Loading...
650 Sailfish Dr RES19-0224 5 Windows RESIDENTIAL PERMIT PERMIT NUMBER J ' RES19-0224 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 7/25/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 1/21/2020 MUST CALL INSPECTION PHONE • 1 PM FORINSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF i ' CODE, • OF BEACH CODEOF ORDINANCES . A LL 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 650 SAILFISH DR RESIDENTIAL ALTERATION 5 WINDOWS $4117.00 RESIDENTIAL TYPE OF ZONING: :D • • • GROUP: 171214 0000 ROYAL PALMS UNIT 01 COMPANY: ADDRESS: STATE: ZIP: . Preservation Home 128 Seabury Cir Ponte Vedra Beach FL 32082 Specialists ®. • ADDRESS: CURRELLEY FREDDIE 650 SAILFISH DR E ATLANTIC BEACH FL 32233-4233 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 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $75.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $116.50 Issued Date: 7/25/2019 1 of 2 City of Atlantic Beach APPLICATION NUMBER rj •�� Building Department (To be assigned by the Building Department.) -. 800 Seminole RoadZZ4 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 `` E-mail: building-dept@coab.us Date routed: 1 City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6� SO SPOLRSH ent review required Yes No uildi Applicant: PR Planning CS�2U AT(C)/�_ MLL E �� Planning &Zoning Tree Administrator Project: �C; W (n�Cxi�C LS 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 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: IK—Proved. []Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:�'2?i�C� 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 OFFICE COPY Building Permit Application Updated 10/9/18 f` 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: Salll C Permit Number: RCS I q - V Legal Description — 177�—�SZ R0 IPq A/ ''f M RE# 1f7 a�/ �Q (J Bl1 Valuation of Work4eplacemennt/CosA � Heat /Cooled SF��Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool XWindow/Door • Use of existing/proposed structure(s): ❑Commercial Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes XNo • Will trees be removed in association with proposed roiect? ❑Yes must submit separate Tree Removal Permit [--]No Describe in detail the type of work to be performed: VJ I V1 CLQ l�S — ou b l�e 0 S o U 1;, Florida Product Approval# for multiple products use product approval form Property Owner Information Name Ileq Address (.e5o S19/G City ate ( Zip Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company V,(V_ y-aJ1 m f-f��no[ Qualifying Agent N C19 i)kea`4 Address Ili V, City State PI Zip Office Phone Job Site Contact Number State Certification/Registration# E-Mail Ma ✓i ?VIA61r t J • Ld Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer T7,(I�ll)l( �'Y(�/n OR Exempt❑ Expiration Date 17 ( - 2MJ0 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 standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAREWVE D WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addn f 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. JUL 16 2019 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 CO Iment RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE l�D'• FL Tn BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ItEC RDI YOURTI11C OF C [M^j ENCEMENT'. ^I//11 ^/� CO w (Signature of caner r Agent) (Signature of Contractor) ua m cD o 0m� �N ZN a i S� d and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed) before me this day of o E ((11 `T, ��i by �✓ �a Eu, Plw -'E ? (Signature of Notary) (Signature ofNotary) (no L) SHAWN L INGERSOLL = �'• - ersonall Known OR ' '_Notary Public-State of Florida rsonally Known OR y - a Commission # GG 349293 oduced Identification [ ]Produced Identification •F ate, My Commission Expires '�. �1, G Co�0 2�j °„°„ June 24, 2023 •t' y of Identification: Type of Identification: OFFICE COPYA jLU(h -FLOOR PLAN- All contracts must be accompanied by floor plan sheet showing each product identified. REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC EEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS REVIEWED BY: DATE: 2 y � 1 3 q � � NOTICE OF COMMENCEMENT State of F OFFICE COPYTax Folio No. County of 1)0,4h 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 is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 3 • 6 6 0 j-t- S — aq 6 R,b AI Lof �q ?)Ica :5 . a/K. 3D31 -13-7 Address of property being improved: &5D S K}-1[ r'—/S Dr. acA Q_ a9 33 General description of improvements: Qf LP n/hCl. S W►N�3Gls Owner: Ito 64 IK dress: � 11 Owner's interest in site of the improveme . Fee Simple Titleholder(if other than owner): Name: L Contractor: Y /Y?e S �/ LS Address: lus q &ac,� F71 Telephone Telephone No.: -7� 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: 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: Address: Telephone No: Fax No:_ Doc#2019165924,OR BK 18866 Page 100, In addition to himself, owner designates the following person to rece Number Pages:1 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Recorded 07/16/201903:49 PM, Name: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY Address: RECORDING $10.00 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): _58 I L� THIS SPACE FOR RECORDER'S USE ONLY OWNER Sign Date: Before me this day of_y� in th ounty of Duval,State SHAWN L INGERSOLL Of Florida,has personally appeared NOt8ty Public-State of Florida 's Cammission M GG 349293 Notary Public at Large,State of Florida,Co u f Dial. R1u 1Ar My Commission Expires My commission expires: �n'-0— ai�� Juhe 24, 2023 Personally Known: or -Q,. Produced Identification: � r-i UAD LSC( —fig 1 6�r— - g aI- 2/,a OFFICE COPY 44 cl' ' PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH FLORIDA (*REQUIRED) *Project Address: U�(� _%if gzsh 1)R Permit#: 12&_s19 — D_2 2 y *Owner/Project Name: JVJ i G C14 r7 , 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 1.Swinging 2.Sliding 3.Sectional 4.Garage Roll-Up 5.Automatic 6.Other B.WINDOWS 1.Single hung 2. Horizontal slider V �'Z � L 3.Casement 11 H 3L_7 4. Doublehung M VI"Z F L 0 7 2,D —� 5. Fixed 6.Awning ' 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other Page 1 of 4 Updated 10/17118 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): &&n L &ONO *Contractor Signature:N4,A— (� TI r--' *Company Name: T -1'I 4 (IS ,Q *Mailing Address: rd *City: CSI *State: r ( *Zip Code: ZZ 5Z *Telephone Number: `1�f{ R5���j/ 79 *E-mail Address: Cell Phone Number: 3 � 'g U� Fax Number: Page 4 of 4 Updated 10/17/18 JIM • Inspections Permit Number: RES19-0224 Description: 5 WINDOWS Applied: 7/17/2019 Approved: 7/22/2019 Site Address:650 SAILFISH DR Issued: 7/25/2019 Finaled:8/8/2019 City,State Zip Code:Atlantic Beach, FI 32233 Status: FINALED Applicant: <NONE> Parent Permit: Owner: CURRELLEY FREDDIE Parent Project: Contractor: <NONE> Details: LIST OF • SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS ID 8/8/2019 8/8/2019 BUILDING FINAL" Rick Bell PASSED Notes: Marion:315-527-8585 00. . Printed:Tuesday, 13 August, 2019 1 of 1 1..