2213 Alicia Ln RES20-0057 Stucco Repair/Windows X30 ` * RESIDENTIAL PERMIT PERMIT NUMBER
401fr_it
CITY OF ATLANTIC BEACH RES20-0057
a f s;),
800 SEMINOLE ROAD ISSUED: 3/10/2020
`s ATLANTIC BEACH. FL 32233 EXPIRES: 9/6/2020
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:
2213 ALICIA LN RESIDENTIAL ALTERATION STUCCO REPAIR AND $40000.00
RESIDENTIAL WINDOWS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169519 0750 TIFFANY BY THE SEA
COMPANY: ADDRESS: CITY: STATE: ZIP:
Bluewave Builders Inc. 822 A1A North # 310 Ponte Vedra FL 32082
OWNER: ADDRESS: CITY: STATE: ZIP:
DENNIS MANAGEMENT 1490 BENT CREEK DR SOUTHLAKE TX 76092
TRUST
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 $255.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $127.50
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $6.49
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.33
Issued Date:3/10/2020 1 of 2
s'-'''''r RESIDENTIAL PERMIT PERMIT NUMBER1
-,.; f CITY OF ATLANTIC BEACH RES20-0057
,� x 800 SEMINOLE ROAD ISSUED: 3/10/2020
`'i !.) ATLANTIC BEACH. FL 32233 EXPIRES: 9/6/2020
TOTAL:$443.32
Issued Date:3/10/2020 2 of 2
City of Atlantic Beach APPLICATION NUMBER
A J. Building Department (To be assigned by the Building Department.)
tf tla SeminolecRoad r- c Z` _ OD '7
75-2q,
,�� Atlantic Beach, Florida 32233-5445 �-� lJ
Phone(904)247-5826 • Fax(904)247-5845
r;10 E-mail: building-dept@coab.us Date routed: Z Z. •
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z.Z.( 3 F\ l Cha. LQA e. Department review required Yes No
S
9 Buildin)
Applicant: (7 L U E(,v ptVG /J U tLDE7 Planning &Zoning
CTree Administrator
Project: � R (-20,r Public Works
n 1 Public Utilities
( ObCpCk.)5 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. X Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
.3/3��
TREE ADMIN. Second Review: ❑Approved as revised. I '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 OFFICE COP" updnr,pdio/ ; :
,J
�_-, 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
Job Address:__ 2213 Alicia Lane Permit Number: RE.,j Zo - ocp`7 7
Legal Description Tiffany By the Sea lot 8 :,RE# 1'169519-0750
Valuation of Work(Replacement Cost)$40,000 Heated/Cooled SF c-Np -Plated/.Coofled ,; - --• Class of Work: ❑New DAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool „du►ctndow/Door
• Use of existing/proposed structure(s): ❑Commercial EI Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No F EB 2 4 2020
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of wortto be performed: t
Repair stucco on East side and So f me���, ,; ;;t
W(•- V o u / i tp/zi-0j,f M vv-k. { , 4, V III $ City c, At:'-i-. 4,•�H.. ,C, , H.,
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Stan Dennis Address 1490 Bent Creek Drive
City Southlake State TX Zip 76092 Phone 817-403-0026
E-Mail stanleygdennis@qmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Bluewave Builders, Inc Qualifying Agent
Address 822 Al A N Suite #310 CitVPonte Vedra Beachstate FL Zip 32082
Office Phone 904-248-0395 Job Site Contact Number 904-248-0395
State Certification/Registration# CBC1262894 E-Mail �'PZ@bluewavebuilders.com
Architect Name&Phone# NA
Engineer's Name& Phone#
Workers Compensation Insurer Builders Mutual OR Exempt a Expiration Date 01/15/2021
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 PROPERTY. IF YOU INTEND
To OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR Y BEFORE
RECO' • •,, I R NOTICE OF COMMENCEMENT.
Or
(Signature of Owner or Agent) f' (Signature of Contractor) ,-
Si ed and sworn to(or affirmed)before me this )� day of Signed and sworn to(or affirmell) before me thisdii day of
`O 2OZ'-� ,by j` 6i . J ,b. ,1 Qo?O ,by v//�� _ .,i ►1 i
. 1 h%1 wr 4n • .u,.L...,.. N
( in;iir`..NSc Public•State of Florida
' a `/ Commjssion#GG 935204
�""" LISA M. GILSONy
,�yv pit,';,,,, I „.„ My Comm.Expires Feb 9,2024
=r' !f,_Notary Public,State of Texas Bonded through National Notary Assn.
Personally Known f;�.k :�= Comm.Expires 02-09-2024 [ ]P rsonally Known OR
] roduced Identific4t oh.,F;o,„;..` Notary ID 124637376 Produced Identification p
L.-
Type of Identification:L. r i Type of Identification:
ss,� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING REVIEW COMMENTS
Date: 3/3/2020
Permit#: RES20-0057 Site Address: 2213 ALICIA LN
Review Status: Denied RE#: 169519 0750
Applicant: Bluewave Builders Inc. Property Owner: DENNIS MANAGEMENT TRUST
Email: pz@bluewavebuilders.com Email: STANLEYGDENNIS@GMAL.COM
Phone: 9042480395 Phone: 8134030026
8174030026
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:
1. Return to Building Department and fill in blank asking for Qualifying Agent on permit application.
2. Both submittals of the Product Approval Information Sheets are missing the last page where information
is required to be filled out and signed by GC. Submit the last pages for both submittals.
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
a; lam ceri•-yr-oes4r 3/ 5/16
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.
OFFICF r'OPV
Revision Request/Correction to Comments **ALL INFORMATION
• HIGHLIGHTED IN
� rocsf
• City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
' ' ' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT a:
❑ Revision to Issued Permit OR LTJ Corrections to Comments Date: 3py/).0)
Project Address: 2Z13 rpttiCta
Contractor/Contact Name: ) jJ Zcbou►u
Contact Phone: 0040 24B - (3cf S Email: P2Ef foe wao e bv,(d er5 . LO
Description of Proposed Revision/Corrections:
Producf AAprovai
WOO RttatRI-d MAR 2020
•
I �drrle5 E�dy►s\" w^ affirm the revision/correction to comments is innclusive of the proposed changes.
(printed name)
• Wfil proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added:
• Wiji proposed revision/corrections add additional increase in building value to original submittal?
No ❑*Yes (additional increase in building value: $ ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent: ,� -=
(Office Use Only)
L Approved Denied I Not Applicable to Department Permit Fee Du= $ Sv.O .
Revision/Plan Review Comments
Department Review Required:
Buildi
Fanning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
Aot,,,,/ 2Esav-b°5-7 OFFICE COPY
NOTICE OF COMMENCEMENT
State of Norma Tax Folio No.
County of uuval
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: 49-94 37-2S-29t I ittany by the sea Lot 8
Address of property being improved: "11 HIICIa Lane
General description of improvements: Stucco repairs
Owner: Stan Dennis (Dennis Managment Trust) Address: 145U tient ureeK Unve sOutniaKe, I A IbUU2
Owner's interest in site of the improvement: Lnp nome
Fee Simple Titleholder(if other than owner):
Name: _
Contractor: caul Leoounl tiluewave buglers, Inc.
Address: 822 Al A N suite #31u Home Veara tieacn I-L 32U82
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
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 Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Doc#2020049728,OR BK 19124 Page 1536,
Name: Number Pages:1
Recorded 03/02/2020 01:49 PM,
Address: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
Telephone No: Fax No:_ RECORDING $10.00
Expiration date of Notice of Commencement(the expiration date is one
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: 11 Date: �' -
Before me this 13 ' day of . e — Z in the County of a I State (c '
e��, A# ccibla has personally appeared Sfiwr� •
rel
� LISA M. GILSON
�, .��vP��,� Notary Public at Large, - - '.: :. . . . . ' S ';c-.�—J"
.' (=Notary Public,State of Texas My commission expires: 2---)CD'1 •�' , ; /A i/I„
Comm.Expires 02-09-2024 Personally Known: or
'�
4;nn►r Notary ID 124637376 Produced Identification: V
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*Project Address: 2213 Alicia lane Permit#: e .)0 - os '7
*Owner/Project Name: Stan Dennis / 2213 Alicia lane
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.floridabuiiding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging
2. Sliding
3.Sectional
4. Garage Roll-Up
5.Automatic
6. Other
B.WINDOWS
1. Single hung
2. Horizontal slider
3.Casement Simington WhiteNinyl/casement FL224
4. Double hung Simington White/vinyl/picture frame FL5177& FL228
5. Fixed
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 COP\`
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.
/111"
*Contractor Name (Print Name): ca,u1 a6c? /,/k / *Contractor Signature:
) I c41101.
-
*Company Name: 0, U,,
*Mailing Address: '0-'2 A--IA Al 4-( 1 0
*City:VOA V b(1_, gbc„...c.,A *State: laL-- *Zip Code: -52ce
*Telephone Number: q 6 6 — 0 *E-mail Address:_f) c�L� = v(3"-) `WI (.A1-4-5,1
Cell Phone Number: 2- /- _U.3 e- Fax Number:
Page 4 of 4 Updated 10/17/18