91 Dudley St A RES19-0296 Window/Siding RESIDENTIAL PERMIT PERMIT NUMBER
Ji\
`�- CITY OF ATLANTIC BEACH RES19-0296
? 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: I PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
91 DUDLEY STA RESIDENTIAL ALTERATION WINDOW AND SIDING - $8000.00
RESIDENTIAL BLDG. S-1
TYPE OF I REAL ESTATE BUILDING USE
CONSTRUCTION: I NUMBER: ZONING: GROUP: SUBDIVISION:
172196 5100 DONNERS R/P
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
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE DBPR SURCHARGE 455 0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000 208-0600 0 $2.00
TOTAL: $146.64
Issued Date: 10/10/2019 1 of 2
T,A41r City of Atlantic Beach APPLICATION NUMBER
�" (To be assigned bythe BuildingDepartment.)
�s r� �� Building Department g
800 Seminole Road R ESQ 9 -Oa') cc
"fi0 Atlantic Beach, Florida 32233-5445
v Phone(904)247-5826 • Fax(904)247-5845
> ' E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:9 I TII () DLel v ( Department review required Yes rNo
p y _ uilding�
Applicant: l� l 0_c N` t(ix3C. Planning &Zoning
\,k1
r Tree Administrator
Project: �\ ++
/ (UDLA) ( Ot t 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:
UILDIN
PLANNING &ZONING Reviewed by: ./ r Date: /O'2,-11
TREE ADMIN. Second Review: l Approved as revised. ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES ��/J
PUBLIC SAFETY Reviewed by: 1).„--- Date: /() 8 !9'
FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
CITY OF ATLANTIC BEACH
- 800 SEMINOLE ROAD
OFFICE(\ ...
COPY ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING REVIEW COMMENTS
Date: 10/2/2019
Permit#: RES19-0296 Site Address: 91 DUDLEY ST A
Review Status: Denied RE#: 172196 5100
Applicant: KBT CONTRACTING CORP Property Owner: JACKSONVILLE HOUSING
AUTHORITY
Email: INFO@KBTCORP.COM Email: corfini@jaxah.org
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. I uilding permit is incomplete. Missing the State Certificatio • tration#.
.. Missing the name of the Qualifying Agent.
3. 'eturn to the Building Department to complete the application-
- Pets'
v
/0— R -(9
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
e m Q i/-o" PI'vit'w C-o ,r 0'1 e i / 40 •2-- 17 `►'\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
''2r,. Building Permit Application Updated 10/9/18
: OFFICE COnv
i1= 'i ; City of Atlantic Beach Building Department **ALL INFORMATION
A
9? 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
nIS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address:4144 -( qfi 17004,A(5'c. 6.11.'f0'(i L8Gy,vrA,33 Permit Number: W `cl -0z96,
Legal Descriptionl'►-U ti ''LS -VI g.. t2.001.4tt 1�? Lief 3; z. 44,-rd RE#t12t `L# 6-too
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Valuation of Work(Replacement Cost)$ (30(Th Heated/Cooled SF I% St, Non-Heated/Cooled Q -
• Class of Work: ❑New ❑AdditionNsAlteration ❑Repair ❑Move ❑Demo ❑PocNIWindow/Door
• Use of existing/proposed structure(s): ❑Commercial l�7Residential
• 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: Vl t00ov/ a St vt•-tli Pr-el2E. ltlG+.1'r
Y
Florida Product Approval# F LI-1::.`i 619 - R3 FL- L5 a1 S^ ,SJ for multiple products use product approval form
Property Owner Information
Name �.41- ,JvL1•{4, Address 1300 6�n 5
City J4 0 VL L-/I/ State , Zip 514_0t. Phone vo-.}•• , (p — (,43"1,8
E-Mail CD i. J,l j J Ah • 01rq,
Owner or Agent(If Agen , Power of Attorney r Agency Letter Required) pwo
Contractor Information ' /
Name of Company Vi f ed i2 �44 &44 60(9, Qualifying Agent ) till-h )x'cn fANOIN5
Address 6-106" 13L ,0 0 t It.(/ (NAN. City _ ., -'S Zip $/At"
Office Phone e ,4.,L"1-1,_.—,,.,4i UV,. Job Site Contafjt Number ct.0 - Lo'Lz, —11
State Certification/Registration# ..$C_r-Irmo .5 E-Mail 4�1J 2 l- , Gore .( ,14
Architect Name&Phone {.1L4,,
Engineer's Name&Phone# / SW \
Workers Compensation Insurer` 0E4 12146,f't OR Exempt❑ Expiration Date 8/2(42,0i0 ry
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or install Qol i C
� � C7
commenced prior to the issuance of a permit and that all work will be performed t.je4Ie •n•- • of a e laws regidlat C) R
construction in this jurisdiction. I understand that a separate permit must be secur_• •rk r TR 0- .0 ';', BI G,S L i F- a i
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: in a•.'.o t. t eme Ala ►
permit,there may be additional restrictions applicable to this property that may be found in the public records of this courr,Y1 C.) C
there may be additional permits required from other governmental entities such as water m nae to t districts,state age Etil A
federal agencies. S E P T 2019 U J O N
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance war,4 , z
LiJ
applicable laws regulating construction and zoning. Building Department O
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO ekC P)
1MM EIV E KOa = a
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU II VIR w 3
TO OBTAIN FI ' AliCI G, CONSULT WITH YOUR LENDER OR ANT► ORNEY BEFORE W cc La
►,�ST
RECORDING f E OF COMMENCEMENT. - aC cc
w
(Signature of Owner or Agent) (Signature of Contractor)
rx:
Signed and sworn to(or affirmed) before me this l/' day of Signed aa�d sworn to(or affirme4) before me thisZ day of
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•; ,w• • Commission N GG 106242 = Notary Public State of Florida
,• ,. 7. 1R• �' ' Commission N GG 199162
v My Comm.Expires Jun 25,2021 <:
'� ` Bonded through National Notary Assn g�= •' MyComm.Expires Apr 6,2022
Personally Know C4•••.•• [ ]Personally Known OR o
[ ] Produced Identif a • [Li-Produced Identification
Bonded through National Notary Assn.
Type of Identification: Type of Identification: 11111111111111/10 ' 0