1339 Camelia St RES19-0191 Win/Door/Siding RESIDENTIAL PERMIT PERMIT NUMBER
J
CITY OF ATLANTIC BEACH RES19-0191
r ISSUED: 6/25/2019
800 SEMINOLE ROAD
gill,, ATLANTIC BEACH. FL 32233 EXPIRES: 12/22/2019
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:
RESIDENTIAL ALTERATION WINDOW, DOORS, SIDING,
1339 CAMELIA ST $60000.00
RESIDENTIAL AND MISC. WOOD REPAIR
TYPE OF
ZONING: :D •
• • GROUP:
1710510010 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
TRUE EAST 111 DOLPHIN BLVD E PONTA VEDRA FL 32082
BEACH
• ADDRESS:
ACM CREATIVE
PROPERTIES LLC 413 FILMORE DR JACKSONVILLE FL 32225
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $320.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $160.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $7.20
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.80
Issued Date:6/25/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
`j Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 J
Phone(904)247-5826 - Fax(904)247-5845
�r3 yr E-mail: building-dept@coab.us Date routed: �/ 1
City web-site: http://www.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: I �� C (hEL-1 Department review required Yes o
uildin
Applicant: C jRUE CSS j Zoning
Tree Administrator
Project: od� w C�ca1 c 2S 1 C)lt�D Public Works
/ Public Utilities
W000 � 1� Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: Q pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
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:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
2, Building Permit Application Updated 1019118
City of Atlantic Beach Building DepartmentOFFICE COPY "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Build ing-Dept@coa b.us IS REQUIRED.
Job Address: 1339 Camelia Street,Atlantic Beach FL,32233 Permit Number: RcsiS� (9
Legal Description 18-34 38-2S-29E SEC H ATLANTIC BEACH LOT 3 BLK 225 —RE# 171n�i-nnin
Valuation of Work(Replacement Cost)$ &0 1 000 Heated/Cooled SF 1329 Non-Heated/Cooled 1812
• ClassofWork: ONew ElAddition DAlteration EIRepair ElMove E]Demo OPool OWinclow/Door
• Use of existing/proposed structure(s): ElCommercial ElPesidential
• If an existing structure,is a fire sprinkler system installed?: E]Yes ONO
• Will tree(s)be removed in association with proposed pro'ect? E]Yes(must submit separate Tree Removal Permit) Alo
Describe in detail the type of work to be performed: Replace HVAC. Leave existing ductwork.
Remodel Kitchen cou nte rtops/ca bi nets, Remodel 2 bathrooms,demo unpermitted bay window&restore to original.replace windows
&doors, replace exterior deck(less than 30"), repair wood rot and install hardie panel, roof patch and retore unpermitted over hangs
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name ACM Creative Properties_LLC Address 413 Filmore Dr.
City Inrksonville State FL Zip 32225 Phone 904-525-7682
E-Mail info@acmcreativeproperties.com
Owner or Agent(if Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 7-p-t/E EA:sT- ClualifyingAgent I-AA4,49 DAVIO 1-119HAJ27-
Address /I/ 004-0q1411V 81-t/0 EAST' City PbP4T'J6 VE094 State FL zip 32-062--
Office Phone 904?- 51q_13qg _7(
ob Site Contact Number _62- 087-
State Certification/Registration# 12-62&041 E-Mail 0,4ve 4.19HAAer CO "7MAIL CO^4
Architect Name&Phone# Z
Engineer's Name&Phone# _r _J Z
FJ <
Workers Compensation Insurer OR Exempt o Expiration Date \o
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installaLsn&Q 25
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reguOi Z W
0 CC
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIMSP a
WELLS,POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremengfRi'<
&
permit,there may be additional restrictions applicable to this property that may be found in the public records of this counle. ILL
there may be additional permits required from other governmental entities such as water management districts,state agen(A��r 0 U)
federal agencies. cc '4L L_ d-
0 LL n U1
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witMall CC 2-
applicable laws regulating construction and zoning. a 0 UJ ui >_
Ld >. CL CC M
W '; 0
W 0 W
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Mp� in ui
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT J D Cr.
W
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE L-1
RECORDING YOUR NOTICE OF COMMENCEMENT.
14)�2j C'Z__
('1rignature of owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed) before me this I'l day of Signed and sworn to(or affirmed)before me this tot dayof
J V Y\L., by Cy k).yS0CX/ J 0 V%e-, I L)101 by L6LM CLf L-1 19 hal-1--
(Sign�t_ure of Notary) (Signatde of Notary)
..............
BRITTANY OMAN BRITTANY OMAN
[ I Personally Known OR
Personally Known OR Notary Publi,-State of Florida
Notary P
Produced Identification Commission#GG 314017 Produced Identificati n ublic-State of Florida
Commission#GG 314017
Type of Identification: My Comm.Expires Mar 19,2023 Type of identification: PF My C093m,FxPirP%hur 19 2423
s-s n.
8onded through National Notary Assn.
OFFICEE COPY
Scope of Work 1339 Camelia Street. Atlantic Beach FL, 32233
-Roof repair patch from fallen tree, and demo and restore unpermitted porch overhangs.All to be
handled by the roofer.
-Repair exterior siding wood rot,waterproof, and install new Hardie panel/lap
-Rip&replace exterior deck at back porch. Under 30" in height
-Replace all windows and 3 exterior doors
-Rebuild non-bearing interior wall to bring 3`a bedroom back to its original layout. Frame closets
back to original.
-Demo unpermitted bay window area in master bedroom and frame back to original layout as a
window
-Stub out existing plumbing for new drywall &cabinet installation. Trim fixtures for final.No
new plumbing or location changes.
-Replace HVAC system inside and outside units. Leave existing ductwork. Raise concrete pad
for exterior unit 3"above grade.
-Interior drywall replacement&texture ceilings
-New interior doors and trim
-2 Bathroom remodels
-Interior/exterior paint
-Install new garage door and electric opener
-Demo &install new wood privacy fence to correct layout as shown on survey
-New laminate flooring throughout
-Remodel kitchen cabinets/countertops
PermJ 44 :-- PL-Slq - oo/
NOTICE OF COMMENCEMENT
State of Tax Folio No.
Countyof PuVAL- OFFICE COPS(
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 is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 18-34 38—ZS -7-RE �sEr- N AnAdy 'OC_ H
Address of property being improved: d334 CAPAE44A ST#1112fZT. ATLANT . 6-4p 322-ZA
General description of improvements:
;4®( E 6�Vt�11� 7'd®qgj\\. VA;7-Jdoje \� 1//�f�d�( z
C:LIDI ®lam
wner: M 064. ���� Address: W& A&MO A0i2 o , F Z2'ZS'
wner's interest in site of the improvement: t ®d 0®
Fee Simple Titleholder(if other than owner):
Name: _
Contractor: 7—Ave T' _
Address: M DoWHi4y gLyQo EA,,gr AM V9 �� 92- _
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: 7-H050046f-j2r-56P—
Address: LIZ 3 Sr. &Eirllsng6 tjD4 & cHo FL 301I50
Phone No: q®y' q63 - 1(03Z 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:
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), Florida Statues. (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 from the date of recording unless a different date is
specified):
Doc##2019094494,OR BK.18768 Page 337, OWNER
Number Pages:1
Signed:
Si :
f
Recorded 04/25/201908:08 AM, g Date:
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Before mEKhis 4090 day of1r 2014 in the County of Duval,State
COUNTY Of Florida,has personally appeared d _
RECORDING $10.00 Notary Public at Large,State of Florida,C unty of uval.
My commission expires: SPI •L
Personally Known: 1%000 A6rida
Produced Identificati . Commission a GG 31401
My Comm.Expires Mar 19,2023
Soreed through National Notary Assn.
OFFIC Copy
I
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*Project Address: 1339 CAMELIA ST Permit#: R ES! %_0/9 1
*Owner/Project Name: ACM Creative Properties LLC
As required by Florida Statute 553.842 and Florida Administrative Code Rule 96-72, 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: www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging Masonite 6 Panel Smooth Fiberglass FL22363.1
2. Sliding
3. Sectional
4. Garage Roll-Up
5. Automatic
6. Other
B.WINDOWS
1.Single hung Eagle View Vinyl Single Hung FL16625.1
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6.Awning
7. Pass-through
8. Projected
9. Mullion
10.Wind breaker
11. Dual action
12. Other
Page 1 of 4 Updated 10/17/18
vMVC l,VI' Y
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
C. PANEL WALL
1.Siding James Hardie Hardie Panel FL13223.R4/FL13192 R5
2. Soffits
3. EIFS
4.Storefronts
5. Curtain walls
6. Wall louvers
7. Glass block
8. Membrane �,�p�,�� v-P_L 1-6wle-Qm(p
9. Greenhouse
10. Synthetic stucco
11. Other
D. ROOFING PRODUCTS
1. Asphalt shingles
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7.Single ply roofing
8. Roofing tiles
9. Roofing insulation
10. Waterproofing
11.Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14. Cement-adhesive
coats
15. Roof tile adhesive
16. Spray applied
polyurethane roof
17. Other
Page 2 of 4 Updated 10117118
vi-rIVc uuto Y
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
E.SHUTTERS
1. Accordion
2. Bahama
3. Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F.STRUCTURAL
COMPONENTS
1. Wood
connector/anchor
2.Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11.Wall
12. Sheds
13. Other
G.SKYLIGHTS
1. Skylight
2. Other
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 of 4 Updated 10/17118
OFFICE COPY
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.
*Contractor Name (Print Name): LAMAR DA-VIO LIBHArV- *Contractor Signature:
*Company Name: 72W,6 FAST
*Mailing Address: _ �// DOS PHIN &_V0 5AST
*City: PoNTE V 6DA4 *State: FL *Zip Code: 37-0$7—
*Telephone Number: 9dy- S/q - 13 5 *E-mail Address: OAVE -/BHA")LT (�? 6Mm L. COIR
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 10/17/18