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82 Dudley St BldgS4 RES19-0294 Window Replacement RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0294 j�. � ISSUED: 10/10/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 4/7/2020 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: 82 DUDLEY ST RESIDENTIAL ALTERATION WINDOW REPLACEMENT- $6000.00 RESIDENTIAL BLDG. S-4 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172216 0010 DONNERS R/P COMPANY: ADDRESS: CITY: STATE: ZIP: KBT CONTRACTING CORP 5105 BLANDING BLVD JACKSONVILLE FL 32210 OWNER: ADDRESS: CITY: STATE: ZIP: JACKSONVILLE HOUSING AUTHORITY 1300 BROAD ST JACKSONVILLE FL 32202-3996 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 $85.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $131.50 Issued Date: 10/10/2019 1 of 2 .i1.:L r+, City of Atlantic Beach APPLICATION NUMBER (To be asst ned bythe BuildingDepartment.) � ` Building Department OZQ r 'i 800 Seminole Road 1 ,� 0 Atlantic Beach, Florida 32233-5445 4 Phone(904)247-5826 • Fax(904)247-5845 PI.011 E-mail: building-dept@coab.us Date routed: 9 ize4.--itc) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: E L 0 U D Le L-1 _ Department review required Y-es/No Building (/ Applicant: K Q i c ON`C2Pte2T(�q fanning &Zoning pp 1 Tree Administrator Project: NI_ j N ��W S 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: ❑Approved. Denied. ['Not applicable (Circle one.) Comments: BUILDI► ' PLANNING &ZONING Reviewed by: Tr' l Date:/1"-2-l 9 TREE ADMIN. Second Review: Fs/Approved as revised. ❑Denie I 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: r Date: l0 - 2.- 19' FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 /'" ; '" \`s. CITY OF ATLANTIC BEACH 1sy ;� 800 SEMINOLE ROAD J+ / r OFFICE COPY ATLANTIC BEACH, FL 32233 / (904) 247-5800 BUILDING REVIEW COMMENTS Date: 10/2/2019 Permit#: RES19-0294 Site Address: 82 DUDLEY ST Review Status:denied RE#: 172216 0010 Applicant: KBT CONTRACTING CORP Property Owner: JACKSONVILLE HOUSING AUTHORITY Email: INFO@KBTCORP.COM Email: Phone: 9046479200 Phone: 9046261778 THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: 1. t .. ding permit is incomplete. Missing the State Certification/Registratio • . Missing the name of the Qualifying Agent. 3. Return to the Building Department to complete the application. ....**--e ii, 1 BuildingirTfi-/ Mike Jones `0 8—L7 Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (904) 247-5844 Email:mjones@coab.us C, nGt // J Ca yr vv‘ .tnod-P IO - 2 - L 7 in'‘-(7 Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by _,.;.''-''''N Building Permit Application OFFICE COPY Updated 10/9/18 tCity of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY \�"`�r:19. IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us C� Q t Y3114 35 Permit Number: RE-Sl Q 1 - 0a `4 Job AddressRLQC1,;5:� 64 54., pU©1.11c.4114411 Legal Description 1.4-140 11-2-S-Ilk. Det-4 1f4 0-19 Lf( ,i 1,4:4 144_1-4.6, RE# 1,1 'ULt(0 C.70 to Valuation of Work(Replacement Cost) $ boo 0 Heated/Cooled SF ao4, a Non-Heated/Cooled 0 • Class of Work: ENew ❑Addition ❑Alteration ❑R-epapair ❑Move ❑Demo ❑Pool Window/Door • Use of existing/proposed structure(s): ❑Commercial sResiden�tial • If an existing structure, is a fire sprinkler system installed?: ❑Yes �E7Nol t • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Per )_ No Cb Describe in detail the type of work to be performed: 1t4iti.1ooV( 1 L*C.6,M f Q = J Cl) 1 .11 d Z O LU C] Florida Product Approval# 'FL 1 b��.01 R3 for multiple products use product earriyauggrt Property Owner Information 0 o [] Name .-C j.C44.19a1,/1it*'1,400SIn { U21'Cy Address 1300 II. B Copoo 5-rt 'C ® Z rc z i city - i+r�,�N t/i Gi State >��r Zip 3 44 4. Ph ne tboro 0, - 010,"1 g v 5 p c! E-Mail pi. ,),,x y • rne Q ii.Owner or Agent(If Agent, Power of Attoor Agency Letter Required) OilaJ.40 �U 5 w Contractor Information Q w iitJ Qualifying A:ent 1'1•!+h' ' mfOJ >- a '� m Name of Company ,, �/ � �r y g � Address CI 05' 6(-61.4111144 ,WtJ City - = _ Zip S O a Office Phone 104, (,4-1- 5'60o Job Site Contact Number « - — 131. CO w_ w State Certification/Registration # eC-Oc�b as E-Mail Ilk.P0 a. -. .-- 11 W Architect Name& Phone# Om. it CC Engineer's Name& Phone# a i Workers Compensation Insurer Qlf10 F.rLlf _OR Exempt o Expiration Date $r to 2?,'L> 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE:RE CEefth1VCcUihr •milk his permit,there may be additional restrictions applicable to this property that may be found int • 'p%�• there may be additional permits required from other governmental entities such as water management districts,state agencies, or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be dorfe9Rcoli5liaNtgivith all applicable laws regulating construction and zoning. WARNING TO OW' ER: YOUR FAILURE TO RECORD A NOTICE OF CO I1 § 1jt '1t RESULT IN YOUR 'AYIIV TWICE FOR IMPROVEMENTS TO YOUR ItiltriiiittiilifiteeditIlfi,ENP TO OBTAIN FIN; NCING CONSULT WITH YOUR LENDER OR TTORNEY BEFORE RECORDINt Y1 ,►ar�,!i► 0 COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affir ed) before me this /7 day of Si ned an swot to(or affirme.) before mhthis day of S ,00 /1,_b�_DwsLine Alm,cm-+ic e.i - - , _by @I. .0 v-- w&ons atIMPIAPRIVI I ?'. - (> eli Srorsba .... - . . �• .4'4 ooK •: it :•, Commission t GG 106242 :.��r P . public-State of Florida ,,:o. n I'1I Y: ( i�• r Notary ,,,�` ; My Comm.Expires Jun 25,2021 ^- ;` Omission N GG 199162 ` Bonded through National Notary Assn. T• Comm.Expires Apr 6,2022 Personally Knowli ` ( i Personally Known OR d`` MyAssn. ( )Produced Identification �}Pfbduced Identification Bonded through National Notary Type of Identification: Type of Identification: _ *mON&