2065 George St RES19-0293 Bldg S5 WIndow Replacement RESIDENTIAL PERMIT PERMIT NUMBER
RES19-0293
CITY OF ATLANTIC BEACH
\_ 800 SEMINOLE ROAD ISSUED: 10/10/2019
"71672i>/' 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:
2065 GEORGE ST RESIDENTIAL ALTERATION WINDOW REPLACEMENT- $6000.00
RESIDENTIAL BLDG. S-5
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172216 0010 DONNERS R/P
COMPANY: ADDRESS: CITY: STATE: 11110111
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.
FEES
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
01.A4;ytot,. City of Atlantic Beach APPLICATION NUMBER
fl Building Department (To be(assigned by the Building Department.)
,' 800 Seminole Road R E $\ 9 _OZ93
-e Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 /
a JH 9%. E-mail: building-dept@coab.us Date routed: 9 ZSI 09
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZDC-,5 Cmcace Department review required Yep/No
Building )
Applicant: V E' C......0(..D-c(?s,a,--r (QC' Planning &Zoning
/ Tree Administrator
Project: t ( (\(0utp 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. x6enied. fNot applicable
(Circle one.) Comments:
:UILDI► :
PLANNING &ZONING
Reviewed by: Date: /0-7—Z/
TREE ADMIN. Second Review: Approved as revised. ❑Denied. fNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: 01 Date: /0— &`l9
FIRE SERVICES Third Review: (Approved as revised. ['Den' d. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
/1,i_v ,
rT
�� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
uyr OFFICE COPY ATLANTIC BEACH,
FL 32233
(904 247-5800
J;31W`
BUILDING REVIEW COMMENTS
Date: 10/3/2019
Permit It: RES19-0293 ' Site Address: 2065 GEORGE ST
Review Status: denied RE#: 172216 0010
Applicant: KBT CONTRACTING CORP Property Owner:JACKSONVILLE HOUSING
AUTHORITY
Email: INFO@KBTCORP.COM Email: corpfini@jaxah.org
Phone: 9046479200 Phone: 366-6078
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:
. uilding permit is incomplete. Missing the State--C ' n/Registration#.
2. Missing the name of the Qualifying Agent. .t/t
Return to the Building Department to complete the application.
Building fil)' /0 -- -
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904)247-5844
Email:mjones@coab.us
6"111-4ded Review Lo•n VIM en"f T /D- 7- /5 r-ri.?r
Resubmittal Notes:
Building Permit Application Updated 10/9/18
OFFICE COP'f---
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
_,._ IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 'Eo i. 1 2g3 R GSA(i - 0-195
8��, � -��(�[j Gr � /�.. �� tU Permit Number: `1
Legal Descriptionti • LV Vi4.6-2Qfc Vaii.1644 E-1' t,or3 ,4 1 Iil IAA t7,115 tt. ., R# 17 4.1.44. Do('o
2.
Valuation of Work(Replacement Cost)$ Io( O 0 Heated/Cooled SF aO-) 0 Non-Heated/Cooled b
• Class of Work: ❑New ❑Addition ❑Alteration ❑Reeppair ❑Move ❑Demo ❑Pool '&Window/Door
• Use of existing/proposed structure(s): ❑Commercial 'E7 Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes"No
• Will tree(s) be removed in association with proposed project? flYes(must submit separate Tree Removal Permit) �No
La
Describe in detail the type of work to be performed: Y(i aD0N1 el,4c4Al t.) do
z
4 to 1
'(1 J ,-
Florida Product Approval# L I b a� for multiple products use product apepu ffom
UJ —
Property
,Owner
.Information 0 to H z i-
Name 'J` ,,'lQN✓t Lotto 140t17(vfi At/rI404 y Address Ilan !J A Olt gific 6.4 V !_� 0 0 p
City _.�.�(x�/.j,jtIiL,L�1 f- State pc.„. Zip 3 o� Phone . L(PLe (7-low i— `.
E-Mail !' or TlY4 e ✓a.x.4 A . o 0 c7; ® '/S
Owner or Agent(If Agent, Power of Attorney otiAgency Letter Required) Otuv _ 0 h cn
Contractor Information t'� Q ,- w
Name of Company Vr:b. ; C91414.41. .1)/1 e4✓e• Qualifying Agent &�II. 1-• ^j tYln�p(I OC
Address 51 vr!(44y OIL-161 064Q. City �. -_ .te , Zip 5 c m
Office Phone - Y Job Site Cont ct Number `c - _ . - [e_� - i" Li j a
di -�' GZ — �.4.vo
State Certification/Registration# L c.L s Sc{, _E-Mail trlp.� E7 I41a C...fl>r. ,4 F. i0 ti
Architect Name& Phone# v'M4 r� 5
Engineer's Name& Phone# - W
CC
Workers Compensation Insures $1-1064 ii-1,9 OR Exempt❑ Expiration Date Eitel taptc)
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 P MIA1Gp., -
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addl.-4\ 1a-t re e s h
permit,there may be additional restrictions applicable to this property that may be found in the pu lic e tYrds o t c u ty,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
omp2 5 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.
WARNING TO OWNER: YOUR]---- FAILURE TO RECORD A NOTICE OF COMMEN'CEM'EI ' � `aentl*L
RESULT IN YOUR PAYING T�IVICE FOR IMPROVEMENTS TO YOUR PRO ' `. lie' 1 i '
TO OBTAIN FINANCING, C'INSULT WITH YOUR LENDER OR ATTORNEY BEFORE
RECORDING Yp ' N! 1 4 OF--COMMENCEMENT. ,.
(Si:•. ure of Ow ir or Agent) (Signature of Contractor)
rA
Signed and sworn to(or affir ed) before me this /1,day of Signed_ �nd sworn to(or affirmes) bef4r�e�me thi day of
P , . aIr b bIUCD he _ /' Y<rcl..C_C_ -- L by . • ctvL (v• l iv\W�►�LS
rimirmr,m
athfNe•i blotAlas of Florida • HOOK
4[4 _ Commission U GG 106242 C GIN�`Y er°G` public State ofFlorida
..,4,, �,c° My Comm.Expires Jun 25,2021 rZ• . r; Notary
f.' ". Bonded through National Notary Assn. ''-1.5.71..,., Comm15s10n 11 GG 199162
Personally Known OR [ ]Personally Known OR My Comm.Expires Apr 6,2022
[ ] Produced Identification (�}-Produced Identification Bonded through National Notary Assn.
Type of Identification: Type of Identification: _ , Ga f�. lC