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643 Selva Lakes Circle RES18-0220 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEWT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0220 Description: Interior Renovation Estimated Value: 400DO Issue Date: 6/25/2018 Expiration Date: 12/22/2018 PROPERTY ADDRESS: Address: 643 SELVA LAKES CIR RE Number. 1720276902 PROPERTYOWNER: Name: SUSSMAN STEPHANIE ANN Address: 643 SELVA LAKES CIR ATLANTIC BEACH, FL 32233-5986 GENERAL CONTRACTOR INFORMATION: Name' Address: Phone: Name: ECO ONE INC. Address: 2711 Seminole Village Drive MIDDLEBURGs FL 32068 Phone; PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILUREI,O 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 a�nciics, 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$7,500. City of Atlantic Beach Building Department Soo Seminole Road mm Atlantic Beach, Florida 32233-5"5 Phone(904)247-6826 Fax(904)247-5845 E-mail: building-dept@wab.us Citywelo-site: hhp:/M�.mab,us APPLICATION REVIEW AND TRACKING FORM e artment review reguired Yes No Property Address: iog.3 Building) Applicant: anning&Zoning Tree Administrator Project: Wftxia- 0Q '0 Public Works Public Utilities Public Safety Fire Services ftyiew fee Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept.of Transportation St.Johm River Water Management District Ajmy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages aM Tnihanna 00therM APPLICATION STATUS Reviewing Department First Review: V,[Approved. E]=Denied. 0Not applicable (Circle one.) Comments: fA 0 G� "e c BUILDING t rPLANNING &ZONING 0 Reviewed by: Date: 0zJ2- 'n Not a TREEADMIN. Second Review: C]ApI roved as revised. E]Denied- C]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:- FIRE SERVICES Third Review: ElApproved as revised. E]Demed. E]Not applicable Comments: Reviewed by: Date:_ Revised 0511912017 -t- Building Permit Application Updated 12/g/17 City of Atlantic Beach goo Seminole Road,Atlantic Beach,FIL 32233 Phone:(904)247-5826 Fax:(904)247-5945 Job Address:(f q 5 Se I va ( a �� Uf - Permit NumberA751L6a'o - Legal Description LTA lCf--), ,S6VAkn )4 MlinlnrA, RE# I-)I O�. ) -6'107— Valuation of Work(Replacement Cost)$qbov Hewed/cooled SIF_Non-Heated/Cooled_ • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door esidential • Use ofexisting/proposed structure(s)(Circle one): Commercial I��— • lfan existing structure,is afire sprinkler system installed?(Circle one): Yes<S) N/A I • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No T eRemova vork to be performed: "e� C.6 �X.J!Cg/ r4e� rl�^%1113 / M)�Arx r-e-X7- if�eriaI�r- 3Xf-4' Vf 1`r&Ai%rvof1 Talit-0-- / 1'"we 4kol-4-fe?'"" Florida Product Approval# 7b t,,l 16 for multiple products use product approval form Property Owner information AddT71? Se v& Lo, Ur- Name: rem: L�A �4w. Lko;? Ph E-Mail Owner Agent,Power of orney or Agency Letterl(equired) Contractor Information Name of Company: F-C6 01 e- AC-. Qualify ent: OAZ in +n,, L h�%Aj St t Zip Address "k7l ^0'e, Viol %C city It a Zip ek' Job Site/' ntqct Jr �yn� k.),. %,z 5;2i�w - �bw ,'op -27�,- Office Phone 90q-aLn L V� V State Certificaflon/Registration# 1� 11 dr� ^2 E-Maill Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exampt/insurer/unse E.p",/Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal lation has commenced prior to the issuance of a permit and that ail work wi 11 be performed to meet the standards of all the laws regulationg construction in this ju risdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLU MBI NG,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 coun ty,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 wring. 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. � I Z ature ownerm-Agent) (Signa lare of Con (including contractor) e this ay Signed and sworn to(or affirmed)before me this 14111 of Signed and sworn to(or affirmed) '4&6 0(if W by 0 by &4600� 51460111" A (51 nature of Notary) (Sill I Notary) I Personally Known OR 00, A JOHNRICHARDSON.JR. X Pairsonally Known O�tll %xanNxlc-StmivFIorke f4Produced Identification OF I Produced Identification :tin�Issiontscium NJ Type of Identification: Tpafidcntfi,,tl.n 1)&0 nl! eD 10, Awol r. 0 0-4 ow Z4 -P, — osa 003 00 0 pr ;S: 900pe Dfwork- Remove existing cabinets, replace with new. 2. Remove and replace sink, faucet, and disposal. F), Install new countertop. 4. Remove old flooring and install new vinyl plank and carpet. 5. Remove bathroom vanity and install new. Remove and replace toilet with new. 6. Remove existing sliding glass door and replace with new. Florida product approval code. #7612.8 7� Replace approximately 32 sf of bad T-111 siding. S. garape popcorn ceiling and apply knockdown. , Ao 5v z ERR 2 PRY --------- ----- A� v - M. z lip z Mil-' MU R1 'I, -T rIF- I MAX�C AX. T E C.A M" NW -! k Mum ME > hk jH!j h� 1 2 �1 .2 41:� - 4 Et ME— q . . . . . . w -T� 14 1> ME np p t 9 1; A! Rol.- 2 AAMA 4 (Validator/0,pandions Mminstrator) CERTIFICATION PROGRAM AUTHORIZATION FOR PRODUCT CERTIFICATION Simonton Windows I Cochrane Aw. Pennslomo,WV 26415 Attn: Tina Soose The product described below is hereby approved for listing in the next Issue of the AAMA Certified Products Directory. The approval is based on sucoe"Iful completion of tests,and the reporting to the Administrator of the results of tests,accompanied by related drawings. by an AAMA Accredited Laboratory. 1.The listing below will be added to the ne)d published AAMA Certified Products Directory. SPECIFICATION RECORD OF PRODUCT TESTED AAMAWDMAICSA 101/i.S.2/A440-08 R-PG35-1Sl0x2064(71xlll�SD COMPANY AND CODE CPD NO. SERIES MODEL&PRODUCT MAXIMUM SIZE TESTED DESCRIPTION 15-16 SGD FRAME PANEL II VIIIndows 14166 (PVC)(OX)(OG)(INS GL) 1810 mm,x 2064 mm 908 rn�TsI9110 nun L Code SIM ASTM) (5,11"x 6'9") (31"x 6'6") 2.This Certification will e)Wim June 4,2020 and requires validation until then by continued listing in the current AAMA Certified Products Directory. 3.Product Tested and Reported by: FRI Construction Materials Technologies,LLC Report No.: SIMO,007-03-01 Date of Report: June 18,2016 Validated for Certification j!jj-E;bl'e 4—;U— t.d s,Inc. Data: June 19,2015 Authorized for Certification Gc; AAMA JIGS ACP-04 (Rev.Ill 1) AmenV Architectural Manufacturers Association