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2025 BEACH AVE - REMODEL PERMIT ��' ,iat i' CITY OF ATLANTIC BEACH r "-' 800 SEMINOLE ROAD 7ATLANTIC BEACH, FL 32233 10 x '��,:3 �% INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0245 Description: remodel flooring, trim, fixtures, windows, cabinets Estimated Value: 240000 Issue Date: 11/14/2017 Expiration Date: 5/13/2018 PROPERTY ADDRESS: Address: 2025 BEACH AVE RE Number: 169709 0000 PROPERTY OWNER: Name: Jame & Ellen Wiss Address: 612 Garfield Avenue Kansas City, MO 64124 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BUILDING DYNAMICS INC. Address: 33 FAIRWAY LN QA RICHARD FLEMING FARMER JACKSONVILLE BEACH, FL 32250 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.) ,fit 'I 800 Seminole Road t_est = as l IS u� • Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 13 -J,3191' E-mail: building-dept@coab.us Date routed: �O I I I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: a Oa SLV\ AvQ , Department review required Yep/'No Applicant: (Lt(\lf ()lir name S3 i( • Planning : oning Tree Administrator Project: (.10\06-1/N Q‘.porf' t "V►M t ��( Public Works Public Utilities ('t \)S Cq,btNLkS Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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: N BUILD PLANNING & ZONING7 Reviewed by: Date: f1 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 t5:1,''',/, Building Permit Application FFI 4 , C E COPY City of Atlantic Beach 91111" 800 Seminole Road,Atlantic Beach, FL 32233 n© 3 j�, T (n'7 v` G G,b ? Ph/one: (904) 247-5826 Fax: (904)247-5845 Job Address: A0.9-3 /3�t`� e- . Permit Num er: 9.6'sl-i-- - ba 4S Legal Description %5 Y 3 9 - a s - l ccG-" V A-><Lry z -c. &4 11/0- RE# /6 7'0? -006 0 Valuation of Work(Replacement Cost)$ 2%t,CO G Heated/Cooled SF a?60 Non-Heated/Cooled PP a • Class of Work(Circle one): New Addition Alterati n) 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 performed:c ju ) i i._,_,),,,,, { x7_( S / &/•n e 4„7, ir.n54_t( u>.' /Lie L•C} , ' ic..a e ail do ry./' . rF Z,e r,c - /C../Lc ..., ',C,.'.t.. Florida Product Approval# for multiple products use product approval form Property Owner Information Name: Z c. vv\ &, (M94 q E-1, 4 4 tkliS'Address: 26).2. 5 6 ..1_,,,,J.,,, 41/ City 4i-L&,.i f-,- etc-�- _ State f^L zip 3'12-3.3 Phone 36 3 5:24633 '3 E-Mail ,.\c,, (Al [..s R ,...1 .5s (-' A_G['_ r Co t t_ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Ai/ 4 Contractor Information yy2 41� n /J4, / Name ofCompany: i�t-t.i•/GC c' , •zt2Si::�:3tcQualifyingAgent: /cIt/d r�C,;41.e?,- Address 3 3 r'G.i iw,,, L,6-1(? ( City .\---..,_14' /,?c-1 State /..-----e...- Zip 3 ZZSd Office Phone 'o'1— $/6 --Yf-F[) Job Site/Coptacl Number 7o y- '/ 5�6/;F'6 State Certification/Registration# C i3C /LSOy E-Mail ,' 6y_„s/-c..ce- L, ,, 0 h a 1144%-t Architect Name&Phone# Engineer's Name&Phone# �hi- at_ Workers Compensation C1�..7 24/Cc - 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 Fl ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR 3 G Y• R NOTICE OF COMMS ENT. /try_____________- A L , m, 't gnature of Owner or Agent including Contractor) f Contractor) Signed an,, sworn to(or affirmed)before me this i)(.)may of Sign d ar]4l,sworn,to. or affirm-d before me thi i, day of 0(. P.' =0l7,b atm. t - . ' „ter' � ' ' by , y _ )4'• AO01------- E//Q;, Q . J. =s N- '''':. ...' difelEr" , (Signif2-(7."-c-d reof Notary) 011)1\• ..L. .. (Signatur- of Notary) ,,,/// DANI GILBO . '—11 CQsr O?i Z= ).Personally Known OR NOTARY PUBLIC [,,]'p.esonally)own OR STATE OF C000RADO rr Fr[� ced Ide�tificatio ; /�/��/ [ ]Produced dentificaNSSION ID Il ES DECEMBER 4 ] "lsi }� y� / (' Type of Ident MISSION EXPIRES DECEMBER 10,2017 Typeohcfeh Jfication;.//i 2 A, L r���7 •9 1 .,/? '8//l`/97/ , 0 kt f. / A / /axio M. = M1,0 U C I") 0 " = el 1i2 -,,... >-- Q ...., 7:. co -.'• (...) 11.11 4 z I, C) a .:' • X --- LL- 5, 1 li r._.• ir, LL- N. 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Ora a,1*GUEST HOLo SE OA' . ..A :oitsI I,', , . o. , " • . , , t • • i : • :4 0. ••W A S„.9t e'..1,01 6 I„Q. caw:2r 71.0071 . ;), t ''''' ; 2 S''ORY . . . 1 . 1 ., C ci t* $\'ckt.43 ricl j..;6."A\V ASMA a CI • 434 V-j:r4 *14 /1 27 a* •4 'a It 1. a. .."0" ..' o • , " 1.-' lk . ... • 1"4 •IQ.7 • ' rn P OA (.../1 "*ESIDENCE No 1, 2023 '413'7'0'41.- -.. 1. -1,•01„ 1.!* I ', ''.. \ II , oiern r.co.- tr.10 *ma %!• $-P1 , . , -a ..., • L.'0 r al l' • -p ,0 0 'I .. -•--.. .51a- YE AVM . . ,,, .,;)‘• '. v. .7' •• \ \z) V: •.- 1_ •.-..i.7e1::.....%N. •.;\, • \ 1 , ("1.61•-•' 9-11 ‘-', ..... , .Atialtga . :,.,4„.., * ' . *.- 24.5. !v. ....-.4,-, ..11,-.= .2....NA,.A....•:.. ..,.a 5's es • : t 4 .. OA,A^ -sh. M.:71'1,44R-. ... a Ku, , ...,,,,z.:.-•:.-427.0__—. 1,..is..,....... .. . • 7 .`-/ACC N. •...1"I".._ ' ,. , • • .t s CIJ S' rn -vox ,r.de:., ecol •.. zJ.4'.75'3 C•'5 \3;A\2'.17^,. it,•,,,A.'.A..,' , • : WO +0 * C, 5,14 C CCC: S8941.38w _ '1 190.22 8.1.' ''‘I ' ' .PIM C •,... IP, z... z \ "hr.or Lawn, .1.2 43 To 5..p, i SZW,33'28,0 Ito ova' • r. FIE"'I ob = I \ S I .1",•,_"'• ?,,, 0 C••• I _OT 67 41. .11,1.y .! I -114 ••/•, I CA) , 14 6 • Ali . . ., . 4.p C,..) - , I V - OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: 1/41/‘5-.5 Permit # k'6S /7 '"' O vc Project Address: 2.0 2-3 /'eels-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.or& Category/Subcategory J Manufacturer r Product Description 1 Limitation of Use State# Local# A.EXTERIOR DOORS + 1. Swinging 2. Sliding 3. Sectional 4.Roll up 5.Automatic I 6. Other B. WINDOWS 1. Single hung 2.Horizontal slider i�,r -lic ,diks 11//2 —5/ 2}-/2 Z 1 3. Casement 4.Double hung 5.Fixed T 44c & k%s Ir- ,r1d �,4S, 10Gv 2 r4,1 !4 /30 Ys. 6. Awning X/rip — 7. Pass-through 8. Projected 9.Mullion 10.Wind breaker 11.Dual action 12. Other Category/Subcategory 1 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 1.Asphalt shingles 2. Underlayments 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 17. Other Category/Subcategory Manufacturer Product Description ILimitation of Use State# Local# 1 E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 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. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight 2. Other Category/Subcategory 1 Manufacturer Product Description (Limitation of Use State# Local# H. NEW EXTERIOR ENVELOPE PRODUCTS 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. OFFICE COPY (Contractor Name) (Print Name) LAce F`?-/''''t (Signature) Company Name: B GS (.1St;-) ✓7444 Mailing Address: 33 / r <)c y Ccc .?-e �0�.1C.. A,4 3'22c G City: 3c /?c,4 / State: Zip Code: 322S 0 Telephone Number: ( gl 3 - e%d Fax Number: ( ) Cell Phone Number: ( ) E-mail Address: