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595 Selva Lakes Cir RES19-0353 Windows/Doors RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0353 e s+ f 'V 800 SEMINOLE ROAD ISSUED: 12/3/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 5/31/2020 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: I VALUE OF WORK: 595 SELVA LAKES CIR RESIDENTIAL ALTERATION WINDOWS AND DOORS $13721.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172027 5540 SELVA LAKES UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: HOMERITE WINDOWS AND 4801 Executive Park CT N JACKSONVILLE FL 32216 DOORS OWNER: ADDRESS: ` CITY: STATE: ZIP: SUMNER CAREY DAVIS 595 SELVA LAKES CIR ATLANTIC BEACH FL 32233 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 $120.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $60.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.70 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $184.70 Issued Date: 12/3/2019 1 of 2 s''l. RESIDENTIAL PERMIT PERMIT NUMBER r ` s CITY OF ATLANTIC BEACH RES19-0353 1- 5 `'' ISSUED: 12/3/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 5/31/2020 Issued Date: 12/3/2019 2 of 2 r, S J 1 y,. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) .. � 800 Seminole Road Est^ - 03S 3 w � Atlantic Beach, Florida 32233-5445 R `-'� v Phone(904)247-5826 Fax(9043(-95044)5247-5845 )247-5845 !�;Sl- E-mail: building-dept@coab.us Date routed City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S C� S ELVA LA KSS Department review required Ye No �$uilding Applicant: Rtr ji Noeuas Planning &Zoning Tree Administrator Project: ,/ ..) ( ` ) - �) 00ELS 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 (1/ Florida Dept. of Environmental Protection cico 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: APPL ATION STATUS Reviewing Department First Review: Approved. Denied. ❑Not applicable (Circle one.) Comments: BUILDIN rt PLANNING &ZONING Reviewed by: Date: /2. 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. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 • BUILDING PERMIT APPLICATION CITY OF ATLAN"TIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 ®F I C E COPY Office (904)247-5826 Fax(904)247-5845 Job Address: Si$- Sd Jve La 4€3 --i,re /e3 Permit Number: ES( CI- C73 v 6 Legal Description 3-/ / -as' �r r ,o� c l I- ` Se ye: Lot ' (M t are # / a -.3,s-, < Valuation of Work$ /3 702/ ee Proposed Work heated/cooled t non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures) (circle one): Commercial Residential If an existing structure ,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# FL •. 3• L.-at, FG-a Ll 3/ rL /710r0 , o /1 FL /s z 1 3. // PZ /.V/3/Y For multiple products use product approva orm Describe in detail the type of work to be performed: a P,n /ccc.e W/.vt4Outs 1 Property Owner Information: Name: .ccr e,i/ S'L) bv, it er • Address: S'S s' Se.f va Z,a Io S Cir re-/t°" City /4¢1uv1,1¢,Y2 Rt-to cc e-1,1 State FLZip "add 33 Phone ..2 E-Mail or Fax#(Optional) • S(Q x/17 �� I Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Ala 14,6 A Gt1,'vtdriti/S /)aocS Qualifying Address: 4/80 1 f �L v '��' r / dto? Q �g Agent: ���,n �a � /�ra� Office Phone S'ac d S� Job'Site/ ont t NumberCl�ATX State �� Zip ,j-aa /l Cr 'd5'®L;, ' a j9o7c� Fax# fOe?. o)�j( r 2S&S' State Certification/Registration# /,rJ p) "7 or, Architect Name&Phone# A fiEV1CiVEl? FOR CODE COMPLIANCE Engineer's Name&Phone# +� A CITY Off- ATLANTIC BEACH Fee Simple Title Holder Name and Address IV �= FLRMITS FOR ADDITION41 Bonding Company Name and Address 0Rt uihtiVIENTS AND CONDITIONS Mortgage Lender Name and Address . Application is hereby made to obtain a permit to do the work and installations as indicated. I cert thaf o wo DOTE: issuance of a permit and that all work will be performed to meet the standards of all laws regulating cons 7 ction in this jurisdic This permit be omes nullt and void f work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aperiod of six 6)months at any time after Wells,work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Sigs, ells,Pols, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BB�EFORE RECORDING YOUR NOTICE OF NCEMENT. I herebycert that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this ..pe of ork will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authori to violate or cancel the 2rovisions of any other feder.1,state, ' ocs 1 law regulating construction or the performance of construction. - •\11111111ff1///� >ignature of Owner ` / . ILIA C44 , ``„I III�UI„Signature of Contracto C.'= aJ , , rant Name �,' C>AA.ANe� ���_NSCILLA Cl/Warne •1 `.. !' . � QP,,,O� 'ti �eforeme �•� lis - Day of L i _ I 20 �, o 20 .e 1 Fine �t; 7s7 G ;i �� th e: E Day of _0 ST. :y,� GZ, .A '.4''.! PRIs'CILLA CLAYMAN Z x: � oe.��0� 0 ary Pu lic = 7-77---'1''' �, •� o 29376 p •: LLA CLAYMAN /vjAV't':::` •''''• - a Expires May 20,2019 9p:.oy,�acrsa%ar` I'•i -. $�`_ubbinmission#FF 9I' • l!di ' ��'R 1.Q. �'•:�qF rv°.•` Bonded Thru Troy Fern Insurance 940385-7019' ��//,q,.•• InSU�� ! OP Expires May 20,2019 �� illi `ti/(///8/-”.S•TA�(. :.......................;'' onded iroy Fein Insurance 800-385.7079 eVlSed 01.26.10 ////lIIIIIIl1t� w:),;, rt owo PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: :5'7-S. Se'/i' L-t/LeS GIli-a fie Permit#: Res/9-0 3S3 *Owner/Project Name: G-U,+--yy .5"; �� —^ `ifi‘+/td�i' /,Oeor-S 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.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1.Swinging ?jct sip r© .Ftr2311 7:iscvi11T ll/ 7& FL 4.0.-/ ?r / 2.Sliding p1«5fi(-0 ns,,,,,',.. wf -hsfy- -S'61 FL- /s)t/3. /y 3.Sectional 4. Garage Roll-Up 5.Automatic 6. Other B.WINDOWS 1.Single hung p -( vi,...ty / f 5-c /_ a??, 6 2. Horizontal slider par v.,,„// jos/-/o 9 .aY 6 3. Casement !! 4. Double hung 5. Fixed P67- V3't,// /-..5D ay?, 7 6.Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other Page 1 of 4 Updated 10/17/18 OFFICE COPY 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. j ) *Contractor Name (Print Name):\Ja-� i4 vie 11 *Contractor Signature: ' - > 1wJ� *Company Name: V - f/t6 41-'`%`vt A !'S *Mailing Address: z(PC f L c Cc/YI't,^c. '04 0 7 *City: *State: F *Zip Code: 50L)!‘ *Telephone Number: ft If')-g I; *E-mail Address: re/Ay e44.1/J�A6 wz°t/ ca?' c( Cell Phone Number: 701/, alt /' eFax Number: 91/ a, °4.' Page 4 of 4 Updated 10/17/18