1853 Beach Ave RES19-0101 Windows/Doors RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0101
800 SEMINOLE ROAD ISSUED: 5/1/2019
ATLANTIC BEACH. Fl.32233 EXPIRES: 10/28/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
CODE, NEC, IPIVIC, 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:
1853 BEACH AVE RESIDENTIAL ALTERATION 8 WINDOWS AND 2 DOORS $35000.00
RESIDENTIAL
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
THE NAUTILUS
1697231110 CONDOMINIUM
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
(ONOPASEK JAMES L 1853 BEACH AVE ATLANTIC BEACH FIL 32233-5938
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.
DESCRIPTION ACCOUNT QUANTITY PAIDANIOUNT
BUILDING PERMIT 455-0030-322 10M a $230GO
BUILDING PUN CHECK 455-WOO 322 1001 0 $115.00
STATE DERR SURCHARGE 455 ARCO 208 07W a $5,18
STATE DCA SURCHARGE 455 MW-208-OGW 0 SPAS
TOTAL:$353.63
Issued Date:5/2/2019 1 of 2
RESIDENTIAL PERMIT PERMITNUMBER
RES19-0101
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 5/l/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/28/2019
Issued Date:5/l/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be apigned by the Building Department.)
1 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247.5B45
E-mail: building-dept@coalb us Date routed.
Cityweb-site httlp//�coalbus
APPLICATION REVIEW AND TRACKING FORM
Property Address: �P)S?) Bep'n'I,4 Ru a Yes No
;Uie!g review required
Applicant: nC,,:)tQ)94-e-- Plan-ni Zoning
TreiaAdministrator
Project: Z Public Works
—&V�')( up 3 Public Utilirties
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review Date
of Per.it=pBy
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St Johns River Water Managennent District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ElApproved. XDenied. EJNot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:'�/-9'da?
TREEADMIN. Second Review: E]Approved as revised. E]Deni%l. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: ElApproved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised 05119/2017
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r) ATLANTIC BEACH,FL 32233
(904)247-5800
BUILDING REVIEW COMMENTS
Date: 4/9/2019
Permit#: RES19-0101 Site Address: 1853 BEACH AVE
Review Status:denied RE#: 169723 1110
Applicant: Property Owner: KONOPASEK JAMES L
Email: Email:JLKONO@YAHOO.COM
Phone: Ph6ne:9044766550
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.
Correction Comments:
1. Submit 2 copies of the Atlantic Beach Building Department's Florida Product Approval Infortnation
shuts for the windows and doors. Be sure to fill out the last page as well.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach,FL 32233
904.247.5W
Email:mjoncs@coab.us
Resubmittal Notes: &n4l(14ol ryi
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.
Building Permit Application Updated 1019118
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
JobAddress: AR.5-3 5FAck Gf- —PermItNumber:
Legal Description IL N&1�`,W , (�Itr(tatv �Xrt�4 1(�65 REN rl;) 3
Valuation of Work(Replacement Cost)$ 3 Doo Heated/CoGled SF 1400 No.-He4ed/Coc,led —
• ClassofWork: CNew OAddition DAIteration EIRepair ElMove C]Denno OPool )"Winclow/Door
• Use of existing/proposed structure(s): OCommercial )62esidential
• If an existing structure,is afire sprinkler system installed?: 11Yes )IM 0
• Will tree(s)be removed in association with Proposed proiecO E]Yes(must submit separate Tree Removal Permitl 0
Describe In detail the type of work to be performed:
Aft ) &cf- &W Ey-ts-nP6 w )P1bau,%�C&Ty8\ A�D 'IWO Ew(k� b,*A,5
Florida Product Approvalit �,9 6 A-rrA c H F r) for multiple products use product approval form
Property Owner Information
Name 9ALtLS L kettJO)l Address /8!3 PUFACh Avg
city AV�� 0$�AIZ H State Fi Zip .327 Phone 4E�zcz- k,.S r n
E-Mail 60 Iy\
Owner or Agent(if Agent,Powe(of Attorney or Agency LetterRequired)
Contractor Information
NameofCompan �,ff All
Qualifying Agent
Addres City_State Zip_
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer �OR'acmp I 1.pir�ticm Date
c.rh in
Application is hereby made to obtain a permit to do the work and installations asmdli�catd at 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. a4l nts of this
permit,there may be additional restrictions applicable to this property that may be f1%VHX:Fwt=ff)ntV,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 44 deb9in201%liance with all
applicable laws regulating construalon and zoning.
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE PF
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO )IO.4fl i,,ffA
KlKby- 'I, V"jEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDINA YOUR NOTICE OF COMMENCEMENT.
,-. I C,�
( na ure of Owner or Agent) (Signature of Contractor)
i re n sworn to(o aff i me I befo is yof Signed and sworn to(or affirmed)before me this day of
2r%m� -- by
t r of N ry (Signature of Notary)
............
)Personally Known OR i
I ,
&M- TONI
4UMPenaft Kn.wA OR
. 14
)Produced Ideal tion 7P b6ced Identification
if., mycom
I c.1
Type of Identification: 0
loerth'c.tipm
Owner Builder Affidavit "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department rRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coalb.us PERMITM R&S19 -0101
1. FLORIDA STATUTES;CHAPTER 489,FLORIDA STATUTES,PART 1"CONSTRUCTION CONTRACTING-REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUM E THAT YOU BUILT IT FOR SALE OR LEASE,WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
11. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED..
Ill. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/Olk FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(l). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON 15 A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPTLMCOAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: /653 BEACI[4 AVf- AiLAr11IC i?ic,PC,jj FL 372_3��
Owner Name: L it,Ci)-0 P A S f� V-� —Phone Number: 101[ �74F6550
MallingAddress: MS3 4rAC-h A4L City: &I L&�_t It— V*AA--fState: FL_ zip: ?,??-3-
�2
Notarized Signature of Owner
The ent was SO this Z_iday of 2 state of Florida, County
Of 2��lenr
Signature of Notary Public
I ] Personally Known OR [ I Produced Identification
Type of identification: Krz:) l Z.-
-------- UpdPW 30124118
TONI GINDLESPERGER
MyC0WSSON#FFV451
EXPIRES:OPtPPe
gl"LL�r S,
NOTICE OF COMMENCEMENT
State of f L 0 11�t 0 /Ir Tax Folio No.
County of -p U V/'L-� —
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 1 fi�hfOTI�Z Cr1V
+' in ZjrX& Lk j_ 1�r
Legal Description of property being Improved; ru D _
Address of property being improved: IML &F-ftCR -A\JF- ATLIN"CK- 9,15AC4 J71 3WZ)
General description of Improvements: r,*/-ACf, jNjS,-T1W, 8 Wt,1019W� hft, a lftmf boyp--�'
AOwner: 3-Nmtr�— L XoNe)PA561< Address: ��Sj
Owner's interest in site of the improvement: 16016 G'C-Ell.r-
Fee Simple Titleholder(if other than owner): i`-)A
Name:
Contractor: t�jirr 5Ef- AiT-,bA,,,-r :2A-m6- AS owp ,15D
Address:
Telephone No.: Fax No:
Surety(if any) L-/A
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: N)A
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(2)(b),Florld�)akes. (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 fir """"'els
211�
IG4 P
specified): I/
E FEE
xpIRS8 0��Icbt'6�2019
U d
THIS SPACE FOR RECORDER'S USE ON LY OWNER
Q
Signed: Z'k 7-VM
Date:
Dm#MI9070396,ORBK18735 Pagell2l, i Beforej a da t Co�NfDjval,State
re
Number Pages:1 Of FItHd!-�h -D--el];n ntly ppeya'ed
Recorded 03/29/2019 01:47 PM, R Countyof 1.
Notary Public at Large,State of'�!9`
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY i Personally Knmn: or
RECORDING $10.00 Produced Identification! J� -,17. -4-, 7- - SC�-11-7-4(,D
Afth
WPRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (-REQUIRED)
*Project Address: M53 EeA-044 Avc 3 17.3-3 Permit#:
-Owner/Project Name: KoNoPNsFr_ OFFiCE t-;Q- ph
As required by Florida Statute 553.842 and Florida Administrative Code Rule 911-72,please provide the informationarAPproom 1Yf lo r
the building components listed below as applicable to the building construction project for the permit number liste AW*v'�JqAtact your
product supplier if you do not know the product approval number for any of the applicable listed products. Informal --.ffiw a roduct
approval may be obtained at;www.floricalbulding.org. Plip
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1.Swinging is Al�_E_N"t /(57654
2.Sliding PGrF 57L 1 ,15 Elt- 1 -7 9.
3.Sectional
4.Garage Roll-Up
5.Automatic
6. Other
B.WINDOWS
1.Single hung
2.Horizontal slider
3.Casement _V0 L_86
4. Double hung
5. Fixed *W,*h Votaf_� r,,z,, a 4
6.Awning KOL Bp_ 1424-di-f
7. Pass-through
8. Projected
9. Mullion
10.Wind breaker
11. Dual action
12.Other
P.9.1&4 Upd.�10117118
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 manufacturers 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 bythe Building Official.
*Contractor Name(Print Name): JAfl CS kol'i OPA-5f- V, *Contractor Signature:
*Company Name:_ 0 W r4 q I (�/ V
*Mailing Address:- 185S tEAC-14 .4 V 1�_
*City: A7IL-It r4-n C 80 Ar-11-k *State: ;=L *Zip Code:
"Telephone Number: Jo!� Q76 6_5�570 *E-mail Address: V, A b o
Cell Phone Number: 0 71, - 6-5-50 Fax Number:
Pap 4�4 Upd�d 10117118