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Permits 369 Aquatic Drive ' is CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 F119? Application Number 08-00000799 Date 6 Property Address . . 369 AQUATIC DR /10/08 Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Applicationvaluation . 6400 --- Application desc------------------------------------------------------- SIDING ------------------------- Owner Contractor ------------------------ TUNG ------------------------ 369 AQUATIC DRIVE A TO Z REMODELING & HOME REPAIR INC. ATLANTIC BEACH FL 32233 230 VISTA GRANDE DRIVE PONTE VEDRA BCH FL 32082 ------- Permit BUILDING PERMIT----------------------------------- Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee Issue Date . 00 • 12/07/08 Expiration Date . Valuation 6400 --------- ------------------ Fee summary Charged-- ---------------- g Paid Credited Due ---------- ______ ---------- _ 130 . 00 130 . 00 Permit Fee Total . 00 Plan Check Total . 00 . 00 . 00 Grand Total • 00 . 00 130 . 00 130 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 ,. Phone(904)247-5826 • Fax(904)247-5845 / .5i3J9%' E-mail: building-dept@coab.us bate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c3 U! Amtm -Z//-Vf, D ent review required Yes No Building Applicant: // a2 'PffiWfffffr&Zoning Public Works Project Public Utilities ',.�—�`N�:.:;. Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date:_6"cj`—� PUBLIC UTILITIES Second Review: QApproved as revised. ffDenied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: s j CITY OF ATLANTIC BEACH - is ti,t 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J \ rij BUILDING-DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: Z;VALUATION OF WORK,, 3 SQ.FT UNDER ROOF A 1/�� 7Q(IuRTZc Atlantic Beach, FL 32233 19 ' 3 oZ Q s F r 4.LEGAL DESCRIPTION:: e 5i'CIASS;OF WORK•:ei_. 6.USE OF STRUCTURE: .1I -71 Y �j `��.i ^A ^R ❑NEW BUILDING ❑DEMOLITION V RES)DEN71AL LOT_BLOCK_SUB DIVISION kATz 6-AA1 P.A/ ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL _ 7,DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: l 11 REPAIR 11 POOL/SPA ❑YES J'V N/A S'-rOr'N 14AM ❑MOVE THER ❑NO PROPERTY OWMER: � 15.COMPANY NAMECONTRACTOR:, 9.NAME: ARCHITECT?ENGINEER: TO � Q L 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 2c.oAI AITNOM/9ssy 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 16 75 Twrg A a y c,t C C. ';L S a 18.ADDRESS: 26.ADDRESS: S#kW.00NVr w-E j FA- 3oVy` a3 p V 5 G- A•v�C Y. . L 2 D 11,OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: l -,sbs- 2yy o y - „ ID -,129.3 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: d 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY:` MORTGAGE LENDER: -i(IF OTHER THAN OWNER):: ' 31.NAME: 33.NAME: 35.NAME: 32,ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work wilt be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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. OWNER or AGENTCONTRACTOR (If Agent,Power,of Attomey or Agency Le equired); f{ alifierOnty} Signed: Sign Date: G S Before me this day of __ 2009in the county of Before me this__ day of 2002in the county of Duval,State of Florida,has person'Ay appeared Duval,State of Florida,has person ly appe red herin by himself/herself and affirms that atl statements and declarations are herin by himself/herself and affirms that all statements an declarations are true and accurate. �^- (� true and accurate. Notary Public at Large,State of_ 1-1 ,County of A�fw Jy� Notary Public at Large,State of County of�� Ivt5ersonally Known ersonally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: I Notary SiggE f17,?q�cv�r„ CE ` - •��"�pw�g•.,Notary TY OF ATLANTIC BEACH s� CCanromEE PERMITS FOR ADDITIONAL ommisi:loQUIREMENTS AND CONDITIONS. A OILE RE 1 120Y04plite ar lowood 8y NW00 ' _. � MIL� D BY: DATE: 6-a _Q r" M I A M,I,DADE MIAMI-DADE COUNTY,FLORIDA _ METRO-DARE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) James Hardie Building Product,Inc. 10901 Elm Avenue Fontana,CA 92337 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHD). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHI (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AW may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone. DESCRIPTION:Hardiplank,Cemplank,Hardipanel,Cempanel,Hardisoffit and Cemsoffitt APPROVAL DOCUMENT:Drawing No.HPNL-8X,HPLK-4X8&HSOFFTT-8X,titled"Hardipanel& Cempanel;Hardiplank&Cemplank;Hardisoffit&Cemsotft Installation Details",sheets 1 through 3 with no revisions,prepared,signed and sealed by Ronald Ogawa,P.E.,dated 04/02/04,bearing the Miami-Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:Large and Small Missile Impact LABELING:Each unit shall bear a permanent label with the manufacturer s name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA#02-0729.02 and,consists of this page,evidence page as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. NOA No 07-0418.04 " . Expiration Date: May 01,2012 Approval Date:May 31,2007 Page 1 00c#zUU8#& v4.OR i#c 1453a Page 1481, Number Pages:1 Filed&Recorded 06/1 Z-2008 at 02:12 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COJN Ty RECORDING$10.00 NOTICE OF COMMENCEMENT state of FI.Q Axtaf9- Tax Polio No. Coaatyof_ Dw V4L To Whom k May Concern: The undersigned keudly i"Mos you dw UnFv vewents will be undo 10 certain nal property.and in acootdanw with Section 713 of the Florida SMobW the fioiknviet iastoW is this NOTICE OF COWENCEMENT Legs1 D=CrV ion of PnPaty beft 3R-171 3 1?- AS -zs A!eu sm c r,.Aap&A. AMmu ofrwerty being Wproved: 36 4 "t. &r=C oil. A M 4M�=e Gawal descripdw of impnovenneow_ ,fie HSR A r Owner: Address_16?S' rk Q r c2 Y e�- T KseaN amt.1. Ornnr's interest in site oftlte ieaipr+ovement:_ RrtTDENG� —3 atg4 Fee r"ddmMw(if otiwdmwauw): Name: � R ra 'L �>Mod�u _ 2Lo,y DEis,u T`J�-ldr�,g� Addteess: ;L2CP VT t r4 GQAWAS . n V. A .— C1— 2.2 D 8 a TekpboneNo.: 4041- k13_6110- FM No: *oq e12,3 _?d"121, Surety(if any) Address: Amount of Bond S Tekplroee No: Fax No: Name and address ofany persaa ankipt a loan fur tee construction of the iu:prarerueaes Nave: Address Pbonc No: Fax No: Name of I I' I wi tkin the Stolle of Florida„otkw dm him des4poted by owner upon wbom sod=or other doaeneW ill'be served: Name: Address Telephone No: Fax No: In addition to kivwK owner designates the Wowing peosoa to receive a copy of die Lieaa's plaice as provided in section 713-06(Z)(b),Florida Stas w& (Fitt in at Owner's option) Name: Address: Teiepbone No: Fax No- EVirodw daft of Notice of (the exprnAw deet is one(1)year foam the date of recording unless a di&m-nt date is �i 11,14 MS SPACE FOIL MCORDER'S USE ONLY OWNER Sig�od: Daae 6 B?Z DMNE E PISMA Bloc me this in anof ql.Srase Public-Stab of Florldo OfFtarWtasPeewinall►aPOmped -fNyCgrrryrlorsErpbat kn2i,2f>OB 1Votsy Public at Lagq,Soft of Floe las.Cawnq afDwai- '= Comm issiort#�D0331162 PCs My � l t��. faprlcled9yPkrfOrlolfYrltaryAoon Pr d]dendfic dow m L-d S LbZ->'06 - `` sweleAS uoiltawo;W doo:ZO 90 bl Uer S 'd fr 1 16102206 uosdduodal ue8a d92 :20 80 21 unC