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145 Pine St RES20-0112 PERMIT door and sidingBuilding Permit Appfication City <Jf~tl~n* Eha~ch. 800 S<:!min()le Ro.i~.Atl1::1htii::. B¢l;loH, fl nz~3 · Phone: (904) 247"5826 Fax:(904) 247-5845 Updated i'i./B/17 Jo6Ac@:e$s:, 145 PINE ST. ATLANTIC BEACH, FL 32233 Permit Nunibef; _ __..._--"--------' Legal bescrip:tlon 10-16 21-2S-29E SALTAIR SEC 3 S1/2 LOT 680 RE#. 170635-0200 Valuation of Work (ReplacementCost)S 15,900.00 Heated/Cooled'SF· ____ Non-Heated/Cooled_• ____ _ • Class t)fWork(Clrtl.!:! one;): New Adi:!iti.on Alteration RepaJr Move oemQ Pool Windbw/Dp6f •• Use,ofexisfing/proposedstructure(s)(Circle one): Commercial Residential • lfan!'lxist.in~.strw::tµre,fs.;:i firesprinlder syst(;lm installed?(C:i~i::lepne): Yes No. N/'/4 • Submit a•Tre.e Removal Permit Application ihny trees are to be. removed or.Affidavit oHfoTree Removal ·oescribe:Jn,det~ilJhetype ofworkto beperformed:. REMOVE AND REPLACE WALL SHEATHING AS NEEDED. INSTALL WATER RESISTIVE BARRIER. INSTALL JAMES HARDIE SIDING AND TRIM. INSTALL (1) MASONITE FRONT ENTRY DOOR. fl(?ricla PtocluctAPJilfOYat~ SEE ATTAC~E=[)""":---~--~---~c-= for multiple products Li.se produc:t apprc;5Val fotm "----··---·-·---··, ----: ··--· __ . ------......... ·.· ··,____ ____ , --~ -. Property:owner Information Name; JQHN WELLS Address~ 145 PINE ST , 'City ATLANTIC BEACH State FL Zip 32233 Phone 913-636-9891:.:,.,,, .. • ,. ,,. • ,. -; EAV1aHiwells1215@sbcglobal.net ~-- tontrattor·lnfortnation .Name,o.f Cotrn:iaii·,r KM9 SYSTEMS INC f;lualifyingAgent; KE\(IN P FITZGERALD''·" .Address 1301-C PENMAN ROAD City JAX BEACH State FL Zip_3..,..22,_5_0___,_..,...,,.,, .office Phone 904_;568-4211 Job Site/Coritaet Number 904~568-4211. . ... State ¢ertifi~~tiqh:l!legistratiqrJ# CBC 1258387 E-Mail_k_ev_i_n@=-k_m_s..;.s"'"ys __ t_em ___ s_in_c._c_om ___________________ _ Archite~tName & Phe>ne # FLORIDA PRODUCT APPROVED 'Engineer's Name&Phone# F.:LORIDA PRODUCT APPROVED Wr:,rkerscompensation _E_X_E_M_P_T_1/_2_4_/2_0_2_1...,... _____ ---------------------- Exempt /lnsurerile;Jse ·~rnplbyee$/Expiratiqn Date Ap.plkation ls hereby made to obtah1 a perrnitto dd the work and installations as indicated·i i certify that no work or installatfon has cotnrnepced ptiortgth~ issuance,ofa permit and that ·.allw9rk wHf b¢pe,rforrj)edtq.111ee.nh:e,sti,indatdsqf all.the lc1ws r,e,gulJ:1ti9r1g co:nstrudion it:tthlsJurisd.ittioh .. 1 under,sta11dtha.t a separate permit must be secured forHEC,TRIC,AL:woR Ptu S,I.GNS, WELLS J?dbLS FURNACES; BOILERS, HEATER TANKS and AIR CONDITIONERS, et bWNEFfSAFFIDAVIT:.fcertifythatalltheforegoing.information is accurate and that all workwill b.edone.in compllancewlth all applicclhie iaW$ fegul.atihg cot1stn,1t;ti9h ,.ind zoning, .... , .·. ·'.. ...... . . ,••· . . . ..... . WARNING TO OWNERtYOUR FAILiJRE·Td .REC(lRD A.NOTlCEO.F COMMENCEMENT".MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMlNIS TOYOlJR :eaoPERTY'. I.F"YOU'IN1'·END TO,C>BTAIN FINANtlN.G,:CONSULT WITH YOUR' LEND.ER OR AN ATTORNEVEIEFOR'E REallU!IN<i :VQIJR l\lt)TIC.E OF COI\/IIVIENCEI\/IEN ___ J.:..!.. ~__,(...: .. ::... ~ ... ::<!!'.. ~f~--~~~~::::::,_.!::::::__..._.,_~__,. (Si1;n .. Sj~:dand,sw.orn to (.· · · d~Jt jjyv\\ .ZQ . 0) .. l)~sonally Known OR tv.r'Prbduced identification Type of Identification; _:JlfJ./\{l>O.S PRODUCT APPROVAL INFORMATION SHEETFORTHE CITYOF ATLANTIC BEACH:1 FLORIDA . . .. ' . . . . .. \ . . . . .. Project Name: t(/.€LL:5 -s:i0//1/6-~· [)coE:., .Permit #_· --- P:roj~tAdqr~~~: / :/S-[>; N £ S / & required hyFloridaStatute553.842audFiorida Administrative Code Rule 9B-72, please provide-the information andpmductapproval number(s) for the building components :Iistedhelo'w asapplicahle·to. the. building construction project fotthe permitnmnbet tiste'd ·abo:ve. You should contact yOU1· ptoc:Jrn:;t $11pplierif you go notknow tll~ prq<fuctapprqv'<1l .nllli1l:>er Jew aey Q];the appllc~bfo listed .pro:ducts. lntbi"J:ruition, regardmg statewid~ 'prQd1J,c,t aonrqVca(m~v 1?e obtained at: www::tloridabtilldfu2~or2, · · · Catego~'/Subcategory ·Manuficturet Pfodu'ct Description Liniit:atfo11 nfUse State # Local # 1. Swinging Z,SHdfog 3. Sectional 4. Roll up $;0th.er 2c Horizontal slider 15. Casement 4. I)QtiQl~htmg 7. Pass'.'."'.tnrough ·· 9.Mu1Iion ,!1;t/-4rl1rt;_ -:;:-/JY0-R -f-?ol-~ J/~z,.-~3c,,,3 .s / 2. Soffits 3,EIFS' 4. Sforeftonts 5. Curtain walls, 1, Glass block I 9. Greenhouse lLOtlier J). l(QOFING PRODUCTS 2. Underh1yrrtents .\3. R:oofing,fasteners 4. Nonstructural metal roof 5,. 'Built,,up roofing 6, Mollified bitumen 7, ~ing1e ply roofing ' ., .,.,,,)/ . ,:· :.-.: ,, .. ,. ',",::·,. : 8. Roofing<tiies :•·' ,,'y.· L''· .: s·, . " :;> .. '·" ,,,-.. ·, ·,. ' 13\Liqµid:appliedroo:fuig· 16: 'Sptay applied polyuteth::tne ':1\Jqf ' : ; :t,,Actt>.r4li:)n .· .......... . · L.,WQ~d connect9:rt:Mchor t--2 ...... ""'"trus-· ...• -... -s: .... pl ... a_tes_; ,--------1--------+-----------+--------+------+---------1,; •t,--3-· .;_E_11_gm~•.•.;;.e_er-ed"'!'!"c> .... 1um-· .~. h-e•·-r-· ---11-------+--------+-'""""""'-----.....-1-----1---------1, .SLCoolers.;.;freeze:rs ''. 2. Qthet , : t»t~ijtyf:$ijbt~t~oq • :IJi:N.;lt\¥ F;~'f]tltJ();Q :ENVELOPE PRODUCTS fu ~dftien to , completing the' ahttve list◊f.:mantifac~er~, p1w.1t1¢t 4¢s¢dptioo and Slate-. appr~va1 numher 'tor th¢ prQ(iµcts used on .th!s,_ptojec:4 th~ ti:>nttactor shall maintain, OA thtjob sii-¢: and :available t<> the Inspector, a ltgible c:epy ol~ach manufaqtuter'.s ;ptin©d specifications and :installation in$1t(lqfj:Qtis'"afop;g WjtlttWs »ro4µ~t A.1>pto.val tSh~t, · · ,•. · · · t,~ettify that this product approval list is tri:le and co:rtettto the h.esto:t'Iiiy knowledg¢. t Wet: tertify'tllat 11se ofdtlrerent comp<>nents :otlter than the on~ fisted in this documentmnsthe approved bythe Building Official., (¢1}:ntra~tot:Name) lPn:Qta:'Nam¢)' CompanyName: /(Jtle5 ~V9&/Jf 5'r //II(~ 1\failin~ Address; /3@0 Z /fir-?t-E4-.s~ tf' t) Gity~.2/9ChA///fd£_ 'State,; ~L- TelephoneNumlJet: ~ ...... ~ G--t.f-Z-</ G¢U fbone Nwb¢r~f &"1. 5Zf::.· {£.?IL