1618 Beach Ave 2014 Siding SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jr,
SIDING PERMIT
musT eittt BY4PM FOR NE" BAYINSPEeTION. 247 58t4
JOB INFORMATION:
Job ID: 14-SIDE-108
Job Type: SIDING PERMIT
Description: HARDISIDING OVER T-1 11
Estimated Value: $20,000.00
Issue Date: 10/6/2014
Expiration Date: 4/4/2015
PROPERTY ADDRESS:
Address: 1618 BEACH AVE
RE Number: 169547-0000
PROPERTY OWNER:
Name: MCKNIGHT, MARY JANE
Address: C/O 1959 SELVA MARINA DRIVE BRUCE ROBBINS
GENERAL CONTRACTOR INFORMATION:
Name: MANLEY CONSTRUCTION GROUP INC
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $150.00
STATE DCA SURCHARGE $2.25
PLAN CHECK FEES $75.00
STATE DBPR SURCHARGE $2.25
Total Payments: $229.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FILE COP '
MIAMI NIIAMI-DADE COUNTY,FLORIDA
=-a METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603
PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563
(305)375-2901 FAX(305)375-2908
NOTICE OF ACCEPTANCE (NOA)
James Hardie Building Product,Inc.
10901 Elm Avenue
Fontana,CA 92337
SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction
materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and
accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where
allowed by the Authority Having Jurisdiction(AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein,and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone.
DESCRIPTION: Hardiplank,Cemplank,Hardipanel,Cempanel,Hardisoffit and Cemsofritt
APPROVAL DOCUMENT:Drawing No.HPNL-8X,HPLK-4X8&HSOFFIT-8X,titled"Hardipanel&
Cempanel;Hardiplank&Cemplank;Hardisoffit&Cemsoffit Installation Details",sheets 1 through 3 with no
revisions,prepared, signed and sealed by Ronald Ogawa,P.E.,dated 04/02104, bearing the Mian-ti-Dade County
Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade
County Product Control Division.
MISSILE IMPACT RATING: Large and Small Missile Impact
LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and
following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall
be done in its entirety.
INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA#02-0729.02 and,consists of this page,evidence page as well as approval document
mentioned above.
The submitted documentation was reviewed by Carlos M.Utrera,P.E.
NOA No W-0418.04
Expiration Date: May 01,2012
i Approval Date:May 31,2007
1W X Page I
James Hardie Buildinu Products,Inc.
NOTICE OF ACCEPTANCE: EVIDENCE PAGE
A DRAWING(submitted under NOA No.02-0729.02)
1. Drawing prepared by James Hardie Building Products, Inc. titled"Hardipanel &
Cempanel; Hardiplank&Cemplank; Hardisoffit&Cemsoffit Installation Details",
drawing No HPNL-8X, HPLK-4X8 & HSOFFIT-8X, dated 04/02104,with no revisions,
signed and sealed by R. L. Ogana,PE.
B TEST (submitted under NOA No.02-0729.02)
Laboratory Report Test Date Signature
1. ATI-16423-1 PA 202&203 03/18/96 A. N.Reeves PE.
2. ATI 16423-2 PA 202&203 03/18/96 A. N. Reeves PE.
3. ATI 16423-3 PA 202&203 03/18/96 A. N. Reeves PE.
C QUALITY ASSURANCE
1. Building Code Compliance Office.
D MATERIAL CERTIFICATION (submitted under NOA No.02-0729.02)
1 Standard Compliance (ASTM C-1 185) issued by ETL Testing Laboratories on 05/09/95
signed by D. K. Tucker, PE.
2 Evaluation Report NER-405 issued by National Evaluation Service, Inc. on 0 1/0 1/93,
with no signature.
E STATEMENT (submitted under NOA No.02-0729.02)
1. No change letter issued by James Hardie Building Products, Inc. issued on 02/16/99,
signed and by J.L Mulder.
2. Power of Attorney and Appointment of Domestic Representative, signed by P. Shafron
on 04/17/02,Assignment and Memorandum of Assignment signed by T. P. Dolmans on
04/16/02 and Assignment for the trade marks of Cernplank, Cempanel and Cernsoffit to
the Assistant Commissioner for Trademarks signed by V. Lester and P. Shafron on
04/18/02.
E OTHERS
I No change letter issued by James Hardie Building Products, Inc. issued on 04/02/07,
signed and sealed by Chad Diercks,Technical Services Manger.
2. Engineer of record letter issued by Ronald Ogawa&Associates,Inc., dated April 3,
2007, signed and sealed by Ronald 1. Ogawa,P.E.
PC CarlosZfMUtrera,P.E.
net C t 1 3
oduct Control Examiner
NOA No 07-0418.04
Expiration Date: May 01,2012
Approval Date:May 31,2007
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rA
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE Pnpy 800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1618 Beach Ave.Atlantic Beach FL 32233 Permit Number: H-Si DE 103
Legal Description 15-82 9-2S-29E OCEAN GROVE UNIT NO I S/D PT LOT 7 Parcel# 169547-0000
Floor Area of Sq.Ft. 2463 Sq.Ft 512
Valuation of Work$ aOA OCe) Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition paZit,) Move Demolition pool/spa window/door
Use of exi�tinglprorosed.structure(s) circleone): mmercial QR�esidqeqntia
J_o
If an existing struc lure,is a fire sprin er syste instaned?(Circle one): Ye-�— N/A
Florida Product Approval#
For multiple products use pro net approva orm
Describe in detail the type of work to be performed:install Hardie siding over T-1 11
Property Owner Information:
Name: Mary McNight Trust —Address: 1618 Beach Ave.
City Atlantic Beach State FLZip 22.U.-.- 904413-11-An --- --- ----
_32M.. Phone
E-Mail or Fax#(Optional)_
Contractor Information:
Company Name: Manley Construction Group,I.nc. Qualifying Apent: Robert Manley
Address:11691 Hampton Park Blvd Citv Jacksonville State FL zip 32250
Office Phone go4-229-og Job Site/Contact Number 66ZW7-6053 Rob Fax# 904-229-0998
State Certification/Registration# CBC1257677 CCC1329225
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A ea s b��n made 0 ob a 't......�do he work and msal',�,ronsign'd or installation has commenced prior to the
h a" orm 0 in 'he an d,0 a,,, thisjurisdiction. 7hispermilbecomes null
e _a 0 st c', or 01,
,hu 1-6 "df a'iod ofsap,months at any time after
pph "a by d 1, or El
-ce 0 a an a'a wo
,c_�
w d-,d Qo T ced n c.'
" in c un , an in " 'a
ark de d th s perm s in.,be e eIR Awls, urtrac.,Bafleis,Heirk.,
.ks.Xtr
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERT`�' IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER ORAN ATTORNEY BEFORE RECORDING Y61jR NOTICE OF
COMMENCEMENT.
I hereby certi d ihis a lication and ng this
fy that I have read and know ihesame to be true and correct. All provisions at iordmancesgoverni
examine _pp '�'; ' "�7
war*will be complied with whether specified herein or not. 7he granting of a permit does not presume 1�0�,��t7hriiy to violate or cancil the
provisi.ons of any otherfederal,state,or local law mgu�lat�',g oonyruction or the i�brmance qf construction.
, )
1_7
Signature of Ownek?S'
L Signature of Contractor
Print Name
A- Print Name Ro.b.e-rt..ManI.e.y.............................................................................
...........................
..........
Swop��tq d subscribed before S t and subs
I It
this Cy of 't�LQ OAK— f 20 1 9159WDa of',
Notary Publ c Notary"ic
Revised 0 1.26.10
CARR;
-042150
T, My COMMIS� t KELLY LULU
'201
N wr 2,2017 11C Statq of Mrlda
EXPIRE&L Notary Pub
ouulic Uderviriters Comrrijs�jon#FF j00524
X-AF
13onded Thru NotzrY
My comm.explres May 17,2018
NOTICE OF COMMENCEMENT - ; ' FILE COPY
,rREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom It may concern!
The undersigned hereby informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 15-82 9-2S-29E
OCEAN GROVE UNIT NO 1 S/D PT LOT 7
Address of property being improved: 1618 BEACH AVE
ATLANTIC BEACH,FL 32233
General description of improvements: home improvements
owner Mary McNight
Address 1618 Rparb Ave Atigntir Renrh F1 399,11.11
Owner's interest in site of the improvement Self
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Manley Construction Group,Inc.
Address 11691 Hampton Park Blvd.Jacksonvifle,FL 32256
Phone No.904-229-0999 Fax No. 904-229-0998
Surety(it any)
Address Amount of bond
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name N/A
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No. ------
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
1;8
different date is specified): Z
THIS SPACE FOR RECORDER'S USE ONLY Ej/
E
DAT E M6 CD�
Sine XJ0J4(,4, -k - j ", W CY3 F3
Beforemethis -W—day"of in the a:coo
-.2
Count(? ate oZ Go
stA
�Ogas personally appeared
herein by
OR BK i 6923 page 1 i 06, himself!herself and affirms that all statements and declarations herein
>1
Doc#20i 4�2_i 7375, are true and accurate ME ILU .
Number Pages:1 12:23 PM, M
Recorded o9i25/2014 at
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 Notary PuMcat Large,state of r1L.- countyof
My commission expires:
or
Personally Knoem
Produced Identification EL f
1_�il City of Atlantic Bea -h APPLICATION NUMBER
Building Departme (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32.,33-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed: C) -3
-site: http://vvww�,oab.us
City web
APPLICATION REVIEW AND TRACKING FORM
I [p 118 V2
Property Address: D�pent review required Yes No
Building ') V_
Applicant: cori -PMrntrmr&zoning
"I Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL t "'DRESS k010&
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: 14pproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:_/0_2-_1 Y
TREE ADMIN. ff
Second Revir-,w: FlApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review FlApproved as revised. F-]Denied.
Comments:
Reviewed by: Date:
REVISED 09252014