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61 Beach Cottage Ln - Permit RES18-0162 CITY OF ATLANTIC BEACH 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: RES 18-0162 Description: replace shutters& paint exterior Estimated Value: 30000 Issue Date: 5/11/2018 Expiration Date: 11/7/2018 PROPERTY ADDRESS: Address: 61 BEACH COTTAGE LN RE Number: 169700 0105 PROPERTY OWNER: Name: COTTAGES AT ATLANTIC BEACH LLC Address: 60 OCEAN_BV STE 1 ATLANTIC BEACH, FL 32233-5251 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: NORTHEAST BROWARD CONSTRUCTION Address: 1229 FOREST OAK DR LEIGH B BROWARD 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. City of Atlantic Beach_ APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road y•- . vy 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: f')t LLh Cc)A Lid . De artment review required Yes No �I ��' uildin Applicant: •_111 Planning &Zoning 1 1I Tree Administrator Project: t Q.Q ll�.C z S ��ui �T�,�� G<</I 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: Vauproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDI_NG� PLANNING &ZONING Reviewed by: Date: -5 (11 I 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 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address% CV"-;f 6AAQ A-�e- ;e 3723 •xv�'�� 3 Permit Number: Legal Description 9Z4,gj Z6�'Q5'-q f�rf 4 71 A"'7-` RE# Valuation of Work(Replacement Cost)$30!;, Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration a Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial esidential. • If an existing structure, is a fire sprinkler system installed? (Circle one): Yes�e 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: ,y��% r _e� � -7- Florida Product Approval# for multiple products use product approval form PropertV Owner Information Name: CD�'f S cxL AR4&,k-e_ fSeA14, VC06y 0.5eirAddress:Ca( C.k-J"%R LAoe; 1}jL,Ae"{, City r-xi- A-e4� State F1, Zip 32-2-;3 Phone E-Mail L&4. e L&*tA Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) U 'u - 5favel Contractor Information Name of Company:tiQ� / 9,586 Am Qualifying Agent:/,' Address /2,� 2 A -- OX 4—� �J� City�(i��1/N� �;�?State t� Zip Office Phone � - s'0 !KW 2-- :5.1 Job Site/Contact Number Z r - State Certification/Registration#Y C P7j h 2 E-Mail ZI S.� /7 -74 Architect Name& Phone# Engineer's Name& Phone# Workers Compensation 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 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 YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) \1N1NI� �, (including contractor) Nl L n in to(or affirmed) before me this day of Si ned and sworn to(or affir ed) before mehis day of `�� '•. • I, by LA_Q_ �i,i`_-,orl by �c o gt`�4 6ERnm o o, cif+ •� s'.. LCA -- ___. T L PEF@qR •.* (Signature of Notary) °' MY COM S N o otary) 031?2� :�c '` EXPIRES:Octo e _ ems: •. o ed Thru Notary Public Underwrters yy0•• tl ,nls��t �R [ ]Pers o 11yAw q 7:];�RaQ1i OA4PJ 1`. ation [ ]Produ entification (� / /r q �� LT � o n: Type of Identification: IJ �cD S 11111111111111110