1970 Beach RES18-0362 RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES18-0362
ISSUED: 11/13/2018
800 SEMINOLE ROAD EXPIRES: 5112/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT ISTH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPIMC, 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
that may be found in the public records of this county,and there may be additional permits required I
governmental entities such as water management districts,state agencies,orfederal agencies.
RESIDENTIAL ALTERATION REPLACE WOOD SIDING $11000.00
1970 BEACH AVE RESIDENTIAL
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1697231050 NORTH ATLANTIC BEACH
L 32266
JEP CONTRACTORS INC 1416 FOREST AVE NEPTUNE BEACH F
CITY: STATE: ZIP:
OWNER: ADDRESS: —
HOWARD MARK S ET AL 1970 BEACH AVE ATLANTIC BEACH FL 32233-5952
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
NCE In dd,,t..n to the re
t OTI may f.0 I e
hat be nd "th pub
go e, En rtal ntt.e,such a
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION
$110.00
B
BUILDINGPERMIT 455 W00-322 1000
'T
U E'0' , " C. -0000322-1001 $55.00
BUILDING PLAN CHECK 455
'EK
S T L K�.ECH -07M 0 $2,48
TATE DBIR SURCHAR.E 455 0000 208
E
SEAT CA S.'C.A E 0 $2,00
STATE DCA SURCHARCE
TOTAL:$169.48
Issued Date: 11/13/2018 1 of 2
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826-Fax(904)247-5845 Enm]
E-mail: building-dept@coab.us
Citywelb-site: ht1p://wwvv.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1970 F,, t had Yes o
-F-6ing 8 Zoning
Pan
Applicant: --�P-P 0, or--jLu?-Aozc:)a Tree Administrator
Project: 1/00ind Public Wor s
Public Utilities
Public Safety
ire Services
it review re u
F
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental Protecrion
Florida Dept.of Transportation
St-Johns River Water Management Distdct
Anin,Corps of—Engn-.
Division of Hotels and Restaurants
Divi.slon of Alcoholic Beverages and Tobacco
APPLICATION STATUS
Reviewing Department First Review: B<Pproved. ElDenied. E]Not applicable
(Circle one.) Comments:
(U�l�LD I IP
PLANNING 8,ZONING Reviewed by: Date:d-7.1k
TREEADMIN. Second Review: ElApproved as revised. E]DeniZ. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. ONot applicable
Comments:
Reviewed by: Date:—
Revi.ed 0611912017
Building Permit Applicat@FFICE COPY-ted 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Far.(904)247-5845 _. 1% Z
03(c
,aC
Job Address: A\le Permit Number:
-# 3 P7 P 07
Legal Description Ne,4hA114 Kti�- URE"� F - W
HeatedCooled��U
Valuation of Work(Replacement Cost)$ 14, Q Qe2 fle.ted/C..Ied SF NO-- !--(A
• Class of Work(Circle one): New Addition Alteration 49>Move Demo Pool Window/Door 4 T J Z
n 0 .4 0
• Use of existing(proposed structure(s)(Circle one): Commercial �!�et. CL Z —
4 0 t:
2 U3 — C)
• if an existing structure,is afire sprinkler system installed?(Orcle one): Yes (�o N/A C) CO t= Z
1 00 -c
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Remove
Describe In deta he type Rf wOr to be perform C3 �Z �w
0 Z
face 1, t- t- 0 < , R
fie P 71 L) 5 (A
Florida Product Approval# for multi pie products use product U. U. 61
own
Pro e Owner I formation
Name: Address: 0
city State Zip Phon w
E-Mai
ncy Lure
Owner or A ent(If Ag powerof ttorney or Agency Letter Required)
cc cc
Contractor Information
NameOfComrny:Tkr (_cV4r-4(—r5 I YZ Quail Ing Agent: I,--cLr5 r->n-
Ad 'L�City% -,VFW-
-7
p - 44 - C,2y,J
Office Phone TL I— JOD 5ne/tOlft F
E-Mail
State Certificatlon/Registration#CC7& 'U�V& 3 _TlffP<.o%,tTr�LT-V'CE
Architect Name B.Phone It 4
Engineer's Name&Phone# Z070
Workers Compensation pot Insurer/Lease Employees piration De e
Application is hereby made to obtain a permit to do e 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 FINANCING, CONSULT WITH YOUR LEND/EJ�OR AN ATTOR YBEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
to
w
"Signatu,holwner,'r,1,�ntl (Signature of contractor) Z
(includingcontrador) In q
h I.
is,70i'dayof igned and sworn to(or affirmed)before me this 210 111
Eap efore me r)e
ExPIREStAnummys,
Pgrature of Notary) Ignatureo N ry
I ]Personally Known OR
Personally Known OR KProduced dermficabQn,
jJProduced IdentifIcatio
Type of Identification: Tjx jJ&3b_kW?, Type of Identification:--V-\ 7�21,
NOTICE OF CONEWENCEMEENT OFFICE COPY
State of 1';7/0 w;d-a Perm) 6�Sl�.- 0 36
Folio No.
comayof DoVeLl
To Whom It May Concern:
The, undersigned hereby inin_yon that improvements will be made to certain real property,and in accordarsee,with Sectiort 713 of
the Florida Statutes,the followmg halommures,a stated in this NoncE oFIcomblENCHAENT.
LVD fproprej being improverk q7—'?/ 09 -2-T — ZYF—
'rT -Jm4j� T 6
fjptnu�o f c Be-aA Tn if 3 �/F 1-6
Addmmofpropmybeigimvd:--tq70 JkiL!�h
(31ancold description ofunproventents: t-i 64— r e PS I r--F
OvIraer: d&.i4 Address:
Owner's interest in site ofthe improvement: OWNJIA�
Fee Simple Titleholder(ifirthor than crmner):
Name:
Connector:
Address: lqt(, F�r t4ve, , jVepfv- jj, �Iea-<h, FL- 3Z7.66
TeiephomeNo.:&7PV-2q7- 17.59 Fax No.,
S=tY(ifmy)—
Address:
TelephuneNo: No:
Name andaddregs;ofeanypersurn making a Ram forthe construction ofthe improvements
Name:
Address: IV I I 'iEL
Phone No: Fax No:
Name of person within the State of Flodda,other than hfineelf�designated by ownrer uport whom notices or other documents IMMY be
served: Name:
Address: A111L
Telephone NO: I / FaxNo:
In addition to himself, ovirner designates the fbIlOwing person to receive a copy of the Lienor's Nolice, as provided in Section
113.06(2)(b),Florida Statues. (Fill in at Ovraff's optimal)
Name:
Address: 4V
Telephurn Fax No:
Exprratma date of Notice of Commemement(the mpyration date Is one(1)year firom the date of Recording unless a difierent date is
e 'fit
c, d):
TMS SPACE FOR RECORDERS USE ONLY, OWNER
Nurnber Pages:I sign r- is day of ,mttw
Doe#20182574OZ OR SIX 1859D PIP 2180, B.Z.,44o rr�o!
nacnoi ��40
ly=Recorded I 0130WI 8 01:39 PM, OfFlorida,has ilarnmally appo" r
RONNIE FUSSELL CLERKCIRCUIT COURTDUVAL Notary Public 0 Lge�State,offlonds,County of Duval.
COUNTY My eammmi.expires:
RECORDING SIG-On Personally Kno.. Or
Produced 1 EQ
�j- MYCOMMISM0111IFF941898
EXPIRES:January 5,M
Fdt:i