2314 Fiddlers Ln. RES19-0060 Windows aS ',/..,, RESIDENTIAL PERMIT PERMIT NUMBER
. _ CITY OF ATLANTIC BEACH RES19-0060
6-
L:41.:„.*... .
800 SEMINOLE ROAD ISSUED: 2/22/2019
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�``''is�r ATLANTIC BEACH. FL 32233 EXPIRES: 8/21/2019
°
MUST CALL INSPECTION?PHONE LINE (904) 247;5814,BY 4r PM FOR NEXT.DAYJIN-SPECTION:
ALL WORK MUST CONFORM,TO THE'CURRENT 6TH EDITION,(2017) OF THE.FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY`OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS:" PERMIT'TYPE ° DESCRIPTION:' ° VALUE OF WORK
2314 FIDDLERS LN RESIDENTIAL ALTERATION 45 WINDOWS-TAKING $0.00
RESIDENTIAL OVER RES18-0404
TYPE OF c°:, REAL ESTATE ? .° • - " . BUILDING USE °° '
ZONING SUBDIVISION.
CONSTRUCTION , NUMBER: :.g. . , GROUP °
169463 0130 OCEANWALK UNIT 01
COMPANY: ADDRESS t - CITY : . STATE:. ZIP:
ROBERT GWALTNEY INC P 0 BOX 49028 JACKSONVILLE FL 32240
BEACH
OWNER: ADDRESS: ' CITY: :STATE: I ZIP:
HARDAKER WILLIAM R 2314 FIDDLERS LN ATLANTIC BEACH FL 32233-4681
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.
.', , 1• . °,LIST OFCONDITIONS ,;. 'as" �_
Roll 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 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$59.00
Issued Date:2/22/2019 1 of 2
�. Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ,**ALL INFORMATION
syr :
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
'wog v
IS REQUIRED
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address E. . -- -- - - ----
-2:
_3 / _ 1`- 1_.A � Permit Number:
R se�Q, -OcO
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Legal Description F,Ci 2. — 13? 2 5 — C' C]CNA/4—i- :RE# /enr'1—,e1 S 3 —0/3 tf
c.)rL iT—t LO-f• 63
Valuation of Work(Replacement Cost)$1/.3/ 2-`f I , ZS Heated/Cooled SF 3 3 !5f Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo DPool I21 ndow/Door
• Use of existing/proposed structure(s): ❑Commercial l 1 sidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes alclo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: R,e t.�� R E S i 8 _ GLI-a�
e• ��G ,� ' S •1•./'- cI k-c co., ( Gam'
Florida Product Approval# (-lc/. / for multiple products use product approval form
Property Owner Information
ill 1---71--iv F-14-,' — — -..__T,
NameR " & c-c r l Address l 2 3 1 Y t z�S Vic-r.�
City I 4 l3eu.c_ = !State1 (.' ?Zip( 322 33 2
Phone CESS- / O1
I ' �Ic� � �..
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company(20` ar / y ` F
.. :.::QualifyingAgent,.
Address P'. 6-4 .BDA LE g g City 4c:..v eN State .F 1 Zipl, 3 Z Z 50
Office Phone'9'04, C 3 40.i,fro : _ IJob Site Contact Number
State Certification/Registration#ai c c)(401'5.7 1 E-Mail`1 l n S b��c_•-• �ivvS�`� »,c. I
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurers OR Exempt Expiration Date,/Z= /Z ZGZO
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 regulating
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. OTICE:[)n1 addition ininXp requirements(i
partunfitilguiffitGadditional restrictions applicablef ft propertyIJpfoundhinom- public recordsO if3 and.
REIGMIT152 additional permits required fitfOE COW governmental p3 management districts,gOlig agencies, •r
ederial 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 0 AN ATTORNEY BE ORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
_ -
(Signature of Owner or Agent) (Signature of C tractor)
Signed and sworn to(or affirmed)before me this day of S'rn,d nd sworn to(or a = before me his6 day qf.I -
by , • Q alio,
(Signature of Notary) ,•;:�¢'s% TONI GINDLESPERG at ;I" ary A
_ ';4 ' . COMMIS /
"Y°IRES:October X19
Th u Nat u6hc
[ ]Personally Known OR " [ ]Personal Underwriters••tnrn r
[ ]Produced Identification [ ]Produced Identification / ,(`C —50-37-j
Type of Identification: Type of Identification: ICk?j ( -50-37 (—C
February 19. 2019
To: City of Atlantic Beach
Re: Permit Number RFS-LQ-0404 RE S -0404
To whom it may concern,
This permit was pulled with the intent of the homeowner, Bill Hardaker, installing new windows
in the home.
I have since reconsidered and would like to turn this permit over to Robert Gwaltney, Inc to
complete the work needed to be done to install the new windows at 2314 Fiddlers Lane,
Atlantic Beach, FL.
Sincerely,
g(:0
Bill Hardaker
2314 Fiddlers Lane
Atlantic Beach, FL. 32233
904-655-1201