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1973 Beach Ave RES19-0307 Install Hurricane Shutter rf�A' RESIDENTIAL PERMIT PERMIT NUMBER 'i' ,'i'\1 RES19-0307 CITY OF ATLANTIC BEACH :4 800 SEMINOLE ROAD ISSUED: 10/8/2019 4011191-_________y ATLANTIC BEACH. FL 32233 EXPIRES: 4/5/2020 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: RESIDENTIAL ALTERATION 1973 BEACH AVE RESIDENTIAL install hurricane shutter $4210.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169723 1002 BEACH AVENUE CONDOMINIUM COMPANY: ADDRESS: CITY: STATE: ZIP: RELIANT ROOFING INC 4230 Pablo Professional Ct #155 Jacksonville FL 32224 OWNER: ADDRESS: CITY: STATE: ZIP: FINK KENNETH N 1973 BEACH AVE ATLANTIC BEACH FL 32233-5946 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. 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: 10/8/2019 1 of 2 01—t,y;y; City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ri 800 Seminole Road g-&-S11 -630-}- Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 (0/ y11, O/ . ( fl c 71;t)'r E-mail: building-dept@coab.us Date routed: r City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1°111 8.1 aL('l Avg-- De ment review required Y No p 6II L wilding t/ Applicant: W l cln k1 ( " lanning &Zoning JJ �j Tree Administrator Project: \ n Sia (,( h(keg;c an s(i 4 t- `1' 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 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: 4roved. Denied. Not applicable (Circle one.) Comments: BUILDI PLANNING &ZONING Reviewed by: rn Date: ld ' y'/9 TREE ADMIN. Second Review: Approved as revised. ❑Denie . ['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 . ..,.„•r, Building Permit Application \ Updated10/9/18 ' Sl :a«v s : T 'is• ,.' tCity of Atlantic.Beach Ruildin De artment •• r � . ( ;i DN; �r` `I `'• 800 SeminoleRoad Atlantic Bea h FL 32233t- , : ever , , ,. i Phone: (90L) 247-5826 Email: Building-Dept@coab.us iiCifJl ' :'° A. Job Address:• '• �et —17). 01— '(973.BeachAve • .:•:,•'.. •• ..:..• ::•„;s.:.-... .;.5::'.:, - .:�.PermitNumber: Legal Description 09-2S:.29E BE:ACN:AVf NUE 9ONPOMINIUM;4y1!ELu(V9,UNl ;1.97.3F0%R•Blc.,64094.4r50 RE#,"-:46.97284.0.02..!.. Valuation of Work(Replacement Cost)$'42-1:d:OQ'.-..: Heated/Cooled SF Non-Heated/Cooled • Class of Work: ONew °Addition °Alteration °Repair ❑Move ❑Demo OPool OWindow/Door • Use of existing/proposed structure(s): °Commercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ONo • Will tree(s)ie removed;n association with proposed project?DYes(must submit separate Tree Removal Permit) °No ISe crfize IFi.0:4;l:tllo`l�40.0.:ib(irIC*.1; `pt~':ori ed:- '"'`' •�y; ; ,:,; Hu•-•rric�lhe.sh 1te ;ft C� I ciowii shu(ter. N , l i'�`r' ',' ' `;5:,;: ". :: I`i gt�•11,`i. o t ��tllus FL17079-R2 ' � , .- r *, f a! q ,? r,+ 4,,. y . Florida Product Approval# FL17079-R2 for multiple products use product approval Property Owner Information - Name --F4Plt E.t�ljiy:l�.sE�^.11�rI...<-:..cal-t " .; �.;.. :Address•:�•,_ 9.7...3.� _..i�_�_....1...�.....;� �5l.....`.�. .,. tIrt �.,, City ./atlal1tid eoG�' State �t:r . _•Zip a,��- 3:= i:•. Phonex �..f3 _24� ��r .1.,:, ,. { E-Mail:,acl11cp r Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor information Name of Company_Reliant Roofirg__ Qualifying Agent__ Cameron Shouppe Address!4230 Pablo Professional Ct#155 rJa --_. __. Clty! Jacksonville State i Fl Zip 32224 Office Phone 904-657-o88p Job Site Contact Number 904-712-3111 State Certification/Registration#e-6 •I r (oCQ('per E-Mail,amandaftreliantroofino.com.. ..., ., ..,,- . _ , , ..._._- .. Architect Name&Phone# Engineer's Name&Phone# cp Workers Compensation Insurer - P E•' j •i-�.� r: OR Exempt Ci Expiration Date 12-31-19 Application is hereby made to obra n a permit to do the work and installations as indicated.I certify that no work or Instal latic as 1 commenced prior to the issuance if a permit and that all work will be performed to meet the standards of all the laws regular' M 7. construction in this jurisdiction.I u derstand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGN U WELLS,POOLS,FURNACES,BOILE 1 ,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOJIC€3 1 add)tJonfoityi.0.0 ul gi.i"enf i ..42. t_ta pern'ilt,'t .ere rnay.'fie 40.4 onaI re'trlif)pns2i iicable,to.ttils, 1` a '" :th ,pij (JG11�eCElr' 0 4ktis'taUt� r .P -Y= there 'a• edd'E'o:.a = r Y..,:: ..:, ;.• ,� [r A�;�f"S'a+ .2.'��iu, 1 r./..r f.:w' 2r�:;,:.ti:?'�:'� 0.4, i i.n J$.rmitsrY ulrpd�frp)'.it oiflie 00.i" ctJ RO tit.li ig. R4 `r: a r� r fedrera(:'a�ilcles ►!3.. .,�. .�����,... .��,5, �..g..f�;�..���F��SYsC�t�s�Ill�:tSci- ..•tU �h ;� 7.6 Q 1111 i.-_- OWNER'S AFFIDAVIT:I certify that. III the foregoing information Is accurate and that all work will be done in compliance with alO Q 0 e applicable laws regulating constri: ion and zoning. V J U- w 1-- 0 I— WARNING TO OWNER: ' OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY n Q w RESULT IN YOUR PAYIN TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND D 0 w W g TO OBTAIN FINANCING, 'ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE LLI N Q RECO-.'ONI Q OUR Of i E OF COMMENCEMENT. W U 0 La 32aE8335AA 7�oVre of Ow er or Agent) _ (Signatu t .%;019. LU Signed and sworn to(or affirmed before me this 11 day of Si ned and sworn to(or affirmed)before me this I"7 day of ---St •ao�.,by • a ...I ii C a \ci 'by C(3,.. YD�n Stil e, lSignalure of No ary) (Signature of N tary) AMANDA JACKSON (uJ Personally Known o ,o,,*''"a�, tate of Florida-Notary Public ! ,` += CommissionpGG205328 Personally Known OR •„„ AMANDA JACKSON ( l Produced Identificat•�i�° an Produced Identification '#' ma=State of Florida-Notary Public Type of Identification: 5,i. ''e`c My Commission Expires i j _ 1..i.2. Commission fl GG 205328 Type :a hr �6ommf ^^FYniLes "°i;,` Aprit 03.2022 YP '' I !�, — '",'�i���`�� April 09,2022 OFFICE COPY TM ROOFING I SOLAR I HURRICANE SHUTTERS IN: ________ z '''-±)- , 130(.z_ l- -t4► I -7 3 rge L 4v'e-. sl tdE� f S1<c,v'- ' :)02 Doc # 2019200475, OR BK 18913 Page 2250, Number Pages: 1, Recorded 08/27/2019 04 :08 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 OFFICE COPY NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No.ice.5i?-0307 Tax Folio No. State of Florida County of ()um()J,V()I To whom it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved 09-2S-29E BEACH AVENUE CONDOMINIUM DWELLING UNIT 1973 O/R BK 6409-1850 Address of property being improved:_j ( 3 i2-)eotr h Ave, - 3 223 3 General description of improvements: Hurricane Shutter Installation Owner Denise Agnew Address 1973 BEACH AVE Owner's interest In site of the improvement owner Fee Simple Titleholder(if other than owner) Name Address Contractor Reliant Roofing • Address 4230 Pablo Professional Ct 155 Jacksonville FL 32224 Phone No. 9046570880 Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No, Fax No. Nance of person within the Stale of Florida,other Than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself.owner designates the following person to receive a copy of the Lienors 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 dale Is one(1)year from the date of recording unless a different date Is specified): THIS SPACE FOR RECORDER'S USE ONLY l a°`usIERIfi tR 8/21/2019 signed:._ ! I DAT_ Before moth of •yo —I_WOWOSICINIMP co or ouva `. eCti. • fel"brAMANDA JACKSON e himself/herself end alarms tau monis and de.rr are true tleceu'e : State of Florida-Notary Public •� ';�•= CommissionMGG205328 My Commission Expires — "rrrr April09,2022 Nry lii : ge,srete ZCounty or AWN/ Myoraremainsdil ptres: �'1�•Tsj/ Personalty or Produce cation___,-.,_,. Ut-1-11t Ur Category/SubcategoryManufacturer Product Description_ Limitation Limitation of Use I State# Local# E.SHUTTERS 1.Accordion 2. Bahama 3.Storm panels 4. Colonial 5. Roll-up Nautilus Rolldown shutters FL17079-R2 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 10/17/18 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): Cameron Shouppe `Contractor Signature: Mow— i *Company Name: Reliant Roofing *Mailing Address: 4230 Pablo Professional Ct #1 55 *City: Jacksonville *state: F� *zip code: 32224 *Telephone Number: 9046570880 *E-mail Address: amanda©reliantroofing.com Cell Phone Number: 9047123111 Fax Number: Page 4 of 4 Updated 10/17/18