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145 Pine St RES20-0112 Siding Door PermitOWNER:ADDRESS:CITY:STATE:ZIP: WELLS JOHN BENJAMIN 9009 W 131ST ST OVERLAND PARK KS 66213 COMPANY:ADDRESS:CITY:STATE:ZIP: KMS SYSTEMS INC 1301-C Penman Rd Jacksonville Beach FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170635 0200 SALTAIR SEC 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 145 PINE ST RESIDENTIAL ALTERATION RESIDENTIAL replace siding & door $15900.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $130.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $65.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.93 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $199.93 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 6/11/2020 PERMIT NUMBER RES20-0112 ISSUED: 6/11/2020 EXPIRES: 12/8/2020 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 6/11/2020 PERMIT NUMBER RES20-0112 ISSUED: 6/11/2020 EXPIRES: 12/8/2020 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $199.93 RES20-0112 Address: 145 PINE ST APN: 170635 0200 $199.93 BUILDING $130.00 BUILDING PERMIT 455-0000-322-1000 0 $130.00 BUILDING PLAN REVIEW $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $65.00 STATE SURCHARGES $4.93 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.93 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R12093 $199.93 Printed: Thursday, June 11, 2020 3:32 PM Date Paid: Wednesday, June 10, 2020 Paid By: KMS SYSTEMS INC Pay Method: CHECK 3487 1 of 1 Cashier: CT Cash Register Receipt City of Atlantic Beach Receipt Number R12093 Building Permit Appfication City <Jf~tl~n* Eha~ch. 800 S<:!min()le Ro.i~.Atl1::1htii::. B¢l;loH, fl nz~3 · Phone: (904) 247"5826 Fax:(904) 247-5845 Updated i'i./B/17 Jo6Ac@:e$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