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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 lip 1k H All 1911? 110 � Is2 Ism "Mol W, j I MAP 11121 gi;lt! S" m j;1 A Ag' 9 mr mm 0 In �g z 0 NO- 9 - C" 0 A > 0 rp 0 20 M> z 0 Ai 00 0 0 w 0 00 2 :1 m 0 > .a � Zor 5 > 7 U) r P Rio illy - C> i.11; P fn -n Sh! 11 g 9 W1112 lip cz hall A