1302 Main St RES21-0221 Vinyl SidingOWNER:ADDRESS:CITY:STATE:ZIP:
EVANS CHARLES P 6475 COUNTY ROAD 315 C KEYSTONE HEIGHTS FL 32656-7753
COMPANY:ADDRESS:CITY:STATE:ZIP:
Gator Vinyl Inc 55730 Bear Run Road Callahan Fl 32011
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171052 0040 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1302 MAIN ST RESIDENTIAL SIDING VINYL SIDING OVER T1-11
(1302 & 1304)$9750.00
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 $100.00
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: 8/26/2021
PERMIT NUMBER
RES21-0221
ISSUED: 8/26/2021
EXPIRES: 2/22/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $205.00
2 of 2Issued Date: 8/26/2021
PERMIT NUMBER
RES21-0221
ISSUED: 8/26/2021
EXPIRES: 2/22/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $205.00
RES21-0221 Address: 1302 MAIN ST APN: 171052 0040 $205.00
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING $100.00
BUILDING PERMIT 455-0000-322-1000 0 $100.00
BUILDING PLAN REVIEW $50.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00
STATE SURCHARGES $5.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R16872 $205.00
Printed: Thursday, August 26, 2021 9:23 AM
Date Paid: Thursday, August 26, 2021
Paid By: EVANS CHARLES P
Pay Method: CREDIT CARD 502889892
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16872
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
0=-0A ne_c--
Building Permit Application 0_...0N Updated 10/9/18
r City of Atlantic Beach Building Department ((.{ Q. **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Cflin9` IS REQUIRED.
Phone: (904) 247-5826t Email: Building-Dept@coab.us
Job Address: `‘ '0 c)1 k 3 y v0 A1.) Er Permit Number: g ES Z ( — 0 ZZ (
Legal Description S€C H- Lc4-14- ilk 224- RE# ) 7 i D 62--OO 4 b
Valuation of Work(Replacement Cost)$ 9750 , 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 tesidential
If an existing structure,is a fire sprinkler system installed?: Yes 'fj?No
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permi ) N
Describe in detail the type of work to be performed: \kyQu KTo-Ai (^./4 £$ S11 N, 5\Ui1v6 (i '\`)
b NI uYL SuD u
Florida Product Approval# f 3 9c.br?' )
for multiple products use product approval form
Property Owner Information
Name 04ilIRj,i5 - -vA'NS Address (9415- Ct?315C r
City W.YSTb k4 Z,I4Th State Fi- Zip -3.).(v6-6 Phone 9a9,- 17C-' (7'$ L
E-Mail QzVckhcCkt=Ck PC )i4kcc. (Olh
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information r
Name of Company 611.--1-0V, V I)\)Y l- C ualifying Agent r/
Address i C .PC' 5 2-2-CCityC>kAt56C- State —1- Zip j 2.0 65-
Office Phone C1 t It-276 --6)c/ C 5 Job Site Contact Number
State Certification/Registration# C'r3C_ '1.2-67,,1.2-67,,
c i3 iv E-Mail
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer I(c.t.L. W)4IrE+A55ri, OR Exempt Expiration Date S 17-5 /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;B,EFORE
RE • 'DING Y• R NOTICE OF COMMENCEMENT.
h W 111 t l< 1
Signature of Owner or Agent)
rr
Signature of Contr.• or)
Si d and sworn to(or aff :-•)before me thisZvda of Signed and sworn to(or affirmed •efore me this day offit
cs gna o*Sfa
f 7(
Signature of N ary)
Ylii4;,, kijlot INDLESPERGER 0.wV%r'04•
r ss•••;.:": MY COMMISSION#GG 353178personallyKnownOR
f,‘*:**
moi mLL = f nallyi<nown
OREW,
1EXPIRES:Octob4r[ ]
Produced Identification \FOFe,.?: L+ ndedThruNotaryPubcl. $tl3 +tlentification or+nxtiwr•GG)003,
Typeof Identification: ication: J`,'"1`"''
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