2233 Laughing Gull RES18-0341 r" RESIDENTIAL PERMIT PERMITNUMBER
j
CITY OF ATLANTIC BEACH RES18-0341
800 SEMINOLE ROAD ISSUED: 10/9/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/7/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
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 agencies,or federal agencies.
• ' • r . • . • OF • •
2233 LAUGHING GULL CIR RESIDENTIAL ALTERATION 3Wndows $4000.00
RESIDENTIAL
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
169463 0012 OCEAN W ALK UNIT 01
ADDRESS:
PELLA WINDOW AND
DOOR 7818 PHILIPS HWY JACKSONVILLE FL 32256
• ADDRESS:
DARNELL DAVID L ETAL 2233 LAUGHING GULL CIR ATLANTIC BEACH FL 32233-4680
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF . r
Rall off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 45S-0000-322 HOW 0 $7500
BUILDING PIAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-20807M 0 $300
STATE DCA SURCHARGE 455-0000-208-0600 0 $300
TOTAL:$116.50
Issued Date:10/9/2018 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
_ CITY OF ATLANTIC BEACH RES18-0341
800 SEMINOLE ROAD ISSUED: 10/9/2018
~ °Y ATLANTIC BEACH. FL 32233 EXPIRES:4/7/2019
Issued Date: 10/9/2018 2 of 2
City of Atlantic Beach APPLICATION NUMBER
;,7Building Department (To be assigned by the Building Department.)
i 800 Seminole Road R FS
"`+:' Atlantic Beach,Florida 32233-5445 —6
Phone(904)2475826 Fax(904)247-5845
Po;: y! _ E-mail: building-dept@coab.us Date routed: (O
-- City web-site: hhp:/hvww.coab.us
APPLICATION REVIEW /A'AND TRACKING FORM
Property Address: 2X33 L.Ql.tghlnA l�li-�� Department review reuired Ye No
uil in
Applicant: Tf--Uci, Panning &Zoning
nn Tree Administrator
Project: I-e_PICLLe 3 Windows Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Pernik Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. [-]Denied. ❑Not applicable
(Circle one.) Comments:
BUILD n.
PLANNING&ZONING Reviewed by: M1, Date: 0_8
TREE ADMIN. Second Review: []Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 0 511 912 01 7
0d Tknfor P1ck Up7V 8W-8000
Building Permit Application ®I FICEuGGA►7
City of Atlantic Beach
g00Seminole Road,Atlantic Beach,FL 32233
Phone:(906)267-5826 Fax:(904)247-5945 yn p /� /'
Job Address: 121S L Vqk l.r 6, 11 C tr Permit Number: R6SIIA.—Lk.�`/"/
Legal Description Y)-f () 'ls'a4p i1a. , ik Vwai 1 'OTY RE# f 69Vi X ADO
Valuation of Work(Replacement Cost)$ YOUR — Heated/Cooled SF Non-Heated/cooled
• Class of Work(Circle ane): New Addition Alteration Repair Move Demo Pool indow/Door
• Use of existing/proposed structure(s)(Crcle one): Commercial Resident
• Ifan existing structure,is afire sprinkler system installed?(Circle one): Yes NoN/
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Des(c�ribe in detail the type of work to be performed:
QPbfL 3 U/,4 J SJZe-J61S/?A,
Florida Product Approval# 1 016.10 /1[d3a3 for muldpie products use product approval form
Procerth,Owner Information
Name: CT3'� Dernt Ll Address: 2x33 L6wg�r I' ('..II Ca!
City State CI Zip '3.1273 Phone ao6• R9n -;Z.113
E-mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor hirformation ` T n 1
Name of Cp parry: Pf�� I✓,n�a w5 t�oaJ qualifying Agent: Te e.5 tow 1w
Address 13 S L/3Y tv CityLer,kT/ State Ci Zip 7-�7Jb
Office Phone - Pv Job Site/Contact Number
State CertiFlration/Registration# C D ( E-Mail TF, Mnll¢Y �Va: .iT_ IDtrh,`i . Cu rv+
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation SeT / C.3 Ce L Ww s- f l9
Exempt/Inwmr/lease Employees/EapiMian Arte
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 prior to the Issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
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,there maybe additional restrictions applicable to this property that maybe 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 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 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.
(51 tore of Owner or Agent) (Signature of Contractor)
(indudingcontractor)
Si tied and sworn t0 for affir )befor a this day of Signed and swum to(or affirmed)before me this L day of
0� 20/!t by 7av-JA—/ x.1
"7 r�
Rotary""dw NiNr (Signature of Notary)
cxn' Elona
am% My h'm ' Eapires Ma
�[ ]Personal Kndwn motet YEry Aln. .[Q Personalty Known OR 1iIJ�y'� CMMISSIO #GG11Y
mduce °l'p'NaUmal Nqa Assn, [ I Produced ltlenOBodon "a' _ MY COMMISSION# 7 n9i
Type of ldend#ratlon: Type ofIden#fica#on: pioa�.a„e„"usCT ILII
"•%F ;;:'''Burdetltixu N-,Pu!-Urdemdleia
Doc 4 2016233076, OR BE 18547 Page 1010, Number Pages: 1,
Recorded 1001/2018 11:05 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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