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81 BEACH AVE - REMODEL 'ryi"�'`��ri, ,, , ', CITY OF ATLANTIC BEACH ``. "� 0 800 SEMINOLE ROAD 1.4 ~ ATLANTIC BEACH, FL 32233 '.-011 9 INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0228 Description: replace windows, remodel kitchen, bathroom, repair shingles Estimated Value: 90000 Issue Date: 12/8/2017 Expiration Date: 6/6/2018 PROPERTY ADDRESS: Address: 81 BEACH AVE RE Number: 170221 0010 PROPERTY OWNER: Name: SKINNER ARTHUR CHESTER III TRUST ET AL Address: 2963 DUPONT AV#2 JACKSONVILLE, FL 32217-2740 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: D.E. RICHARDSON CONSTRUCTION, Address: 7031 SALAMANCA AVE QA DAVID ERIC RICHARDSON JACKSONVILLE, FL 32217 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. ,,-.0..AN-rjr, City of Atlantic Beach APPLICATION NUMBER 4'iii`. ` � Building Department (To be assigned by the Building Department.) - 800 Seminole Road ��S '�_021-.)--3 -0 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 ',< art 9 E-mail: building-dept@coab.us Date routed: 10(rsS ( VI City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ANL• Department review required Yes No rr Building Applicant: P'G. CAVA((1_,S00 �1 'o0 �nSk ut.( b,r) Planning &Zoning Tree Administrator Project: Utak-t_ W L N( 6 ,.5 t cwt.:,( S\ll,n&(,SI _Public Works QOM°&Q k-C) n dr bert 11)0in 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: [Approved. [Denied. [Not applicable (Circle one.) Comments: /� ,O BUILDI "it. /U PLANNING &ZONING I Reviewed by: Date: 1 a TREE ADMIN. Second Review: [Approved as revised. ❑Denie . II 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 rx.n,rf, Building Permit ApplicationI m © I V 1 City of Atlantic Beach �__ 800 Seminole Road,Atlantic Beach, FL 32233 OCT 2 4 2011@ � '�� Phone: (904) 247-5826 Fax: (904)247-5845 Job Address: 61 13.E1\'4 AVGN 1E - A}itA,Ttc C - Permit/ Number: VeS 11 '0 .3-6"Legal Description I.07 *7 ,6GQe ...149...149I4r�1'1 e41 , (((�. F/ RE# Valuation of Work(Replacement Cost)$ '12 Heated/Cooled SF 1 •541 Non-Heated/Cooled ill • Class of Work(Circle one): New Addition\Alteration>Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial tResidential3 • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 1 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 performed: Rewdrx- -C o^V Erlvt(- Replace. lJ.)t•%.dows- b!eM) 14,k.Lti1,t atvtcl re wt>✓llt 31+44`Rcoo'. Reflate 511111es et v-s J wA S-413 r wi• Florida Product Approval# SEE A'r'r'Actt b 11.4.- t,&vb• .•f, for multiple products use product approval form Property Own- Information 5 ,j �/ 'v•' 44/,/eQ�1r{C!�®Csi' { Address: Z���r � ",�"�- Name: /,/- City i S�i‘/U/GCS- State / Zip .??� Phone c,'"-7Sc -91". ". E-Mail 7'%i e ms!/✓ - G✓, e- Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information n ( r Name of Company: D•Q., ZC��Jd0 ,4 I,540.14WI II/tL• Qualifying Agent:�2vrc( (t �_Ltv{ Address-1031 54(04.14.kaNtti 1AtK City 3acle-S +t V.E.- State Zip 3a I/^ • Office Phone 404- 113- o l 8a1 Job Site/Contact Number 1 .ACt 'R. t ,✓4 5d/ 444-SA(- 34 31 State Certification/Registration#CBC-OSS'-F.69 E-Mail GteicoA51-✓o.LktcA. tQ COwtats4 .1(1-d'. Architect Name&Phone# Wtlltam. lgt ld go 14,- 3'81- SFS( Engineer's Name&Phone# Workers Compensation Sot-T[-{ East E+Mploy e.e L-e65•••- -DEG- 3( s t- - 2—11 Exempt/Insurer/Lease Emplajees/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 O OMMENCEMENT. IP (Signature of Owner o .:ent including Contractor) (Signature , ••itor) Signed and sworn to(or a rm•• 1 efore me this day of Signed and swor to(or affirme• befor me thi day of D�. 0 b� .�... If C., . . .. .i,l 0 G-I- / i IN `-by ✓►v aZcl~.,..-A , 1;5-1,‘ ;r►,t, REBECCAL. G (Signature • •ry) I.ignature• Notary) '- is BECCAL.LAIN d: :•=Commission# F 99 18 1 ;_: •:;4;: • r-Expires June21,2020 ;;=Commission#FF �- ' :21;; ��-'::T Expires June 21,2020 :p� Bonded 7hru Troy Fain Insurance 800 385 7019 .„ .T.,r' Banded Toru troy Fain Insurance 800-315-7015 - • . , nown OR [ l .. ,.r [ I Produced Identification Produced Identificatiop Type of Identification: Type of Identification: r 1121'' 1 KRK SC, } OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: SK11414WAU 2r-' �"�E���/���--- Permit # RES/7-61 22r Project Address: 61 Bee.Gh, .. A k-` w c ed' rI or t c►t a- As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuilding.org. Category/Subcategory Manufacturer Product Description J Limitation of Use State# Local# A.EXTERIOR DOORS 1.Swinging MY{' b.1 los i:i GL otg1p 2.Sliding 3.Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1.Single hung 2.Horizontal slider 3.Casement MIU,0 ittreak T( (-me,I .1.0o1$ 4.Double hung 5.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action 12.Other Category/Subcategory Manufacturer Product Description ([.imitation of Use State# Local# C.PANEL WALL 1.Siding 2.Soffits 3.EIFS 4.Storefronts 5.Curtain walls 6.Wall louvers 7.Glass block 8.Membrane 9.Greenhouse 10.Synthetic stucco 11.Other D.ROOFING PRODUCTS qq 1.Asphalt shingles l.f�4.t4}rtd 30 Vol f2eir 6k 5.144.rid 2.Underlayments IA trk-etS ev, F - vfAmaixfas7 3.Roofing fasteners 4.Nonstructural metal roof 5.Built-up roofing 6.Modified bitumen 7.Single ply roofing 8.Roofing tiles 9.Roofing insulation 10.Waterproofing 11.Wood shingles/shakes 12.Roofing slate 13.Liquid applied roofing 14.Cement-adhesive coats 15.Roof tile adhesive 16.Spray applied polyurethane roof • ti 17.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E.SHUTTERS I.Accordion :e::m;anels ,r N 4.Colonial 5.Roll-up 6.Equipment 7.Other F.STRUCTURAL COMPONENTS 1.Wood connector/anchor 2.Truss plates 3.Engineered lumber 4.Railing 5. :: ::res 6.C v 7.Material 8.Insulation forms 9.Plastics 10.Deck-roof 11.Wall 12.Sheds 13.Other G.SKYLIGHTS 1.Skylight ti K_ 2.Other Category/Subcategory Manufacturer Product Description Limitation of Ise State# Local# H.NEW EXTERIOR / ENVELOPE PRODUCTS 12( 1. 2. In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge.I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. S;L—k (Contractor Name) (Print Name-3 •/t (Signa t Company Name: --b• _ -R,ldusick 5(A C � iLiiO4 `N''d MailingJ Address: `O3` S t �rvl CGt Auk city: Oi.c.1c-Sovwi`l.t. State:JCt Zip Code: 3 P2-17 Telephone Number:(4 0L 1 3/ D l 51 Fax Number:( ) 1U1 tt� Lt Cell Phone Number.604) - 3+3.' E-mail Address: C.•Q�'co•45 -l'K,G'fC(l©1/t - COQ C45\ , Yl•�T Mar 135-69 05:48p Joseph Shortal (904)-777-1523 -. - p.1 A Simpson Strong-Tie Florida Statewide Product Aproval Index 7-6-04 Products listed in alphabetical order I Page 7 Product Florida# Product Florida# LUSC210-2 FL474.293 MST48 FL1901.50 - LUSC2I4-2 FL474.294• MST60 FL1901.51 • LUSC24-2 FL474295 MS172 FL1901.52 LUSC26-2 FL474296 MSTA12 FL1901.53 LUSC28-2 FL474.297 MSTA15 FL1901.54 LUSC410 FL474.298 MSTA18 FL1901.55 LUSC414 FL474299 MSTA21 FL1901.56 LLISC44 FL474.300 MSTA24 FL1901.57 LUSC46 FL474.301 j MSTA30 FL1901.58 LUSC48 FL474.302 MSTA36 FL1901.59 MA4 FL474.303 MSTA9 FL1901.60 MA6 FL474.304 MSTAM24 FL1901.81 MA615 FL474.305 • MSTAM38 FL1901.62 MA823 FL474.306 i MSTC28 FL1901,63 MAS FL474.307 MSTC40 FL1901.64 MASB FL50324 MSTC48B3 FL1901.65 fv1B1--IA3.12/11.25 FL538.16 MSTC52 FL1901.66 MBHA3.12/9.25 FL538.17 MSTC66 FL19O1.67 MBHA3.56/11.25 F1_538.18 MSTC6683 FL1901.68 MBHA3.56/11.BB FL538.19 MSTC78 FL1901.69 MBHA3.56/14 FL538.20 MSTCM40 • FL1901.70 MBHA3.56116 FL538.21 MST126 FL1901.71 M8HA3.56/18 .F L538.22 M81136 FL1901.72 MBHA3.56/925 FL538.23 MST148 FL1901.73 MBHA5_50111.25 FL538.24 MSTI60 F1_1901.74 MBHA5.50/11.88 FL538.25 MST172 FLA 901.75 MBI-A5.5Q/14 FL538.26 MTS12 FL474.325 MBHA5.50/16 FL538.27 MTS16 FL474.326 MBHA5.50/18 FL538,28MTS18 FL474,327 it MBHA5.50/9.25 FL538 29MTS20 FL474.326 MEG5 FL1218.181 MTS246 FL1423.16 MEG7 FL1218.182 MTS28C FL1423.17 META12 FL1901.40 MTS30 FL474.329 META14 FL1901.41 MTS30C• FL1423.18 META16 FL1901.42 MTSM16 FL1423.19 META18 FL-Ig01.43 MTSM20 FL1423.20 ME A20 F1_4901.44 MTT28B FL503.25 META22 FL1901.45 NCA FL474.330 META24 FL1901.46 PA18 FL474.331 META40 FL1901.47 PA23 FL474.332 MGT FL1423.15 PA28 FL474.333 MtT FL474.308 PA35 FL474 334 MPAI32 FL474.309 PA51 FL474 335 MPAI44 FL474.310 PA68 FL474.336 MSC1.81 FL474.311 ! PAHD42 FL1218.183 MSC2 FL474.312 PAI18 FL474.337 MSC4 FL 474.313 PA123 FL474.338 MST27 FL1901.48 PAI28 FL474.339 MST37 FL 1901.49 PA135 FL474.340