1907 OAK CIR - SIDING �' ,. ` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'7401119'f. INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0071
Description: fiber cement siding over existing siding
Estimated Value: 15500
Issue Date: 2/23/2018
Expiration Date: 8/22/2018
PROPERTY ADDRESS:
Address: 1907 OAK CIR
RE Number: 172020 1246
PROPERTY OWNER:
Name: FENNEL PETER
Address: 1907 OAK CIR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SIDING INDUSTRIES OF N FL
Address: P 0 BOX 840292 QA JOHN JOSEPH KELLEHER III
ST.AUGUSTINE, FL 32080
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
01.a,��r City of Atlantic Beach APPLICATION NUMBER
43 ., Building Department (To be assigned by the Building Department.)
„$` 800 Seminole Road n �S ��
-r Atlantic Beach, Florida 32233-5445 t`
1-1
Phone(904)247-5826 • Fax(904)247-5845 t t t I U
:Pipit !� E-mail: building-dept@coab.us Date routed: l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t tl ti_ O t2 k ct 4 LA Q De artmInt review required Yew No
_ c Building
4.1n\ -
Applicant: SA *Y 1 QS v` N �!r�- + Planning &Zoning
�� �n Tree Administrator
Project: V i CQ c L-n4 S`G�c(1 J Why 0-�L�j 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: roved. ❑Denied. . ['Not applicable
(Circle one.) Comments:
BUILDINI.
PLANNING &ZONING Y
Reviewed by: r,/ Date:2! 2Z 2a
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
7. tr`• Building Permit Application Updated 12/8/17
. > City of Atlantic Beach FEB 6 201
us 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
I Cf( 7 a AJC C r � l� CZ- -StI— 009-1
Job Address: Permit Number:
Legal Description=3(o-to g c W-ZS -2_94.7" ,5e/✓4- /$7 ti-e--v to" 12,-v/r/2-A R 6 1 17
Valuation of Work(Replacement Cost)P1 S, SOO Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition teratRepair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Lii -gsidentis
• If an existiig structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: b /- / s•Lei O"€
1A..S t 1 r'\-Teis,, L o„cr- "r-c---e_, (sr7w-p s/c1,;u7
Florida Product Approval# 13 J' 2 , 2_. for multiple products use product approval form
Property Owner Information
Name: e--T- r'r-e -k A-6 el-Te.. C�-t-e".,Ave L Address: C 7 ca9 1< e rale
City MI Ani-r/e (3c AC t- State ISL Zip •3 2 2 3 3 Phone 90'/-.5-?/- e"?1,54
E-Mail e----peI" Fe1N,.►cL1�F e /'or tic r..r/ . cc,—t
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Com any: Sro%,vrr ,t/d vSTY's Qualifying Agent: 3kni WeI (c ker.-
Address /-3,0 3. S 4-a 2 Z City S� et-4-V ,....State 1::1_ Zip 24.,Office Phone 416 , / 4< 79 23 Job Site/Contact Number 9O hi 8/4i 79 2-3
State Certification/Registration#CrC 13 2..7 9 34-f E-Mail ., -diet,F �Nc/'4" ikSe �'�„wcoil,, N el
Architect Name&Phone#
Engineer's Name& Phone#
Workers Compensaion E$i * IDT U3//y
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 thisurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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 YO R NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn :o(or affirmed)before me this 11±f day of Signed and sworn to •r affirmed •-fore me this (1O day of
Fr A ,7-z)1 P ,by PE'T'S Ff w n.l— L-- —si .w• �a►s .�; i z'ose ,h t IL e hQ-(
4-!';`, .',.,,...,o(/ 1
1(11/4-4 '/}A .�/../��/�. MY COMMISSION# 04214 Il\
7EXPIRES:Oct.t•
(Signa ure of Notary) ,,' a'' Bonded Thru Notary Public,fS e !Pr-IPe 0.""Ia• ry)
[ersonally Known OR �t"'i~''••, KIMBERLY A.MOTT
•• �: Personally Known OR
[ )Produced Identification t*r '•' :*i Commission Al FF 083288 [ Produced Identification
Type of Identificatior: 1,'1e,:'';= Expires February 27,2018 T •e of Identification: FC-- O r•'4-1�S 1 t
L CC r1.
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OFFICE COPY
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. RES 1tss-007/ Tax Folio No.
State of 7lere t c f A County of ti`F#L
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: 367 07.-7-c
v vin q f`► y)A c3/u r`r t 2 — A (--o Tr 7
Address of property being improved:. I �J Q '7 Q eiTK c1
/9.71 ,A-1 e' k. 3 2-2- 3 3
•
General description of improvements: i {�.e.{ C e. \te r t'r 6 i at.,iv?
Owner---Pe/ r L £ 4 ,r*. ,r�v,rA;4?
Address / d 7`r/< e i%'C/{ /i ///FJ�+/'71C �SC7�C{t P1-- 3 22 3
0 net's interest in site Of the improvement ,/!7/ "Pk e r-�+ �';Lt/ ,G e
Fere Simple Titleholder(if other than owner) f/_
N,s+ne
Address
Contractor r\.) }<,e t t E rev e✓' :fir iV �cJCirU�i!/ r t ruar t�a
-Z, Address It /30 oC.eY'C'2.9 Z.7
Phone No. ci • 'r/Lier-7?2.3 Fax No.
Stretytifany)
Address Amount of bond$
Phone 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
Phone No. Fax No.
Int ddition to himself,owner designates the following person to receive a copy of the Llenor's Notice as provided in
Sexton 713.06(2)(h).Florida Statutes.(Fit in at Owner's option).
Nat tie
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
different date is specified):
TRIS SPACE FOR RECORDER'S USE ONLY ( • R
Signed: t DATE
Before me s 1 dal of ^ tailliMEW -, •. in the
Co zy'L�•ukai,S ere ptP r�da.has pe r-,ralty appeared
{ui l- N fe Lv 7/ t bereln by
Doc#2018038443,OR 'insefi Arse and ai ams Thai all statements and declarations herein
Number Pa BK 18286 Page 1695, era true and acc_r
Pages:1 ,g .... KIMBERLY A.MOTT
Recorded 02/16/2018 10:45 AM, '8 _
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL f,4 r�� � Ctxnmrssiort#FF 083288
COUNTY qff= Expires February 27,2018
RECORDING
$10.00 j notary Public at La' tr"i 7 " "ao ra
j tuft'cziamission expir
Personally Known or
Produced identification
i . 14,