380 5th St RES20-0058 Siding ' ''' RESIDENTIAL PERMIT PERMIT NUMBER
J3
r RES20-0058
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/13/2020
ATLANTIC BEACH, FL 32233 EXPIRES: 9/9/2020
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:
380 5TH ST RESIDENTIAL SIDING JAMES HARDIE LAP SIDING $13000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: : NUMBER: GROUP:
169850 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
SUPER SIDERS AND TRIM,
INC 2700 Fawn Point Dr Jacksonville FL 32225
OWNER: ADDRESS: CITY: I STATE: I ZIP:
GIOVANNUCCI DANIELE 380 5TH ST 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.
FEES
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: 3/13/2020 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
RE520-0058
CITY OF ATLANTIC BEACH ISSUED: 3/13/2020
800 SE BEACH ROAD EXPIRES: /13/2020
ATLANTIC BEACH. FL 32233
Issued Date: 3/13/2020 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
....0,
800 Seminole Road �7
r� Atlantic Beach, Florida 32233 5445 E_ 20- 00S
Phone(904)247-5826 • Fax(904)247-5845
tri.„ ...
�� E-mail: building-dept@coab.us Date routed: z/ZSFz. CD
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
3 8� 5
Property Address: v ( Dnt review required Yes No
S
ldingApplicant: v Qeiz.,_ S ( CDC( Planning &Zoning
\ Tree Administrator
Project: �J jk(Y\a_S ("A A2-0( bR P (0(A-)C� 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 v
Other:
APPLICATION STATUS
Reviewing Department First Review: < proved. Denied. I 'Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Date:3/7/2-6Reviewed by:
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
, o'it Building Permit Application OFFICE COPY Updated ios is
't; City of Atlantic Beach Building Department **ALL INFORMATION
Vv v~ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904')1 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Q
Job Address: 3 ) 5�f1 Si--- Permit Number: REszc -' 00S 8
Legal Description 5=411fb-ZS "ZQ�, 31-1 11414 IIh h 31'ern RE# /6'17'60 p0 "c V
Valuation of Work(Replacement Cost)$ a Ira...) Heated/Cooled SF L Non-Heated/Cooled
/
• Class of Work: ❑New ❑Addition Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial )3Residential
• 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) e9 No
Describe in detail the type of work to be performed: Tr'AI d..e c- Si ,i�o� �Le�A�,Q .��
/ /
Florida Product Appr val# /,ILL 4rvr($ 6 rad' for multiple products use product approval form
p
Property, wner Infor //
Name R.✓L ip�',ri/]Ke/,r Address 3'f " 5/-
City 1 s .; rle e I' State Pt, Zip Ill t3'3 Phone zis--' 2 -2r 74/g
E-Mail /(4 iecos . , u
Owner or Ag t(If Agent, Power of Attor ey or Agency Letter Required)
Contractor Information Q a
Name of Company s CV/ sr` 0/ R. V.'�'t p�jf` V N
�(J Qualifyin�ent �PiL'�''-y /'� /• Nt�,s
Address 1 7C wh- D,til:-/- /Jr• City J.4 g Stat e✓ ICL Zip to �j
Office Phone L`jy J y?f(, p�� Job Site Contact Number r -r cf 0-...1 ' M
State Certification/Registration# v1 SS- 2 if E-Mail .''<re Ixy Cd Sx !(/S,fele Y.5("Ind�i i;•Z �pli-�= M
Architect Name&Phone# J rf C) a
Engineer's Name&Phone# 0 La �' Z F...
Workers Compensation Insurer SLIM Z- OR Exempt❑ Expiration Date /1 U S U 0
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or nstal laignnt�sc, 2
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regull?itingi O <
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGi,1 rn H
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirement ft(is. 6
W
permit,there may be additional restrictions applicable to this property that may be found in the publi c3(�T11s( rit a _. r l
there may be additional permits required from other governmental entities such as water manageme ,11-s f`-agPD , I in
federal agencies. w n w
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance w th1�11 V Cl) W
applicable laws regulating construction and zoning. FEB 2 5 M20 LU
L:J W
WARNING TO OWNER: YOUR FAILURE TO RECORD A OTICE •F COMMENCEMENT MA4" cc
RESULT IN YOUR PAYING TWICE FOR IMPROVEM 'NTS TO Y6 Jm PRoPERTICSAPVQVINTENErent
TO OBTAIN FINANCING, CONSULT WITH YOUR L:NDER O' A f ATTORN1BL ktt LitiC !?each, FL
RECORDING `.gSt s F COMMENCEMENT. t
c.....7:•. ./-of Owner or Agent) (Signature of-77.71"...11, II
Signed and sworn to(or affir d) before me this•t,�day of Sign-d a i'swo to r affirmed)before me this U�d'ay of
�a, by Yl\�� (AlpVC\t1v'kL iii. f ,b F` �
A,211,4ffrt. A911A111111.111..,
(Signature of Notary) Sii=f Not
;;SPX?! • LEANNE DONOHUE ;+ ?v +! CIND�,AICINTIRE
[ 1 Personally Known OR ,*. Commission rsonall Known OR ti'sT :*:COM' ssan8GG279801
y .s`-= Expires February 14,2023
[iProducedIdentification ':, ?._•:�• Expires April 28,2020 1 roduced Identification ' '�o?f
•'.'.$F F;;°•`• Bonded Um Troy Fain Insurance 800.385- 19 4.! Bonded Thu Troy Fain Insurance 8003857019•
Type of Identificationis_, of Identification: -
-ermy f 2ES a-oos�
'NOTICE OF COMMENCEMENT OFFICE COPY
State of r'' of l Tax Folio No.
County of �1,t,V 2 I
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:4 j j
u
Legal Description of property being improved: ,9 /4 Zis " 7.1 h--- . VI fi'!A"1414- ,Pe4e.11
1,6 ! 33i ? kik
Address of property being improved: iso J Ste"
General description of improvements: $ar, , , l d'✓Cr s1,d► / ,OGC i`t 2i 'e'u.GzJtG/
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Owner: n U iooti/ jf, Address: 3gv s-�
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: y
Contractor:Sy e j `r U ec/$ ct 7;7;44— ,
Address: z.,7 60 P41... 't- 41,1,'' 1111
Telephone No.: *gel'V2.g "SSS 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)
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/
t/ Signed: � /'if/' Z Date: r2 - ya
1 �Before me this N day of in the County of Duval,State
Dec#2020042659,OR BK 19114 Page 324, 1Of Florida,has personally appeared )0.k.( 1C- C.i Vv-AYI✓IuCL i
Notary Public at Large,State Of�lo�da,Cg�nty of Duval.
Number Pages:1 4i L
'
Recorded 02/24/2020 11:12 AM, My commission expires:
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Personally Known: ....... or
COUNTY Produ Identification:F I.OL .�atiLEANNE DONOHUF
RECORDING $10.00 Afb _,. 14, 1,:Commission#GG 929378
-:.:-:t` Expires April 28,2020