31 Forrestal Cir RES21-0180 Siding and TrimOWNER:ADDRESS:CITY:STATE:ZIP:
CARTER MARTHA F 31 FORRESTAL CIR N ATLANTIC BEACH FL 32233-3323
COMPANY:ADDRESS:CITY:STATE:ZIP:
Construction Services &
Innovations 501 Penman Road NEPTUNE BEACH FL 32266
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171743 0000 ATLANTIC BEACH VILLA #
01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
31 FORRESTAL CIR RESIDENTIAL SIDING SIDING AND TRIM $3500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $70.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
IN-PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING, WINDOW, AND DOOR INSPECTIONS, AND SHOULD BE SCHEDULED FOR THE FIRST DAY
OF WORK.
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: 6/11/2021
PERMIT NUMBER
RES21-0180
ISSUED: 6/11/2021
EXPIRES: 12/8/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
2 of 2Issued Date: 6/11/2021
PERMIT NUMBER
RES21-0180
ISSUED: 6/11/2021
EXPIRES: 12/8/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $109.00
RES21-0180 Address: 31 FORRESTAL CIR APN: 171743 0000 $109.00
BUILDING $70.00
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN REVIEW $35.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
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: R16063 $109.00
Printed: Friday, June 11, 2021 11:23 AM
Date Paid: Friday, June 11, 2021
Paid By: Construction Services & Innovations
Pay Method: CREDIT CARD 466950420
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16063
t '_ Building Permit Application Updated 10/ 9/18Ji; ;•
City of Atlantic Beach Building Department ALL INFORMATION
u
ill/
V
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
i yr
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address:3) FORRE57#1L C112-.N. An- Ftp 332.?3 Permit Number:
30-5b 39- ZS - 29 E
Legal Description/ dM-nt- BEALO Vit'-/t VNrr l , L OT t$ ED-K ) RE# I1/713- 0000
Valuation of Work(Replacement Cost)$ 3,500. Heated/Cooled SF /5g9 Non-Heated/Cooled 5Bg
Class of Work: New Addition Alteration kRepair [Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial litesidential EC FIVE
If an existing structure, is a fire sprinkler system installed?: Yes tiCINo JUN 0 2 2021
Will tree(s) be removed in association with proposed proiect? Yes(must submit sepa a Tree Removal Permi 01 No
Describe in detail the type of work to be performed:
N.
RFT't-4-GE p-oTTE N WOOD ON S I D IN(- e 'fl i Y 1
Florida Product Approval# for multiple products use product approval form
0r+A Ffk/Fw- WUC1) 14114. 5141" 3)) Z c.t'T i2G U F 44vvW 30-3-k,
11P
L 1,i-n, t'Property Owner Inform I t
Name WAMa-1) 4 F CA-17--(E7Z- Address 3) FO1aZF57 4-v Gm. N
City A-Ti.ANT)G 13ell-tA State Zip 322-33 Phone 5014 - &ail - Q00)
E-Mail b holt and 195 @aol . com
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company c.--‘5.) • Qualifying Agent C-72-M-)4- 6PE .1 t.J21
Address cOJ PENYF)IQAI 1 b City 41 yi ) G tJ1 State Zip 322-66
Office Phone ?Oy 753 /003 Job Site Contact Number 30 759 /003
State Certification/Registration# C.-(31.-/2_&(72-83 E-Mail RENOV/ 0/1/ yC-5) ..3 t'k a) 'conk
Architect Name& Phone#
Engineer's Name& Phone# k
Workers Compensation Insurer ADP OR Exempt Expiration Date 2- Zl -2-2-
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
cia..6 ...,......,_
Signature of Owner or Agent) Signature of Contractor)
Signed and sworn to(or affirmedl1iibefore me this /Si-day of Signed and sworn to(or affirmed) before me this 14,t-day of
Jtine- , 202/ , by //l a Y JV,. , 2024 , by Cc.*C),un
ZSienare of NotaAyr —Si na ure otary)
SANDRA V. ANDERSONB s••;, SANDRA V. ANDERSONNotaryPublicStateofFloridavalMqNotaryPublic-State of FloridaPersonallyKnownOR ;y7 .-= Commission#GG 913925PersonallyKnownOR ;;- ,o; Commission#GG 913925
awe, My Commission Expires [ ] Produced Identification ''',?!,.„';P` My Commission ExpiresProducedIdentificatioSeptember17,2023 September 17,2023TypeofIdentification: Type of Identification:
RES21-0180
CONSTRUCTION SERVICES & INNOVATIONS
NOTICE OF COMMENCEMENT
State of ft-o/24 UA' Tax Folio No.
County of DOM.-
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 3O -5(o 3 - Z-S - 25 E / 49-2-471 gt --4
1 t - 1 uN I'f 1 15 131-KI
n
Address of property being improved: 31 I'ORT EST GI lz N 4-T -1364 32.2-53
General description of improvements: 12-v71-41.„5-- 72.0j'J-J VJ cot) on, S 1 t:AN r
Owner: VU #12-TIM- 66112-1-P2- Address: 31 FOfZT2E9T714- GTZ 1J 4'(7-13tH f+-37-2-33
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ('ON 5r12-VMON S v cc , ' INND(/p-ic5 it Mc-
Address:NcAddress: 501 Pg-Afri ,?n/ 4/6rn/NE 219- ft, 322&&
Telephone No.: g01 759 003 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2) (b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
eGi±/ 1
1
THIS SPACE FOR RECORDER'S USE ONLY OWNER ' "L Lr t
Doc#2021139113,OR BK 19748 Page 737,Signed: Date: 1) 2-021NumberPages:1
Recorded 06/02/2021 01:46 PM, Before me this IS+ day of J'iqWC.
yy((
2-024 in the County of Duval,State
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Of Florida,has personally appeared ) ' a rf-k, 3i
COUNTY Notary Public at Large,State of j,,,,,, ARECORDING $10.00
V. ANDERSON
My commission :punlir-State of F10rida
Personally Kr. n: k Commission#GG 913925 or
My Commission Expiresodude,tification: September 17,2023
RES21-0180