97 Dudley St RES19-0297 Window/Siding rs'-'',`"r%� RESIDENTIAL PERMIT PERMIT NUMBER
�'� 'sRES19-0297
r� , CITY OF ATLANTIC BEACH ISSUED: 10/10/2019
�
�— _r 800 SEMINOLE ROAD
�ss»r 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:
97 DUDLEY STA RESIDENTIAL ALTERATION WINDOW AND SIDING $8000.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172198 0200 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
BUILDING PERMIT
BUILDING PLAN CHECK
ACCOUNT QUANTITY PAID AMOUNT
455-0000-322-1000 0 $95.00
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
City of Atlantic Beach APPLICATION NUMBER
JS''#), ' Building Department (To be assigned by the Building Department.)
•
800 Seminole Road R C c , • _/-1'Z C,�
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 •
9T E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ! U I L-e De rtment review required Yes o
p Y
,�uilding
Applicant: K EVT C O( 2 cr1ADE -Parma—VI,Zoning
Tree Administrator
Project: W l NCYoc.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:
AP CATION STATUS
Reviewing Department First Review: 114-pproved. Denied. ❑Not applicable
(Circle one.) Comments:
BUILD! I (/
PLANNING &ZONING Reviewed by: Date:/0_d 7
TREE ADMIN. Second Review: Opproved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: fit7/ Date: /0
FIRE SERVICES Third Review: ❑Approved as revised. ❑Deonied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
6 i, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING REVIEW COMMENTS
Date: 10/2/2019
Permit#: RES19-0297 Site Address: 97 DUDLEY ST A
Review Status: denied RE#: 172198 0200
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 Corn ents
1. B • .ing permit is incomplete. Missing the State Certificat• Registration #.
. Missing the name of the Qualifying Agent.
. Return to the Building Department to complete the application. 7
/17 /o.- —/et
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
YI'1 A i ea s- 4-1 1 - Z- /� f1't
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
4r` - , Building Permit Application OFFICE COPY Updated 10/9/18
- . City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
4�ts �~ IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address:61,p4_S -1, 9-1 t7UQG csl. /j,-(t,0,ortz,tti,t4,ptt33 Permit Number: R ES Pt - OZ Fq
7
Legal Description19 - V��f—'G5 ,r2Q�� 175 17o/.k.dr Lo'10 17£(. 42 RE# II2 t92) Otte
I
Valuation of Work(Replacement Cost)$ g C)00 Heated/Cooled SF 183 b 1on-- eateed/Cooled
• Class of Work: ❑New ❑AdditioTAlteration ❑Repair ❑Move ❑Demo CJPooI Window/Door
• Use of existing/proposed structure(s): 111Commercial�7Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes"...1NNo
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal PermitNNo
Describe in detail the type of work to be performed: ti!4 000v/ 4 SIQi NA4 0e lCxk,kt
•
Florida Product Approval# F I b R3L_ ?,s-iFL 15-49.1 €o i le products use product approval form
Property Owner Information F4- 1 a s=R y
Name .1.y{,44o&)✓t kA.-6/ t b0Y1d6 taaft40(Lai/Address toe) y}, b4' p $1 ,0r
City ,,,.I./,} QUt./,41 State__ ,__Zip j,'L'1o2, Phone 4 4 _ (,G (O o—ig
E-Mail Coy pilot' et'4t . 6tfbr
Owner or Agent (If Agent, Power of Attorney Nr Agency Letter Required) 04404,
Contractor Information CN
Name ofCom an ) 11m. nSw
,--Company �; �,'1��C� � ��,ry [.ar Qualifying Agent ;�'h s
Address s c ,L4 00146i, f z[,i City , _ ___ S . - .. Zi. -i Cp
i
Office Phone 404 — 4.Z - oil-Z,43 Job Site Contact Number — . _ —I * O
State Certification/Registration#G_CQ' ) 5 E-Mail Irv& (2 • r� . ro r 0. 9 O .
Architect Name&Phone# L{!� I� Jti 1•- 3 iii
l,pf
Engineer's Name& Phone# ' 0 C.;:.1Z Q
Workers Compensation Insurer g1Q.l0 pi 6/49 OR Exempt ID Expiration Date (31/0 3 0 0
6
Application is hereby made to obtain a permit to do the work and installation 1 ' th rk or instpll olmdin
commenced prior to the issuance of a permit and that all work will be perforrr�� t t d r s th laws uitttia a
ijurisdiction. I understand that a separatepermit must be secured for ELEC AL �MBING I IN-
constructlon in this p , pf'1�1
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: In addition to the requirerringo hti
permit,there may be additional restrictions applicable to this property that may be fou t e ulq�lhAc� ecords of this cdtin Sid.
t d r> 1
there may be additional permits required from other governmental entities such as wa a a e districts,state aBr1��o0. m
federal agencies. I— W n 0 LLI
Li j U w W
0 Ui
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and Btied• '`a mpliancewith all it W
e1fP >
applicable laws regulating construction and zoning. to w
City of >
Atlantic Beach, FL cc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOU-PR ERTY. IF YOU INTEND
TO OBTAIN FINANCI G, CONSULT WITH YOUR LENDER OR AN Y BEFORE
RECORDIN Y i' 'V I -E OF COMMENCEMENT. «� "
(Signature of Owner or Agent) (Signature of Contractor) rCk
Si ned and sworn to(or affir ed)before me this El day of Signed and sworn to(or affirme )befo e me day of
02o/if, by 1e Ale .. t.,d r i J ,�lq, by i �i i/NWit '1S
...PH reI►�VA'AKA 1lr
i '"`c45:glii Ru®I[cNE:tiftrNOlorida ..,_ ature of N@t RAAI5H0oK
••_ Commission 11 GG 106242 t e?° ��! Notary Public-State of Florida
'.� ,"tl°+ J:' My Comm.Expires Jun 25,2021 .1 o Commission rt GG 199162 ,
Bonded through National Notary Assn. 1 ....-!:of F\'.,' My Comm.Expires Apr 6,2022
[ ersonally Known OR [ ]Personally Known OR Bonded through National Notary assn.
[ ]Produced Identification 1,1-Produced Identification—. — ,�• — _
Type of Identification: Type of Identification: r • -.-1