251 NAUTICAL BLVD S - SIDING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
on INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0216
Description: replace rotten siding
Estimated Value: 600
Issue Date: 11/7/2017
Expiration Date: 5/6/2018
PROPERTY ADDRESS:
Address: 251 S NAUTICAL BLVD
RE Number: 170703 0376
PROPERTY OWNER:
Name: JURGENS CONRAD
Address: 251 NAUTICAL BLVD S
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RJ VINAS CONSTRUCTION
Address: 2215 LAUGHING GULL CIR QA RICHARD JAMES VINAS
ATLANTIC BEACH, FL 32233
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.
001% City of Atlantic Beach APPLICATION NUMBER -
r ?3 Building Department (To be assigned by the Building Department.)
jS1
800 Seminole Road. 1
gNc Atlantic Beach, Florda 32233-5445 12tSl I —01 b
9CityPhone(904)247-5826 • Fax(904)247-5845 1
E-mail: building-dept@coab.us Date routed: l0 la3 1 19–
City
web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: GNS S • NCIikti(5t,` t4a . ment review required Ye No
�Buildirig�,
Applicant: (La U l RC\ WAS\ .L Planning 'ming
Tree Administrator
Project: (I-AMC I i/ St (1(/j Public Works
�l Public Utilities
Public Safety
Fire Services
Review#ee $- T Dept Signature 1
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: Fqpproved. ['Denied. ❑Not applicable
(Circle one.) Comments:
�BUI�LDIN � ,
PLANNING &ZONING Reviewed by: m Date: LG'd 717
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPY iciV r �� -r_,,-t_: ,.\-,-„--i-- ---r---,_,i.
i f ,�� -- v. , i
Building Permit Application l;"tF; 1ji
1
to ,0 4 € i 1= , ECity of Atlantic Beach r, i OCT 2 0 2017 �
>;;W'':- 800 Seminole Road,Atlantic Beach, FL 32233
.� Phone: (904)247-5826 Fax:(904)247-5845 1
( ( ] n LC --------1
Job Address: Z5i f�A (AM ' 1 V� 5 Permit Number: . L—e—S11- alio
Legal Description 1^6t $ a.c 1- ;_� SD r j RE# 1' ' ) 70 5 '"03 7 5
Valuation of Work(Replacement Cost)$ 60 ? Heated/Cooled SF 16 b cf Non-Heated/Cooled
• Class of Work(Circle one): New Addition AlterationRepair ov- _alt. 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 typ of work to be performed: ��v,,�z L s=5�
(gyp 4`,,r rr) ,$:A,:'s- 6.--c,to(t •.r t Zoo S]�
Florida Product Approval# 0 .) ; . l for multiple products use product approval form
Property Owner Information 1,ZZ 3 - I ( /� r
Name. LCr71, co,j `,�(�( L'yy Address: -2_.c.,---i p�(yL ,��t' L die
City i-r- ��h<2 ter, k5E'�A Stat PL.- Zip 3223, Phone d
E-Mail . Vz "'AGA--(a Qpryyt(► , . /Y2,214,-
Owner
Y2,2 ,-
Owner or g
t(If Ant,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: PT" vg.c't1 (.24.s 4vc,.—4.- Quali iqg Agent: - I c,b•Cud Laitovf
Address?�ZtS viii Jr e 1( Cir�k.e_ City /ri4AI-7c 2f,cC\ State F-1., Zip —37,2.:57
Office Phone 4'csc.( --5 ``t `f`F 4 r/ Job Site/Contact Number ,
State Certification/Registration# Lf L t 1 ,g a E-Mail ( < c1,1-1,1, V Inc..' 2 5 -•L c i (.cS12„
Architect Name&Phone# -
Engineer's Name&Phone# t�:t
Workers Compensation C,--P vi,-in I /01.,
Exempt/Insurer/Lease Employxpiration 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 GB IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC RD G Y d1R NOTICE OF COMMENCEMENT.
„At
/Z------' /0-----, - /'^c-
(Signature of Owner or Agent including Contractor) (Signat - . Contractor)
Signed and sworn to(or affirmed)beforea this ay of Signed and sworn to(or affi ed)before me this a°day of
OC. dAlW „la l-4 ,by . a. Ma ( d_ A O(jtbil(,aOI'r ,by tC(. GLa . JEn- S
NIFER JOHNSTON i 0' at<4• i•, JENNIFER JOHNSTON
I'�R�y.P�'�- .
;:� MY COMMISSION U GG 042984 �� °. MY COMMISSION#GG 042984
'cNS• 11�� Q'- EXPIRES:October 27,2020 < �: I41 c= EXPIRES:October 27,2020
'••',;FOF•••34 Bonded Thru Notary Public Underwriters '�o,..s.,0„..• Bonded Thru Notary Public Underwriters
[ ]Personally Known OR . -- •Wally Known OR
[ Produced Identification [Produced Identificati �11 /� ,.c `'c /n��__``nn
Type of Identification: CtAri,41L S Li LIANA ii- Type of Identification: a(i u t4 s `�LCA'