1911 Sherry RES18-0226 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-SS14
PERMIT INFORMATION:
PERMIT NO: RES18-0226
Description: Replacing Windows&SGD
Estimated Value: 15000
Issue Date: 7117/2018
Expiration Date: 1/13/2019
PROPERTY ADDRESS.
Address: 1911 N SHERRY DR
RE Number: 1720200820
PROPERTY OWNER:
Name: LITTLE MICHAEL E
Address: 1911 SHERRY DR N
JACKSONVILLE, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JKEELS CONSTRUCTION COMPANY, ULG
Address: 5772 RICHMOND RD
JACKSONVILLE, FL 32210
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILU" 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 pennit,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 pertnits required from other governmental entities such as water management
districts,state: gencies, 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 RVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be a:ssigned by the=BuildingDepartment.)
Boo Seminole Road
Atlantic Beach,Florida 32233-W5
Phone(904)247-5826- Fax(9N)247-5845 Date muted:
E-mail: building-deptCcoab.us
Ci"b-site: http:/A~.wab.us
APPLICATION REVIEW AND TRACKING FORM
_e De artinentrevievirre uired Ye 0
Property Address-
Building
Applicant: Planning&Zoning
Tree Administrator
Project: Public Works
% Public Utilities
Public Safety
Fire Services
FT
Review fee $ �111
Other Agency Review or emit Required Review or Receipt Date
Perm"' of Permit Verified B
Florida Dept.of Environmental Protection
Florid"a DDapt.of Transportation
St N
an
SDohns River Water M agement District
M of
Amy Corps of Engineers
of
Division of Hotels and Restaurants
.c
Division of Alcoholic Beverages and Tobacco
I Dt r
he
APP TION STATUS
Reviewing Department First Review: pproved. []Denied. E]Not appIlrable
(Circle one.) Comments:
(EDI:Ng
PLANNING&ZONING Reviewed by:: Date:
TREE ADMIN. Second Review: ElApproved as revised. E]Denied. [—]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DAppmved as revised. E]Denied. F]Not applicable
Comments:
Reviewed by: Date:—
Revised 0511912017
OFFICE COPY
Building Permit Application Updated 12/g/17
City of Atlantic Beach
800 Seminole Road,Atlantic Reach,FIL 32233
1911 Phone; 1;y) 47-5826 Fax:(9M)247-SUS
�_rrV �PSermit Number Plus 7-ve
Job Address:
.I A'�,,
Legal Description cZ ()cl -a5—,.jqe 5eIvA .1 raA- k4 /0-
Valuation ofWork(Replacement Cost)$ la�"000 Heated/Cooled SF_Non-Heated/Cooled
Repair Mow De Fwl W'ndow/Door
enti.1
• Class of Work(Circle one): New Addition Alteration 09) ndential
• Use of existing/proposed structrure(s)(circle one): Commercial (Ces as 'ECEIVED
• If an existing structure,is afire sprinkler system installed?(Circle one): `6 No '(N�/A.A
of ree
• Submit a Tree Removal Permit Application if any trees are to be removed orAfrdavitofNo me e,oval
Describe In detail the type of work to be performed.
Rql— cxt-4,1�) 1_J,'AJd11 'AJ 3 "A'y A-r�' JUN 2 8 72"
Florida Product Approval# for multiple products use product approval form
property Owner Informition !1�:�d$prtrrlent
Nam M k I I- , +-�k Add FL
Le: i\�'IM I T1�' res
S
Scate-F-L—Zip �772 Phone 70Y 's'> 'G��I
Aa'j 'it C
- Mall I L'Q
Owner or Agent(if Agent,Power of Attofney or Agency Letter Required)
Contractor Infor at
Name of cam In '0 k Per Qualifying Agent:
Address city , JAg State *;I Zip 1113
Job Site/Contact Number 104- (PfA - �Z�
State Certification/Registration#A�J3'e 151'�5CCJ E-Mail
Architect N�me&Phone It
Engineer's Name&Phone 7
Workers Compensation IE—�- C;,p-r tz h'I
Exwn,tllne�xerluaaaa Eriplo,eelki/EvInmon Dafte
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 priortothe issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construdion in this jurisdiction.I understand that a separate permit must be secured for ELECTRICALWORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements oftt 5
permit,there may be additional restrictions applicable to this property that may be found In the public records of this county,an, n
them may be additional permits required from other governmental entities such as water management districts,state agencies,
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 COMMENCEMI
0
'NT MAY � 1 'c
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENI Z x
TQ BTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE
ic
Z x
E� M I IN
i IRDING YOUR NOTIC MENCEME T. F!
04
h"
(Signature oTbwner or Agent) (Signature of CGonbador))
(including contractor)
hisAiedayof
d and sworn to(or affirmed)be �*necf and sworn to(gr affirmed)before me t
2�0�by 4,=Th;2Zf iIy-
-(S�ature of Notary) L(Si&glia.;
sonally Knmn OR We, rxIIKnownOR
Auced Identificaffion [ I Produced Identification
men: 'l 94110- Type of Identification:
Doc # 2018152238, OR BK 16437 Page 1440, Number Pages: 1,
Recorded 06/28/2018 10:37 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
OFFICE COPY
NOTICE OF COMMENCEMENT
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