805 Plaza RES18-0229 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PMI FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0229
Description: SIDING & SOFFIT
Estimated Value: 7000
Issue Date: 7/17/2018
Expiration Date: 1/1312019
PROPERTY ADDRESS:
Addrew: 805 PLAZA
RE Number: 1711160000
PROPERTY OWNER--
Nam: AUGUSTINE MI YOUNG LEE
Address: 805 PLAZA
ATLANTIC BEACH, FL 32233-3809
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MARTIN HOME EXTERIORS
Address: 5749 HAVEN RD QA KENNETH BRIAN MARTIN
JACKSONVILLE, FL 32216
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: to 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 pernnits required from other govermmental 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
Building Department
Boo Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5945
E-mail building-dept@wab.us E42
City web-site: hftP://www.wab.uS
APPLICATION REVIEW AND TRACKING FORM
ent low re uired Yes No
Property Address: ildin
ning
Applicant: Tree Administrator
Public Wo
Project: Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required --Renvlew or ReCellt Date
of Permit Verified By
Florida Dept.at Environmen I rotection
Florida Dept.of Transportation
St Johns River Water Management District
Army corps of Engineers
Division of Hotels and Restaurants
niuminn nf Almholic Beveraltes and Tobacco
_�Wer �.�M
APPLICATION STATUS ---cab—]
Reviewing Department First Review: E]Approved. ElDenied. DE]Not applicable
(Circle one.) Comments:
BUILDING
FPLANNING &ZONING Reviewed by: Date:—
revised
TREEADMIN. Second Review: EDApproved as revised [:]Denied. DNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised, E]Denie& E]Not applicable
Comments:
Reviewed by: Date:—
Revised0511912017
OFFICE COPY
zgfmb� Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FIL 32233
Phone:(904)247-5826 Fax:(904)247-5945
Job Address: 80S� P l0i'-J,66 Ar�I Liz&I C vaeiii t1i,eL- Permit Numb": Res I S-C)za?-9
Legal Description 31)-1*0 2AE 90111�1 1p"� 'Ail IT I LgE-'_� SIX �1- RE# 1-1111'S - non Q
Valuation of Work(Replacement Cost)$ CCC) Heated/Cooled SF_Non.Hearted/Cooled_
pair ove�Dep I Window/Door
• Class of Work(Circle one): New Addition Alteratlol!�� op
• Use of existing/proposed structure(s)(Circle one): Commercial as denttal
• If an existing structure,is a fire sprinkler system installed?(Circle one): es No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Aff davit of No Tree Removal
Describe In detail he type of work to be performed' I
&�CLA" V-ep L,& 6SALsk 100 F) + vw,,�, sA4
Florida Product Approval ii,for multiple products use product approval form
Property Owner Inforimation
Name;J C'11 VN,1 lc� Address:
city", L C6 State -?U- Zip Phon 0 It
E�Mall ""uLAO 4 (A' 144iczpa A i L�. r�
Overneri Agenf�f`Adent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: 00M L)R K. Qualifying Agent: GO
Address'6') k`5 "aWAA State ZIP
office Phone f I�Oni) --p _Job5ne/comacom, T
state Certification/Regilstration#CJR r-05:A U-60 E-Mail jk'IC. r4fil\
Architect Name&Phone A M—
Engineers Name&Phone#
Workers Compensation
Eavacy/Inweirl pere,Employers/Expiration Data Z p*
Application is hereby made to obtain a Permit to do the work and installations as indicated.I unify that no work or lnstallagn3ps4 Z 0
Y'yalu
commenced prior to the Issuance of a permit and that all work will be performed to meet the standards of all the W ING.S1412 Z p
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMB 0 -
UJI 0
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. 0 011 != Z 12
00
OWNER'S AFFIDAVIT:I unity that all the foregoing information is acco rate and that all work will be done in compliance vi C3 C.)
4
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN-54 t: Z
U -a W
TO OBTAIN FINANCING,CONS?ULT-Wln-a YOUR LENDER OR AN ATTORNEY BEFORE LL 11-
applicable laws regulating construction and zoning. Z
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M9 <� 0� Z'
0 0 o" W
RECORDING YOUR N COMMENCEMENT. U, >. Q. E 0
up n a
uz C) d
assort r o,C�gwarrkicludang Cointraptor) (Signature of Contractor)
in to(ne 3 gof
Siigned swo ffimned s day of signed a d sworn to for affirmed)before me this
2-( IS by 'Ibefore me by I
RPHRUIPLE nature of Notary) of ocary)
CKINSTOPHERPHiLLIPLE PUN
r�g %'CHRMTORNERPHILU
f MY commissioN 0 Do 13 W
EXPIREELAux,13,2021
WOONNISSION11(iG131346
Personally Known OR Pre
Produced Identification KProduced Identification f L)pL-
ype of Identification: f L Type of Identification:
NOTICE OF COMMENCEMENT
(PRi IN Di
Permit No. T=Folii 171115-0000
State of Holds County of Duval
To whom it may concern:
The undersigned hereby Informs you met Improiramerm;will be made to certain re,0 Property,and in
accordance wil Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description ofproperty being improyad: 30-60 17-2S-29E ROYAL PALMS UNIT 1 LOT25BLKI
Address of property being mmi 805 PLAZA ATLANTIC BEACH,FIL 32233-3809
General description of improvementsi ing,windows or screen room
...Augustine,James
Address 805 PLAZA ATLANTIC BEACH,FL 32233-3809
Owners interest In shle of the improrrement
Fee Simple Titleholder(if either than owner)
Nam
Add...
Connector Martin Home Exteriors,Inc.
Address 5715 Hawn Mi Jacloonville,Fl-32216
Phone No.so*737'acca Fax No 90�5�3061
Surety if any)
Address Armand of bond
Phone No. I=No.
Name and address of any person making a loan for the construction of the improvements.
Nam
Address
Phone No Fax No.
Name of person within Me State of Florida,other than himself,designated by�wer upon witurm nofices or other
documents my be smi
Nam
Address
Phone No Fax No.
In addition 0 himself,owner designates the following oerson to receive a copy of the Uenors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owners option).
Name
Address
Phone No. Fax No.
...........
Expiration claft of Notice of Commencernent(the expiration data is we(1)year from Me data of recording unless a j�'.'
W,
different data is specified:
THIS SPACE FOR RECORDER'S USE ONLY M........
k'
mt.
ce-�gy.�, F. 11�1
hervi
Doo#201815TWORSKIBIPIS Pagi himi heiWifli 011 wiplants am �ri
Number Pages:1 7
Recorc!19107�01810:25AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY TI
RECORDING $10.00 C3 rn
Mimi M Lots.State 4
axPlow
My maxi
psinanals,axi
Pnxkxsd duffilkaffien