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1945 BEACH AVE - RESTORATION ��„it'_ CITY OF ATLANTIC BEACH id. ? 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 0;0INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0115 Description: RESTORATION Estimated Value: 300000 Issue Date: 4/2/2018 Expiration Date: 9/29/2018 PROPERTY ADDRESS: Address: 1945 BEACH AVE RE Number: 169694 0000 PROPERTY OWNER: Name: SUSAN AND MADAUS MARTIN Address: 1945 BEACH AVE ATLANTIC BEACH, FL 32233-5936 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CORNELIUS CONSTRUCTION CO. Address: 218 Bay Street QA MARGARET S. CORNELIUS Neptune Beach, FL 32266 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. ri1..41.1 . City of Atlantic Beach APPLICATION NUMBER !S , Building Department (To be assigned by the Building Department.) 800 Seminole Road i _ _ 1 C- �� 4_r Atlantic Beach, Florida 32233-5445 �S ( ( tom Phone(904)247-5826 • Fax(904)247-5845 "--_01i19:, E-mail: building-dept@coab.us Date routed: 3 /Z C- 7l City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1945 Ec _o_R •l \VE ent review required Yes o V Applicant: ( cR3c , LDS Co, -- i Planning &Zoning Tree Administrator Project: RY Q �I Q� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 01 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: proved. ❑Denied. I INot applicable (Circle one.) Comments: /1) �q /'C BUILDI� O C.� PLANNING &ZONING Reviewed by: Date:7/26/20/� A TREE ADMIN. Second Review: QApproved as revised. ['Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. I (Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 REVIEWED FOR CODE COMPLIANCE M �, CITY OF ATLANTIC BEACH �" '.s N.A%„. SEE PERMITS FOR ADDITIONAL REQUIREMENTS CONDITIONS /i REVIEWED BY: ),- DATE: 3/12-6/201- Building Permit Application Updated MVP City of Atlantic Beach 800 Seminole Road,Atlantic Beach FL 32233 A Phone:(904)247-5826 Far(904)247-S84S (_ /�\ lob Address: !`��`I Bi-A TI Avg. Permit Number: .N`--'^ . '-0 ( Leg al Description I-e r 5Ic i,N ATIAtATIC T:Ai-) VA;tLNt. 2_____REe_14q 44:14•I• eat valuation of Work(Replacement Cost)$ 3ff frC--4. SF_AA Non-Heated/Cooled NA • Class of Work(Circle one): New Addition Aheratioq(Repaij Rove Demo Pool Window/Door • Use of existing/proposed structures)(Circle one): CommercialCi esident _ • lien existing structure,is a fire sprinkler system installed?(Hyde one): Yes NoN/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: RE:"tn ...l=i-rICK c( Aif1At EI) ktc(7) (A)DA`TE Of-in ?if-l(-r r.f-\f)21-tANcV5 RFP-ac>: C,KE)J W I-ic w ,I NE-TALL--ri It FIC‘C .5,1 9 f 4 u:Lok•I:tvTE CR. Florida Product Approval A for multiple Products use product approval form Property Owner Information Name:MAI TI)-1 MApitu 't _tii&JV Address: I(c CID 5i?D3jIzY Zr) City iJ MCC!,N State MA Tip t^I7 73_Phone E-Mail — - Owner or Agent(If Agent,Power of Attorney or Agency letter Required)__ Contractor Information t Name of Company:CC tZ►1E.Lir C r STR IX't1C�— Agent:14 rzeo;LLT rit�/,t U S Address 2 t t PAY -; — Cit PTIAL 8 state L,Zip <37zt=(t+ Office Phone 4Ost• Z IA,q r/Olt: Job Siteleontact Number CtC 4- Z 4 4. -7E* State Certification/Registration A t-t3Co 9-£�q/n 7 -E-Mail P C[?tiff Ce P_34E 1--1(5C 7 N•5R(: C`44-;ct 171 Architect Name&Phone A'-- Engineers Name&Phone A- —_ — Workers Compensation NA—— — iinsurer/lease Ern:knees/(Miaow Doe --- Application is hereby made to obtain a permit to work and installations as indicated.I certify that no work or installation has commenced prior to the issuance of a permit and that ail work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction.”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 trabictiuns 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 YOUR NOTICE OF COMMENCEMENT, — , • s tit• / :;,.;4 4,711 (*chiding contractor) "- 1Ae� ) SiAgned and swornto (or affirmed)before me this day of Signed and sworn to(or affirmed)before me this,I `)day of Altatc�l,^-sa__•by- 4.1.-.rc;, , LC.i i ,by ?harpr''4 S i i civ l ,IS ' tune of Notary) I 1 Personally Known ORI'I/Personally„ GRACE MACKEy G 0429R3 tti4fioeucedIdendYication I I (lPrProducedIdentification Known OR : ` ' 1rE PIRESOckbsoN rr27,200 Type of identification: Marcs r?Vtie 1 f.C'C- OWKtESemswayom20 Type of Identification: � atiMWtlauNmrr sway ominously .S\ '' MARK 11.NELSON 7 Y Pak CWrxr M itiL of Massachusetts MY CcInra Ssnn Ewires August i0.2018