531 Aquatic Dr RES20-0070 Siding RESIDENTIAL PERMIT PERMIT NUMBER
. AO, \'; RES20-0070
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/17/2020
°'1_11%f. ATLANTIC BEACH. FL 32233 EXPIRES: 9/13/2020
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:
531 AQUATIC DR RESIDENTIAL SIDING T1-11 SIDING $5800.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5322 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: ZIP:
Depratter Construction 4675 Secret Harbor Drive Jacksonville Fl 32257
Group Inc
OWNER: ADDRESS: CITY: STATE: ZIP:
CLINE CYNTHIA A PO BOX 600741 JACKSONVILLE FL 32260-0741
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 $80.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $40.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.65
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.10
WORK WITHOUT PERMIT 455-0000-322-1000 0 $190.00
TOTAL: $317.75
Issued Date: 3/17/2020 1 of 2
0IjI r, RESIDENTIAL PERMIT PERMIT NUMBER
r3 �:9 'f RES20-0070
CITY OF ATLANTIC BEACH
i� ,' 800 SEMINOLE ROAD ISSUED: 3/17/2020
—01 9r. ATLANTIC BEACH. FL 32233 EXPIRES: 9/13/2020
Issued Date:3/17/2020 2 of 2
- Jr
Sl
t„ Cash Register Receipt Receipt Number
City of Atlantic Beach R12008
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $325.50
RES20-0070 Address: 531 AQUATIC DR APN: 171818 5322 $325.50
BUILDING $80.00
BUILDING PERMIT 455-0000-322-1000 I 0 $80.00
BUILDING PLAN REVIEW $40.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $40.00
STATE SURCHARGES $15.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.65
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.10
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.65
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.10
WORK WITHOUT PERMIT $190.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $190.00
TOTAL FEES PAID BY RECEIPT: R12008 $325.50
Date Paid:Tuesday, March 17, 2020
Paid By: Depratter Construction Group Inc
Cashier: FJ
Pay Method: CREDIT CARD 10
/e 3/4
Printed:Tuesday, March 17,2020 4:24 PM 1 of 1 I
* � AI j►r
4f INSPECTIONS REQUIRED FOR BUILDING PERMITS
4 rri To verify compliance with building codes,inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
°i3 91' Date: Initial: Date: Initial:
Power Pole Final Plumbing
Silt Fence Final Electrical
Piers/Stem Walls Final HVAC
Underground Plumbing CC Final
Underground Electric Final Building*
Foundation/Footing For new living space:When all construction work including electrical,plumbing,
mechanical,exterior finish,grading,required paving and landscaping is complete
Slab** and the building is ready for occupancy,but before being occupied
CC FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Swimming Pool Steel
•
Retaining Wall Footing Swimming Pool Safety
Driveway Electrical Grounding&Bonding
Sewer(Building Dept) Swimming Pool Final(Bldg)
Sewer Tap(Utilities Dept) Swimming Pool Final(PW)
Additional inspections may apply to your project if your project
Rough Electric*
contains these elements:
Rough Plumbing/Top Out* Formed Columns/Beams*
Rough Mechanical* Masonry Cell Fill
•When all rough electric,plumbing,mechanical are complete but before any work is •When forms and reinforcing steel,anchor bolts,sleeves and inserts,and all
covered up. electrical,plumbing and mechanical work is in place,but before concrete is poured.
House Wrap Structural Steel*
Wall Sheathing •When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
Roof Sheathing
OTHER:
Tie-down Framing Connections
OTHER:
Rough Framing -
OTHER:
Roofing In Progress
OTHER:
Window/Door In-Progress
OTHER:
Insulation Ceiling
Insulation Wall y^ N
1 - `
Exterior Lath
Permit Type
Stucco Scratch Coat Exterior Siding In-Progress eszo 0070
Brick Flashing&Ties Permit No.
Early Power -�3 �
� 1 1c�vA �e..
Gas Rough Job Address
Gas Final*
*When all gas piping is complete and wallboard is installed but before gas is ::: L; . PR ATI'eitelDNS
attached to any appliance.All outlets must be capped and pipe pressurized at a
minimum of 15 lbs. Contractor
POST THIS CARD WITH PERMITS AND PERMIT
Building Department Public works/Utilities Fire Department DOCUMENTATION IN FRONT OF BUILDING
Phone:904-247-5826 Phone:904-247-5834 Phone:904-630-4789
Fax:904-247-5845 Fax:904-247-5843 Fax:904-630-4203 INSPECTION LINE: 904-247-5814
MUTT CALL BY OM PREVIOUS DAY FOR NEXT DAY INSPECTION
Construction Hours per City Code:lam-7pm Weekdays,9am-7pm Weekends
JOB COPY
, , Building Permit Application ��
Cpdafrd fe/q/1+
^ _ City of Atlantic Beach Building Department
"ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 322.33 HIGHLIGHTED IN GRAY
j 'hone: (904) 247-5826 Email: Building-Dept@coah.us IS REQUIRED. /�
Job Addre 531 1 AQ v R Tl C. D(_ ATLANTIC-51A RES Z 0 '•-007 O
- Permit Number:
Legal Dm rp n 38 •x1( 17 •�$ .7)1g- c),L-rhe csrrIus_) LCT c)-1-,&IEll 1'7I2J 53x1
Valuation of Work(Replacement Cost)$ 5-450o, 00 SF Heated Cooled /328/ 2 Non-Heated/Cooled2 G U
• Class of Work: [New DAddrtron UAlteration)ltepair t?Move ❑Memo OPool ClWindnwlflnru
• Use of existing/proposed structure(s): riCommercial /Residential TI-11 r taC 1 DI i C W1 LL 61.ILV
• Ilan existing structure,is a tire sprinkler system installed?: DYes 9 No PC 2ETt.nt- D& 53( AO LArIPC
• Will trees)be removed in association with prnpnc(,cf project?r'Yr•.(must submit separate Irre Removal Permit) k(Nn
Describe in detail the type of work to be performed:
Wr( JE AMI) gEPLACE ALL I-MAGED/PClTTEN TI - i) 5I22.IN4
-'>n uvioe PlINTl.tT
k Florida Product Approval to for multiple products use product approval form
Property Owner Information
Name__ i 1 til TH t 4 f't_I t•t_c. Address J(. n2_C X G Oo'1 7 I
City .--_,Lia C If S;,j v,1.t-t.- .- State FL Zip 3: )t- Phone (t1 C '1 ) y AL. a 6 11
E-Mail C I i�C_a_. ftl-C{yI+ , 11 t--F—
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information 1
Name of Company /kVET C ty 7c, _—_, p_kiC Clualrfyrng Agent 1I1FcI N IA E
Address 4167 SECe�-NAR_3 D21V - Cit p _
— y .J��2X`1VJ�.t_ State �_Zip 3220-
Office Phone 9W- 5i i',: IO3'- — lob Site Contact N'u�m1ner 90'4 Sly_103 7-
State Certification/Registration H C_)S2 154,2- F-Mail_ rA 1-kr-Con 4`hjc-h cis &j jr-ja1 I I.cUgil N O
Architect Name&Phone tt -lz J
Engineers Name&Phone N_It Lr{ _
Workers Compensation Insurer _ Q 0 �.
— — _ OR Exempt n Expiration Date CL g E- C'
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installaEnWs O
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the Taws requ ng1 a g Q
construction in this jurisdiction I understand that a separate permit must be secured for ELECTRICJI.WORK,PLUMOING,SII Z S,U
WELLS,POOLS,FURNACES,130111115,,HEATERS,TANKS,and AIR CONDITIONERS,etc NOTICE;In addition to the requiremen(�,1sfs Q U n
permit,there may be additional restrictions applicable to th.s property that may be found in the public record:of this counC irg CCz
there may be additional permits required from other governmental entities such as water management drstncts,state agerili s,� 0 Q N.
federal agencies, V J U•, U)
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance witi5II Q 1. S W
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAT Ea W
s,., fl � m
m
RESULT IN YOUR PAYI G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN1 ND w p w
TO OBTAIN FINANCIN , CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE al U cn Lu w
RECORDJ,NG YOUR NOTICE OF COMMENCEMENT. >
5
ti W
CC
(Signeluie of Owner or Agent) 3 (Signature of Contractor)
Signed and sworn to(or affirmed)before me this _ wry of Signed and sworn to(or affirmed)before me this_6 oily of
tri.:.Td.t. . JO,-. ,by jzi4:32 o e.._+ c-
4,..,....._,L... .,..-",_ — ' -
O/ON RENOA _.—
1 C�n�..ksias 2 Gfi t`- ". ftlrkirmi
IS Fnaturc of Notary)
r
Es;:re,layrnt2!tfi:
Kr ?r Trvrf•*,aO.. S7t19 O'�-• '': JOHN riC St r]Qlrriti
Ncury wbhc•Stitt of rrcnoi
i I P rsonjlly Known OR • Commission I C,G 95!119
Produced IdCnlitrcJ(Ion
Oroducedidenbficntinn t'
1
type of Idenrrl,rahon' „f,,/`. / £^ 4 e -�{, q w D^ E 1�ires Feb,)] 1C2C:4-. J L r type of Identification l- /Z I�! . i f- ' • r�
ABeach APPLICATION NUMBER
City
Buildingof Department (To be assigned by the Building Department.)
K 800 Seminole Road
r1 Atlantic Beach, Florida 32233-5445 R SZC� `007 0
Phone(904)247-5826 • Fax(904)247-5845
g 0 E-mail: building-dept@coab.us Date routed 3 irr7FZ--r)
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5 3 L O &T( c ent review required Yes/ No
rBuilding t/
Applicant: ce- Pr o- • e .0 r\�� Planning--&-Zoning
Tree Administrator
Project: t Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date "� 0
of Permit Verified By ��J
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District \
Army Corps of Engineers v
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: cdkte F't� # Wd
:UILDING
PLANNING &ZONINGply
Reviewed by: Date: 3//0/2-d
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. IDenied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPY
,„ Building Permit Application ��
Updated tWs/te
a'`" City of Atlantic Beach Building Department
"All INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
one: (904) 247-5826:_rn,aLimaN_Tis.,5_rill: Building-Dept@coab.us IS REQUIRED,
Job Addr� X31 _ /�
!?t)R 77�• '!� Permit Number.R�,s 2.O 007�/
Legal Des ip n 351 •71 I' 5-Dcf.j` 0AL..,)t•t, � >lu
rt, f OT �1-A�t8REts Irl/11iJ S 53x1
Valuation of Work(Replacement Cost)$ 5;f500.(3°O Heated/Cooled SF 1328 Non-Heated/Cooled 26.0
• pass of Work: °New ❑Addition °Alteration yltepair °Move °Demo °Pool -` ' yir
• Use of existing/proposed structure(s): °Commercial Residential TI_i l t�S,I,p-IMC WILL all--V
L\�
• If an existing structure,is a fire sprinkler system installed?: ❑Yes 9 No OC1?�t D • 531 AQQAPC
• Will Iree(c)be rpmnvrd in association with proposed proirct?nye.(must submit separate free Removal Permit) /Net
Describe In detail the type of work to be performed:
`PE'lMo.IE A•N1D REPLACE ALL i (PrGED/POTTEN TI - li siblxiq
roe 141-
7r Florida Product Approval N for multiple products use product approval form
Property Owner Information
Name C'tiJfl-itcirf_iNE. Address PC, box 600'1'11
City.— 714 rt ictaiVtt..L-E State FI_ Zip 1,)DI-,O Phone (rlc 1 ) y5« -S,(0-11
E-Mail C 1 i:1 a (1,501 4 e i n rnSCi.s}-. 11c-i--
_____
Owner or Agent(If Agent,Power of Attorney ur Agency Letter Required)
Contractor Information
Name of Company DZ1fttva—IJj P INC,Qualifying Agent tII e i N IA �PPA
Address 165 SEC¢Ej"1-1,}(2 DQjye _CityJ_i yyiILLi State ft _Zip 3229,W
Office Phone 904 . 51 g• f 0 3-3- lob Site Cgntact Nu bee rj,.QL_4_, SIS•/03
- J —
State Certification/Registration fl C 152.151•2 F-Mall rot r leen[,1' Y}�on Clj gytt (bey,
Architect Name&Phone ti Ya _ J Z
Engineer's Name&Phone N t-sht - — Q
11Workers Compensation Insurer -- — EL_�.4- 1.- in
OR Exempt Expiration Date "5C)
Application is hereby made to obtain a permit to do the work and Installations as indicated.I certify that no work or Installa fM H Z W
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regurg 0 O
construction in this jurisdiction.f understand that a separate permit mutt be secured for ELECTRICAL WORK,PLUMBING,SIG C) 1° V p
WELLS,POOLS,FURNACES,BOILERS,LIE t7ERS,TANKS,and Allt CONDITIONERS,etc. NOTICE:In addition to the requirement , f this <• C)
permit,there may be additional restrictions applicable to this property that may be found in the public record:of this count nitZ O• Z
there may be additional permits required from other governmental entitles such as water management districts,state igen Sir d
federal agencies. _( U- I-
Q 3
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done In compliance wit/di � 3
applicable laws regulating construction and toning. LL lt. ix v;
WARNING TO OWNE•:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAM >- 0- S ILI m
RESULT IN YOUR PAYI G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT AII8 u 0 ui
TO OBTAIN FINANCIN I.
w
, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE N w Lu
RECORD NG YOUR NraTICE OF COMMENCEMENT. / LI LI 5
�� i✓1G
} CR� �t (tib} LU
1 (S7enature of Owner or Agent) `'J
(Signature of Contractor)
Signed and sworn to(or affirmed)before me this.3 day of Signed and sworn to(or affirmed)before me this_k day of
ma,,• (. C si' ,by/ iEI< ifs r+itc)il, ')D () by )A 4 lC T /
-:7:%+' JONINRENOA `f"' '1 ,�
q-• t• (S�gnirure of Notary)
G. -assbniGGt:'
` -: Wirt;Auyusl 24,2u:: / 1 4�,✓, 4., JOHN HENRY GRIFFIN
t i�vvrrr..,b�ei,>�:ir7tsr 1 (1r...‘,...-4:;.,- i Notary Public-Stitt of Florida (
ZI""I i lar I )P>rsonalty Known OR
L4 Produced identllrcation heir 1 o.n Commission a GG 958119
[ uced identification f E, ret Feb)).2024
Type of tdentifiration: _;_-_ t�/L l�,- .E. 'C Typo of IdentlflaUon; c• fill.•Q rl & f L. _ f