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369 PLAZA - DEMO & EXTERIOR REPAIR w/ C.C. (--- �_' CERTIFICATE OF COMPLETION y- 11 r Issue Date: 08/31/2017 RE Number: 170014-0000 Address: 369 PLAZA Zoning: RS-2 Owner: DENT JAMES G Contractor: Universal Design Solutions 2375 St. Johns Bluff Road South Suite 306 Jacksonville, FL 32246 Permit Number: RESO17-0015 Description of new siding, new deck, & interior remodel Work: Approved: D4k--- ....Vera.k Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL r,,,,.,,,, .... ,-, s CITY OF ATLANTIC BEACH ' ,�:_- N� 800 SEMINOLE ROAD olv ATLANTIC BEACH, FL 32233 3 INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESO17-0015 Description: new siding, new deck, & interior remodel Estimated Value: 16000 Issue Date: 7/11/2017 Expiration Date: 1/7/2018 PROPERTY ADDRESS: Address: 369 PLAZA RE Number: 170014 0000 PROPERTY OWNER: Name: DENT JAMES G Address: 186 ROSCOE BLVD N PONTE VEDRA BEACH, FL 32082-3208 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Universal Design Solutions Address: 2375 St. Johns Bluff Road South Suite 306 Jacksonville, FL 32246 Phone: PERMIT INFORMATION: Please see attached conditions of approval. 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 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. LEin,BuildingPermit Application I - P-A-a1...) City of Atlantic BeachMAY 3 1 f 800 Seminole Road,Atlantic Beach, FL 32233 ;I I 2017' '`' ' Phone: (904)247-5826 Fax: (904)247-5845 i L_/ Job Address: 369 PLAZA ATLANTIC BEACH, FL 32233 Permit Number: 2e-SO /7 Od/S '. Legal Description L32 B11 PLAT NO 1 SD A ATLANTIC BEACH RE# 170014-0000 Valuation of Work(Replacement Cost)$ 16, 0 0 0 . 0 0 Heated/Cooled SF 2 5 5 7 Non-Heated/Cooled 418 • Class of Work(Circle one): New Addition ieratior Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial (iesidentiaJ • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No) N/A • Submit a Tree Removal Permit Application if any trees are to be removed 1 avit of No Tree Remov Describe in detail the type of work to be performed: DEMO & REPLACE FRONT ROOF w/ 2X DECK. FRAME IN EXISTING WINDOW FOR AN EXTERIOR DOOR. INSTALL NEW HARDI LAP SIDING. DEMO INTERIOR WALL IN REAR LEFT SECTOR OF THE HOUSE AND FRAME IN NEW EXTERIOR WALL. DRYWALL AND INTERIOR FINISHES. REPLACE KITCHEN CABINETS AND COUNTERS Florida Product Approval# SEE ATTACHED for multiple products use product approval form Property Owner Information Name: CHRISTIAN W WHIP AND KELLIE S WIP Address: 369 PLAZA City ATLANTIC BEACH State FL Zip 3 2 2 2 3 Phone 760-522-511 9 E-Mail 1,4 (r ye.nee Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) CHRISTIAN W WH -P AND KFT.LJP S WIP Contractor Information Name of Company: UDS, INC (DBA UNIVERSAL DESIGN SOLUTIONs)Qualifying Agent: Vince Pessolano - President Address 2375 ST JOHNS BLUFF RD S #306 City JACKSONVILLE State FL Zip 32246 Office Phone 904-721-2225 Job Site/Contact Number 904-347-1649 State Certification/Registration it CGC1520576 E-Mail CUSTOMERSERVICE@UNIVERSALDESIGNSOLUTIONS.COM Architect Name&Phone# Engineer's Name&Phone# Workers Compensation AMERICAN BUILDERS INSURANCE COMPANY / Exp 11-18-2 017 Exempt/Insurer/Lease Employees/Expiration Date 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 regulationg 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. 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 PROPE' s . IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO> ' : %RE RECORDIN4?r. °TICE OF COMMENCEMENT. _ ir (Signature of Owner or Agn'including Contr. org, 7 ‘wma 1:110117i re of Contr.ctor) - ore . Sigsworn to(or affirmed) . .ay of Signedsworn to(or affirmed)before me this 3 ed a d ( day of � q2o1') ,by14 . /' y and , 3Ot ,by risCARL „.. . ;•r,-..s. . , - ': r�NCENT �� JENN�ERJOHNSTON - .': MV COMMtSStON#i 4 ' ,�, MYCOMMISSION#�GG0429!!4 EXPIRES July 06.201p =w_fir,;; EXPIRES:Ocwber2J.2020, p,r tc!',� Bonded T ru Notary Public Underwrites [ ]Personally Known OR [ ]Personally Known OR ds1 Produced Identification //11 [n]Produced Identification Type of Identification: �_Cik.K 4- 1 • Type of Identification: d l M S It tense, Doc # 2017046372, OR BK 17892 Page 201 , Number Pages: 2, Recorded 02/27/2017 at 04 :18 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18 .50 DEED DOC ST $4725.00 OFFICE COPY ggpared by and return to; Rachel Woodward Ponte Vedra Title,LLC 50 AlA North,Suite 108 Ponte Vedra Beach,FL 32082 File Number: PVT170059 (Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 23rd day of February, 2017, between Nancy M. Osborne and James Gregory Dent, wife and husband whose post office address is 186 N. Roscoe Blvd, Ponte Vedra Beach, FL 32082, grantor, and Christian W. Wip and Kellee S. Wip, husband and wife whose post office address is 369 Plaza, Atlantic Beach, FL 32233,grantee: (Whenever used herein the terms"grantor" and "grantee" include all the parties to this instrument and the heirs,legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate,lying and being in Duval County,Florida,to-wit: Lot 32,Block 11,Plat No. 1 Subdivision "A" Atlantic Beach,according to the map or plat thereof,as recorded in Plat Book 5,Pages)69,of the Public Records of Duval County,Florida. Parcel Identification Number: 1700140000 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. SUBJECT TO covenants,conditions,restrictions,easements of record and taxes for the current year. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except as specified herein. Warranty Deed•Page 1 OR BK 17892 PAGE 202 OFFICE COPY In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. TWO DIFFERENT WITNESSES HAVE SIGNED BELOW(THE NOTARY MAY BE ONE OF THE WITNESSES)AND NEITHER WITNESS NOR THE NOTARY IS RELATED TO THE GRANTOR OR HAS A BENEFICIAL INTEREST IN THE SALE OF THE PROPERTY DESCRIBED IN THIS WARRANTY DEED. Signed,sealed and delivered in our presence: Witness 1 Signature Serena N. Keys /r , Witness 1 Printed Name Nancy M.Pshorne Ctejk • Wit ess 2 S g ature � Gregory nt Jolyn Clark Witness 2 Printed Name State of F to rola County of S� . To 1, The foregoing instrument was acknowledged before me this 2 3 day of Fe b.-y ,2012 by Nancy M.Osborne and James Gregory Dent,wife and husband,they(_)is personally known to me or(_)has produced 141;01 -i-r) as identification. 4-- 4 i:: EYS SERENA N K Notary Public Serena N. Keys r . : MY COMMISSION 4 GG0246791 Printed Name: ,r EXPIRES August 25.2020 My Commission Expires: '25'-2O2D Warrmmry Deed-Page 2 Doc # 2017126983, OR BK 18001 Page 123, Number Pages: 1, Recorded 05/31/2017 at 03:26 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Pet .Ir f- 4:1– Re-Sv /7 — 00/5 NOTICE OF COMMENCEMENT OFFICE COPY State of FLORIDA Tax Folio No. County of DUVAL To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: L32 131 I PLAT NO I SD A ATLANTIC BEACH Address of property being improved: 369 PLAZA ATLANTIC BEACH FL 32233 ___ General description of improvements: ALTERATION AND REPAIR TO INCLUDE ENCLOSING REAR PORCH UNDER EXISITNG ROOF AND KITCHEN REMODEL Owner: CHRISTIAN W WIP Address:_369 PLAZA ATLANTIC BEACH FL.32233 Owner's interest in site of the improvement: OWNER Fee Simple Titleholder(if other than owner): Name: Contractor: UDS,INC (dba UNIVERSAL DESIGN SOLUTIONS)___ Address: 2375 ST.JOHNS BLUFF RD SOUTH#306 JACKSONVILLE,FL 32246 Telephone No.:_904-72l-2225 Fax No: 877-430-2291 Surety(i f any) Address: Amount of Bond$ Telephone No: Fax No: _ Name and address of any person making a loan for the construction of the improvements Name: 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: Address: Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER t ` Signed: A, 4 '. Date: 3 z t/ i'7 LORI Before me this day L in the County o Duval,State Of Florida,has pe. nal y appeared 741111, Notary Public at Large.State of Florida, ounty of Duval. My commission expires: Personally Known: e 'v>NCEM CARL PESSOLllNp jr Produced Identification: CnCli-c).vtit- '~ C EXPIRES 00.201# (407)391.0153 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department) rrJ� i— 800 Seminole Road f- p 65019- C5U ` - Co LS- Atlantic . .� Beach, Florida 32233-5445 f— \j Phone(904)247-5826 • Fax(904)247-5845 ‘.."-',:,?);,‘.."-',:,?);,;9>- I ' ;;;�>- E-mail: building-dept@coab.us Date routed: 0 b D I I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 toct_- Department review required Yes No Buil Applicant: k,(1tJL{SCU tlq(\ S))k.-k;DAS tanning &tonin ' r �v1 Tree Administrator Project: M,LA & toh.-1-1 ��n j ( ( Public Works Public Utilities n kLMo(3-L( Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: ❑Approved. I 'enied. . ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: M d Date: 4 (oe Ct1 TREE ADMIN. Second Review: IFIApproved as revised. ❑Denied. . Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: 07-11-1 FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 r•s�`\'\f'✓v� i C r II W ` CITY OF ATLANTIC BEACH I r Ali ci est 800 Seminole Road 1 ' �� JUN 1 Q 2017 t I Atlantic Beach, Florida 32233 �, Telephone(904)247-5800 V/4!., . - -:---- ."•" I r FAX (904)247-5845 \J331��' \. REVISION REQUEST SHEET OR CORRECTIONS T 0.' 7 ' IEW CO 14 :- ' (73 6 1 l Dater""*/4 —1 1 Received by _.10' Resubmitted: Permit Number: R— ''0.0 — Original Plans Exa ' er: c Project Name: Project Addr ss: let P A20. Contractor: /lj • .: . _..e• _ ••,,. Contact Name: ILi1l�C Contact Phone : v T/�� :_e ____ Contact e-mai1eV5 D/N8052LJt e,GeOrt iJE bAMCCS2/9 Of Revision/Plan eck/Permit Fee (s) Due: $ -50 0 U Solt, 7o,� • er»., Description of Proposed Revision to Existin. Permit:Piie ��,p 5 .,. ,P- ot - ~�`-\ ',cgs tfezrieri.1 -(_.A1ig3 S.�llN-tt r •• Uat, Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W/ U Approval: By signing below. I (print name affirm that the above revision is inclusive of the prop•:•• change Signature o Contrac ----- tor" (contractor must sign if increase in valuation) Date ' Office Use Only Date: Approved: v/ Rejected: N/A to Dept: Plan Review Comments: Department review required Yes No Planning &Zoning Tree Administrator Plans Examiner Public Works -1 ( c � ( t -\ Public Utilities Public Safety , Date Created 5!13/17 Rev.4 Fire Services RF.SO I l "Dt91.S 2x4 SYP#2 CAP RAIL. FASTEN TO 4x4 POST w/6— 12d NAILS 2X6 P.T. RAIL FASTEN TO POST WITH 5-16d —_I TOENAI_S 4x4 GUARD RAIL POST AT 6'-0" I O.C. MAX NOTCHED 1Y2". FASTEN 2x2 P.T. S!P2 TO EXISTING BEAM w/ 3—Y"ox5" VETICALS © 5Y"O.C. S.S. LAG SCREWS (4" CLEAR MAX.) MX •ECK 01ST 5 PER PLAN • ItttiIE EF., Ili it Il�liit ii. 1—DTT2Z w/ '/2" BEAM PER THRU BOLT ADJACENT PLAN TO GUARD RAIL POST CT) GUARDRAIL POST DETAIL 0,(1, ClF CIOI0), PROILCI 369 PLAZA RD Lou Pontigo and LBUILDER Associates , Inc . UNIVERSAL DESIGN SOLUTION 420 Osceola Avenue A lax.Beach.Florida 32250 IOB NO. SHT.NO. LI N IV-17-00526 Ph.242-0908 Fax.241-9557 .�. ___ „: .._ FL:CA#8344 SC:CA#3579 DAL 06.13.17 K „- co co D 0 Cr D m [7 C (D v, N I-, l0 CO V Q, Ln A W N 1� Gl l/i A W NJ F-` K O co = N r--' O K -v v > 7 0 n = Cr). 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C • 0 (D o- w (D tip -s 1. a) v Co n rr • (D r n+ i , V Cr' C ✓ , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 (904) 247-5800 BUILDING DEPARTMENT REVIEW COMMENTS Date: 6.8.2017 Permit#: RESO17-0015 Site 2375 St.Johns Bluff Rd. S. #306, Site Address: 369 Plaza, AB Address JAX Review: 1 RE#: 170014-0000 Phone: 904.721.2225; 904.347.1649 Email: customerserivice(u universaldesignso Applica Universal Design Solutions, inc. lutions.com nt: Home Christian W. & Kellee S. Wip; owner: 904.522.5119 CORRECTION COMMENTS: These comments are from 1 of 2 departments that are reviewing this application. 1. On the permit application, under Florida Product Approval #, you typed in SEE ATTACHED. There was no product approval forms submitted with the permit application. Please submit 2 completed copies. Looks like the department needs FL#s for all deck water proofing and Hardi Lap siding. 2. Submit details of the guardrails system for deck above porch. Materials, height, attachment to deck, spindle spacing, etc. Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax (904) 247-5845 Etna tie 0/ KEINE C.Crr)Wie ) 11-17 /'N a/ 1 City of Atlantic Beach APPLICATION NUMBER al '; ' Building Department (To be assigned by the Building Department.) 800 SeminoleRoad ,/ ?-& Jo r oOAtlantic each, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 on E-mail: building-dept@coab.us Date routed: 0 b 'V I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 tact �.�Gt Department review required Yes No riTrin ,l�` Applicant: . iM{\ 5Dk�� S anning &Zornn r `) Treecdminis rator Project: Q t,J t.ijLt ��� Sl AAA ( c4 Public Works � •J Public Utilities .kt ' 1 t Q-01061-( Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: DApproved. Denied. . ['Not applicable (Circle one.) Comments: I�r 'V-e edS �r-r�,r e 1 BUILDING SSV e/ PLANNING &ZONING / Cb 7 U//7 Reviewed by: //i i Date. TREE ADMIN. Second Review: A roved as revised. Approved ['Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed bar Date:. t e((? FIRE SERVICES Third Review: approved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 MAP SHOWING BOUNDARY SURVEY OF I,`1 , 0E:0.,s; 11, 1'I AI NO I, 11.1H0146 ION 'A ATLANTIC BEACH, AS RECORDED rI AI ETC .. 1'N VI, t:l THC CURRENT PUBLIC RLCOROS 01 DUVAL COUNTY, FLOR:'_lA CERTIFIED TO: GREG PENT & NANCY OS£TORNE WACHOYIA EJORTGAGE, 158, )SAGA, ATi1AA PON1C YECRA 11TL[, LLC IIRST AMERICAN TITLE INSURANCE COMPANY LOT ? 1111 3.5 LOT 31 BLQCK 11 1;1 OCK. TI ©LOCK 1 50.00' �' 1 N 83'55'21" E t49.95 (MEASURED) ^ ' S i1"i- . - I.UT ;S�j�-�, LOCK{11- r 1 .��-A..N �i'Nt-1Lx"�1.� OK $TlX?Y Lrw fRAA1£ «T C,N1A(:£ 'i- rce:I.. _�.•- -r 1 I. it i'AI•Tuaca(r3..T{' I '1-r1 (i rciCA!)_r • a. p 1a.Y 21 Y—v cl" 1r `23. y (DJ aW b � s "-F a W t. en PtiCI Is �v a_ ' = r �I" n rn Tom' . 7. O I L S i. tIi \\I r onkel, I.-�I...1 2`\ZVAK RC ...'LLQ i. LOT 30 I Co .5d • $_` 'i�rnENCP o__ !TI OCK 11 vwnob 1a s' BLOCK 11 • a :�6 �1n v001. n W aEWn•LENT LI i ea 1.0 O• '! .� P O ops _(aif i P P_ . A1t:TAif4AI( TWO STORY ZS Q 4. p • • 0 • . FRAME (2)*/c . to Z(''al POSTED #369 • I 11 ky w.�' a s l tC a s' coeNro { to • '0: _ I // , � e ,SSfiao'(041.411, 1 „ ;O o aao.ae' ryFwwa[n) 11 t — --------- + t 4a.Cr-0,9PET(3.11:1•41.01 a_... LEGEND: S 83'54'04" W 50.02' (MEASURED) tv. - ltri(6YR 00.00 (RIM) . I'ENCt 511 4t 1014.14 47 ' rr 1 441*(E0 P71.0146•.41 (// OM PLAZA DRIVE NO A11.014I(14:40•4tN114:40Gi IU/d.F:S$(YIN4;N•r's1.NOITDI (10(FIAJA AY PIAT) •. 4'44'CONC.:it"(NtAN NI ATI: . 1.44 Ci.t'1yyg*, —'-- Ray Thompson .- _ ""`r SURVEYING, Inc. — .. ,_ 1(oinq*In OIS rANCE For'foul .4.- ad13PhMIpOHighway,Sult4T210 PONTE VEDR TITLE, L.L.C. Jackumvllkt,flotilla 32207 - (Num.')304-448-512:, F (rax) 904.4-8-5178 . III N 1'1,•11 , ITR v'tl' .---- (1.114.44 I 1',KU' .et.�,�. 4 N4 v( e. •a I'sAL Axe NA M 0 tw TN[ hS:r�1!tt�T.L D1 44 Of .. Aro 444 ' 1 a, .a+I .1 1 :•, A4 f$X. 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A• -n ♦ ..I 'I;.)lil ,A h; ,,,,, .h.1 J. ." .IA AO ' ► Building Permit Application f ) 1 © illVE A � D City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 MAY 3 1 2017 Phone: (904)247-5826 Fax: (904)247-5845 1- Job Address: 369 PLAZA ATLANTIC BEACH, FL 32233 Permit Number:= —___ Legal Description L32 B11 PLAT NO 1 SD A ATLANTIC BEACH RE# 170014-0000 Valuation of Work(Replacement Cost)$ 16, 0 0 0 . 0 0 Heated/Cooled SF 2 5 5 7 Non-Heated/Cooled 418 • Class of Work(Circle one): New Addition O(teratior) Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes CD N/A • Submit a Tree Removal Permit Application if any trees are to be removed (davit of No Tree Remov Describe in detail the type of work to be performed: DEMO & REPLACE FRONT ROOF w/ 2X DECK. FRAME IN EXISTING WINDOW FOR AN EXTERIOR DOOR. INSTALL NEW HARDI LAP SIDING. DEMO INTERIOR WALL IN REAR LEFT SECTOR OF THE HOUSE AND FRAME IN NEW EXTERIOR WALL. DRYWALL AND INTERIOR FINISHES. REPLACE KITCHEN CABINETS AND COUNTERS Florida Product Approval# SEE ATTACHED for multiple products use product approval Property Owner Information Name: CHRISTIAN W WHIP AND KELLIE S WIP Address: 369 PLAZA City ATLANTIC BEACH State FL Zip 32223 Phone 760-522-5119 E-Mail 1.4 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) CHRISTIAN W P AND KF i1 S WIP Contractor Information Name of Company: UDS, INC (DSA UNIVERSAL DESIGN SOLUTIONS) Agent Vince Pessolano - President Address 2375 ST JOHNS BLUFF RD S #306 City JACKSONVILLE State FL Zip 32246 Office Phone 904-721-2225 Job Site/Contact Number 904-347-1649 State Certification/Registration# CGC1520576 E-Mail CUS TOMERSERVI CE@UNI VERSALDES IGNSOLUT IONS.COM Architect Name& Phone# Engineer's Name&Phone# Workers Compensation AMERICAN BUILDERS INSURANCE COMPANY / Exp 11-18-2017 Exempt/Insurer/Lease Employees/Expiration Date 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 regulationg 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. 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 PROPE• r . IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO;."" : 4 RE RECORDIN c I • ()TICE OF COMMENCEMENT. Aglip ___,,,••72111h (Signature of Owner or Ag• 'including Contr. or / V�, ,.^ �re of Contr.ctor) Sig ed a d sworn to(or affirm ore . .�►.ay of Signed and sworn to(or affirmed)before me this•S ( day of • i/ ,by 1 _ tivi,yy .� '`= MY COMMIS$�p4WM:04 ;, JENNY ER JOHNSTON _ ' • ,•, MY COMMISSION#GG 042984 fooi jyg D, GREs Y 08.2019 ...."„,,,,....p,7 ' ' EXPIRES:October 27,2020 S�; .: [ I Personally Known OR •,,oFr''• Bonded Thn,Notary Public Underwriten [ ]Personally Known OR Amts. eta Produced Identificationn V Produced Identification Type of Identification: "tbk s4 4-' 1 . Type of Identification: a f.%J 141 S l i Ltri SQ_ TREE & VEGETATION AFFIDAVIT ;Itts< City of Atlantic Beach Department of Community Development J Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 010 (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION Owner(s) I— Legal Authorized Agent* NAME OF APPLICANT CHRISTIAN WIP NAME OF COMPANY UDS,Inc/Universal Design Solutions ADDRESS OF COMPANY 2375 St Johns Bluff Rd S,#306,Jacksonville,FL 32246 customerserviceeuniversaldesignsolutions.com PHONE (9 0 4) 721-2225 CELL EMAIL CONTRACTOR CERTIFICATION NUMBER CGC1520576 ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 369 PLAZA,ATLANTIC BEACH,FL 32233 If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION 5-69 16-2S-29E LOT 32 BLOCK 11 SUBDIVISION 03101 ATLANTIC BEACH REAL ESTATE NUMBER 170014-0000 LOT OR PARCEL SIZE: 6660 SQ FT AC RESIDENTIAL X COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the abov•-d• - •.• or•• •.ent properties in conjunction with this project. IP SIGNATU•E NvoR SIGNATURE OF OWNER Signed and sworn before me on thi C/k'day of ,,,„4/A , ,by State of / 'hailI „Q-e S W I County of I Identification verified: ( , —�\ Oath sworn Yes E No _ - • _ '- %' ..7.1 4RICQNT CMI PU QL iSO iI y '.• • _ �: .• V C(iA4MI $I64 Notary Signature ----.,•••••7:; EXPIRES Ahty 06.2019 REV-TVA-v10.12 My Commission expires: (. ZONING REVIEW COMMENTS �1City of Atlantic Beach Community Development Department '11_ 800 Seminole Road Atlantic Beach, Florida 32233-5445 Date: 6/12/2017 Permit: RESO17-0015 Applicant: Review: ZONING Address: , Site Address: 369 PLAZA Phone: RE#: 170014 0000 Email: Correction Comments 1. Section 24-67 requires a certified survey for all new construction. Please submit a certified survey showing all existing and proposed structures. Informational Comments Brian Broedell Planner