360 Aquatic Dr. RES19-0074 Replace windows RESIDENTIAL PERMIT PERMIT NUMBER
RES19-0074
CITY OF ATLANTIC BEACH
ISSUED: 3/19/2019
\ � 800 SEMINOLE ROAD EXPIRES: 9/15/2019
J';1'`• ATLANTIC BEACH. FL 32233
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, 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:
360 AQUATIC DR RESIDENTIAL ALTERATION replace 3 windows $3058.00
RESIDENTIAL
TYPE OF REAL ESTATE r ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5120 AQUATIC GARDENS
COMPANY: I ADDRESS: CITY: STATE: ZIP:
AMERICAN WINDOW 2633 S POWERS AVE JACKSONVILLE FL 32207
PRODUCTS
OWNER: ADDRESS: CITY: STATE: ZIP:
VINAS NANCY NOELIA 360 AQUATIC DR 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.
‘t � � _...x .� LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 3/19/2019 1 of 2
4.-0.:Ly; City of Atlantic Beach APPLICATION NUMBER
0� Air,,:,�d Building Department (To be assigned by the Building Department.)
A j ., 800 Seminole Road S` _ �O�L
15-1.0. —
(
.. -0 Atlantic Beach, Florida 32233-5445 1 1
Phone(904)247-5826 • Fax(904)247-5845 3/; r
.rag%' E-mail: building-dept@coab.us Date routed: -i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: s�Lf0 1 (i)UCc_ 0 - Department review required Ye No
\ -I jOuilding
Applicant: t>(\�f1 V" 1, \1/lI ) Q�(0��,(,C'� Planning &Zoning
Tree Administrator
Project: L pk.kl .c__ w.r\d- _S 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
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
/1)BUILDING 0
PLANNING &ZONING
Reviewed by: Date:32/4
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 05/19/2017
COMM NC ME g
pent No No. i 1 \,616 5120
State O''LOQ:;" Count/of tu0(1,
To whom::may conotern: -
i he undersigned hereby informs you thatm pro`vem ents iii bs made tora:Gain real property,and in.
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOME OF
COMMENCEMENT.
ei
Legal desorsotion of roaery beino improved: 3/-11 1 1- 1-L3-2 1E AQ 11Q_
6,,e deans Lot 2 -,
,address o:property being improved: 300 Ki q,uaki L Pr y vt
RilonAlc j��g��au/n, \�/i- 32133 `
Genera€descriptio€:o improvements: 3 {���p,�ce�er Li V i Ur. vus ' 11tDIci e i-
doar S' r J i2-e..
me_tlo, V'iDDA5 Address 3Ln1Attuk Q_c or. Rt. 1oe* e. g e , P. 32233
Owner's interest in cite of the imp ovemen: N/A.
Fee Simple Titleholder(if other than owner)N/fes.
Name NIA
Address
Con actorAMERiC=.N NNDOWPRODUCTS,ENC.
Address 20-2-3 POWERS AVENUE-.AC:SONV LL F_32207
Phone Na SO4-731-M47 Fax No. 904-731-8824
Surety(Sl any)°V/t^.
Address N/^ Aum:of nt cT;ond$NIA
Phone No. N/A G.
/A
Name and address of any person making a ican for the const uCon of the improvements.
Name ± %n
Address NIA
Phone No. NIA Fax No. NL
Name of person within the State of Piorida,Otherthen himself.designated by owner upon whom notices or other
documents may be served:
Name
NIA
Address N/A
Phan..No_N/" Fax No.NIA
in addiiio:to himself.owner des€one?e=the following person to ecsh=a copy of t:e'_3encr's Notice as provided In
Section 713.06(2)(5).' 0nn8 S'ewta. _ at Owner's Powni
n
Name N/^
A
Address '
Phone 4^ NIS' -2x NIA
Expiration date of Notice of Commencement(the expiration da e is one(t)year from the data of recording unless a
• different date is sc_ct ied)_
~s HIS SPACE F."-R R=CO:et=?=S USE ONLY i f 1/ _ O\WNER
Signed: •"1.-'/ 1 td/ v AT o1/I1
— — ^.eT,_r..,.,.a+t day of Fe/3 ZUEy ' LI the
Doc#2019057972,OR BK 18719 Page 340, .V4. 7::�.Sd=�i �iic: it fr�Cc�SS.:T22Y`
NAf"'CA/ /VGIiG't(} u:r-N -rwr�y
Number Pages: 1 F:r se:7 e.SZ'fi :c anctr of �^=1:�_nd d1iran ;5 �
Recorded 03/14/2019 03:14 PM, "'= z'=z ""rr ':¢'� LARRY J.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL CALLAGHER
* ''�' * MY C01dISSION#FF 90??27
COUNTY itilAksii i XPIgES:September6,2019
RECORDING $10.00 ; T .. ���%
°t' •'dad Thou Budget Notar/SelriCec
4oer,, S'�L=of P c. . county of /J L)✓
AL
Personally C.^.n ,• or
i Produced!d .`tmt?on J/(�
c '''r'' BuildingPermit Application
�- Pp
�r:' .�:_ ) City of Atlantic Beach OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
'`�'�'=''r Phone: (904)247-5826 Fax (904)247-5845 O6
ill n
,bb Address: 3J(dQ Asiu c h - �I\JQ, rfi1(Y If,�Qa�lt F" r3mit Number: K-C-7,5 I -1 `0 0 �� �_
Legal Description 38-31 f !lki-C,l=1plietis Lof 3-B FE# 19111%- EM,pcw o
Valuation of Work(Replacement Cost)$ 3;OSB,°—' Heated/Cooled g ' Non-Heated/Cooled 0...„tg -
0 Gass of Work(Circle one): New Addition Alteration Fepair Move Demo Pool(ndow/DooD O 03 F."--- Z a
0 Use of existing/proposed structure(s)(CIrde one): Commercial sidential '—'J I V d U 0
0 If an existing structure,is a fire sprinkler system installed?(a rde one): Yes NoCO n u Cc Z
Odoa
0 tbmit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal U _t '1' cn
Describe in detail the type of work to be performed: CC < h Z
6 3 Re?iothto k- iN iAaowsi 1 Rep`cemerv;+ d\Q r size- - std u. 1 "
Ouww ;:
n >. Q.-cc n
Florida Product Approval# "3e -' 2C, moo' for multiple products use product*lorbv-Ifotin o
Property Owner Information w U cn w-5 x w
Name: 11.)p, 143elt0. •\l i'MS Address: Ykp *e_,Dr\J2L.
City P%-1-‘crit;c, (eaC%-. aate F Zip 322.3'3 Phone °►Ot-t- (0. - ZI LIJcc
E-Mail
Cwner or Agent(If Agent,Fbwer of Attorney or Agency Letter Required)
Contractor Information MAR - 4 2019
Name of Company: Oftn,\N.I4tetxt,� QcJu,rS, 1y. Qualifying Agent: I'e ikhn Curr -
r t
Address 2i.d Yid tit City'-;Sp‘aSc lViik . &ate FL Op 3`L '1-
CXfice Phone goy- r-t31- 2.. -k r} .bb Ste/Contact Number 904-11-qt -Z2-4 4
aateCertification/Registration# C,$C\ZS 1261- E-Mail eve.C,cp 04,4\11,-;0,,,,,(.,,) , .c&s •(\o„,,
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation V o1r"(:i-TJX- C)l o�Coy 8 I 7- c4 f iq
1 Exempt/Insurer/I eacp Employees/Eviration Date
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 eandardsof all the laws regulationg
construction int his j urialiction.l understand that a separate permit must be secured for R3Kmf;4CAL WORK,PWMBING,SG'JS
WI3..LS,POOLS FURNACES BOILERS HEATERS TANKS and AIR CONDITIONERS etc.
O VN9RSAFFIDAVIT 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.
WARNI NG TO OWNER YOUR FAI LURE TO FXORD A NOTICE OF ODM M BVCBVI BIT MAY
RE JLT I N YOUR PAYI NG TWICE FOR I M PROVBlll BVTSTO YOUR PROPERTY. I F YOU I NTEND
TO OBTAIN Fl NANCI NGS CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE
REOORDI NG YOUR NOTICEOF COMM TVI BIT.
C
, (, ,
(9 arure of Owner or Agent induding Contractor) ( gnature of Contractor)
Sgned d&worn to(or affirmed before me this 11 1day of Sgn and sworn to(o�r affirmed)before ethis it-4"/day of
__ � by /via c. Villas —, �dl�( , s_ ' ii
1=1t �4 1,,,,�-;_ AVM
o• Y°°� S, .: :'�' . ER� ;;Is' ure of Notary)
*46‘1":
`, * MY CO .ISSION#FF 902227
ui EXPIRES;September 6,2019 sio' Pie'(,oEVANGELIE CLARKE
d''rEOF,047 Bonded Thru Budget Notary Services * ; ,ti;; } Commission#GG 102835
[ ]Personally Known OR FFrsonally Known( '"q °b < Expires May 9,2021
4R-oduced Identification [ ]R-oduoed Identification rFOFFIo? eaa�arMuB�dgetNotaryservke.
Type of Identification:/ - u
L d.- )-63Y'V6- 5-�'U Type of Identification:
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: I�xi\cm 1\10eklo, U t f Q.S Permit # ,fag-S79 ()CI
Project Address: , ([\Q.i3Oki Q. Dr-Nit {d V\ Veva\ fu, 3/,,/,?gg
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s)
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
product approval may be obtained at:w .11otidahuildin .org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.Swinging ?VISA' "(b Na C1 cas5 FL 15221,1
2.Sliding
3.Sectional
4.Roll up
5.Automatic
6.Other
B.WINDOWS
1.Single hung
2.Horizontal slider FRS
3.Casement
4.Double hung
5.Fixed .1;5 O 3 1
6.Awning
7.Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action
DJ- 1'-)
2.Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPE PRODUCTS
1.
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 the ones
listed in this document must be approved by the Building Official.
OFFICE COPY
(Contractor Name) (Print Name) (Signature)
Company Name: kfiefICIA vkhAtibuoPrbakkuis ci lk rrl
Mailing Address: 2 b 53 POuiers
City: —5-04 X OAv l kkt- State: c(., Zip Code: 372-0 1- _
Telephone Number:( ) Ill-2 Z N q Fax Number:(CIO ) T3 1 - '1
Cell Phone Number:( ) E-mail Address: eV Ct @ cumeri CO."iN;ndb,,v,11=d"--t-F3.( )Vv"--