1870 George St RES19-0292 Window Replacement rs"''if%� RESIDENTIAL PERMIT PERMIT NUMBER
f' '01' i�� RES19-0292
®. CITY OF ATLANTIC BEACH ISSUED:
r 800 SEMINOLE ROAD
?��P�;�`'" V EXPIRES:
ATLANTIC BEACH. FL 32233
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:
1870 GEORGE ST RESIDENTIAL ALTERATION WINDOW REPLACEMENT $6000.00
RESIDENTIAL BLDG. S-6
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172257 0000 DONNERS R/P NO 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
KBT CONTRACTING CORP 5105 BLANDING BLVD JACKSONVILLE FL 32210
OWNER: ADDRESS: CITY: STATE: ZIP:
JACKSONVILLE HOUSING
1300 BROAD ST JACKSONVILLE FL 32202-3996
AUTHORITY
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
TOTAL:
Issued Date: 1 of 1
.irLy;y City of Atlantic Beach APPLICATION NUMBER
ct~ Building Department (To be asst ned by the Building Department.)
800 Seminole Road 1 t CMZ 9 Z
75 " Atlantic Beach, Florida 32233-5445
r
Phone(904)247-5826 • Fax(904)247-5845
P...o�;tyr y E-mail:Email: building-dept@coab.us Date routed: 1 / z l c)
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Dartment review required YNo
E3'7 � �
Property Address: \ FL��C < �/ew
—nem
ildiBung
Applicant: 1‹ BCCTu-
( l !v c Pl Idi g Zoning
/ c ree Administrator
\
Project: \ Pc I Ci O VJ J 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:
BUILDIN
PLANN NING Reviewed by: 012.,--- Date: /0— l
TREE ADMIN. Second Review: PApproved as revised. ❑Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: kV)/ Date: /0- l cy
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. I 'Not applicable
Comments:
Reviewed by: Date:
Revised 0 511 9/201 7
. rs �1P.
: f CITY OF ATLANTIC BEACH
T ,; si 800 SEMINOLE ROAD
\,,,,, _
OFFICE COPY ATLANTIC BEACH, FL 32233
(904) 247-5800
�J;31��
BUILDING REVIEW COMMENTS
Date: 10/3/2019
Permit#: RES19-0292 Site Address: 1870 GEORGE ST
Review Status: denied RE#: 172257 0000
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:
I. Building permit is incomplete. Missing the State Certification/Registration #.
2. Missing the name of the Qualifying Agent.
3. Return to the Building Department to complete the application.
'e
Building
C rri 01 i /'ed l?lv j e is Co rr% ve%e.•. I1 l D— 7- i l ply
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
within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED
DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW.
C
-L'I\\ Building Permit Application` OFFICE COP� City of Atlantic Beach Building Department T **ALL INFORMATION
j 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
_ IS REQUIRED.
‘19,,57, �E'
Phone: (904,_ 47-5826 Email: Building-Dept@coab.us
o' Job Address:�l� ,.j_-_(o .. - :t _, § ' ‘e/ ...g 'Al 14 .. P \ �SC� 1 Number:
Legal Description —4047 - -t'/.5-151.1 1)01.11-1¢4 P../' 'L life $L4 l RE# V1- 1 0000
Valuation of Work (Replacement Cost)$ 6 000 Heated/Cooled SF Da04 Non-Heated/Cooled stl
`� w 1
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool 'HJWindow/Door 0
2 Cl)
• Use of existing/proposed structure(s): OCommercial Residential Q = _1 z
JQ0
• If an existing structure, is a fire sprinkler system installed?: ❑Yes�No OZ
O —
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Perm Ne Z Fu
Describe in detail the type of work to be performed: lit•-bpero Oso 1,,N1 0O a U C
❑ hoc .
O- o < S
Florida Product Approval# F L I b‘an " R.3 for multiple products use product aggy140 [�
Property Owner InformationO ' w
Name 4, xLja,A)0/ 4, '005104.1 4011-644 Cti( Address IOC f-i. 6,6,4.Q 5e(2.t& LL' O E ,
City �J %/AAAA,/ State �, Zip $4, 2" Phone cao� - 160,(,, ,... (op figt tl tr m
E-Mail CO1(4j Ct} JQ� • eWy • ' 4 w
Owner or Age t (If Agent, Power of Attorneytbr Agency Letter Required) evlAK.� id CJ cn w k
ry�
Contractor Information # w w
> — — W
Name of Company i1-,Zif. C U iAi `/(4 Corr. Qualifying Agent n�•;}-}-N-t` m�� CC
Address SLI2 8[...110/ 06 Lip. City ...16-)6 age , Zip j/Ad Let,
Office Phone_ gt04-- ('41 — 11--•"""
200 _ Job Site Contact Numbe 4) (4,44 - 1.11
State Certification/Registration# C�tn."5" az--; E-Mail_ b- ri✓r),
Architect Name&Phone# L44
Engineer's Name& Phone# H/4
Workers Compensation Insurer Od4946- ,f-1,0 OR Exempt 0 Expiration Date e,(1.O1207.o
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 ELECT; A A 0 P UMBING SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: I , • o t e' .is
permit,there may be additional restrictions applicable to this property that may be found in th` p' •' e d Is
there may be additional permits required from other governmental entities such as water management districts,state agencies, or
federal agencies. FF 5
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done m compliance all
applicable laws regulating construction and zoning.
•
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C tiI
� M
I` I/IEN'n`DAVI}
RESULT IN YOUR PAY ' G TWICE FOR IMPROVEMENTS TO YOUR PR'4ERf+1. pNOl3-'1 tEr
TO OBTAIN FINA , C r•, CONSULT WITH YOUR LENDER OE N ATTORNEY BEFORE
RECORDING Y• ' NI,* g% OMMENCEMENT. �-
I
(Signature of Owner or Agent) t (Signature of Contractor)
Si ed and sworn to(or affirm d) before me this/ ( day of Si ned anc sworn to(or affirm-•) bef r me thi day of
)6 , by 0cuc..i1e AI -L nue/ �' , lq, by _ • _ UVON)11S
I :.1pN i,;;;,:;.,, • 'LINDA SI ' • I -. C GIN•SNOOK
4 ;:°* tNotaryPublic-State of Florida ��"�`0a`.
Public State of Florida
•; 4AN*• Commission MGG 106242 Notary
N��_ g Commission k GG 199162
[ ] Personally Known F�`.:. `�, Y,. My Comm.Expires Jun 25,2921 F [ ] Personally Known OR Y+,� /�` My Comm.Expires Apr 6,2022
• tlonded through National Notary Assn.
[ ]Produced Identifiction"�••."' ^,, ( roduced Identification ed thio :h National Notaryssn.
Type of Identification: Type of Identification: f_- — _