1621 Sea Oats Dr 2013 frame entry way and windows !� %' ✓ter-'
�J ` 'IS CITY OF ATLANTIC BEACH
a 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . 13-00003513 Date 10/15/13
Property Address . . . . . . 1621 SEA OATS DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
------------- -- - -- ---- -- --- ---- ---- ----- --- - --- -- - -- -
Application desc
FRAME NEW EXTERIOR ENTRY
- ------------ - -- - - ----- -- -- - --- - --------- ---- -- - -- --
Owner Contractor
-
----- -- ----- - -----------
------- - -- -- --- - - - - --- -
LYNN & PAUL MATTINGLY CORNELIUS CONSTRUCTION CO.
1621 SEA OATS DRIVE 71 19TH STREET
ATLANTIC BEACH FL 322335827 ATLANTIC BEACH FL 32233
(904) 482-7017 (904) 249-9706
-- - Structure Information 000 000 NEW ENTRY
Occupancy Type . . . . . . RESIDENTIAL
------- - - ----- - -- -- -- - - -- - --- -- - - ----- ---- ------ -
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc .
Permit Fee 150 . 00 Plan Check Fee 75 . 00
Issue Date . . . Valuation 20000
Expiration Date . . 4/13/14
- - - - --------- --- -- -- -- -- --- ---- --------- ---- --- -
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
- -- -- -- -- ---- --- - ----- ---- --
Other Fees .
. STATE DCA SURCHARGE 2 . 25
STATE DBPR SURCHARGE 2 . 25
------- - ----- - -- --------- ------ - ---- ---- - ---
Fee summary Charged Paid Credited - Due
-- --- ---- - -- - ---- --
Permit Fee Total 150 . 00 150 . 00 . 00 . 00
Plan Check Total 75 . 00 75 . 00 . 00 . 00
Other Fee Total 4 . 50 4 . 50 . 00 . 00
Grand Total 229 . 50 229 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Ae
" ra •M�++ n�ss>�+ ` BUILDING PERMIT APPLICATION
OPY CITY OF ATLANTIC BEACH ��p Z.0 I 1�0
FILE �800 Seminole Road, Atlantic Beach, FL 32233
Office 904 247-5826 Fax 904 247-5845 Q
�•ar:.amu:_ ( ) ( )
Job Address: ffeV SER Oars DR. Permit Number:
Legal Description 34-Sl DQ•2S -29 r- S"YAlr 0r0t OlJ rr t, Parcel #
Floor Area of Sq.Ft. Sq Ft
Valuation of Work 20,000 -� _Proposed Work heated/cooled gP( non-heated/cooled—NA
Class of Work(circle one): New Addition ation Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 4Rid:e:nt:i]a>
If an existing structure,is a fire sprinkler ystem installed? (Circle one): es No
Florida Product Approval # .2
For multiple products use product a Foval form
EXfF-�z�oR
Describe in detail the type of work to be performed: ER 1A r iJ F_44),11 FA1TKY
Property Owner Information:
Name:Wwi i pA u L (A 1 T lm as Address: 1&Z 1 5E A OATS _D r�
City 1S u,:wMC R c . StateFf Zip3 2233 Phone q6q—gAZ- 76)q
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: u 1ji)S G NSTRVCT 1011 Qualifying Agent: 11)A-RGAkgT G21JF_L1 VS
Address: U. Boy, 33 o h(B City /FTt_ F3cH State FL_ Zip3"41
Office Phone QO 4 • V0- 17Orc Job Site/Contact Number Fax#
State Certification/Registration#__C_ 7
Architect Name&Phone# SE-A i3gbAoi=wT -- 2-4(o - )15O
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address —
Bonding Company Name and Address
Mortgage Lender Name and Address--
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work, Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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 OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this implication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether specs ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,st Oca a ulating construction or the performance of construction.
m352-- -610-
Signature oi Owner Signature of Contractor
Print Name ,LI.. ..... Y .. .. ... ............. ... ............................................. Print Name I.t[.9nA�.[�laaZ.. A1.lri-l.V ............................................
Befo �--y� Beffoethis � ay of2013 tDay,of 20I
N tart'Publi JENNIFERWAII�R a is NIFERWAI�R
MY COMMISSION MFF 011480 '� I ` MY COMMISSION FF Ot 1480
' EXPIRES:April 24 2017 :• - EXPIRES:April 2a,2017 evised 01.26.10
Bonded"•n;^xtary Public undenmtere " ops Bonded Thiu Notary Public underwhere
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City of Atlantic Beach APPLICATION NUMBER
Building Departrnent (To be assigned by the Building Deparbma)
i 800 Seminole Road /3 _J_j 2
Atlantic Beach, Florida 322335445 J
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: L'14LI_�
City web-site: http:/Aw#w.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /�)z d Q (/ Q✓ 5 ent review required Yes No
i
Applicant: ,S Planning&Zoning
Tree Administrator
Project: �G` Tie l/ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: M<p—roved. ❑Denied.
(Circle one.) Comments: l -/
BUILDING
I /�o C_ / v0 /1 �e co rde(yr
PLAN G &ZONING Reviewed by: Date:-/(,)
TREE ADMIN. Second Review:
❑Approved as revised. ❑Deni
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. Date:
FIRE SERVICES Third Review: ElApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 055/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 13-00003519 Date 10/15/13
Property Address . . . . . . 1621 SEA OATS DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
. Application valuation . . . . 4000
---- -------- - -- - -- -- -- - - - -- --- - --- - ----- - -- - --- ---
Application desc
new windows
- --- --------- -- - -- -- -- - - - -- ---- --- - ----- - --- --- - -
Owner Contractor
-
--- --- -- --- -- - ----------
- - - -- ---- -- --- -- - - -- ---
LYNN & PAUL MATTINGLY CORNELIUS CONSTRUCTION CO.
1621 SEA OATS DRIVE 71 19TH STREET
ATLANTIC BEACH FL 322335827 ATLANTIC BEACH FL 32233
(904) 482-7017 (904) 249-9706
- - - -- ------- --- -- - -- -- -- -- - --- - -- ------ - --- ----
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . Valuation 4000
Expiration Date . . 4/13/14
------- - ------ -- - -- -- -- -- - -- ---- ----- ----- --
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
------- -- --- --- - ----- ---- - ---- -
Other Fees .
. STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
-------- ----- - -- - -- -- -- --------- - ---- - ---- - --- --- -- --- --- - ---- --- -----------
Fee summary Charged Paid Credited Due
- - - - - ---- --- ---- - -- --- --- - -
-- - - --- ---
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION D
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 OCT 1 2013
Office (904) 247-5826 Fax (904)247-5845
Y
Job Address: ra, o/"t.S (APermit Number:
Legal Description 3q--_51
Floor Area o q. t. q. t
Valuation of Work$ �,D(Y�-- Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/s window/door
Use of existing/proposed structure(s) (circle one): Commercial esidential
If an existing structure,is a fire s rinkler system installed? (Circle one): o /A
Florida Product Approval#1� 5.2642 60.2 1 Lf0 el S
For multiple products use product appr m \^
Describe in detail the type of work to be performed: �'ls 1�C �,�, W k 1 )Qj (a/JS
Property Owner Information: 'A /�n
Name: !7 n n a- L&( 1 v w� )` ' ddre,,u: ar. DCV,5; D►.
City Stat _Zin �3�hone GIi 0L4 - 91a 7—__1 O 1-1
E-Mail or Fax#(Optional)
Contractor Informmattiionn: CONTRACTOR EMAIL ADDRESS: �_ /
Company Nam : L S W,�1S+Y V C Qualifying Agent:"Y��r,-- V- -r,,r ��VS
Address: . . Y30X 3O City ;A6 IState Pi,- Zip3z� 3�
Office PhoneO 0 /C n ct Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone# CITY OF .ATI .4NT4C—
BEACH
17Zcins,01ation
Fee Simple Title Holder Name and Ad ess SEE PE ItBonding Company Name and Address REQUIREM Mortgage Lender Name and AddressWWI I 144rrzV1r_Wh.0 BY: /1
;DATE: �.�..a,, ,�,�,,;�=,Application is hereby made to obtain a permit has commeneeW prZQ 4o the
issuance of a permit and that all work well be performed to meet the stan ars o a aws regu risdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a ereod of six(6)months at anytime after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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 OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herebycertify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of ork will be complied with whether speci eed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or to flaw regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name ................... ........ .... ..... .. .. ... ......�n .................... Print Name ���0?£' ... ..QRt ..F.�-.1 ��........................................
Befo � 3 Bef e
this 'Day o€- 20l Da o 61 2013
H
;.:?
Ot JENNIFER WALKER r. 957760
F . _._f 4�%Ftaryloublic
Underwrite
a. •c MY COMMISSION 0 FF 011480 pF f, „�, Trtia 14 2 14
a= EXPIRES:April 24,2017 ,. Revised 01.26.10
pr' d Bonded Thru Notary Public Underwiters
City of Atlantic Beach APPLICATION NUMBER
�s r Building Department (To be assigned by the Building Department.)
i' 800 Seminole Road `� ' QJ� g
Atlantic Beach, Florida 322335445 / e�
Phone(904)247-5826 Fax(904)2475&45 ,/
•`JF! > E-mail: buildng-dept@coab.us Date routed: o 77'
City web-site: httpJ/www.coab.us I _�-3
APPLICATION REVIEW AND TRACKING FORM
Property Addre 1&2— ent review requi Yes Ao
Building
Applicant: J Y onin9
n Tree Administrator
Project: s1/ Gtr / o ik)s Public Works
Public Utilities
Public Safety
Fire Servioes
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC TION STATUS
Reviewing Department First Review: pproved. ❑Denied. j
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 10-lel-"v
TREE ADMIN. Second Review:
Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. Date:
FIRE SERVICES Third Review: ElApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114109
3::x`J"a.+6f�Tlt(5 '.,':�:C'�18�dg"s:U'�A�Li3TitilGM.. iT tF.;'.C4`t�+9FUPEl3_
VrE-RIVIF-V ARCHITECT
420 S. THIRD ST. 246-1150
7AJV JACKSONVILLE BEAC-N , FLORIDA
December 5. 2013
City of Atlantic Beach
Building Department
Project : Addition For Paul and Lynn Mattingly
1621 Sea Oats Drive
Atlantic Beach, FL
Upon our review the front porch addition has been built according to our directions
and drawings
Please call if I can answer any questions.
�
�SincerelyV`L
erard Vermey
DEC 2013
BY
A0