655 Sailfish Drive RES24-0074 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
STEYN CORNELIS
GERHARDUS ET AL 655 SAILFISH DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
904 General Contractors
LLC 163 Corral Circle St Augustine FL 32092
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171224 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
655 SAILFISH DR RESIDENTIAL SIDING HARDIE BOARD SIDING $0.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.71
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.48
WORK WITHOUT PERMIT 455-0000-322-1000 0 $165.00
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: 4/4/2024
PERMIT NUMBER
RES24-0074
ISSUED: 4/4/2024
EXPIRES: 10/1/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $253.69
2 of 2Issued Date: 4/4/2024
PERMIT NUMBER
RES24-0074
ISSUED: 4/4/2024
EXPIRES: 10/1/2024
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 Dry-In
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 - Phone: 904-247-5826 - Email: Building-Dept@coab.us
Public Works/Utilities - Phone: 904-247-5834
Fire Department - Phone: 904-630-4789
* 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
sk
City of Atlantic Beach Building Department PERMIT# RES 24` ba.74
y w- 800 Seminole Road,Atlantic Beach, FL 32233 ALL Information required to process
1 r,;ar Phone:` (904) 247-5826 Email:6uilding-DeptC'coab.u5
pJobAddress S'S S2 t( `
S( p ' RE# (7( V WOO
Legal Description o-I O 0 n , s AA . .a 0 131
Valuation of Work(Replacement Cost)(W II 12;60 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: 0 New ['Addition Alteration rgRepair Move ODemo 0 Pool Window/Door
Use of existing/proposed structure(s): D Commercial'{Residential • If existing structure, is a fire sprinkler system installed?:DYes D No
Will tree(s)be removed in association with proposed project? 0 Yes (Must submit separate Tree Removal Permit) 15ijNo
Describe in detail the type of work to be performed:
1.1;1 AS re,1.74 e O4vti t-
Ufa 2' ID t ord e rar-w4A
Florida Product Approval# FL 1322-3 For multiple products use Product;_Apgroval Information Sheet)
property Owner Information Name (0(ne t;S . SfeleN Phone .3 ./ 552)Q 7ftf7
Address CvS3 5'a, l :,)Vi 6,t`-`"^
City T/7 f.c 4.e.2,/, State (( 2-+P 3 2233
ail e)' Sc S n r Agent If Agent,Power of Attorney or Agency Letter Required)Em t'1:r h t k 6 [
Contractor Information Name of Company go i".6.- ,,I eiM fe'ntAirc ac._ Phone q--S3 4/ 33-t/641"
Address /6 3 CvI(Z( L L'ct.(C • City S v,'n f --0.,3,3 A"..,J4tate 4 1_ zip 3?0 5 7_
Qualifying Agent R.1,,,,, ,.. ilu-+,fr, lute ti a—State Certification/Registration# 10; dAir
Email 9D 1/6Tf{eal Whir;. (9 L v1'/s G1,.-, Job Site Contact Number
Worker's Compensation Insurer - la OR E ix Expiration Date i' I Z.0
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,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 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,•1 U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
A ' ORE RECORDING YOUR NOTICE OF COMMENCEMENT.
41_
eorAge Signature Contractor)
y
Signed and"f" n to(or affirmed)before me this 27th day of Signed and sworn to(or affirmed)before a this Z r iay of
March , 2924 by -p rnelis Steyn MUY'C- V , 207. 1 by VI eT O'
Signature of Notary j {Signature of Notary
PersonallyKnown OR Produced Uficatlon ersonally Known OR ( I Produced Identification
r cjlzt__„f e-
l fl
Type of Identification: I.. 1 Type of Identification: ,p`'".'4"rctk KRS1 T
Commission I HH 1$3774
Expir s Octobst 9,2025 $
eye;,, tothd' iwatwn+sok«No i.,Mi
o.. . .< TON!GINCIE PFRGER
MY COMMISS!0`#HH 407122
t' !::: EXPIRES:Ocl;) er 6,2027
ECF FSO;