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1945 Seminole Rd RES20-0042 Garage RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES20-0042 ' 800 SEMINOLE ROAD ISSUED: 3/3/2020 ATLANTIC BEACH. FL 32233 EXPIRES: 8/30/2020 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: 1945 SEMINOLE RD RESIDENTIAL WINDOWS/DOORS GARAGE DOOR $2010.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169542 0518 BEACHSIDE COMPANY: ADDRESS: CITY: STATE: ZIP: PRECISION DOOR SERVICE OF N FL JASO 6676 COLUMBIA PARK DR S JACKSONVILLE FL 32258 OWNER: ADDRESS: CITY: STATE: ZIP: MARCH DOMINIC G 1945 SEMINOLE RD ATLANTIC BEACH FL 32233-5917 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 $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: 3/3/2020 1 of 2 - i.:L'; r, RESIDENTIAL PERMIT PERMIT NUMBER •J r.; CITY OF ATLANTIC BEACH RES20-0042 800 SEMINOLE ROAD ISSUED: 3/3/2020 f 9.? ATLANTIC BEACH. FL 32233 EXPIRES: 8/30/2020 Issued Date:3/3/2020 2 of 2 s�i , City of Atlantic Beach APPLICATION NUMBER Building Department (To be assi ned by the Building Department.) V 800 Seminole Road S.Atlantic Beach, 3ZO-00 1 Z- 1, �v Phone(904)247-5826Florida Fax2233(904)5445 247-5845 — J ��rjr E-mail: building-dept@coab.us Date routed: G 7- I Z 111111 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ` `)14-� L.-1111‘00C-E- Department review required Vier No Building Applicant: PREt sr 0/`3 ce_ Planning &Zoning Tree Administrator Project: L___1 002_ 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: Kpproved. _Denied. ❑Not applicable (Circle one.) Comments: BUILDIN'. / PLANNING &ZONING Reviewed by: firl Date?l)3'4)6 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 f—. 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 Phone: (904) 247-5826 Email: Building-Dept@coab.us L- IS REQUIRED. Job Address: \O 5 Jem\N�`� 1 , Permit umber: l_.. J zO" c��- RLegal Description l21/2-—\4 ()LA- 2S - 2,C\ E V�\i`ChC.._ . RE# \ .o q9\2- 0c)-1 Valuation of Work(Replacement Cost)$ 2.0\O• .D'\ Heated/Cooled SF Non-Heated/Cooled 1 12 • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ElMove ❑Demo ❑Pool Window/Door • Use of existing/proposed structure(s): ❑Commercial -'Residential • 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: c2-tp1cxCt1 A ' _d0U w\t\r) ntw - Florida Product Appro al# 'jc for multiple products use product approval form Property Owner Info ••ation Name GLmCl(liC rod h Address \ Lk cbc.tm\,`001e. 9.6 City �1A\C.. C State Ft` Zip 2 Phone C\OA- 244- 0/S2 E-Mail YC'.41C mG a)h6\c=2C1.aNV l Owner or Agent(If Agent, Power Attorney or Agency Letter Required) Contractor Information Name of Company 'p V 1)., T( StINACe. CR t jrl Qualifying Agent (( f Sre'p Address(C��(c `C u, n j Q P(1Y: Of City�(�C ,d(1V1 1e State CL ip 2S Office Phone n(. - 1f''2")?) -2-22 Job Site Contact Number State Certification/Registration# Vl' ( E-Mail Architect Name&Phone#P00\1 w Engineer's Name&Phone# 0 Workers Compensation Insurer \i iN , OR Exempt❑ Expiration Date N 44 J Z nk Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installati�,p I Q 0 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulable< 8 0 ry, construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIG'O p u Z WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirement stg 0 a permit,there may be additional restrictions applicable to this property that may be found in the public records of this count i V C there may be additional permits required from other governmental entities such as water management districts,state agendlit,z OC a federal agencies. 0 Q 0 <,.k.., U � N (n OWNER'S AFFIDAVIT: I certify that all the foregoing information js�jcurat�and that all work will be done in compliance withi]lI Q H Z applicable laws regulating construction and zoning. tt tS 2'120 QL2 to LL L WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAST. >. a cc m RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE . YOU INTEN� LIJ w LU TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR_AN ATT RN BEF RE 5 ¢ W RE QyING YOUR.NOT ,CE OF COMMENCEMENT. / w crvt-�..-�-- _4. 1 U,t�1 1 0� (Signature of Owner or Agent) ignature of Contractor) Signed and sworn to(or affirmed) before me this 11 day of Signed and sworn to(or affirmed)before me this11 day of ab �� ,bji0LITIC.tMQYC,h TtebruArL , 2U2� �Ot vm, ✓Cl . �1SP tkr 1e..pfflloJSana,_ — — . • l S• . . , .tier ii;::„. MICHELLE VAN VUREN ( MICHELLE VAN VUREN ' PSB I �? ��'. Notary Public-State of Florida I _�. •� . Notary Public State of Florida [ ]Personally Known OR Commission . GG 203567 [ ]PersonallyKnown 6•`a'• a Commission r GG 203567 I ''?or ry My Comm,Expires Jul 29,2022 ' ''EOF A My Comm.Expires Jul 29.2022 [ ]Produced Identification) Bonded through National Notary Assn. ( [ I Produced Identifica •rt .• ~'Bonded through National Notary Assn. Type of Identification: Type of Identification: _