705 Bonita Rd RES20-0200 Replace Drywall, Insulation, Etc.OWNER:ADDRESS:CITY:STATE:ZIP:
COLEMAN DORIS 705 BONITA RD ATLANTIC BEACH FL 32233-4206
COMPANY:ADDRESS:CITY:STATE:ZIP:
SLSCO LTD.6702 Broadway St Galveston TX 77554
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171140 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
705 BONITA RD RESIDENTIAL ALTERATION
RESIDENTIAL
replace drywall, insulation,
flooring, cabinets $55291.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $304.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $152.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $6.84
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.56
TOTAL: $467.40
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: 8/6/2020
PERMIT NUMBER
RES20-0200
ISSUED: 8/6/2020
EXPIRES: 2/2/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 8/6/2020
PERMIT NUMBER
RES20-0200
ISSUED: 8/6/2020
EXPIRES: 2/2/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $467.40
RES20-0200 Address: 705 BONITA RD APN: 171140 0000 $467.40
BUILDING $304.00
BUILDING PERMIT 455-0000-322-1000 0 $304.00
BUILDING PLAN REVIEW $152.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $152.00
STATE SURCHARGES $11.40
STATE DBPR SURCHARGE 455-0000-208-0700 0 $6.84
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.56
TOTAL FEES PAID BY RECEIPT: R12672 $467.40
Printed: Thursday, August 06, 2020 10:54 AM
Date Paid: Thursday, August 06, 2020
Paid By: SLSCO LTD.
Pay Method: CREDIT CARD 351106921
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12672
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department
800 Seminol e Road, Atlantic Beach, FL 32233
"ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED . Phone : (904) 247-5826 Email: Building-Dept@coab.u5 ,
Job Addr ess: 70S lYJr!IT,4 1lO IfTL~'{T1/C :Bf;rt:)/-I, Ft-&;!J73Pe rmit Number: ________ _
Lega l Descrip ti on L 01"" /(0 "81 K ~ 201j:l!1 PlUms VI! I-' { RE# ________________ _
Valuation of Work (Repl ace ment Cost) S 5'5. a-j I -• Heated/Cooled SF IS/i.e Non-Heated/Cooled 2 (., 0
• Class of Wor k: D New D Addition D Alte rat ion ~epai r D Move D Demo D Pool D Window/Door
• Use of ex isting/proposed structure(s): DCo mm ercia l I!I!Res id e ntia l
• If an eX i st i ng st ructure, is a fi re sprinkle r syst em in sta ll ed?: DYes ~No
• Will tree 5 be r emoved in association w ith ra osed rooeet? DYes must subm it se arate Tre e Removal Permit No
Describe in detail the type of work to be perform ed : p14CG.
J1"1'dl Cu.,filtle"h . (S e 6"".;f"c:. V"~+ 5 ~
Florida Product Approval # ___________________ fo r multip le products use product ap proval form
Property Owner Information
Name 'J)o els CoL.lit'\o\oAt\I Ad dress 705]301'1 I fA en
City ATLI\I\TI c '"Be:AC H
E-Mail qCclcma.~ i VI to e-3m",; I, CofY1
State fv Zip 3P33 Ph o ne 904 595"-Silra
Own er or Age nt (If Agent, Power o f Attorney or Agency Letter Required) ___________________ _
Contractor Information
Name of Company SISCO /"1b
Add r ess to70a.13tVAllWA'i sr
Qualifying Agent C hn510 p 11<r Gltty Dvn.,
C ity~"M State T6 Zi p 175.fY
Office Phone ?/3· 31 ~-IIQ7t,.
State Certifica tion/Registration # CG elsa. '7 PI 7
Job Site Contact Number ..J1t:L!.IJ'--.:.Qul"B'.a...:,-,!.I"'(,'lG,.J!£ _________ _
E-Mail C.dlVh .. <S5I.SCO .COM
Arc hitec t Name & Phone # __________________________________ _
En gineer's Name & Phone # _-:;:;,.,-:_---:::-.-..... -:;;:-___ -;; _____________________ _
Workers Compensation Insurer '( ljjf'i (l1 v?V"-\ 1"5V(an&<: Co. OR Exempt 0 Expiration Date _______ _
App lication is hereby made to obtain a pe r mit to do t he work and i nst allations as indicated . I cert ify that no work o r installation has
commenced prior to the issuan ce of a pe r mit an d that a ll work wi ll be performed to meet the stan dard s of all the laws regulating
construction in this jur is diction . I understa nd that a separate perm it must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BO IL ERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the r equi rem e nt s of this
pe rm it, t here may be add it ion al restrict io n s ap pl ica b le t o t his property that m ay be f oun d i n the pu b lic reco rds of this coun t y, and
t here may be ad d itiona l permits re q u i re d f rom other gover n men ta l enti t ies su ch as water manage me nt d istricts, state age n cies, o r
f ed era l age ncies.
OWNER'S AFFIDAVIT : I certify that a ll th e f oregoi ng i nform ati on is acc urat e an d th at a ll work will be done in compliance wi th all
appl icab le laws r egu lating constr uction and zoni ng.
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 ATTORNEY BEFORE
RECORDII'{G ,YOUR NOTICE OF COMMENCEMENT. /1/ / d :f //J ~eu lQ ~AfY\.~ ~~~
(Si gnature of Owner or Agent) (Signature of Contractor)
Signe d and swo rn to (o r affirmed ) before m e this.!.!....-day of
"J---..p"" <0=. by <2Wc,r'f-azo,/lM.1H1.
~f'u IL; b;)..-.-
i-;;'if!.~%·" CHRISTOPHER GARY DUNN ,.t J;;.\ l MY COMMISSION # GG 380523
i>tPersonally Know ~~.~!' EXPIRES: July 30.2023
( i Produced Identin tIOllr.r,;.··· BondedThtuNolaiyPublicU_
Type of Identification:
Signed and sworn to (or aff' I?efore me th is f
#L-. aMp , b~~~~~!!::£:h~' D-W)
1i".(~S!!!ig~na.,t!iur .. e .. o .. f N",0e,ti:a ry",.,i ""',;,' "'_"'d ._~. _ ... _ ... ,
i1~'" ANDREW ALLSHOUSE
M" 1.: :., MYCOMMISSION#GG908nO
IIILPerso nally Known OR \,¥, .?! EXPIRES:AugusI28,2023
( 1 Produced Identification "'~~~:r.:~~ .. , BoodedllwNotalyPubllcUnderwrit811
Type of Identification: __ J!~~~~~;;;§~~~~~~.!I
~
Scope of Work Estimate
Rebuild
Florida Th e Florida Homeowners Assistance Pro gra m
Insured:
Prop erty :
Doris Cole man
705 Bonita Rd
Atlantic Bch , FL 32233
Hom c: 705 Bo ni ta Rd
At lantic Bch, FL 32233
Claim Rep.: Tim Bolin
Home : 409 West Poston Road
Martin s ville , IN 46151
Esti mator: Tim Bo li n
Home : 409 We st Poston Road
Marti nsv ille , IN 4615 1
Referen ce:
Compan y: Sing le-Unit Structure
C laim N umber: 11 75
Date Co ntacted: 2/6/20 1912:35 PM
Date of Lo ss : 9/1 0/20 17
Date In spected: 2/8/20 19 I :00 AM
Date Es t. Completed: 2/1212019 I I :24 AM
Pric e Li st: FUA8XJEB I 9
Policy Number : 11 75
Cell: (904) 595 -51 63
Cellular: (904) 326-293 3
E-mail: gcolemaninfo@ gmail .com
Business: (765) 346-0 87 1
E-m ail: tbolin @ choiccciaim s.com
Bu sine ss: (765) 346-0871
E-mai l: tbolin @ cho icec laims.co m
Type of Loss: Hurri ca ne
Dat e Received: 1/16/2019 7:10 PM
Dat c Entered : 2/6/20 197:47 AM
Restoration/Serviccl Remode l
Estimate: 001 175 COLEMAN
For homes being rehabilitated, the HUD Gree n Buildin g Retrofit C hccklist (GBR Checkl ist) is a Federal construction standard
requiring that work pcrfonncd when rece iv in g Federa l fun ds mu st mee t certain energy efficiency standa rd s, whenever fe asib le.
All cl ig ible repairs mus t be perfo rmed in lin c with th e GBR Chec kli st to th e extent practicable. Th e Scope of Work Es timate
(SWE) for re maining constru ctio n was w ritt e n to the a pplica bl e s pccifi catio ns of the GBR C hecklist aod program g uid eli nes,
inc ludin g co nsiderations for I-IU D Existing I-lome Q ua li ty Sta nd ar ds.
If the re pair val ue exceeds 75 % of the cost of the progmm esti ma te to rebuild a home , as determined by the Program, th e home
wi ll be reconstructed. The Federal govemment requires that reco ns tructed ho mes meet the ENERGY START Certifie d Home
standard s and that th e horne meet applicab le program standards.
Sc op e of Wo rk Est im ate
~
Florida The Florida Homeowner s Ass ista nce Program
..........
DESC RIPT ION
138a. Remo ve Interior door unit -Standard grade
138b. Inte rior door unit -Standard grade
139. Paint door s lab only -2 coa ts (per s ide)
CONTI NUE D -Hallway
140. Paint door/w indow trim &jamb - 2 coats (per s ide)
14 1. Door knob -interior -Standard grade
-----------------------------F LOO R1 N G -----------------------------
Condition of flooring not ev idenced by photos provided.
142 . Floor preparation for resil i ent floo rin g
Allowed rep lacement d ue to leaks from ceiling.
143. Rem ove Vinyl floor covering (sheet goods) -Standard grade
144. Viny l floor covering (sheet goods) -Standard grade
15% waste added/or vi lly/floo r coverillg (shee t goods).
145a. Remove Vinyl -metal transition strip
145b. Vinyl -meta l tra ns itio n stri p
------------------------------IN S U LAT ION ------------------------------
146a. Remove Blown-in insulation -12" dep th -R30 -ceiling
146b. Blown-i n insulation -12" dept h -R30 -ceiling
------------------------------ELECT Rl CA L----------------------------
14 7a. Remo ve Light fixture
147b. Ligh t fix ture
148a. Remo ve Switch
148b. Switch
1493. Remove Outlet
149b. Outiet
150. Smoke detector -Sta ndard grade
151. Ca rbon monoxide detector -Standard grad e
NO TES:
00 11 75 COLEMAN 3/22 /20 19
QTY
1.00 EA
1.00 EA
2.00 EA
2.00 EA
1.00 EA
63.34 SF
63.34 SF
72.84 SF
15.00 LF
15.00 LF
32.00 SF
32.00 SF
1.00 EA
1.00 EA
2.00 EA
2.00 EA
4.00 EA
4.00 EA
1.00 EA
1.00 EA
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