405 Aquatic Dr - Siding & Soffit : .\v' + CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
OE rP INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0153
Description: VINYL SIDING AND SOFFIT
Estimated Value: 10200
Issue Date: 9/22/2017
Expiration Date: 3/21/2018
PROPERTY ADDRESS:
Address: 405 AQUATIC DR
RE Number: 171818 5280
PROPERTY OWNER:
Name: DOMINGO HENRY
Address: 405 AQUATIC DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ALL FLORIDA EXTERIORS INC
Address: 3815 N US 1 APT 62 JASON BRUCE HIDY
COCOA, FL 32926
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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
% 800 Seminole Road (� C ' _ /� C�
' Atlantic Beach, Florida 32233-5445 �� v
Phone(904)247-5826 • Fax(904)247-5845
.•:),,_,1,19Y- E-mail: building-dept@coab.us Date routed: /15 l7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 405 Q opt ( C D11flg Department review required Yes No
p Y
Applicant: AL-L Fl-0cC'..l n E-k �-�Ir-, P Manning &Zoning
Tree Administrator
Project: VINYL St O l 1•DC\ 1 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 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: <Dproved. ❑Denied. I 'Not applicable
(Circle one.) Comments:
BUILDING (�
P
PLANNING & ZONING Reviewed by: Date: c /2 /l 7
)
TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. I INot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. ['Denied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application
A•
OFFICE COPY4 City
of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
it 0- Phone: (904)247-5826 Fax:(904)247-5845
Job Address: 405 Aquatic Dr. Permit Number: IBES 17` 0 (63
Legal Description 38-71 17-2S-29E AQUATIC GARDENS LOT 22-D RE#
Valuation of Work(Replacement Cost)$ 10,200.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration 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 No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be perform-••
Vinyl Siding &Soffit
•
Florida Product Approval# L J sq 3.S )Q1 FL/3J - Ra. for multiple products use product approval form
Property Owner Informa '•n
Name: HENRY DOMINGO Address: 405 AQUATIC DR
City ATLANTIC BEACH State FL Zip 32234 Phone 904-616-4444
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: ALL FLORIDA EXTERIORS,INC Qualifying Agent: JASON HIDY
Address 3815 N US 1 STE 62 City COCOA State FL Zip 32926
Office Phone 321.639-2802 Job Site/Contact Number DAVID CRANE 321-795-8700
State Certification/Registration# CRC1328439 E-Mail altflondaextenors@live.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
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 PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
-AA tf. , i�%1 / C tJLO'vk •�.�l,,�,�
(Signa e of Owner or Agent includ' ontractor (Signature of Contractor) rV
Si nedt and sw. n to(or affirmed)before me�jthis day of Signed and sworn tow� (or affirmed)before me this 045` day of
U KS i by „' j 604//11 ✓✓ �+ , OBJ ,by 3AS a AI i,c/
ILL (aLtAtit
MONA L BELDOTTI J ;'c MY COMMISSIONGG046596
•
K
MY COMMISSION M GG046598 % ah, EXPIRES November 29,2020
'b' d EXPIRES November 2!,2020
[ ]Personally Kno 01i7;;;"' [ I Personally Known um
produced Identi' . . j Iss}.Produced Identification
Type of Identification: ____ Type of Identification:
NOTICE OF COMMENCEMENT
Permit No.e S /7 -0/S-3
Tax Folio No.
State of Florida,County of Duval n Z o
moo8g8
o C, o
THE UNDERSIGNED hereby give notice that the improvement will be made to certain realpropertyxi Z a m N
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. in accordance with Z -o
to O� J_
0 N95303
N cn
I. Description of property(legal description of property and address if available): P' n '
38-71 17-2S-29E AQUATIC GARDENS LOT 22-D 405 AQUATIC DR ATLANTIC BEACH,FL 32233 0 XI:t a
2. General Description of improvements: COa
Vinyl Siding&Soffit o w
xw x
3. Owner Information: 0-o
C N co
a)Name and Address: HENRY DOMINGO 405 AQUATIC DR ATLANTIC BEACH,FL 32233
c)-
O
b)Interest in property:
c)Name and address of simple titleholder(if other than owner): A
v o
4. Contractor Information: u,
D
kr-
a)Name and Address: ALL FLORIDA EXTERIORS, INC 3815 N US 1 STE 62 COCOA, FL 32926
n to b)Phone Number:(321639-2802
1? 1 }'' 5. Surety Information:
a)Name and Address: N/A
b)Phone Number:
OFFICE COPY
c)Amount of Bond:$
6. Lender Information:
a)Name and Address: N/A
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address: N/A
b)Phone Numbers of Designated Person:
8. In addition to himself/herself,Owner designates N/A of
copy of the Lienor's Notice as provided in Section 713.13 1 to receive a
( )(b},Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, 1 declare that 1 have read the foregoing notice of commencement and that the facts stated
there' e true to the best of my knowledge and belief.
bkita•Y‘Delqi _41
Sign ure of Own' or Owner's Authorized icer/Director/Partner/Manager Signatoryv Printed Name&T. e/Office
The fore oing instrument was acknowledged before me thisoW day of G4(,....4),)i"5-7-r— ,20/7
by Rt ��"_",:sr i
`� for s-ia
( me of Pe> ) `J (Type o Authority,i.e.Officer/Attorney) Name of Party Instrument was Executed for)
"'•' MONA L BELOOTTI
•
4
• MY COMMISSION#GG046598 N R PUBLLI DATE OF ORI A
(.-
'? ? EXPIRES November 29,2020 Print Name:
0 Personally Known
(Affix Notary Seal Above) -Identificatiofffype: ��
I
Revised 3/15/12