1965 W Sevilla Blvd RES21-0160 8 Windows, 3 DoorsOWNER:ADDRESS:CITY:STATE:ZIP:
KELLEY JAMES E 1965 W SEVILLA BLVD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
MIRACLE WINDOW AND
SUNROOMS 8933 WESTERN WAY # 11 JACKSONVILLE FL 32256
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169462 0365 SEVILLA GARDENS UNIT
02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1965 W SEVILLA BLVD RESIDENTIAL
WINDOWS/DOORS 8 WINDOWS AND 3 DOORS $14000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $125.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $62.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.56
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: 6/16/2021
PERMIT NUMBER
RES21-0160
ISSUED: 6/16/2021
EXPIRES: 12/13/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.38
TOTAL: $243.44
2 of 2Issued Date: 6/16/2021
PERMIT NUMBER
RES21-0160
ISSUED: 6/16/2021
EXPIRES: 12/13/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $243.44
RES21-0160 Address: 1965 W SEVILLA BLVD APN: 169462 0365 $243.44
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING $125.00
BUILDING PERMIT 455-0000-322-1000 0 $125.00
BUILDING PLAN REVIEW $62.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $62.50
STATE SURCHARGES $5.94
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.56
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.38
TOTAL FEES PAID BY RECEIPT: R16103 $243.44
Printed: Wednesday, June 16, 2021 11:37 AM
Date Paid: Wednesday, June 16, 2021
Paid By: MIRACLE WINDOW AND SUNROOMS
Pay Method: CREDIT CARD 468875117
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16103
~+; CENTRALSQUARE
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
IN fE'1r l@N l lN E~ ~I@ ~1-iM
Musr CAIi. BY 4PM PREVIOUS DAY FOR NIEXI' DAY INSPECIION
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Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I_______________________________ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will proposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f. to be added: _____________________________)
Will proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value: $____________________) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: _______________________________________________________
__________________________________________________________________________________________________
(Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due $_______________
Revision/Plan Review Comments_______________________________________________________________________
__________________________________________________________________________________________________
Department Review Required:
Building _____________________________________________
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities _____________________________________________
Public Safety Date
Fire Services Updated 10/17/18
□ □
□ □
□ □
□ □ □
RES21-0160
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA ('REQUIRED)
*Project Address: 1965 Sevilla Blvd W Permit ff: ___________ _
*Owner/ProjectName:_J_a_m_e_s_E_._K_e_ll_e~y _____________________________________ _
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72 1 please provide the information and product approval number(s) for
the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your
product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product
approval may be obtained at: www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use -State# Local#
A, EXTERIOR DOORS
1. Swinging
2. Sliding Energ! Fenestration Solutions Serles Opera NG Pat!o Door +50/-50 17058.4
3, Sectional
4. Garage Roll-Up
5. Automatic
6. Other
B.WINDOWS
1. Single hung Regency Plus Inc Serles 2000 Vi~)\ Till Sing'<> Hung V{,nd<m +40/-40 11412.1
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6.Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12. Other
Page 1 of 4 Updated J0/17/18
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and Installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge, I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
*Contractor Name (Print Name):._K_a_th_l_e_e_n_C_lin_e _______ *Contractor Signature: __ ¢4+-"~~~=~---(/hu_,===~~----
*Company Name: Miracle Windows and Sunrooms
*MailingAddress: 8933 Western Way, Suite 11
*City: Jacksonville *State: _F_L ________ *Zip Code: _3_2_2_5_6 _________ _
*Telephone Number: _,(_9_0_4'-) _8_6_3-_3_2_7_3 _______ *E-mail Address: christiang@alliancepermitting.com
Cell Phone Number: ________________ Fax Number: ________________________ _
P;ige <l of <l Updr,ted 10/17/18