1655 Selva Marina Dr RES19-0321 Replace Door & Sidelights t-StRESIDENTIAL PERMIT PERMIT NUMBER
r p `" CITY OF ATLANTIC BEACH RES19-0321
15-4111,4800 SEMINOLE ROAD ISSUED: 10/24/2019
9ATLANTIC BEACH. FL 32233 EXPIRES: 4/21/2020
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:
RESIDENTIAL ALTERATION
1655 SELVA MARINA DR RESIDENTIAL replace door& sidelights $4100.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171995 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS: CITY: STATE: ZIP:
DREAM DOORS, INC. 5220-201 SHAD RD JACKSONVILLE FL 32257
OWNER: ADDRESS: CITY: STATE: ZIP:
JOHNSON CHAD F 1655 SELVA MARINA DR ATLANTIC BEACH FL 32233-5615
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 $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $116.50
Issued Date: 10/24/2019 1 of 2
'4�t,sL�' a RESIDENTIAL PERMIT PERMIT NUMBER
' � RES19-0321
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 10/24/2019
33 9%' ATLANTIC BEACH. FL 32233 EXPIRES: 4/21/2020
Issued Date: 10/24/2019 2 of 2
1,1-iii City of Atlantic Beach APPLICATION NUMBER
�S *AKA Building Department (To be assigned by the Building Department.)
800 Seminole Road �!/� O /
Atlantic Beach, Florida 32233-5445 G
Phone(904)247-5826 • Fax(904)247-5845 CO / 5
�j
E-mail: building-dept@coab.us Date routed: V {��41
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t(-6...S-S-g-WGt i 101 , D ment review required Yes o
�7 & Building i
Applicant: D( ,Q...I �(�MJuv, SI - - . , Planning &Zoning
,�^ + Tree Administrator
. L Q CO.� c4
Project: C .4\ SIY�l l I ,,V q Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
1P
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:
APPLI ATION STATUS
Reviewing Department First Review: TApproved. Denied. ['Not applicable
(Circle one.) Comments:
UILDING
PLANNING &ZONING
Reviewed by: Date: /0—.22'i?
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPY
,, r'r Building Permit Application Updated 12/8/17
P `' City of Atlantic Beach
Va_�,� p 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)'247-5826 Fax:/ (904)247-5845 f /�
Job Address: i l.o53-Se f&.111(_-i 1. -1-�t-icaG[L FL< 1 •mit Number: e C�.S[-1 -b J . f
.30--�9 0ci- t� i-li .,-1.,t
Legal Description l�:l,..f- 5 4o 1 "77 Z j K L RE# / 7 /3 S -01000
Valuation of Work(Replacement Cost)$ '71/4)6,OZ/ Heated/Cooled SF.a5a- Non-Heated/Cooled /074
• Class of Work(Circle one): New Addition Alteration Repair Move De o Pool indow/Door
• Use of existing/proposed structure(s) (Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Q
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
•
Describe in detail the type ofiwork to be performed: + i ! Ui CA
Rep e.A-.CA.Si,5I e dOo;- i.,j; 1 c:1�i,3�Ts t.,J i t+'1 vl c._,-.-.1
0 th C1
_fs FloridaJ
Product Approval# /-L / 7�347• / for multiple products use product appaya oArl F- d
Proper Owner Info .tion O to F- z H
Name o1-,n3ot-N ci. -►- (... -1-� Address: I S `o�Z-L✓fi r`;nc.�r`i ✓� 0 O a
City 2--4- -,- i c State /-L Zip,3 3- Phone -7C 7 -543 - J tui p. Q a
E-Mail b2-,-k.v✓v.:_sLi j I, I 1-vV--:.-r . 6-6%-+-, O Z X Z
Owner or Agent(If Agent, Power of Attorr r or Agency Letter Required) (,) J LL N
Contractor Information
_ ff Z
Name of Company:��e4✓r► ai O •(S. • Qualifying Agent:j �_pj �., .��-� w 43
Address55QO-c-,?O I . 1,1 _1 fk� •G=� City0-1LI I .¢_State )----e..-)----e..- Zip - . w LUm
#�
Office Phone �7&-J- cd- •7 7.7�f Job Site/Contact Number 41 U Li- G--2 7 7 1 1 A >,.
,. CC 0
State Certification/Registration iaw
65.zc-5 E-Mail 1,-,-1-: ke(d ro.4ne),'s . 6(3.'1'nT V,.W
Architect Name&Phone# r: CC W
Engineer's Name&Phone# al
W
--
Workers Compensation ,J,�r _striis�l.'LSc..1G�[x exo. ja-jd- 00,20 CC Ir
Exempt/Insurer/Lease Employees/Expiration Date
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 regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition . -`• lo t�h. 1 ..
permit,there may be additional restrictions applicable to this property that may be found in the public r:c• .ifGE
,...„
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compeae Qitp apo19
applicable laws regulating construction and zoning. —
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENgMT NAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEf jilt' lff ON/Tient
nn FL
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
G .1....----77 .--*--**-----/
(Signature of Owner or Agent) . nature of Contractor) g
(including contractor) - 41
nd and sworn to(or affirmed)before me this -,- day of Signed and sworn to(or affirmed) before me this // da pf
- q ,by oL- csi4,t_5-0--.... al. , c›701/,by/ (Jx..1_//.- ie1t-1,JcJ
(Si:•ature••Notary) Si natur ofNnrand - - --
Notary Public smote a Florida ••ia+. . JANICE ANN FINGLAND
[ Personally Known O• ersonally Known OR
s:.."... ...°
[ ]Produced Identification Jessica Jones . ta MY COMMISSION#GG 156645
'; My Commission GO 101177 I roduced Identification 5.:. 6,_:,i EXPIRES:October 30,2021
Expires 05/13/2021 __ .off,
Type of Identification: %., Ty.- of Identification: ,ft:'-' pM,dad ThfuNotary Public Underwriters
Doc # 2019239224 , OR BK 18970 Page 1178, Number Pages: 1 ,
Recorded 10/16/2019 02 :43 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00 OFFICE COPY
Pr / Z'S - 07 2-1
NOTICE OF COMMENCEMENT
State of FL. Tax Folio No. / 7 i 5 95 -6660
County of D t.uJed
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:3v-is?ej -a5-aS . S�IJ� V✓1<r:. _
LA,. I-5 L.o 4--7\-6I K Co
Address of property being improved: j(155$ iv Yncri rk 1,y- Je A41 i-t CratLChr1�L 233
General description of improvements: -Rep c.J r4-1^L rer�
ci oo•- . J:1cN .--5 �3
Owner: ��^S[>� t1 +1^'lc✓.1 �C.�--, Address: I C�5 S i�. r. 1 hills_L3rce.4
Owner's interest in site of the improvement: Ot.Jr►er'•S
Fee Simple Titleholder(if other than owner):
Name: I �+
Contractor: L. -w-S- i tld
Address:62aO-Q01 She.v +fid SarttJ;I ie, t=( 3.DQ5 7
Telephone No.: - Fax No:90'I-Ore) -7774
Surety(if any)
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
in addition to himself, owner designates the following person to receive a copy of the Licaor'a Notice as provided in Section
713,06(2Xb),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Li �' v Date: /0
Noire NM Iamb d any Before me this_in_dry of_ in the C o Duval,State
dsaUaaAaa& Of Florida,has personally appeared
rh CONVINNO,nO wily Notary Public at Stm �>d;a, my of��uuvvmi.
or""oanaraotr My •.,....,• expires: 5f I.3it/ L
• • •• ly Known: (r or
Produced Identification:
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: J6N(IS 0Permit # pES/9-133'2/
Project Address: L S&l✓C` n A 6,-. /4-1-14...,-4-iL, P1�C N 1 - L 3
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at:www.floridabuilding.or ..
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.SwingingS,��� -J
pL Lpro a—21 �' t,� 56:2) 7 7•
2.Sliding
3.Sectional
4.Roll up
5.Automatic
6.Other
B.WINDOWS
1.Single hung
2.Horizontal slider
3.Casement
4.Double hung
5.Fixed
6.Awning
7.Pass-through
8.Projected
9.Mullion
.4
10.Wind breaker
11.Dual action
OFFICE COPY
2.Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge.I further certify that use of different components other than the ones
listed in this document must be approved by the Building Official.
(Contractor Name) (Print Name) ItY1.i d1 ei-e—( (Signature)
Company Name: (��•�+-L OSS J_r t
t( ,
Mailing Address: 5acZO •p2U I )NC
City: CJC Ciel J i 1 k State: Zip Code:- 3e2r
Telephone NumberV ') 6—7 779' Fax Number:(SID'/)
Cell Phone Number:( ) E-mail Address: On; ke rs.
OFFICE COPY
Iasir:: ro .._�y, r4
1111 m � �
.----.--_.. ._IIS'MAX.OVERALL FRAME WIDTH------_-. 'Z: '�G -��'�
7.
3725"MAX. 37.5 MAX. -___.} -U:0 o g
5200 W. CENTURY BLVD. FRAME WIDTH y71 FRAME WIDTH - `j.'� Z 644!;. o w n
a9� <c
LOS ANGELES, CA 90045 1 1 "" yam` J'
i,,r l *1,17r s o g.-,.i
GLAZED FIBERGLASS DOORS gh = w I , o E� m
V Z
SINGLES ‹ ° `. `W
<z �� X ( N 6- N; ma`am
e
w or w/o SIDELITES _ o v E oz
INSWING / OUTS WING 0 oa
"NON-IMPACT"
GENERAL NOTES I 0 2
1. This product has been evaluated and is in compliance with the 6th - o z
Edition(2017)Florida Building Code(FBC)structural requirements &v, :,-1-6'
excluding the"High Velocity Hurricane Zone"(HVHZ). a�a5 m
1 JW wN
2. Product anchors shall be as listed and spaced as shown on details. am j
Anchor embedment to base material shall be beyond wall dressing o �W
or stucco. o
E x 11, x o a
6.
3. When used in areas requiring wind borne debris protection,this Y y
E product is required to be protected with an impact resistant covering 0s
that complies with FBC Sections 1609.1.2&R301.2.1.2. --- .. - I
o �
4. For 2x stud framing construction,anchoring of these units shall be the X OX X_O_
same as that shown for 2x buck masonry construction.En o b
Cl,
LL 5. Site conditions that deviate from the details of this drawing require W e _o
further engineering analysis by a licensed engineer or registered
architect. --
LL t ce
> o0
TABLE OF CONTENTS it it
a MAX. DESIGN PRESSURE(PSF) DESIGN PRESSURE(PSF)
SHEET# DESCRIPTION JAMB INSWING OUTSWING a a
.. 1 Typical elevations,design res& CONFIGURATION FRAME >> i
.� ypi gn pl'esw general notes - REINFORCEMENT
2 Door&Siderite panel details DIMENSION POSITIVE NEGATIVE POSITIVE NEGATIVE „\w `z
3 Lite frame glazing details X____ 37.5"x 82.0" N/A +47.0 -47.0 +47.0 -47.0 n a
�vr
4 Elevations 74.75"x 82.0" N/A +35.0 -40.0 +35.0 -35.0 ^0 m
0
5 Horizontal cross sections OX/XO 75.5"x 82.0 1 X +40.0o
-45.0 +40.0 -40.0 a d °
z _ z 6 Horizontal&Vertical Cross Sections(2X Buck)
7 Horizontal&Vertical Cross Sections(1X Buck) 76.25'x 82.0" 2X +50.0 -50.0 +50.0 -50.0 nal:10/08/14 i
8 Horizontal&vertical Cross Sections(Direct to Masonry) 112.0"x 82.0" N/A +35.0 -35.0 +35.0 -35.0 scat N.T.S.
9 Vertical Cross Sections(Thresholds) owc.cr: JK m
+40.0 -40.0'x 82.0" 1 x +40.0 -45.0
10 Horizontal&Vertical Cross Sections(Direct to Masonry) OXO 113S _
cHx.ar: LF5 3
a 11 Buck anchoring 115.0"x 82.0" 2X +47.0 -47.0 +47.0 -47.0 owwnra w.: x
12 Frame anchoring&hardware details /
FL- °
13 Bit of materials and components n
SHEET t or 13
V
‘ty so*, Cash Register Receipt Receipt Number
NV
City of Atlantic Beach R11098
I
DESCRIPTION t I ACCOUNT QTY PAID
PermitTRAK $55.00
RES19-0321 Address: 1655 SELVA MARINA DR APN: 171995 0000 $55.00
BUILDING FINAL** 11/13/2019 RBE $55.00
BUILDING FINAL** 11/13/2019 RBE 455-0000-322-1002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R11098 $55.00
Date Paid: Tuesday, November 19, 2019
Paid By: DREAM DOORS, INC.
Cashier: CB
Pay Method: CREDIT CARD 3
Printed:Tuesday, November 19, 2019 3:20 PM 1 of 1