1026 big Pine Key- J �
CITY OF ATLANTIC BEACH
SS
1 ` - 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0051
Description: 4 WINDOWS
Estimated Value: 5179
Issue Date: 2/15/2018
Expiration Date: 8/14/2018
PROPERTY ADDRESS:
Address: 1026 BIG PINE KEY
RE Number: 172027 5060
PROPERTY OWNER:
Name: STEGALL KATHRYN STEECE GINN
Address: 1026 BIG PINE KY
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: THE I TOME DEPOT
Address: 9208 Florida Palm Drive Raquel Swanner, Boysie Ramdial
TAMPA, FL 33619
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 13E 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 57,500.
N'4L�ljyCity of Atlantic Beach APPLICATION NUMBER
JS Building Department (To be assigned by the Building Department.)
i 800 Seminole Road j t
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t C Z� U�.J to PSCJ� �. _Pepadniknt review required Yes INo
ildin
Applicant: oning
Tree Administrator
Project: I AD 0( a 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 B
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: MApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
CUILDI
PLANNING &ZONING Reviewed by: Dater -G 060
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 CdM,>��IUp�-a3,.UW
BUILDING PERMIT'APPLICATION
CTI'Y OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 —�O� i
Office(9044)247-5826 Fax(904)247-5845
Job Address: 1 Dto �d P t� {�e'f Permit Number:
Legal Description ( IST Il -:�2S `12q1 —Wt**. I*IwkgfParcel# 17c)0 77`-066
r, ooF r Area of—SFt. q.
Valuation of Work$ Y663 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial estde
If an existing structure,is a fire sprinkler system installed?(Circle one): es NoN/A
Florida Product Approval# S1'?91.S
For multiple products use product approval form
Describe in detail the type of work to be performed: ('e p(a U N /Nr^ h-S Civ{ �f S/7-f—
Property Owner Information: n L
Name: 574- a SM. I Address: l� � 11 GJ(r'f , (tie /`G y
City State F/ Zin a= Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company e: s G p tt Qualifying Agent:
Address: ri a IM City ro-r jq State I Zip 33 6
Office Phone Job Site/Contact Number Fax#
State Certification/Registration# G L 0 Y6 Xfr
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated Icertify 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 laws regulating construction in this jurisdiction This permit becomes mill
rind void f work is not commenced within six(6j months,or f constmcnon or work is susp rnded or abandoned jbr a penact of sis(6)months at tiny time affw
work is commenced. I understand that separate permits mast be secured for Eledrlaa[Rork,Plumbing,Signs,We(Is,Pools,Furnace,Boilers,Heaters,
Tanks and Air Conditioners,etc
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 Y6U NOTICE OF
COMMENCEMENT.
I hereb cern,fy that I have read and sramined thisa,., kation andknow the same to be true and correct All provisions of laws and ordinances governing this
type ofYwork will be rnmplied with whether ci ad herein or not. The granting oja permit does not presume to give authority to violate or cancel the
provisions of arty other Fede ,state,or lornl regulating com1uction or the performance of constroction.
Signature of Owner" Signature of Contractor
/T`
Print Name �2 d'� I Print Name to4-to G It/�-tlM tat
Sworn to and sub fore me I G Sworn and subscr'bed before me
this�Da of �n 20 O this_DayoflP^ 20
Notary Pu odic
Revised 01.26.10
BRUCE J.013RIEN
Wav!y& NOTARY PUBLIC
STATE OF FLORIDA
Coffm*FF915874 TIMOTHY R.O'MALLEY
ErgB g/7/2019 A MY COMMISSION#GG 117135
a: EXPIRES:August 7,2021
Bonded Thru Notary Public Underwriters
/tile/S'�r9s
Doc # 2018018137, OR BK 18260 Page 2226, Number Pages: 1 ,
Recorded 01/24/2018 11:02 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY _
RECORDING $10.00
OFFICE COPY
THIS INSTRUMENT PREPARED BY.
NJtme: Tto IFtcvr ie Depot
Address: �i,��atur4i i�Ist.L�t. _—
NOTICE OF COMNIENCEMECNT
Revs
Partes ID Number:I_1 c1 Q,
The undersigned bwaby 9",rtotwe heat x pwyesnent will to made Iv txriait-rrai propeity,and:r:ata ordance with Chapter 713 Fiwva StVutas the
wowing Information is prnvded in this No-ce of Commencement
I_ DESCRIPTION OF PROPERTY:rLegal descripiiun of the property and Orr:al address 0 avaiiabiaf
-1-
L
GENERAL DESCRIPTION OF K.tPROVEMEfi7:
3- OWNER INFORMATION OR LESSEE INFORMATION iF THE LESSEE CONTRACTED FOR THE PROYEMENT:—
Name and address Y\ s�f`C LQ_is�r��o�\\ 1 CSd�6 �� ��
htterPit in pf"rty:...St..�
Fee Simple Ttria Holder iif oilier ti an owner istcd auove)Name:_��1 __ —_ _ _ _
Ar+dtass: _
4- CONTRACTOR:Name The Home Depot -- Phone Number 813-625-7548 K —
Addrass: 9208 Florida Balm Far Tampa fL 33619S. SURETY Of aftpticaule,a Copy of tfle payment lwrtd Ib attached):Nara_:
Mtount of Efford' ,
6. LENDER:Name: Phone*.'tuber
7. Persons within the State of Florida Desi nated b Owner u
713.13(f Xa)7.,Florida Statutes, 4 Y Q°^whom notice Cr other drov
ocumen!s may be served as pideG by Section
Name.— Phone Number. _
Address. — -- (_g'
S. in addition. ig+on.Ownerdes' nates �" Cf T�
to receive a copy of the Lemur's Notirm as preaded in Section 713.13(1)thi.Florida Statutes Phone ftumber.4Y—^•. -� -—--
9. E>p,:rtlon Date of Notice of Comtnencernent;The expn'etoo7�s 2 year frau date at recordinq unless a different date is 3pe+c9fierisy�
W�RNIl 7p OWNEA_ANY PAYMLNTS MADE BY THE aWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
COIfSIDERED NPROPER PAYMENTS UNDER CHAPTER.713,PART I,SECTk)N 713 13,FLORIDA STATUTES,AND CAN RESIAT A YtXTR
PAYING TNJICE FOR IMPROVEMENTS TO YOUR PROPERTY A N i iCF.OF COMMENChMENT MUST BE RECORDED MND POSTED ON THE
.1015 SITE BEFORE THE FIRST fNSPECTiON IF YOU IlgrENC TO MAIN FINANCING,CONSULT WITH YOUR'.r.NOER OR AN ATTORNEY
BEFORE COMMENCING WORC OR RECORDING YOUR NOTICE OF C0MMEhLEMFI4T
r i547-a?- a:°r .or iessa:'e ir►M Nam.wa l'r>n>s8,pwtas'a': viawt ..•�'.�._'—.,.
! j 110- .TxSauAAsn�.y ���
State of t t7r1 c<c County of
The foregoing instrument was 001wowlaaged before rk—
in t.c:;� �
by \nt � ,.�
Who is pasonafly imoam to me ; OR
who has produced idenfificafion€type of identification produced:
BRUCE J.O BRIEN
NGTARY PUSLF_
STATE OF FLORIDA
Ca+rn4 FF91M74
E)ires 91712J19
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH ®��IC� COPY
SEE PERK^.ITS FOR ADDITIONAL
RECItliREN1ENTS AND CONDITIONS
'11-VEWFr�D BY: DCIT' �olr
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH FLORIDA
Project Name:
121 aPermit # �5��-0 GS(
Project Address: Mdl�
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.floridabuildin .or .
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4.Roll up
5.Automatic
6.Other
B.WINDOWS
1. Single hung
2.Horizontal slider 5 You r,�,, Si -79 -3
3. Casement
4.Double hung
5.Fixed
6. Awning
7.Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action
OFFICE COPY /6 ( 15"
2. Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPE PRODUCTS
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.
(Contractor Name) (Print Name) (Signature)
Company Name: ���—
Mailing Address: yam` ���✓h -<-
City: State: Zip Code-
Telephone
ode: 33CQ l
P ( a7 ) X371�� ( )
Tele hone Number: � Fax Number:
Cell Phone Number: ( ) E-mail Address:
OFFICE COPY
/" v �4 r->
BAS z��G y3S F
12
3
z' FGSt n
WINDOW SPECIFICATION SHEET - Spec.Sheet#:10615695 OFFICE COPY Sheet:1 of 1
Customer:Steece Stegall ,Job#:10615895 Consultant: Bruce Obrien Date:01/22/2018
New Window
Hinge Locations
Existing Window Measurements Grids Product Options Labor Options From outside,
Left to Right
Bays,Bowls
Location Color Rough Opening #of bars #of bars Csmnts,1 Pnl,
use L,R or S
Glass Usc Items
Hardware Code
Screens For doors use
c c `� Mull "S"=stationary or
wWH �
Style Wraps "X"=operating
Code (YM) Style Code Series Code .9 + x t-( caT<720,STD,PNL 2 PNL 500 H Z 0.00 7.00 07 IassPack:Standard X S
T<120,STD,
ITCH st 2 PNL 2 PNL 6600 VVH BZ 60.00 47.00 107 GlassPack:Standard X S
T<120,STD,
ITCH Ist PNL IN IC
2 PNL 6600 VVH Z 36.00 35.00 1 IassPack:Standard
T<120,STD,
INE tat PNL N IC
2 PNL 6500 H 3Z 72.00 46.00 GlassPack:Standard
SPECIAL CONSIDERATIONS:
rap Color
Interior Casing Type
Bay or Bow window:
athoard material(vinyl onty-Birch or Oak)
Bay Project Angle(30 or 45)
y Flanker Type(DH,SH,or Csmnt)
op of window to soffit(Inches)
I tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the
onstruct Roof(Yes or No)' Special Terms and Conditions on the following page
Garden Window:
L
and Material(vinyl onty-White Pionite,Birch or Oak)ickness(inches) Customer Signature
nal Shelf(Yes or No)
There Is no guarantee that new shingles will match existing color.