325 Royal Palms Dr RES21-0022 Enclose Opening from DoorOWNER:ADDRESS:CITY:STATE:ZIP:
SHANAHAN SHAWN T 325 ROYAL PALMS DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
RKR ENTERPRISES INC 1285 OCEAN SHORE BLVD ORMOND BEACH FL 32176
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171329 0000 ROYAL PALMS UNIT 02A
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
325 ROYAL PALMS DR RESIDENTIAL ALTERATION
RESIDENTIAL
ENCLOSE OPENING FROM
DOOR $1450.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.71
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.48
WORK WITHOUT PERMIT 455-0000-322-1000 0 $165.00
TOTAL: $253.69
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: 2/19/2021
PERMIT NUMBER
RES21-0022
ISSUED: 2/19/2021
EXPIRES: 8/18/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/19/2021
PERMIT NUMBER
RES21-0022
ISSUED: 2/19/2021
EXPIRES: 8/18/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $253.69
RES21-0022 Address: 325 ROYAL PALMS DR APN: 171329 0000 $253.69
BUILDING $55.00
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN REVIEW $27.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE SURCHARGES $6.19
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.71
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.48
WORK WITHOUT PERMIT $165.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $165.00
TOTAL FEES PAID BY RECEIPT: R14943 $253.69
Printed: Friday, February 19, 2021 11:03 AM
Date Paid: Friday, February 19, 2021
Paid By: RKR ENTERPRISES INC
Pay Method: CREDIT CARD 425194363
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14943
Building Permit Application Updated 10/9/18
f-ri City of Atlantic Beach Building Department w ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
P hoone::: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: ,2 korl fexl••v>ts Dr,Lie
y
Permit Number: R Es z ( - W z Z
Legal Description,3/—/ /7--.25.—.2,F Pct/i'L$ [J,v,T .2 4 Lot //RE#
QK y
Valuation of Work(Replacement Cost)$ //,Q 1
ao
Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial , Residential
If an existing structure, is a fire sprinkler system installed?: Yes )fNo
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed:
ReirtOue Sl crier am/ Idose %I., a1 e,,,g
Florida Product Approval# FL / /90- IQ 6 for multiple products use product approval form
Property Owner Information
d
Names 6 NiheiNd N ( SI'aCy 4eZ Address 9/9 en" /gad Nor#
City re•-State /O/
Zip 322.fo Phone 901'-If y- X386
E-Mail SfGe.I'!v/s h14441%,Gp.
Owner or Agent?f Agent, Power of Attorney or Agency Letter Required)
Contractor Information _
Name of Company Rkk CN /,
c
O/c sseJ rsC• Qualifying Agent
01
L Lot/ IR
2dAddress e40+ 5 re g/ City O//.o bC.g . State ft Zip3Z./74
Office Phone 0.G-yy/-7989 Job Site Contact Number . - — —7S
State Certification/Registration# CgcOS8l// E-Mail ck coterts of/rcG - OAAla; , G
Architect Name& Phone# s
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt X Expiration Date ‘,44)/2402/
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 AN ATTORNEY BEFORE
REC`ORDINj YOUR NOT OF COMMENCEMENTynI / C.), t i).
Signature Owner ent)Signature of Contractor)
Signed and sworn to(or affirmed)before me this,,Zb day of Signed and sworn to(or affirmed)before me this L{day of
1C.r uccy „,a)2.I ,by cifne.1 D Ci—v2__ 11,nol y , .,2Z.2J , b tkeJ Lori,-
DACODAH PARRISH
j r •
Si nature of Notary) s." DACODAH PARRISH (Signatu of Notary)Commission#HH 024083 g
4417 = Expires 27,2024 I Commission#HH 024083
F• =` d
July
ExpirerrsnnJJ ulrry 272024R!,!.• Bonded Thru Troy Fain Insurance 800- 385-7019 Fos F final "I Qowrr ain Insurance 800.385.7019
Produced Identification Produced Identi [cation
Type of Identification: KN._ - L20-)90-73- 3-U Type of Identification: FL.Di"- 0:3D "7 7 CI-6/-c25 3-t
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