWS
1. Single hung
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
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