The URL can be used to link to this page

1747 Seminole Rd RES19-0305 3 Doors/4 Windows �i,,''''r�� RESIDENTIAL PERMIT PERMIT NUMBER ,' 'i� ,' RES19-0305 �� v, CITY OF ATLANTIC BEACH ISSUED: 10/9/2019 800 SEMINOLE ROAD °.;'»" ATLANTIC BEACH. FL 32233 EXPIRES: 4/6/2020 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. .:s _ JOB ADDRESS;• PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1747 SEMINOLE RD RESIDENTIAL ALTERATION 3 DOORS AND 4 WINDOWS $13400.00 RESIDENTIAL TYPE OF 1 REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169639 0100 OCEAN GROVE UNIT 02 COMPANY: _ ADDRESS: CITY: STATE: ZIP: PELLA WINDOW AND 350 State Road 434 W LONGWOOD FL 32750 DOOR OWNER: ADDRESS: CITY: STATE: ZIP: KIRK ADAM G 1747 SEMINOLE RD ATLANTIC BEACH FL 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 455-0000-322-1000 0 $120.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $60.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.70 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $184.70 Issued Date: 10/9/2019 1 of 2 richiCity of Atlantic Beach APPLICATION NUMBER s " (To be assigned bythe BuildingDepartment.) Building Department g P ) jr 800 Seminole Road R Es' q _ 0 OS j., s Atlantic Beach, Florida 32233-5445 1 VJ Phone(904)247 5826 Fax(904)247 5845 Fc–:—::� jY E-mail: building-dept@coab.usDate routed: 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I 74 7 EN\ 11oot_e D- . . . 'lent review required YrNo " :uildina Applicant: 1 �4.--1.--A- k.) i ND p(A_7 S Planning &Zoning Tree Administrator Project: 3 1J©o fZ S /{ w iN Dock 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: ✓IApproved. Denied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING `�/y� ('–471 q Reviewed by: / r Date: / / TREE ADMIN. Second Review: Approved as revised. ❑Denied. I INot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. I 'Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 REVIEWED FOR CODE COMPLIANCE OFFICE COPY CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL —- — - REQUIREMENTS AND CONDITIONSCO r�forPickUp727-g7 , • REVIEWED. 'rDATE -Build�Q Permit Application Updated 10/9/18 tar / �AiIL1 L City of Atlantic Beach Building Department •..Atli tots loN aff \,,+ 800 Seminole Road,Atlantic Beach, FL 32233 K1 I tJ 4Y Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us 11 ISREQUUIIRRED. /� e lob Address: 4 1 Se M t no e �l d Permit Number: R C— (?S\9 - 305 Legal Description 20'20 O9-2S9E.0619 Oczan awe. u,2Si Z Lort L-1 - RE# I(oCU 3 . 0(00 Valuation of Work(Replacement Cost)$ 1 7J 400 Heated/Cooled SF Non-Heated/Cooled • Class of Work: I INew 11Addition ❑Alteration ORepair ❑Move ❑Demo DPool i(Window/Door • Use of existing/proposed structure(s): Commercial jtesidenti.l, I ® • If an existing structure,is a fire sprinkler system installed?:? QYe pii o • Will tree(s)be removed in association with proposed proiect? es(must submit separate Tree Removal Permi ONo TY Describe in detail the type of work to be performed: $e-?\paCe. doors and Li windows sii,c -ca( SizC Florida Product Approval t$ for multiple products use product approval form Property Owner Information Name dcic,11,1 k-vck Address 114'1 Scominol, . Ncl City Pc \O.n}i G State L_ Zip 32 2 33 Phone y 0q - 531 - y2 tg E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) n/a Contractor Information Name of Company ?1e-\\0- W in 60s-,-15 ' 'Qcl?r3 Qualifying Agent ,Jon'• GS 171:Kl‘Aik and Address -, Sp S 439 City Loh91M ?L ood State .' Zip 32"160 Office Phone 40 q31 28 y a Job Site Contact Number State Certification/Registration u GI3 (.0 1( 2. E-Mail -H Yn•arna:Uey (e,jc1e,ct e. ?Crer's-- -CO ry> Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt o Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no o r in i n a commenced prior to the issuance of a permit and that all work will be performed to meet the standards of a I t al ED construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,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 may,and) n there may be additional permits required from other governmental entities such as water management districts,state ie icies,of 209 federal agencies. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliawith I applicable laws regulating construction and zoning. �+�Building Department ETV WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMI'KW Ptic Beach, FL RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O AN ATTORNEY BEFORE RECORDING Y R •TI'4 OF COMMENCEMENT. (Si nature o •wner or Agent) (Signature of Contractor) z Signed and sworn to(or affirmed)before me this % day of Si ne and sworn to(or affirmed)before me this V day of f'''.,, , __ hmiLli 4olit, ...irk u • 20 l Q ,by Ut 1 e ' 0a.1O t Wl se, ��S�lTI,>]I9 ` f\Shle., 1))4ineS m/., 1' 5 Qblgm: . eIet:, iNill )Raines C oJ7 ' (Si re of ''?orr� My Comm,Expires May 20,2022 ' Y.St, NOTARY PUBLIC Bonded through National Notary Assn. i V.i� � STATE OF FLORIDA I )Personally Kno n•R personally Known OR '� t. a Comm#GG235648 ( o uced Identification ) I Produced Identification N b )'CE IC) Expires 7/5/2022 Type of Identiflcatlbn: Type of Identification: • OFFICE COPY Doc 2019228354 , OR BK 18954 Page 1518, Number Pages: 1, Recorded 10/03/2019 10:00 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DAL COUNTY RECORDING $10.00 • • i• • • -Petrnil Numb'ci' Si ! —19 yc Parcel Io Number [� • NOTICE OF COMMENCEMENT SIM.01 NOdda • County of V��t The undersigned hereby glues notice that the Improvem7nl(s)will yo made to certain real properly ,an0 Chapter 713,No ride Statutes,the following is proeldtd In this Notice of Commencement. In accordance with 1. Description of pro eh tegaldptulpl aat the r Address r-�_q pent.and street address If avSr6blc) Description . ' q �Uc cTs vyr�V C_Yf � 2• General description ollm —^- -------------- 2. --- - f---- v P\\�.., a Provement(t11 — — — 1w5 1>o ktK-� o-}-4 3, Owner Inf./matron 1C- Name u r 1C- ilddress - bL, _ Phone 84 ar Nu r interest In Property , i • 3� a 3 4. Fee Simple Title Nestor(If of r I an -- -_'- Name owner shown abovo) Address .____ Phone&RR Number_ S. Contractor . Namo Pella Windows&Doors • ---- Addref5Q-lAf Stnt(?( (ydQ_Phone 4 Fax Number__- • 6. Sv tty1,1any) Longwood,FL 32750 '— ---- _ NaAddress?VA -- -•�_`_ Phone&Fax Number_ 7. tender)II any) ~`-��- __ -- H ravavA AddrenN'A Phone&rax Number--______.-___. vmbcr_ e• Persons with the State of Florida designated - bygn ted N Owner upon who notl[os or olhor do[umenit may be sere provided 713.13(11(a)7,Florida 5latutet. ' Name ed at • Phone&Fax Number Addresl "- ` • 9• in Addreadeatiss------..______._.---____--thimself_ herself, ��.- -" -1-- .773.1)f c self,Owner dedsnalas thfollowing atlouAn �"`-� (1(y),flotilla Statutes. B ae re<elvc a copy of Cha Slonor't Nonce as provided in Name Addlets__-`-- PhonC&faK Numbof • 10.Expiration data of Nolke of Commencement -�_ Expired drip H Spurned! encement(the expiration date Is one — year from the dale or rcc__ WARNING TOOWN OWNER; g unless a HE NOTICE 0/ fRNCTO OWENT AREANy PAYMENTS MADE BY THE - • CONSIDERED IMPROPER UNDER AFTER THE EXPIRATION STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEIf 8 IMPROVEMENTS77TO PART ip TIOE�OON T 13.13 OTICE OF - - . -COMMENCEMENT MUST RE RECORDED AND POSTED ON THE We SITE BEFORE THE FIRST INSPECTION. OBTAIN FINANCING,tOI�iVLT YOUR PROPERTY, A NOTICE OF OF C IN FINN p.S4u / {,O t 110FR OR AN ATTORNEY BEFORE COMMENCING IF YOU INTEND TO 13. ,4,N..r 7r WORK OA RECORDING YOUR NOTICE Sllna,arld frab ena ? ' 4/.'.1._. Sworn to(or affirmed)and subscribed rem Nine" ,E� bed be)oro melhis Swot( and (tys s need e _ ,day of_,4r:l'4i%'.).7-'. F 1a a Yh il Gm ofauthority,e.g.Rpiker,I -t--�---_'20 by �� '.e�� whom Instrument was caeculel c 1 ,----:,:produced.Produced 1'IL i`. ,),...... ..:..3.t" Lgame of . j4 PcrfonallyKE ,Pparty an -„-;,- _as Identiflcal la , .tom me i' %P•�t• c, tat,of _produced •µ" � hplery Public•Stale Fforlda ...-_-_-..---....7:41.f.----,------' at ,+rte yF' Cornmfssiona0G21a590 .i.".,•c, rl-rte. t .,Star`0n2fi ihroug,Explrpt May 2Q 2022 pamrforaN 'f-a•=-----” 90nue�(fa-ouphNatlonalNoWryAssn. Verification pursuant to Section 92525,Florida Statute).Undo(',maNim of per u M. dedarr)1,aa I have/eaplhe(*regaling and Ilial the fens slated aro trip to the best of my knowledge and ISCIHI. 1 C�/ K54. 2 {1e Y1e.le, a, Fa ,air I..S je.reOnir-.:iit,ti,R OFFICE COPY { ;18 BAS;FUA as -57 IH5 4!J OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: 1747 Seminole Road Permit#: ll�&S/9 - (j 3a5- *Owner/Project Name: Adam Kirk As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-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 Pella 10/20/25 2646.2 / .3 3.Sectional 4.Garage Roll-Up 5.Automatic 6. Other B.WINDOWS 1.Single hung Pella 10/20 11206.10 / .12 2. Horizontal slider Pella 10/20 11161.2 3.Casement 4. Double hung 5. Fixed 6.Awning 7. Pass-through 8. Projected 9. Mullion Pella Mull 13644.1 10.Wind breaker 11. Dual action 12. Other Page 1 of4 Updated 10/i7/18 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):James Rowland *Contractor Signature: *Company Name: Pella Windows and Doors *Mailing Address: 350 State Road 434 *City: Longwood *State: FL *Zip Code: 32750 *Telephone Number: (727) 637-8400 *E mail Address: tim.omalley@expeditepermit.com Cell Phone Number: Fax Number: Page 4 of 4 Updated 10/17/I8