71 19th Street RES24-0062 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
CLANCY SEAN 71 19TH ST ATLANTIC BEACH FL 32233-5983
COMPANY:ADDRESS:CITY:STATE:ZIP:
KMS SYSTEMS INC 13602 Mt Pleasant Rd Jacksonville FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169723 1035 NORTH ATLANTIC
BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
71 19TH ST RESIDENTIAL ALTERATION
RESIDENTIAL
REPLACE SOFFIT ON 3rd
FLOOR AND WINDOW TRIM $7900.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $90.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.78
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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: 3/28/2024
PERMIT NUMBER
RES24-0062
ISSUED: 3/28/2024
EXPIRES: 9/24/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $189.78
2 of 2Issued Date: 3/28/2024
PERMIT NUMBER
RES24-0062
ISSUED: 3/28/2024
EXPIRES: 9/24/2024
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 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
_____________________________________________________
Permit Type
BUILDING PERMIT APPLICATION FORINTE AL OFFICE USE ONLY
City of Atlantic Beach Building Department PERMIT# Z4 Ob C
800 Seminole Road, Atlantic Beach, FL 32233
ALL information required to process
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 71 19th Street Atlantic Beach,FL 32233 RE# 169723-1035
Legal Description 47-91 09-25-29E.13 NORTH ATLANTIC BEACH UNIT 3 R/P E 7FT LOT 2,W 50FT LOT 3
Valuation of Work(Replacement Cost) 7,900.00 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition DAlteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial Residential •If existing structure, is a fire sprinkler system installed?:Yes X No
Will tree(s)be removed in association with proposed project? Yes (Must submit separate Tree Removal Permit) X No
Describe in detail the type of work to be performed:
Remove and replace the existing vinyl soffit at the 3rd floor roof with Mastic Vinyl Soffit Product-Ventura Vent. Also,install James Hardie
trim surrounding recently installed windows by OTHER Contractor.
Florida Product Approval# FL#32502.1 For multiple products use Product Approval Information Sheet)
Property Owner Information Name SEAN CLANCY Phone 678-488-0625
Address 71 19TH ST City ATLANTIC BEACH State FL Zip 32233
Email sdclancy@yahoo.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) OWNER
Contractor Information Name of Company KMS SYSTEMS, INC. Phone 904-568-4211
Address 13602 MT PLEASANT RD City JACKSONVILLE State FL Zip 32225
Qualifying Agent KEVIN P FITZGERALD State Certification/Registration# CBC1258387
Email kevin@kmssystemsinc.com Job Site Contact Number 904-568-4211
Worker's Compensation Insurer OR Exempt X Expiration Date 1/24/2025
Architect's Name Email Phone
Engineer's Name Email Phone
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 city/county,and there may be additional permits required from other governmental entities such as water
management districts,state agencies, orfederal 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 YOU PAYING TWICE FOR 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 NOT E OF CE NT.
AP
Signature o owner or Agent) Signature . •.7actor)
Signed and sworn to(or affirmed)before me this 12, day of Signed and sworn to(or affirme ID/before me this 1 a- day of
by ., i„ , G i by _Alai/ gra
Signature of Notary Signature of Notary
dirr
Personally Kno n OR f/] Produced Identification Personally Known OR [ Produced Identification
Type of Identification: fir,vet' Type of Identification: Q( V-er P{/1S `e-
JANMAURICIO WALKER ROBERTSON •REBECCASIMMONS
MY COMMISSION#HH 009325
Commission#HH 131192
EXPIRES:June 11,2024 t r Expires May 19,2025F,Fk,•• Bonded Thru Notary Public Underwriters P 7019
j fofcs°,,0 Bonded Thru Troy Fain Insurance 600.385