556 Seaspray Ave RES19-0188 7 Windows/1 Door V T
1 RESIDENTIAL PERMIT PERMIT NUMBER
RES19-0188
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 6/25/2019
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:
556 SEASPRAY AVE RESIDENTIAL ALTERATION 7 WINDOWS AND ONE $10763.00
RESIDENTIAL DOOR
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1707030422 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
MIRACLE WINDOW AND 8933 WESTERN WAY APT 11 JACKSONVILLE FL 32256
SUNROOMS
OWNER: ADDRESS: CITY: STATE: ZIP:
TRINIDAD PAUL ANTHONY 556 SEASPRAY AVE ATLANTIC BEACH FL 32233-4165
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 PAID AMOUNT
BUILDING PERMIT 455-0000 322-1000 $105.00
BUILDING PLAN CHECK 45S-0000-322-1001 0 $52.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36
0 $2.00
STATE DCA SURCHARGE 455-0000-208-7600
TOTAL: $161.86
Issued Date:6/25/2019 1 of 2
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. /*7e2 03- e VIi A
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
3 U6 V
Address of property being improved:
3)z 2-3-3-
?e 4,
gral description of improvements:
nor )049-ta-
Address 32P
_V2
Owners interest in site of the imprlveVrne 0 v
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor *Ut&L-C-e- U)I-f��VS&-*W k5t,1,17 A�00,715, LpAe
Address e�3,5 kL0Zfe-1'1) AOAq k�tz- A:'61 32.2-Z
Phone No.-SSy-d-;J ' 4-SIA4- Fax No.
Surety(if any) ILk
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name A-A_
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself or herself,designated by owner upon whom
notices or other documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone 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): A-A
THIS SPACE FOR RECORDER'S USE ONLY 2 WNE
sl$rfavai� MT4,:$
Before Tiie this AA d in the
County of �al. W%of Flor`lda,��I!q W
herein by
Doc#2019141465,OR BK 18831 Page 842, himself/herself and affirms that all statements and declarations herein
Number Pages:1 are true and accurate
Recorded 06/18/2019 09:47 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10-00 V)
Notary Public at Large, Own
My cam I on ex res,
t"y
r s I i or
Perso 11 n
Produ yl niffication
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assign by the uilding Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 GZja/ t 9
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 9-
Cityweb-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SS(� D�p�nt review required Yes No
dBuilding-,.) `7
Applicant: 1-K FA C,L E U I, ro �'F!31 11 101 19 &zeniing
Tree Administrator
P -7 v\) 0 tspc, Public Works
roject: R"
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: [PA*pproved. E]Denied. E]Not applicable
(Circle one.) Comments: /V0
=BUILDING
PLANNING &ZONING
Reviewed by: —Date: 6-d 1-dn
TREE ADMIN. Second Review: FlApproved as revised. F]Denied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied. ONot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPoY
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.
Job Address: 55-65, dZZI� Z36A_ Permit Number: C) - C) (8a)
Legal Description_5L&V Z,& z.-
RE# 1729Zn3_10X
Valuation of Work(Replacement Cost)$ /0� i&,3 Heated/Cooled SF Non-Heated/Cooled
• ClassofWork: LINew OAddition OAlteration ORepair DMove E]Demo E]Pool FI�Vinclow/Door
• Use of existing/p ro posed structure(s): ElCommercial EYResidential
• If an existing structure,is a fire sprinkler system installed?: E]Yes 240
• Will tree(s) be removed in association with proposed promect? E]Yes(must submit separate Tree Removal Permit) ff�No
Describe in detail the type of work to be performed:
Florida Product Approval# for multiple products use product approval form
Property Owner lnforrnati!�n
Name Address
city d /--
State A-C- zip -3Z2-33 P h(K&-e
E-Mail
Owner or Agent(If Agent, Power of Attorn ey o r Age ncy Letter Req u i red)
Contractor Information
N a me of Co rn pa ny 72U127az 4411' Qua I ifyi ng Agent 14tYl-&-6-7 4MZ1ZL
Address !N�D�3,eox�� City State /2-' Zip �15
Office Phone Job Site Contact Number el-Sa5;-,F-2 2�2
State Certification/Registration# &'el,336 V?IV E-Mail Ze W �-
Architect Name&Phone# /7&C
Engineer's Name&Phone# :AT- A- LU
Workers Compensation Insurer OR Exempt Ei Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal latic:�has (n
2: _J 2-
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulatim(_) f,� 0 i;,�
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIG IS_ Ze E
WELLS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements t a
Z
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county 0
there may be additional permits required from other governmental entities such as water management districts,state agencigu,; Cl L) I
federal agencies. Z
0 0 - C
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with U 5 ,
i.- co
applicable laws regulating construction and zoning. X < E Z
0 W
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA
t 0 LWA lu
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTTg 0- (Z
LIJ !,')
aj C3
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE LU U (n LU
RECQJRDING YOUR NOT E OF COMMENCEMENT. W >
>
LX:
(Signature of Owner or Agent) I nalfure orCori-tractor)
d d orn to(or affirmeA b f e this�V day f Si%d and sworn to(or affirmed)before me this day of
r'-- C Vuu I i Moe I bV\ KA-rh,,
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M I AA
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--(Sig-nature ofNotiry) �T_'ll'ii-nIture ofAvdrV
tjy CCm-1V.-!3S!0N 234015
R OR Lj8A,%v' TOMASINO
Personally Known 0 4ersonally Known
I k4y oav�%
114/produced Identificatio FXPIREF,: y 1 0
:Alilii'f� [ ]Produced Identificati 121SION�'GG 234015
Type of Identific Type of Identification:
OFFICE COPV
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA ('REQUIRED)
Permit#: Pt—E /2— w(Fs—
*Project Address: d1&A7z;_, L2
*Owner/Project Name: A-&V-hon�4
As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72, 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
&-ff,65 0101W4 /Vir
2. Sliding awrbc)91�1
It&I
3. Sectional
4. Garage Roll-Up
5. Automatic
6. Other
B. WINDOWS
1. Single hung
2. Horizontal slider
4. Double hung a)�, 77V 1) 7,t 7LLA J M44
5. Fixed 5M LJ
7'
6. Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12. Other
Page 1 of 4 Updated 10/17118
UFFIGE copy
3tegory/Subcategory Manufacturer Product Description Limitation of Use State# Local#
C. PANEL WALL
1. Siding
2. Soff its
3. EIFS
4. Storefronts
5. Curtain walls
6. Wall louvers
7. Glass block
8. Membrane
9. Greenhouse
10. Synthetic stucco
11. Other
D. ROOFING PRODUCrS
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 10/17118
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
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
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
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): r-A-�-A te-CJ"l- 0-hA-0- *Contractor Signature:
*CompanyName:
*Mailing Address:
*City: te- State: *Zip Code:
*Telephone Number: E-mail Address: Z-( OZ�_�te
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 10/17118
Custo er Name: Window# Style Code
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Customer:
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