1770 E Park Ter RES19-0234 4 Win/1 Door RESIDENTIAL PERMIT PERMIT NUMBER
RES19-0234
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 7/31/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 1/27/2020
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:
1770 E PARK TER RESIDENTIAL ALTERATION 4 WINDOWS AND ONE $5750.00
RESIDENTIAL DOOR
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720200386 SELVA MARINA UNIT 08
COMPANY: ADDRESS: CITY: STATE: ZIP:
LOWES HOME CENTERS 4948 TELSON PL ORLANDO FL 32812
INC
OWNER: ADDRESS: CITY: STATE: ZIP:
ANDERSON , CINDY 1770 PARK TER E ATLANTIC BEACH FIL 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.
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 45S-0000-322-1000 0 $80.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $40.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
TOTAL: $124.00
Issued Date: 7/31/2019 1 of 2
�UTI_ City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
I># 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 L Date routed� -7 /Z S /I C)
E-mail: building-de
pt@coab.us
Cityweb-site: hftp://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I 777n PPZK Department review required Yes No
:9u�11 46—g _�)
Applicant: L Planni ng &Zoning
Tree Administrator
Public Works
Project: 0 LO.'s )C)C)Z, 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: ERA/pproved. ElDenied. E]Not applicable
(Circle one.) Comments:
,=BUILDIN)
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. []Denied.V F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ElDenied. FINot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application OFFICECOPY
City of Atlantic Beach Building Department
**ALL INFORMATION
800 Seminole Road, Atlaribc Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept @coaI3AJS 15 REQUIRED,
JobAddress: j�7;�tj ,P",
'5' Permit Nurnbcr:
_�gal Description 34-85 09-2S-29E SELVA MARINA UNIT 8 LOT 24 BLK 12
ROt 172020-0386
Valuatiun of Work(Replacement cost)$ 5750.00 Heated/Cooled SF
Non-Heated/Cooled—,................
• ClassofWork: ONPvv r-JAddition LIAlteration Z_:"Repair OMove LiDemo Cipool M%indow/Duof
• Use of existing/proposed Structuro(q): ElCommercial OResidential
• If an existing structure,is a fire sprinkler system installed?: OYe% A o
Will tree(s)be removed in association w�th monwod r,., I I I Q),
Istsubvi
AN,
n detailthe type ofwork to beperfurmed Replace 4 windows and 1 door size for size Z W tA
< Z
_j 0
Florida Pfoduct APIP',-�vai a 11646.1' 11206.8 11206-12 Iq 0
for 11-1 Ple Prmfutt, product approval fx-TLU — 0
Property Owner Informa 0 In Z L
C3 0
Narne 7 7 0 C3
f '�I Address Li vx!
C"'y /�- �
............... State 7ip Phone
_�2K 247-7410 Cal M Z
F Mail 0 <
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) LL. Cl)
Contractor Information ........ CO
I-- Z
0 M W
Name 04 Company U. LL
___LQWES HOME CENTERS LLC Qualifying Agent Pete Cafaro IM 2
Address 20 13QX 78=3�___city Orlando state Z 32878 Cy W
__EL_ jp_ IL
Office Phuoc 101)Site Conta(t Nurnher -0989 LU — C
_22�)571�0989 (PP4)_570 W :3
State Certification/Registration p CGC1508417 - Mai I_.vwood06308822maiI.Com
ArchiteLt Name&Phone N N/A U) LU
U
Engineer's Name&Phone;I N/A Z
LLJ
Workers Compensation insurer WC012717161 --=- U
OR Fxemp( i; Fxpiration Date 04/01/2020 a
Application is hereby made to obtain a permit to do the work and installations as indicated. !rprt;fy that no work or installat;on bac,
commenced Prior to the issuance of a permit and that all work will be performed to meet the standards of all the lawN regulating
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK.PLUMBING,SIGNS,
INFLLS,POOLS,FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc, 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 frurn other governmental entities such as water management districts,state agenCies,or
feclerall agencies,
OWNER'S AFFIDAVIT:I certifV that all the foregoing information is�accurate and that all work will be done in compliance with all
,ippf rablf,law�regulminp constructionand zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMFNT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO Y. IF YOU INTFND
_T
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT Y BEFORE
RFCOWG
,,Y 0 UR
F COMMENCEMENT.
4,of Ovvne�or
i ran""'re of ir;�
Signawre of ontracte�
Siglo and sworn tc,Ioraffirrned)before me thi�_Arily of Sig d and sworn to(or affirmed)before me P57 tidy of
' 2W_q_ _ 7",
71 (Signature of%'c)�
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V,15111-114y Known OR Notary PwNk-'itale 0(;IcrIda
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Produced Identification �Sifon.*17,60448 38
i ype of identification: MY��m, Ap,16 2021
.............. Type of Idendftatlr)n�
Doc # 2019169441, OR BK 18870 Page 2163, Number Pages; 1,
Recorded 07/19/2019 03:41 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00 OFFICE COPY
NOTICE OF COMMENCEMENT
-PREP4RF IN DLJPI_PrkTEi
permit No. It S/f V;�3,
;2f, lax PClio No. 172020-0386
State of FILORIDA County of DtNAL
To whom it may concern:
The undersWed hemby informs you that improvements wiii be road&to certain(Gal prop",and ir
a,cwrdance with Section 713 ottfie rjarlad alstultis.file foiiewing Information IS stated In this NOTICE OF
COMMENC;MENT.
Legai desaIDI&On of property being in1proVed. 34-85 09-2S-29E SELVA MARI.NA UNIT 8
.1 QT 94 R1 K 19
xAdores,�olpropenybe,r,gi,npravLd:
Atlantic Beach. FL 32233
General erscnption of imprvvernents: WINDOW I DOOR REPLACEMENT
X C,,r,.r
XAd r ....... ....... Beach, FL TTZ33--
Owner*s inteest in site of ire impirovement 100%
Fee Swiniple Tilleholclef(if olripf than awner,N/A
Adofess
Convaclor PETE CAFARO
Address PO BOX 781"3 ORLANDO.F-L 32878
phone No,(W4)540.0"S FamA No.
Surety(if any)NIA
Address mount cf boric s
Phone No, Fa�No.
Name and Oddrcss 01 ar-Y person makkV a loan for the cons1ructior,ofthe in1proverrienis,
Name
Address
Pilone No. Fox Mi.
Name of verSon-within the SLa.e of Flonde,other then himself,designaW ty owner uPOnwhorn noUceS or other
documents nvqv t,.e.wrved
Name
Addiws
Phore No,
In Wdilion to I"Melf,ovinerclesignate$th6tollo,-4nq person-0 reGeivc a cupy oftht:Liww'3 hclice a$vioviijea in
Section 713.06(2)(b).F1011idd Statute5.(FlIf in at Clivner's ovt.on).
Name
Ado,e3s
Phone No raK No.
Expuat,on calt Of NO11CO OfCCirrimancennent MC6EW.Cafe is one(1)year from the da;e of recording tjnIe55 a
different dAte 5 spLcified),
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