2233 Seminole Rd Unit 11 RES20-0345 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
BERRY MADELINE L ETAL 2233 SEMINOLE RD UNIT 11 ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
AMERICAN WINDOW
PRODUCTS 2633 S POWERS AVE JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169519 0122 OCEAN VILLAGE ONE
CONDO
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2233 SEMINOLE RD UNIT 11 RESIDENTIAL
WINDOWS/DOORS 8 WINDOWS $4648.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
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: 12/21/2020
PERMIT NUMBER
RES20-0345
ISSUED: 12/21/2020
EXPIRES: 6/19/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $116.50
2 of 2Issued Date: 12/21/2020
PERMIT NUMBER
RES20-0345
ISSUED: 12/21/2020
EXPIRES: 6/19/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $116.50
RES20-0345 Address: 2233 SEMINOLE RD UNIT 11 APN: 169519 0122 $116.50
BUILDING $75.00
BUILDING PERMIT 455-0000-322-1000 0 $75.00
BUILDING PLAN REVIEW $37.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
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: R14427 $116.50
Printed: Monday, December 21, 2020 3:27 PM
Date Paid: Monday, December 21, 2020
Paid By: AMERICAN WINDOW PRODUCTS
Pay Method: CREDIT CARD 406023854
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14427
~+; CENTRALSQUARE
RES20-0345
190 -2-0
Building Permit Application
City of Atlantic Beach Building Departme~
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
, . %.~:h
_____ Non-Heated/Cooled_,......._____ ______ _
• Class of Work: □New □Addition □Alte ration □Repair □Move □Demo □Pool ~indow/Door
• Use of existing/proposed structure(s): □Commercial t3.aesidential
• If an existing structure, is a fire sprinkler system installed?: □Yes □No
Owner or Agent (If Agent, Power of Attorney or Agen Letter Required) ___________________ _
Contractor In · ' ,
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State Certifica~ion/Registration # ;; . •·•·· ct,~~~llJ~J&:4r~Cfrh
Architect Name & Phone#----'"""-:--------------------------------
Engineer's Name & Phone# <=-~,....,..,,_.,.;,,..,~~=-=:r._,,~.....,....,,,,._.,.'l=~~---~-------=,-r,~-~~_,,.,,,.= . _.-:_ __· _: . ·_· · ·>. , . OR Exempt o Expiration Date l-1\ [){~Cf ,
Application is hereby made to obtain a ermit to do the work and installations as indicated. I certify that no worlc or installationhas
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
R PAYINGTWI OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
(Signature of Notary)
~i,1-Y "1Je. RYAN ALWARDT
0 ••• <',ti
~~-· •• Commission# HH 008277
* * ~ ~ Expires June 9, 2024
-f~Of f\.o'f" BcndodThrU 61/dg,,tNotaty $-
~~~Y "1Je. KELLY RENEE PADGETT
~-Commission# HH 011543 Personally Known OR * *
[ ] Produced Identification ~,.~ l""' Expires June 17, 2024
~ OF f\.o Bondod nvu 6"dgot Nctarys«victs Type of Identification: _____________ _
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