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1417 Beach Ave RES19-0334 Repair Wood Rot RESIDENTIAL PERMIT PERMIT NUMBER ) ' \; RES19-0334 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 11/22/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 5/20/2020 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 REPAIR WOOD ROT ON THE 1417 BEACH AVE $2000.00 RESIDENTIAL EXTERIOR TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170302 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: SUNSHINE COAST 513 VIKINGS LN ATLANTIC BEACH FL 32233 CONSTRUCTION OWNER: ADDRESS: CITY: STATE: ZIP: ROSENBLOOM STEVEN 1417 BEACH AVE ATLANTIC BEACH FL 32233-5733 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 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $101.50 Issued Date: 11/22/2019 1 of 2 o'"1' r, RESIDENTIAL PERMIT PERMIT NUMBER 4 J-. '� RES19-0334 5,.m . .- �0 CITY OF ATLANTIC BEACH ,v~ yr 800 SEMINOLE ROAD ISSUED: 11/22/2019 '`'i3 � ATLANTIC BEACH. FL 32233 EXPIRES: 5/20/2020 Issued Date: 11/22/2019 2 of 2 t=��:, City of Atlantic Beach APPLICATION NUMBER rj��► �� Building Department (To be assigned by the Building Department.) 800 Seminole Road ilio033 a ,y � Atlantic Beach, Florida 32233-5445 S \s-5Phone(904)247-5826 • Fax(904)247-5845 ++ ...r a sO' E-mail: building-dept@coab.us Date routed: I t sip City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 4 I~7 t ERQ D nt review required Yes No Property Address: V � P� q uild Applicant: UNSk[ 6- CoFtST OND anning &Zoning Tree Administrator Project: e, A(;2 L000 Rr 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: BUILDING PLANNING &ZONINGI� Reviewed by: . 1/ Date:// — 8 -17 TREE ADMIN. Second Review: A roved as revised. Denied. ❑ pp ❑ ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ,; Building Permit Application Updated 10/9/18 1 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 Il OA, 11 4(/fN �E RE_ . — G3�1 Job Address: Permit Number: Legal Description (;',l, 1� 'Z 'Z14 /L4.-"6 f_Qtk 6 1/2/ 3,64-K 6 f RE# .270 S 0 L - 0000 Valuation of Work(Replacement Cost)$ Z f C 0�' Heated/Cooled SF Non- Heated/Cooled • Class of Work: ONew ❑Addition ❑Alteration [gRepair//❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial IJResidential/ • If an existing structure,is a fire sprinkler system installed?: DYes ialNo • Will tree(s)be removed in association with proposed project? Des(must submit separate Tree Removal Permit) �IVo Describe in detail the type of work to be performed: / 6/041/,'?, wJzt R u; 6A) ,-A-T Rtc2 U G y,,;.,6. Florida Product Approval# N//1 for multiple products use product approval form Property Owner Information Name 5rfVE'v I\CSEN131-0,1 Address 1 � �'fA'/1 At,R4'E City PrrLAtir,C /SfAty State fL Zip 31215 Phone C)!'V . t' 1e E-Mail 5rose/1bIoo/''I L 5'1r k ; . nth r Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company .SV 1 )hCols; Lo''TRv:rjev/'qualifying Agent sit.)C f/1 XVI" Address S-7- 1//14/Al (-4^"e: City /}i1./7r,(£f''H State fl Zip 3123E Office Phone '10''1 . ZUg Job Site Contact Number f/c/. 2„ t. /e f State Certification/Registration# C h C /L 1 1 f 4 S E-Mail J ` ` S U.•1 f A, t rC�4 s r//1( rf Architect Name& Phone# /1-/71 Engineer's Name&Phone# P-71 / Workers Compensation Insurer Lo•'V�f�b Ait: OR Exempt LI Expiration Date /U/ //itJ 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 ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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. 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR► 'F Y. IF YOU INTEND TO OBTAIN F NANCJNG CONSULT WITH YOUR LENDER OR AN n : FORE RECORDIN UR NOTttEmCilttirtIVIE-14C-EiV1ENT. ignatur of O ner or Agent) AfiignatContractor) Signed and sworn ..,,toG,(or affirmCed)) before me this till.' day of Signed and sworn to(or aff rme )before�fi3Oeetth 0 day • IVo.�Kbe.� , o�ul 1 ,by c7h VCrx pt o -dvo,- IVUvfc- Z U !y , b _ O)f 9 H �1�114”' iv Iic ( rgnature of Notary) Sf�'watu Sf Notar•i mespERGER •4" " KAREN A.KOCH 1 "�"p, • TONT G [ ersonally Known 01-`a 1 Notary ofFl�.ld� ' [ ersonally Known OR E.• '�' : ? MY COMMISSION • Commission l GG 072312 353178 [ J Produced Identifica.on �� ` My Corm.ExoiresFeb 12.2021 [ Produced Identificatio • EXPIRES:October g 2023 • Typeweed the,,e.ancrilholey Assr Type of Identification: •"-^medThnlfrkltaqPikkUnciermiters -Sr\J`Jj\ r \i, CITY OF ATLANTIC BEACH .) 800 SEMINOLE ROAD rr ATLANTIC BEACH, FL 32233 (904) 247-5800 BUILDING REVIEW COMMENTS Date: 11/8/2019 Permit#: RES19-0334 Site Address: 1417 BEACH AVE Review Status: denied RE#: 170302 0000 Applicant: SUNSHINE COAST CONSTRUCTION Property Owner: ROSENBLOOM STEVEN Email:JOE@SUNSHINECOASTING.COM Email: SROSENBLOOM@SMKI.NET Phone: 9042081084 Phone: 9046104335 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. Please submit more information about the repair. Estimated square footage of repair/replacement, type of material or siding or wall sheathing substrate to be replaced. Building �: Mike Jones Building Inspector/Plans Examiner / City of Atlantic Beach 800 Seminole Road p Atlantic Beach, FL 32233 (904) 247-5844 Email:mjones@coab.us 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. OFFICE COPY Revision Request/Correction to Comments **ALL INFORMATION y11rj� HIGHLIGHTED IN ' � j ��° City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 f Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ' ES1 Y-0my ❑ Revision to Issued Permit OR I" Corrections to Comments Date: `VII 11 Project Address: I `/l ? g rte`N A lit it,v4-: Contractor/Contact Name: JuSEPH n1 fVA?4/LL/fe Contact Phone: /act ZUi (0P( Email: Jue Q 5 " 'h;'ie Gv'1Sri,1 c , CO yr] Description of Proposed Revision/Corrections: gtfLA(4_ 2. ,,.,4.D ' 5 u.LJ 0 ,v / ottiv S 10E U< H0'44 1-1//e rH PQE$5vKE T,tf4r EO wuo,0 AMO 5r4,ArLEf/ S i ELIC iisr,etif_ 2 f ( RPRUxift,gl <, G / of wuJo) , /IEpA1Q S,OEL/G HT 0i Iv(5f 5 iof of Neil /N714',u< dL fti,F . /ttP'4,, w if n pi"E /Oo p..A2 7 APP2uk, ovIrFt;- 2 ' . I J u4On Al 1 v,"Atic/% affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) RECEIVED • Wi pproposed revision/corrections add additional square footage to original submi EI No ❑ Yes (additional s.f.to be added: ) NOV 1 4 2019 • it roposed revision/corrections add additional increase in building value to original submittal? Va1 tip No ❑*Yes (additional increase in building value: $ ) (Co`kc n9gd`e 3asrlie6Ul 1[n) *Signature of Contractor/Agent: City of Atlantic Beach. FL (Office Use Only) ❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Cr$uilding� filas Planning&Zoning eviewed By Tree Administrator ��'�� Public Works Public Utilities BP# eG I-- Cj 3 ii— / /—1�y ! Public Safety DATE / f 1 Date Fire Services Updated 10/17/18 SIGNED �I