20 17TH ST RES19-0051 WIND & DOOR PERM RESIDENTIAL PERMIT PERMIT NUMBER
RES19-0051
j; CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/12/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/8/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • D+ BUILDING
CODE, • AND OF ATLANTIC BEACH • OF ORDINANCES .
ALL • i OF PERMIT APPLY, + + CAREFULLY.
LNOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
be found in the public records of this county, and there may be additional permits required from other
ental entities such as water management districts,state agencies, or federal agencies.
ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK- j
20 17TH ST RESIDENTIAL ALTERATION WINDOWS & DOORS $28000.00
RESIDENTIAL
TYPE OF
ZONING: :D •
• • GROUP:
169591 0010 OCEAN GROVE UNIT 01
COMPANY:--- ADDRESS:
MCANENY BUILDERS LLC 1010 EAST ADAMS ST JACKSONVILLE FL 32202
• ADDRESS:
SCHIFANELLA THOMAS J 20 17TH ST ATLANTIC BEACH FL 32233-5810
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 . .
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
i
g
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $195.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $97.50
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $5.14
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $3.43
TOTAL:$351.07
Issued Date: 3/12/2019 1 of 2
rs_'Vir; City of Atlantic Beach APPLICATION NUMBER
S •,a. � Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 R c) c)
Phone(904)247-5826 Fax(904)247-5845 n
E-mail: building-dept@coab.us Date routed: 14 ' �7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z Q 17 ( Department review required Ye No
wilding
Applicant: b �- �IU Lti �-/ �V( Lt'�E1� Planning Zoning
11 ,, Tree Administrator
Project: l .00cxos '- �� c:>Q2a Public Works
Public Utilities
Public Safety
Fire Services
.Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants 1
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. arDenied. []Not applicable
(Circle one.) Comments:
BUILD;
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: c3 l� ��
FIRE SERVICES Third Review: ❑Approved as revised. ❑Deni d. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPY
(L; Srfv: �, Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
v
fi Jr V 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: Z-0 11+ '5-1. Anw,3M Permit Number:
Legal Description K(-043- RE#
r� ai K f31t'v71,�'tt�l
Valuation of Work(Replacement Cost)$ 26,��aHeated/Cooled S Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair El
Move ❑Demo []Pool indow/Door
• Use of existing/proposed structure(s): ❑Commercial L111fesidential
• If an existing structure,is a fire sprinkler system installed?: [JI s ❑No
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit o
Describe in detail the type of work to be performed: FEsmav 6 t Z&V9LAC€ LOt"I:DO%-x3 S k �oc2S
Florida Product Approval# FL Z1171 - Ft 5011- for multiple products use product approval form
Property Owner Information
Name M Address 2D ll-fD ST,
City C, 4- State 5:L Zip 52-2 Phone - l
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company /M�A A. QJ4 �w1CDGRS 1,LC- Qualifying Agent !PARA C4}-r.1 G tj
Address (-5-in �aae -ST City �wc�l yAULlLE State FL- zip stzciq
Office Phone 9 o L(-3'74- 1'73 L Job Site Contact Number 9 0 Ll-
State Certification/Registration#C CyC 15-6%7 3? E-Mail (111Mud-1)t!) V'i i L12r--
Architect Name&Phone#
EngineL-r's Name&Phone#
,Workers Compensation Insurere- I R Exempt❑ Expiration Date 21 t
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal lation 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. 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 LENDER OR AN ATTORNEY BEFORE
RECORDING 1 ON TIC OF COMMENCEMENT.
,f:�XVIu00 Owner or Agent) (Signature of C
e ) tractor)
_ Signed and sworn to(or affirmed)before me this I day of Signed and sworn to(or affirmbefore me this LL day of
Q[�,by QeA.44 Mvpcv,.. v?J�, , ��OL by ,to vt-r�'P
(Signature of Notary) (Signature of Notary)
tip'A MILDRED REYES MORENO
i►k�'. MILDRED REYES MORENO
[ Personally Know c MY COMMISSION#FF905780 [personally Known OR
[ ]Produced Identii EXPIRES August 03,2019 [ J Produced Identificatior MY COMMISSION#FF905780
Type of Identificati 9°7,39e-0�s3 Fbnd*4NaySerAm.rom Type of Identification: ', ar: EXPIRES August 03,2019
1407,398-0'53 F,oddaNdaryService.c+ t
4 OFFICE COPY
rt` �wrRevision Request/Correction to Comments "ALL INFORMATION
- ; HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Kes —oC)J
❑ Revision to Issued Permit OR 0 Corrections to Comments Date:
Project Address: 17-0 1-+ti- ZiT-- AT M,1 (C- If-K-4
Contractor/Contact Name:
Contact Phone: b�� 2� Email: Ilk a)oe x( 4 QGI"{' .Y'),e-�
Description of Proposed Revision/Corrections:
f e-MOCI- i WO---i)Ak- KLMPE� FDV-- ISS�C��?'SS�O 1YY1►� T SIST�I��
r-4t+ c �. L F � xp t�1 . o �
I— Du\ x
'Zb?d
CAWC(--- affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• ,Will 1pproposed revision/corrections add additional square footage to original submittal?
�Tlo ❑ Yes(additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
UW []*Yes(additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
,Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Du
Revision/Plan Review Comments
De artment Review Required:
&Zoning Reviewed By
Tree Administrator
Public Works of
Public Utilities Jl
Public Safety Date
Fire Services Updated 10/17/18
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
S+
®IC�rGI l�E C®P� ATLANTIC BEACH, FL 32233
(904) 247-5800
f3
BUILDING REVIEW COMMENTS
Date: 2/27/2019
Permit#: RES19-0051 Site Address: 20 17TH ST
Review Status: denied RE#: 169591 0010
Applicant: MCANENY BUILDERS LLC Property Owner: SCHIFANELLA THOMAS J
Email: MCANENYBUILDERS@ATT.NET Email:
Phone: 9043741736 Phone: 9046127546
9042193004
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 wiH not be accepted.
Correction Comments:
1. P duct approval numbers submitted shall be to the exact decimal when there is more than,pne product
pe under that FL# 1
2. is is the case for the horizontal window slider and the fixed windows from PGT. Your ndor should
be a o get these numbers for you. Installations can be downloaded from the D13PIk-PRODUCT
APPROVA E.
Building P1 f f20�
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5 844
Email:mjones@coab.us
Resubmittal Notes:
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
Permit No. " NOTICE OF COMMENCEMENT OFFICE COPY
S�' �'SOS`/
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal description of pro -2S- -29 1 pEKjn Igrlg Usl,r l K �:- Of Lo\0 KECp o/1
a)Street(job)Address: rfZ_j ►- W W93.c
2.General description of improvement(s): {Z 5Lt S
OWL %y-
3.Owner or Lessee information(Lesseeaq owwr only i contracted for improvements)
a.Name and address ✓� ei � o►
b.Interest in property: pat�L�R
c.Name and address of fee simple titleholder(if other than owner):
4.Contractor Information
a Name and address:MtA wt&w&t. ,`fir et.b `Lt (.507
A M-L ST :TA.[ R 3 j, t�
b.Phone number: Fax No.(Opt.) qe%4 - 3?9— 3'7 44 1L
5.Surety InformationT� .. �-
a.Name and address:
b.Amount of bond$
c.Phone number: Fax No.(Opt.)
6.Lender
a.Name and address:
b.Phone number:
7.Persons within the State of Florida designated by Owner upon who notices or other documents may be served as provided by
Section 713.130)(a)7.,Florida Statutes:
a.Name and address:
b.Phone number:
8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in
Section 713.13(l)(b),Florida Statutes:
a.Name and address:
b.Phone number:
Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713,PART 1, SECTION 713.13,FLORIDA STATUES,AND
CAN 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 COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have-
read the foregoing and that the facts in it are true to the hest of my knowledge and betieE,
i
Si e o Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
Signat fficer:
State of Florida
County of Manatee
The foregoing ins t was cknowledged before me this day of 20 I q b,
7 G Ile ��q ^ _ ,who is personally known to me t r has produced
and who did/did not take an oath.
(Driver's License#) Tzll�
Doc##2019035623,OR BK 18690 Page 1323, Signature of Notary
Number Pages: 1 Public-State of Florida MILDRED REYES MORENO
Recorded 02'13/2019 11:02 AM, ': MY COMMISSION s FF905760
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL � EXPIRES�st 03,2019
COUNTY Print,Type,or Stamp ,v ,,
RECORDING $10.00 Commissioned Name of Notary
••, 753 FlondaNaarySerAm cam
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH FLORIDA
Project Name:__ II C.(� SGS i t F1 N LLA Permit . # RES17-00-5/
Project Address: 2 0 S 4�k - KLAflff►L VA ArA
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval numbers)
for the building components listed below as.applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of-the applicable listed products. Information regarding statewide
roduct a roval may be obtained at:www.floridabuildin ra.
Category/Subcategory Manufacturer Product Description Limitation of Use State# :f Local#
A.EXTERIOR DOORS
1. Swinging
2. Sliding = --- --- - _
3. Sectional
4.Roll up
5.Automatic
6. Other - -B.WINDOWS
i
1. Single hung !
2.Horizontal slider P(,- INDJW555 ! 3 = 3 "type S
3. Casement
4.Double hung
i
5.Fixed T C)I
6.Awning
7.Pass-through
8.Projected
9.Mullion
10.Windbreaker .
11.Dual action _
vrriut uuvy
2. Other
_.................-------------------- ---...- ----------..-
Category/Subcategory Manufacturer Product Description Limitation of Use : State# Local#
H. NEW EXTERIOR
ENVELOPE PRODUCTS
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than t13e ones
listed in this document must be approved by the Building Official.
(Contractor Name) M(Print Name) L r,ON l fLV MC�AN -s � (Signature)
Company Name: I lG(+N e.-
Mailing Address: (p 50 QA(L IL S'fi
City: , kS6&lV(LLQ State: rL Zip Code: 3226
`-I
Telephone Number: (qM ) 33 A- (7^-3(p Fax Number: (17dL-(
Cell Phone Number: ( ) E-mail Address: