84 Nicole Ln RES18-0208 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL-ALTERATION RESIDENTIAL
muST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMrT NO: RES18-0208
Description: Garage Door Replacement
Estimated value: 5310
Issue Date: 7/6/2018
Expiration Date: 1/2/2019
PROPERTY ADDRESS:
Address: 84 NICOLE UN
RE Number: 1695190725
_jiROPERTY OWNER:
Name: FORTUNE SCOTT THOMAS
Addresse 84 NICOLE LN
ATLANTIC BEACH, FL 32233-5978
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DUVAL OVERHEAD DOOR CO INC
Address: 6101 LOTTIE ST
JACKSONVILLE, FL 32216
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILUREI 0 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 comity,and there may
be additional permits required from other governmental entities such as water management
districts, state agenci�s,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$7,500.
RECEIVED CITY OF ATLANTIC BEACH
800 Seminole Road
JUN 2 0 2018 Atlantic Beach,Florida 32233
Building Department
REVISION REQUEST/C09K%Vf&�@%AT)&L"W COMMENTS
gllk Revision to Issued Permit Corrections to Comments P erm it#-J99—5 Ly---&Z 0
Date "0
ProjectAddress 9,Y (\A�ile- Lanc
r-LrContractor/Contact Name Ouv&L IlYe�A�&J L
Phone 904L-7�,-q- �--(-316 Email Acors PA c,A Z n
Description of Proposed Revision/Corrections: Permit Fee
�),,brn;tb�31 Z r,,p L', i 2�71,r:WAI,n Y
Additional Increase in Building Value$ Additional S.F.
By signing below,I PA,jL affirm the Revision is inclusive of the proposerl changes.
P �� (printed natre)
4,;e 1 (0 LIP I /or
Signature of Contractor/Agelil:(Contractor mug sign if increase in valuation) Date
(Office Use Only)
Appiruved Denied Not Applicable to Department
Revision/Plan Review Comments
Delmirtment Review Required:
C�ji T�dt
Planning &Zoning Renewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACII,FL 32233
0 (904)247-5800
BUILDING REVIEW COMMENTS
Date: 6/14/2018
Permit M RES18-0208 Site Address.84 NICOLE LN
Review Status:denied REM 169519 0725
Applicant: DUVAL OVERHEAD DOOR CO I K- Property Owner: FORTUN E SCOTT THOMAS
Email:doors@dodinc.net Email:sfortune@fortunelegal.com
Phome:9047243636 Phone:904.333.3965
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction ments:
1. T installation instructions submitted with the permit application does not match the FL#152 . Themodel,035WS-
DSIU0-1K479:Canyon Ridge/Brookstone,is not any of the 6 models that are in the Installation Instr fon booklet
s bmitted.Submit the correct installation instructions for this FL#from the DBPR website.2 copies..
Building AC, (1,1(f12d /11�
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach,FL 32233
904.247.5844
Ernai1:mjones@coab.us
1� �n6pjecl 12-ev;,6w
Resubmittal Notes:
All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of
completely encircling the change with"cloudine.The revision shall also be identified asto the sequence of revision by
indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date
and revision sequence number shall also be indicated in a conspicuous location in the title blockforeach sheet on which
a revision forthat sequence occurs. For projects still in the initial review stage and permit pending,all sheets with
revisions shall be inserted into each set of drawings.The original sheets must be clearly marked"VOID"but are to be left
ER
City of Atlantic Beach APPLICATION NUMB "J]
Building Department (To be assigna�dlby the Building Department.)
800 Seminole Road _ C) 6
Atlantic Beach, Florida 32233-5445 F, - o2-6
Phone(904)247-5826 Fax(904)247-5845 4
E-mail: building-dept@wab.us Date routed:
City web-site: http://�.c�b.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2q ui.rolf' Department review required Yes No
Applicant: -tkx_yaA ut&eaA lo — Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature C/
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
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: E]Approved. 06snied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. So W'ond Review: ElApproved as revised. ElDenild. ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: []Approved as revised. ElDenied. [:]Not applicable
Comments:
Reviewed by: Date:-
Building Permit Application iGE C( Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlanfic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
JobAddress:Yq APele- L,, Permit Number: R ES 0?, 69
Legal Description 116-W Leik"- Aek, &-,, 4of- 3 RE# leqQ It -C>J-J�
Valuation afWork(Replacement Cost)$::j;51C.Co Heated/Copled SF_Non-Heated/Cooled_
• Class of Work(Circle one); New Addition Alteration Repair Move Demo Pool Window(�
• Use ofexisting/proposed structure(s)(arcle one): Commercial <9�
• 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 T"Agoovionn
the type of work to be performed: g�,aj� cNoac r-e#�ag�en+
� JUN I I 2M
Florida ProductApproval# 152-7f. 35 &30 for multiple procluitl u U
s4*Loductappwu&Lta=_J
Property Owner Information
Name: 500�"c Adclrew:'Bul !ILialf-
Cltv_��C7 State Ir-t- Zip
Owner or Agent(if Agent,Power of Attorniy or Agency Letter Required)
Contractor information
Name of Company: L6.,-r"c Quali��jng Agent: Fl-
Address 1.1,01, 1 City
__s1A1_o_State3=X*4 Zip 3,;L&I 4
Office Phone -7 z LL-5 1�5 G —Job Site/Contact Number
State Certification/Registration# ar)_9 E-Mail A�1,10b Ao,\ ,�a_, n�Ar
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
�mpt/Insurer/Lease Empleman/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 all work will be performed to meet the standards of all the laws regu lationg
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,them 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 cenitV 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 YOU RN�T[ COMMENCEMENT. I &
40��dali�4
(Signature of Owner or Agent) SigrTature of Cfactor)
(including contractor) rk
Signed and sworn:.(,or firmed)before me this_LL day of Sjgned and sworn to(or affirtmaci)before me this day of
:fw 77t� June- 2011? by Hht.JL12*Z�
JENIRFER JOHNSr011
CA .
Q MyC0MWS5IN#GxUN2
b=�27,2020 C A (Signature of Notary) (Signatur
evdaa ZN L
I Personally Kno ii Un I Produced I=OR
L,�Produced Identification d I catka,
Type of Identification: \:'Lf�V Type of Idend
P F-519-c)..)Off
NOTICE OF COMAIENCEMEENT OFFICE COPY
State of Florida County of Duval Tm Folio No-
To Whom ItMay Concern: -
The undersiped hereby inform you that mulwavernents will be made to cortm real property,and in accordance with Section 713 of
the Florida Starnes,the following inforroatim is stated in this NOTICE OF CONMENCEMENT.
Legg Description ofproperty bft unproved.46-94 09-25-29E,TIFFANY BY THE SEA,LOT 3
Addremi ofpmperty being unproved-84 Nicole Lanc�Atlantic Be"FL 32233
General description ofmorproveaments:Garage Door Replaceanew,
Owner:Scott and Jennifer Fortune Address:84-Nimle Lane,Atlantic Beach,FL 32233
Owner's mterest in site ofthe improvement:
Fee Sbnple Titleholder(if other than owner):
Nature:
Contractor.Duval Overhead Door Company,Inc.
Addrem:6101 Lottic Street,Jacksonvilie, FL 32216
Telephone No:9041724-3636 Fic,No:904/721-2881
Surety0farry)
Address; AmDuntofBand
Telephone No: Fact No:
Narme and address of any person malcing a Im far the constructim ofthe finprovetments
Nme.
Arldnew:
Phone No: FuNo:
Nme of person widrin the State of Flmda,other than hirmself,desipated by omraer upon whom notim or Other docunments my be
served: Nme:
Address:
Telephone No: FuNo:
In addition ac hinamA& owner dealgiletes the finflowiag person to receive a copy of the Lietant's Notice as provided in Section
713.06(2)(bl Florida Statuas, (Fill in at Ovarea's option)
Naram.
Address:
Telephone No. Fear No.
Expiration date ofNotice ofCornmencernarm(the expiration date is"(1)year fim the doe ofrecarding calm a different date is
specified):
TMS SPACE FOR RECORDER'S USE ONLY 0
Si:7 Date:
Beforernedus it dayof_LLtLj1,F._mtIuCo fDUvA Same,
OfFlorida,hmpemonallyal,peared F011r. AQ,
Personally Know 01
=ld,u
0�Jjg A;
DM#20i8l�,ORSK18427 Pap873, 11��WWI�U�
NunU,er Pages:I
Recor�01'20�01812:05PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
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