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70 Dudley St RES19-0295 Bldg S3 Window Replacement e ,v.r- RESIDENTIAL PERMIT .,,,- ��„ PERMIT NUMBER f �, RES19-0295 lPr.;� :-) CITY OF ATLANTIC BEACH Of 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: • 70 DUDLEY ST RESIDENTIAL ALTERATION WINDOW REPLACEMENT- $6000.00 RESIDENTIAL BLDG. S-3 TYPE OF REAL ESTATE ZONING: I BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172215 0020 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 City of Atlantic Beach APPLICATION NUMBER r1'Ji Building Department (To be assigned by the Building Department.) r -,' 800 Seminole Road � i _ � 1 S so Atlantic Beach, Florida 32233-5445 � �/ 0 Phone(904)247-5826 Fax(9043(-95044)5247-5845 )247-5845 -"'-o�j ' E-mail: building-dept@coab.us Date routed: _a_I=Z49_____ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM C .,eY Department review required Yes 4o Property Address: -7 U J K {(��T Building] Applicant: C___0, T g_AQT((V Planni Zoning ) \N-) , 1 > Tree Administrator vv Project: (f\- 00( 0.-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. PKenied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: I ' " ni - Date:10 -7'-?9 TREE ADMIN. Second Review: proved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES �1 PUBLIC SAFETY Reviewed by: /''/Y 1 Date: /0-p-//' FIRE SERVICES Third Review: ElApproved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ~ r "LI \\ P"'* CITY OF ATLANTIC BEACH } ,) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 (904) 247-5800 BUILDING REVIEW COMMENTS Date: 10/3/2019 Permit#: RES19-0295 Site Address: 70 DUDLEY ST Review Status: Denied RE#: 172215 0020 Applicant: KBT CONTRACTING CORP Property Owner:JACKSONVILLE HOUSING AUTHORITY Email: INFO@KBTCORP.COM Email: corpfini@jaxah.org Phone: 9046479200 Phone: 9046261778 366-6078 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. COR: ION COMMENTS: 1. Building permit is incomplete. Missing the State Certification/Registration •. 2. Missing the name of the Qualifying Agent. . Return to the Building Department to complete the application (-2 Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (904) 247-5844 Email:mjones@coab.us 6may API-, Corr. /V + 10' 3-19 nA'y 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 indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left Building Permit Application Updated 10/9/18 I i':! City of Atlantic Beach Building Department **ALL INFORMATION \ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY • of Iv- IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address:rbL% ,' -' to VO D th 41. i4Ale., 614.1,n1,4-51Permit Number: R -c- SI,' " lJ _i, Legal Description 19 -L! 1,1 16 -tjIoaail 11Jp (,47(3 r.! V1_,Lolite 1e7 ,_RE# 11,14.21' Op2a Valuation of Work(Replacement Cost)$ c6 c'z5Q Heated/Cooled SF Q9 Non-Heated/Cooled 0 • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ` 1Window/Door • Use of existing/proposed structure(s): ❑CommercialNResiden\tial • If an existing structure, is a fire sprinkler system installed?: ❑Yes No \ • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) �No Describe in detail the type of work to be performed: s.41 1417° r-ft,t714,.e,,sl Florida Product Approval# FL i 6% a9 ` R:1 for multiple products use product approval form Property Owner Information Name ..-14, SmNVIA.A. k;•bv5to4ydra9Q.4-'(y Address M/62 1..Ir_ 6i-v6Q siw City `1' _‘s Alttlek State • Zip ;440.2„,, Phone 34,G _ (0e-1$ E-Mail CA)e p dins & J4.x1k • 0 Owner or Agent Ilf Agent, Power of Attorney or A ency Letter Required) aMly Contractor Information Name of Company IG.ty . apo ,14 eoe Qualifying Agent .<1_,i-}1- i ilnnrcjj)5 Address 51o,y 0 L4 JQ t,4 y 6LA42. City ate Zip 441/.10 Office Phone elp _ te� � a v'L -1 4,740 Job Site Contact Number - lo -1'11 State Certification/Registration# (.13LSI S(KL a.5" E-Mail i n,p0 qJ VL Iv 0 F. ee Architect Name&Phone# a/^ Engineer's Name& Phone# Workers Compensation Insurer/0. GQ4Q( f1L,p OR Exempt❑ Expiration Date a ,,,f 7p4p 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 ELECTil.WD P1,L11V1 c17 1V WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: Ing it16f1 o t 174i f t is �y permit,there may be additional restrictions applicable to this property that may be found in the pu Ic records oft is county, and there may be additional permits required from other governmental entities such as water management districts,state agencies, or federal agencies. SEP 25 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. is gii WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Cil Y • r� a t RESULT IN YO ;PAYING TWICE FOR IMPROVEMENTS TO YOUR PROE .if Vi�N i TO OBTAIN /Na C N , CONSULT WITH YOUR LENDER OR.A ORNEY BEFORE RECORD! cYJ' RA S ICE OF COMMENCEMENT. ,< II (Signature of Owner or Agent) (Signature of Contractor) frck Signed and sworn to(or affirmed)before me this /F day of Si ned anil sworn to(or affirme ) efory rile th day of /19 j„,- , d6 i. , by `✓GuG- ;lie Ale rimer.F/ l 0gY —„V('111"5Li A.tim'S •r `"��:�Slgf a4 �ul� " EE•iYdlorida ( ., �S�n31uLE opfataul—— —— . •• 'd� • Commission a GG 106242 �iiv vi.. C GINA SHOOK + 6' My Comm.Expires Jun 25,2021 _/.,.,,,''...1r^.... Notary Public-State of Florida Bonded l hNationaiNotar Assn. Commission r GG 1r 9162 6,2 ersonally Known O hf0� r ; [ ] Personally Known OR �4o Q s. My Comm.Expires •Apr 6,2022 [ ]Produced Identification [1}-Produced Identification "Bo ed through National Notary Assn. Type of Identification: Type of Identification: — �_ 46 YP C! `lam •