337 Plaza RES18-0307 �' .. RESIDENTIAL PERMIT PERMITNUMBER
~ °+ RES18-0307
CITY OF ATLANTIC BEACH ISSUED: 10/15/2018
800 SEMINOLE ROAD
J EXPIRES:4/13/2019
ATLANTIC BEACH, FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
ALL • . INSPECTION• • . • • • • r OF • • E • BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FNOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
ay be found in the public records of this county,and there may be additional permits required from other
mental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUEOFWORK:
337 PLAZA RESIDENTIAL ALTERATION Replace 4 Windows & Door $4000.00
RESIDENTIAL
TYPE OF SUBDIVISION:ZONING: SE
CONSTRUCTION: NUMBER: G I ROUP:
1700010000 ATLANTIC BEACH
COMPANY: ADDRESS:
DURABILD SOLUTIONS INC 3061 PHILLIPS HIGHWAY JACKSONVILLE FL 32207
• ADDRESS:
MALZAHN PAUL NELS JR 337 PLAZA ATLANTIC BEACH FL 32233
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 CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
=DESCRIPTIONIPTION ACCOPERMIT 4550000322-IM 0 $55.00
LAN CHECK 455-0000-322.1001 0 $D.50
RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00 SU RCHARGE 455-0000208-0700 0 $2'�SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$136.50
Issued Date: 10/15/2018 1 of 2
+==1''" RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES18-0307
ISSUED: 10/15/2018
800 SEMINOLE ROAD
2t 'V ATLANTIC BEACH. FL 32233 EXPIRES:4/13/2019
Issued Date: 10/15/2018 2 of 2
;.S,arr City of Atlantic Beach am
UMBER
Building Department ing Department.)800 Seminole Road3o7Atlantic Beach,Florida 3Fax(94)Phone(904)247-5826� Fax(904)247-5845
E-mail: building-dept@coab.us
City web-site: hmp:1MWM coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33 1 ` l4.Zdl. De artment review re uired Ye No
I (�_ 1 �,. c Building
Applicant. �l�r�llGl �611>l.-�.� r t..d Planning &Zoning
I f Tree Administrator
Project:�CD�4Ct° r-C WlV�0U1S l7�aY Public works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verged 6
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Arany Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUSry
Reviewing Department First Review: ❑Approved. [Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: -d6i341
TREE ADMIN. Second Review: L?Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. v ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
I
OFFICE COPY CITY OF ATLANTIC BEACH
9n 800 Seminole Road
Atlantic Beach,Florida 32233
`-Jit 9'
REVISION REQUEST/CORRECTIONS TO PLAN REVIEWCOMMENTS
Date /V 13116' Revision to Issued Permit_ Corrections to Comments Permit N J!.C5 t8-O3-0-7
Project Address 337 pLA7A AT(-ArjT,e 15FAcN FL 327,33
Contractor/Contact Name R.,6 EsE� cak"ld
Phone (T'� 5$ 1 -5333 EmailDU/LA3�lD5����.YIONS.Ur-
Description of Proposed Revision/Corrections: Permit F Due$ 7�r
IrJ$7NN-ryt wl (N$T2uC7t� � � %^'�
Additional Increase in Building Value$ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required: ��
Building
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities /O-//-/
Public Safety Date
Fire Services
OFFICE COPYCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j � ATLANTIC BEACH,FL 32233
(904)247-5800
..r it
BUILDING REVIEW COMMENTS
Date: 9/26/2018
Permit#: RES18-0307 Site Address:337 PLAZA
Review Status:denied RE#: 1700010000
Applicant: DURABILD SOLUTIONS INC Property Owner: MALZAHN PAUL NELS JR
Email: roger@durabildsolutions.com Email: nelsandchristina@gmail.com
Phone:9045515333 Phone: 2487603108
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.
Co lion Comments:
C:::
n for both of the FL#s submitted do not have fastening details for the productsct approval website and download the engineering spec sheets for the wind2 copies each as a revision.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach,FL 32233
904.247.5844
Email:mjones@coab.us \/
Resubmittal Notes: p Ailed Rev+et✓ Cori^ �^O��S 9/s6/2ol�mr�I
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"clouding".The revision shall also be identified as to 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 block for each sheet on which
a revision for that 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
within the set of drawings Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED
DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW.
OFFICE COPYOFFICE COPY
Aft Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 O d,
Phone:(903 c-)4)247-5826 Fax:(904)247-5845 o p o
Job Address: 337 FL-AZ.A A-rLA,JFIC 0C-pcN F(^ 32233 Permit Number:f�. .S�p ' (WB
Legal Description S-�R 16 -a$ ^ '2'9� AlzIAATIC,6&L141FL LOT 16 ALiC II RE# i-70001 - 0000
Valuation of Work(Replacement Cost)$ 4000 Heated/Cooled SF X 86 0 Non-HeMed/Cooled
• Class of Work(Circleone): New Additio Alteration epair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(arcle one): Commercial FRe7ldentual
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A ho
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal rDescribe In detail the type of work to be performed:(/ J 2 \-Tr-10VC- S L I DIHI; 0044, liy STALL ,/ WJNPO WS AN A bo o2 (6X7[�2t9,.<.� 00 OZFlorida Product Approval# for multiple products use product apOp Q
Property Owner Information W � R 0
Name: NEVA ANN GH/zISTINA MALZAhtnj Address: *33-7 PLAZA. Q CC
City -FM,Me- 66AC14 State Zip32Z33 Phone 7 48'1o- glo
E-Ma'I nd.ltan G YIp{7 nil < H V+
Owner or Agent(If Agent,Power of Amey or Agency Letter Required) LL�¢s
Contractor Information Q arc m
Nameot Company: bid"Oli-b S01-0-rioy"5 )Ac, quall ing Agent: pOCsg>Z CptiTl f' W
Address 3061 PHil-IPf HW% 00102 City SALKSa.4J1 L(,E StaaL�_Zip3
Office Phone9Alf I^ .f633 Job site/Conan Nonike 404 463 -7-245 _ W
State Certification/Registration# CGL 151692-(- E-Mail r'o�er(-2duva�s lo'han 1.Pa«
Architect Name&Phone# C
Engineer's Name&Phone{
Workers Compensation `^rG I0
5rjZ26o 2 q
Exempt/lnwmr/Ieaee Employees/Explmtbn Wm
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 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 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 FINANfffjj{CING,, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDI�YNOT�OFCOMMENCEMENT.
/�J�/(SignaatturdafO nerorAgent) (Signature of Contractor)
(including contractor) It
Si neof and sworn to( r affirmed)before me this Ayday of Signed and sworn to(or affirmed)before me thio day of
yMb a . 06 by ,JL z Awl ant Brc �u�sl �o1S .by lA �s AeSEN
TAMMY MISHIYAMA IS ature of Notary) ro of NatarANA A.BRALA
Nolmy Public Sloe.of Florida ? Notary Public-State of Fldrlda
!s [f 1__ laaeFKadrai0a/73@ Q [ I PersonWI
ally Known OR ? commission B FF 780875
�ra/IG�OtdAKg4auioffip#021 Yd�7igt($3a — JI Produced Identification ;� , V y Comm.Expires Dae 3,2018
-..�+F*e.rilrla•tjp .Type of Identification: L.
Pert"? �- 'p:-- geSIF- 0 OFFICE COPY
NOTICE OF COMMENCEMENT
State of f"M b H Tax Folio No.
County of (Wy ll
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. IcT t 8 MALI
Legal Description of property being improved: S 69 16-a 6 -91 E A'RAr7T 44
CO Address of property being improved: 33-7 FLA1A AT"A-1 )e'_ '15l F� 5'l
General description of improvements: T6 WJE A SUD I'Jd- !r[wst b0S'PAW 7}L11'lba SY i
AND A.) CX-r4a.t P�
owner. W6U nae LFIUST/,JA A•n[.zrt F! Address: 737 PtnsA ATLAATl arc 7st'53
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Co clot: lu"8tLD- So u-ptp„1f ).fC .
Address: 30bl pulLIPS HuH #.)ati TAucS•r+vtu.G Irl Tse-•�7
Telephone No.: 4o V� 551 —sZ'1' FuNo: �9oM Z' Q'S93
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2xb),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from Ie is
specified): " V.
°`e 4 fbIMY PUDIIc-Stale al Florida
THIS SPACE FOR RECORDER'S USE ONLY OWNER / .t commas an♦GG 004772
`I `;;rP„ � My Comm.EraRe Jan 22,
Signed:
fill
Doc ri 20t ap%09,OR BK 18507 Page 2370, Before me this ]4 d8jot • in the jtgy c f D val,Stme
OCFlorida,has personally appeared I-1 N- 1
Number Pages:t 18 51 PM, Notary Public at Large,State of Fl d County of Duval.
Retarded USSEL My commission expires: Ii��'a�
BONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Personally Known or
COUNTY
RECORDING $10.00 Produced Identification: � q u'
E \ ) E}) ( \ $
® { & t
{ J » { i
-
/
@
\ } 0 \ %
/ } \ {
* 0 w
` ( ƒ
� V. A W N .~- O b oo J 4\ U A w N .•- � � O b oo J T to A w N - ro R N
oa 00 00 OG w O 00
ip p, W 00 G1 G �Oi. O O w ry q rK7 r m
m �• a5c � $ �
rn
n
n
c
R
R
R
a
O
C
.ri
d
m
n
7.
a
0
p
m
0
A
m
m
u
n
u
yU1 W N r O �O W J O� lA A W N r y Oy y J Q\ U A W N ✓ � N J
Ld VOO
EL
0
a
m
n
2
Y
R
Y
b
d
d
A
A
O
7
w
a
p
C
m
v'.
m
m
C'
u
/ \ \
¥ \ i
(
� )
\ W � { \ /
E
f { (
( ! E
! \/
® �/