566 Plaza RES18-0043 Door PermitOWNER:ADDRESS:CITY:STATE:ZIP:
HEINE JOHN N 566 PLAZA ATLANTIC BEACH FL 32233-4123
COMPANY:ADDRESS:CITY:STATE:ZIP:
HOMERITE WINDOWS
AND DOORS 4801 Executive Park CT N JACKSONVILLE FL 32216
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170703 0208 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
566 PLAZA RESIDENTIAL ALTERATION
RESIDENTIAL DOOR REPLACEMENT $2285.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL: $101.50
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: 7/22/2021
PERMIT NUMBER
RES18-0043
ISSUED: 7/22/2021
EXPIRES: 1/18/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 7/22/2021
PERMIT NUMBER
RES18-0043
ISSUED: 7/22/2021
EXPIRES: 1/18/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $101.50
RES18-0043 Address: 566 PLAZA APN: 170703 0208 $101.50
BUILDING $65.00
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN REVIEW $32.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE SURCHARGES $4.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R16413 $101.50
Printed: Thursday, July 22, 2021 3:20 PM
Date Paid: Thursday, July 22, 2021
Paid By: HOMERITE WINDOWS AND DOORS
Pay Method: CREDIT CARD 485641786
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16413
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
walire, City of Atlantic Beach APPLICATION NUMBER
Js IA Building Department To be assigned by the Building Department.)
800 Seminole Road RRE JAtlanticBeach, Florida 32233-5445 CJC..i 3
Phone(904)247-5826 • Fax(904)247-5845
Date routed: I JiF11111ii ? E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S(,.0 ry apt t=1 ment review required Yes/No
kQrnEdingApplicant:RI 1 N0p4,J £ app anning &Zoning
iTT)r- C
ree Administrator
Project: CO E.PLA,Cm C—r Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required
Review or Receipt
Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. Denied. Not applicable
Circle one.) Comments:
UILDING
PLANNING &ZONING Reviewed by: l/N Date: a -5 do/
TREE ADMIN.
Second Review: ['Approved as revised. Denie . Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ['Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
a
S_.,t,, '>
BUILDING PERMIT APPLICATION
t OFFICE COPY
r CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
J;t) Office: (904)247-5826 • Fax: (904)247-5845 R CS t Cj _vo4 3
Job Address: 5CoG l?la 24 AA1a..-Vs:c 6ec,eJl• 32233 Permit Number:
Legal Description 3S- ( 4 1-I-aS-D clE RE# t—I o TS -02.08
Valuation of Work(Replacement Cost) $ pais-,41 Heated/Cooled SF 11c.o Non-Heated/Cooled 310
Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool indow/Door
Use of existing/proposed structure(s) (Circle one): Commercial esidential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes ! I• N/A
Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
loo( -ep lc.er•e..)-
Florida Product `Approval#_ .) $21 S ., 0 for multiple products use product approval form
Property Owner Information
Name: S•oS•,n - e.r.e Address: Stole p'•2a A41..A-..4. t.e....e.1.. 32233
City - \A.•k:c s ..«.h Statert_Zip - zz 3'3 Phone ii'.,- •P Re,-z 51C"
E-Mail
rtiffrittr Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: lA or,e.\lv wk..O0,4S i Odors c--4- Qi alifying Agent: t- e -,3. d $ra..,N
Address: Viol E,,¢C,M,.:,, -f Q.r‘c c-+ Nor4t., SO2.
ov5LityZ
Z.c.,icss.,,l,Ice State Zip Fe, 32.2tc.
Office Phone ' cIL/-2.9(.0-2 4 Job Site/Contact Number 944- 2410-251S
State Certification/Registration # ISI 'iia') E-Mail A%es,bo.l,.or.e r,4.wd.oa-w%
Architect Name & Phone#
Engineer's Name & Phone#
Worker's Compensation -re et no Io y rr,s co 11 I1,1 'L. I I
Exempt / lifftb Lease Employees / Expiration Date
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 laws regulating construction in this jurisdiction.
This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a
period ofsix(6)months at any time after work is co menced. I understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers, eat• s, nks and Air Conditioners,etc.
r r
IP 0 ISignatureofPropertyOwner: i Signature of Contractor: III I i 1
Befe f
this(x J Day of I .a _it _A/d. Before me this IL" Da of J
i
r +
Notary Public:Notary Public: ir•./,', •/fait
Y'Ev''4 PRISCILLA CLAYM'N i:'evy, PRISCILLA CLAYMA
o y
n
6sF'
9§°
092
I hereby cert that I
hf),•,
ficai4n J tt1Y(R t i t::Oicati n and know the same to be tru: e+4d, ,r'('c ,o law nd
ordinances governing rhrxpkeSM Y/ , lied w h whether specified herein or -.ii 7i
i'''+-..1 po, t ,A,llddd eS 61' not
presume to give author ';•' ateBe C^tfhlrel59'l ilki?31t of any other federal, state, or sC . -•&"• l•
u••
the
performance of constru „r
Rev. 3/14/16
Per SES / E— oc)y3
OFFICE COPY
NOTICE OF COMMENCEMENT
State of Ft_County of Tax Folio No. t-10 1 ..-o Z 08ToWhomItMayConcern:
The undersigned hereby informs you that improvements will be made to certain realrotheFloridaStatutes,the following information is stated in this NOTICE OF CO p may'and in accordance with Section 713 ofLegalDescriptionofpropertybeingimproved: 35-6,4 t 1 _
I+IENCEMENT.
S- 4c-:
Address ofproperty being improved: SCA= P1.1 e.. Q c J f z_z_General description of improvements:---D.:0; c +la c.e..?
Owner. "So F.n N Gi n P Address: SLAP 1a 2L Vk•1•ta...E'0_ vZZ 33Owner's interest in site of the improvement: Ve r
Fee Simple Titleholder(if other than owner):•
Name:
Contractor: Nor%e c.>S 3 Wr LLC.
Address: 440 I C,cQW11,v e 'Q ry,CuJr#.tl.c FL 327_1 coTelephoneNo.: Scat--Z 9 v-'ZS+ f Fax No:
Surety(ifany)
Address:
Amount of Bond$Telephone No: Fax No:
i Name and address of any person making a loan for the construction of the improvements
Nacre:
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 maybeserved: 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 Section713.06(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 isspecified):
THIS SPACE FOR RECORDER'S USE ONLY OWN
r1 ed.
Date: l LSBefore1,/ Q day of in the Coun ofDStateOfMoria,has personally appeared '
Personally Known:
Produced Identi5 on? or
Notary Public: v
My commission expires: v
r i —"GP
A,,,,,' PRISCILLA CLAYMAN
Commission 42
OF,
190924
z;r Expires May 20,2019
n'f 0y4:•" 17on'•-I.nru Troy Fain Insurance 900-385-7019
d0033
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: So ,.• }+<<< r, e
Permit #RS-V ir-co Y3
Project Address: Soto p.-z At A+L,,,.,1, c 5 22 33
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,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 contactyourproductsupplierifyoudonotknowtheproductapprovalnumberforanyoftheapplicablelistedproducts. Information regarding statewideproductapprovalmaybeobtainedat:www.floridabuilding.or:.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1. Swinging
2. Sliding
61)
5(..03. Sectional
M `
aq
4.Roll up
5.Automatic
6. Other
B. WINDOWS
1. Single hung
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
a
urriVt Vurr
2. Other
Category/Subcategory Manufacturer Product Description Limitation of UseH.NEW EXTERIOR NM Local#
ENVELOPE PRODUCTS
In addition to completing the above list of manufacturers, product description and StateContractorshallmaintainonthejobsiteandavailabletotheInspector, a legible copy of each manufacturer's printed
approval number for the products used on this project, theinstructionsalongwiththisProductApprovalSheet.p d specifications and installation
I certify that this product approval list is true and correct to the best of my lcnowledge. I further certify that use of differentlistedinthisdocumentmustbeapprovedbytheBuildingOfficial. components other than the ones
Contractor Name) (Print Name)
Signature)
Company Name: }loµe by r•Jow 5
Mailing Address: $o I E,'ecc,1-,', c. No Of,B t zoo S»:\-- Z -7 5.c,1c Sal"v‘110City: SicESan_Alto
State: Fc,Zip Code:_32a
Telephone Number: ( 9A1) 2'I&- ZS FaxFax Number: (
Cell Phone Number: (2.3g--7o 2.-S E-mail Address: A\e.,b e. •-e-n L•e ,.,•,^