1478 Marsh View Ct RES20-0347 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
KANDETZKE KEITH 1478 MARSH VIEW CT ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SUPER SIDERS AND TRIM,
INC 2700 Fawn Point Dr Jacksonville FL 32225
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170704 0115 HIDDEN PARADISE
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1478 MARSH VIEW CT RESIDENTIAL ALTERATION
RESIDENTIAL
BOARD AND BATTEN ON
GABLE $1600.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
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: 1/5/2021
PERMIT NUMBER
RES20-0347
ISSUED: 1/5/2021
EXPIRES: 7/4/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 1/5/2021
PERMIT NUMBER
RES20-0347
ISSUED: 1/5/2021
EXPIRES: 7/4/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
RES20-0347 Address: 1478 MARSH VIEW CT APN: 170704 0115 $94.00
BUILDING $60.00
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN REVIEW $30.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14503 $94.00
Printed: Tuesday, January 5, 2021 3:02 PM
Date Paid: Tuesday, January 05, 2021
Paid By: SUPER SIDERS AND TRIM, INC
Pay Method: CREDIT CARD 410806709
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14503
L'Aw :, Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
r
IS REQUIRED.
Phone:
i
904), 247-5826 Email:
il'
Building-Dept@coab.us
Job Address: )LJ 7!> ' ” ct_iS ht)t e I-0 ( 1 , Permit Number: R Es LO - 7
SyJd7 3& -L,5 -Z9-4 . 21
Z Ci O'/ n// S--Legal Description (-},c est , .G .'5 G RE# j
Valuation of Work(Replacement Cost)$ / ,i5O •Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Plteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial IFesidential
If an existing structure,is a fire sprinkler system installed?: Yes No
Will tree(s)be removed in association with pro osed project? Yes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed: ';X i,,,LeUr-f-e . — ,3}Gcc,uv ^,/ 1c<'`,tek" d,',
p zye-Lb it/ pet r4 --
Florida Product Approval# for multiple products use product approval form
Property Owner Information
r,/ p
Name
r
2 t4-in !At;e `L Lc Address /1-7 J4 a tSJ i t'll 6-
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City ice* lull!4-t`G k5c4e State CL, Zip 3 Z3'j Phone ?/e g72-t/2)
E-Mail iter #'L. . J?ru-etc e t Z 44<, l_ c't,r-1
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
J Illi j/
Name of Company j. 0 -- S ,i
d't S Ci iv !f/ qualifying Agent ,..le"‘t'wt / "(C ,Lt'c
Address 2 7 6-a:-ti Oma',n ' li City `jma y- , State 1-L Zip .?Z 7 7-S
Office Phone
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Gil/ . t/2 g ,VAC— Job Site Contact Number
State Certification/Registration# 44 45'-,7e/ E-Mail
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yiA ;`KCS 17 C 9/Y1ci'J, CC,'-i
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer 5 Le. i 1 7 OR Exempt o Expiration Date //j,1
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS, POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 N ATTORNEY BEFORE
RECORDI, YOUR NOTICE OF COMMENCEMENT.
4 Signature of Owner or Agent)ignature ractor)
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Signed and sworn to(or affirmed)before me this Ili day of ( . giedp and sworn to(or affirmed)before me this !day of
C. O.V,by y I1.0 _%*, a.4
Signat re of1/0r/144'i!sltf.• •• • ..w•
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a"PL. REBEKAH STEVENS Personal) Know Expires Fe sruary 14,2023PersonallyKnownORi. '; Y :.,,:; p1 ,: Notary Public-State of Florida [ Produced IdentifratiofY.f`V' Flnnded?h u Troy Fain Insurance 800-385-7019.Produced Identification `1" y Commission#HH 25265Y.'..', My C Type of Identificatiori.' Type of Identification: Comm YP
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