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Permit 365 Sailfish Dr i CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ,. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001111 Date 2/05/10 Property Address . . . . . . 365 SAILFISH DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------- Application desc replacement fence 6ft --------------------------------------- Owner Contractor ------------------------ ------------------------ WHITE OWNER 365 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date Valuation 0 Expiration Date . . 8/04/10 ----------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Roll off container company must be on City approved list and cannot be placed in City right-of-way. ----------------------------------- ----------- Fee summary Charged Paid Credited Due - ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PREPARED 8/07/09, 13 : 11 : 43 CITY OF ATLANTIC BEACH PAYMENTS DUE RECEIPT ---- ----___ PROGRAM BP820L --------------------- ------------------------ APPLICATION NUMBER: 09-00001111 365 SAILFISH DR -------------- FEE DESCRIPTION AMOUNT DUE ------------------------------- FENCE PERMIT 35 . 00 TOTAL DUE 35 . 00 Please present this receipt to the cashier with full payment . It 4 S� w� -Z/4 i o l� CITY OF ATLANTIC BEACH ® __ ... I800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- I I IS I OFFICE:(904)247-5826•FAX NO.:(904)247-5645 �.` BUILDING-DEPT@COAB.US � BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS//: 2 VALUATIOUOF WORK 3.SO.FT.UNDER ROOF. 7�clr•5 �`1 .� 4.LEGAL DESCRIPTION[ ' 5.CLASS OF WORK B.USE OF STRUCTURE El NEW BUILDING 11 DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION 13ADDITION 11 CONVERTING USE 11 COMMERCIAL 7.DESCRIPT]ON OF K - --- ❑ALTERATION 13ACCESSORY BLDG. 8:FIRE SPRINKLER- (.1 CC e o Icy me 11REPAIR ❑POOL ISPA ❑YES ❑N/A ❑MOVE El OTHER ❑NO PROPERTY OWNER :. <; CONTRACTOR: ,._ ARCHITECT 7-ENGINEER. 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: f 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: r �• 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: �( SWC 22.EMAIL ADDRESS: 30-EMAIL ADDRESS: FEE SI6RPlE TITLE HOLDER BONDING COPAPANY:. MORTGAGE!ENDER OF OTFER T"OVVEk+. 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 35.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, Aar Conditioners,etc. OWNER'S AFFIDAVIT-1 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. 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 YOU OWNER or AGENT O (Kr of atlomey or Agency Leber Required) (Q Signed: Date: -� Signed: e; r %611 1 Before met ' _'S� day of _,2009 in the county of Before me this--TF ' t o Duval, tat f Florida,has personally geared Duval,State of Florida,h Wally ap henn by himself/herself a d affirms that all statements and declarations are herin by himself herself and affirms a m n d ra n true and accurate. / true and accura rg �C H I• � 1 Notary P lic at)La�rge Coun of (lam Nota Puhlic at a e, a sofP sonally Kno ❑Personally Known 1113 ProducedIdent - ❑Produced Identification- NotaryignsPno� L G HAM NotarySignatur.. r* «p c • .•__ ommission Ex ire'Feb 14,20 CE •r n CITY OF ATLANTIC BEACH Commission# 518533 Bonded By National Notary Assn.' SEE PERMITS FOR ADDITIONAL BLDG01 Permit Application Bldg:REVISED:12/18/2008 REQUIREMENTS AND CONDITIONS. REViEWEDBY: - DATE: � �09' • rtrt5:nww.�Twa' +'�A_SwJ'�•PPe h'3�:G�'7F.�4.aL.4 loiii�'�-hL'1lY:i'FY Y..Yt: -. MAP SHOWING SURVEY-OF , riviAP OF LOT..__L -- BLOCK .. ? � :. AS S�.�O"��i� _ '420 y r �r �� � s� � ►r � a �__F�ar��t���L�3}� 1 ©r � �Ic r� �:c�rwOF Duv :r co., FLoAS . FOR.. ._: _-_......__...._.- J . 0 1� M , Id.1' 31.4' ° `r 41GaT/o Z— aT Id's. 95- 4, 0;24••- lt" CAVES '� 3los mr� . _ V 3 11.0• ZZ,q 1q•1 `V ,� •1 )T—T 75. - - q r 4 Iry c ur- t s. r= MAP SHOWI NG SURVEY OF LOT..__LL,. BLOCK ._ 2 7.. , S SHOWN A5 RECORDED IN PLAT �tX3ff�/4F�,�C$�j�gl�y��l�©F PUBLIC F DUV/aL CO., FLA. FOR. .� O N �t 14. 2S'B�'.L Z1.o• 14.x' 1-07 G.. oT Lt�a Qow- •ac t•S�'l.F�.� Qqu.��, /twA 14. N \ a. a• , r Y 11 �24"- lt" CrvES ti 31.5 - 14.1 S 14:14,09 r ,'4- V7 oll .. s.. 5,'V City of Atlantic Beach APPLICATION NUMBER �S \ S1 Building Department (To be assigned by the Building Department.) ) 800 Seminole Road (/ Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 VJ%I E-mail: building-dept@coab.us Date routed: 109 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D nt review required Yes No Applicant: �� P n1 &Zoni Tre - trator Project: n E ;5ublic W lic Utilities Public Safety Fire Services Review fee $ De t Si mature 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: APPLIC ION STATUS Reviewing Department First Review: Approved. -]Denied. (Circle one.) Comments: BUILDI QLAI G & I N G Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY F11 Reviewed by: Date: FIRE SERVICES Third Review- Approved as revised. ❑Denied /i Comments: copy Reviewed by: Date: Revised 05/14/09 1 i ;,,k ��•, CITY OF ATLANTIC BEACH � �3• 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 09- 32233 I I IS I I F OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J.+ BU ILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 7:1836 ADDRESS: 2 VALUAT7OAf OF WORK' 3.SQ.FT.UNDER ROOF A.LEGAL DESCRIPTIONS 5 CLASS OF WORK 6.USE OF STRUCTURE ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF RK /1 ❑ALTERATION 13 ACCESSORY BLDG. 8.FIRE SPRINKLER:' �(�[c C p GfC e �' 11REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ;ARCHITECT/ENGINEER: 9.NAME: ` 15.COMPANY NAME: 23.COMPANY NAME: 1 ' 1,W1 1 A✓ , 15.NAME: 24.LICENSEE NAME: 10.ADDRESS: VVVII/// 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 13 �C, 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: T7A 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS:: �(JC 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEES GTW= TITLE Mild ,ER _ BONDING COMBANY: MORTGAGE LENDER. OF ori zxaw owrraxy, . . . _ 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 will 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 AGENT CONTRACTOR (I(AgelK 2rr of Attemey or Agency Letter Required) (Qualifier Only) Signed: Date: Signed: Date: 1 Before me thig day of 2009 in the county of Before me this day of 2009 in the county of Duval, tat f Florida,has personally peared Duval,State of Florida,has personally appeared henn by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. r true and accurate. Notary P lic at Larg e o County of v Notary Public at Large,State of County of P sonally Kno ❑Personally Known Produced Identifi - - ❑Produced Identification- Notary iL G HAM Notary Signature: PRY PU .Z W1r.+. ommis,ion ExtiresF Commission 518533 °..... a Bonded By National Notary Assn. BLDG01 Perm,it Application Bldg:REVISED:12/18/2006 �. E 171id.s.":"" '�. .` .::�'.wT.liT��.1_S1j(r..•rwn Y".:•uF.F.+c.S.mti:�s.:i"si_Jta:r.-czA y._..+. .. AS RECORDED IN PL.s►i �C� t��__f�diCsE t��L�}��lr�aT F'EJk3i IC� REC:ojr 05 OF DUVA.L CO., FLA. N I a.�� a1.4• .o ------ 2,518,4 Z Z_ QT r i �) 14.i u I� 14.1• ✓ , _TT ..:, m , O City of Atlanti ache arming and Zonin epartment approval verifies comp iance vAth �ppiicrriF zoning, subdivision -an other- local development regulations, b t does not constitu approval for the issuance of permits. Complian .: with Florida Building Code a d all other applic,ate local, State and Federal p mitting requirements must be verified by signatur of the City of Atlanfic . Bosch Building Official prio to the issuance of a. 9ulidinp Per IL /V Ei9SE��N o� ;re, sr,v; Gat of Atlantic Beach APPLICATION NUMBER 5ss Building Department (To be assigned by the Building Department.) -�' 800 Seminole Road J Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 5M; )' E-mail: building-dept@coab.us L Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D nt review required Yes No Applicant: a - �/� P nnin q &Zoni Tree - trator Project: A `L }��g ublic W lic Utilities _P717F Safety Fire Services RwieW 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: APPUCATION STATUS Reviewing Department First Review: P Approved. ❑Denied. (Circle one.) Comments; BUILDING PLANNING &ZONING Reviewed by: Date: 3 09 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Thai Review: ❑Approved as revised. ❑Denied. Comments: i li Reviewed by: Date: Revised 05/14/09 ;;s=�.af; City of Atlantic Seek ch 'APPLICATION NUMBER J' s Building Department (To be assigned y the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233 445 e Phone (904)247-5826 • F 904) Z 5�� om19' V E-mail: building-dept@coa � Date routed: 11 City web-site: http://www.coab. ' t21 49,9 APPLICATION REVIE N TRACKING FORM Property Address: DepathiWnt review required Yes Pio ApppOcen$: %Li �Zo Tree - " trator Project: ublic W —Pnlic Utilities Pu 57icsafety Fire Services Revielm fee $ bept Sd nature 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: APPUCATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING AMReviewed by: Date: � I TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: i I Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH (� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 E ra OFFICE:(904)247-5826•FAX NO.:(904)247-5645 BUILDING-DEPT@COAG.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1-JOB ADDRESS. - 2 VALUATION OF WORK - 3.SO.FT.UNDER ROOF 4.LEGAL DESCRPnott &CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF VaRK ❑ALTERATION ❑ACCESSORY BLDG. 9. SPRINKLER- 0-61 KL FIRE SPRINER e61 cc- c-fc me ❑REPAIR ❑POOL/SPA ❑YES ❑N/A 13MOVE 11 OTHER 11 NO 9.NAME: PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEERc 15.COMPANY NAME: 23.COMPANY NAME: / 1 4c,V, 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: r 5 GC, Dr 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: (� LL 21.CEPHONE: 29.CELL PHONE: 14.EMAIL ADDRESS:J 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: lF 01HM TMN BONDING COMPANY. MORTGAGE LENDER: 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 will 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 AGENT CONTRACTOR (K AgaA J=of Atfomey or Agency Letter R--red) (Clual f-Only) Signed: Date: s 61 Signed: Date: Before met ' day of 2009 in the county of Before me this day of 2009 in the county of Duval, to f Florida,has personally peared Duval,State of Florida,has personally appeared he n by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary P lic at=. ,County of LNotary Public at Large,State of ,County of Psonally Kno ❑Personally Known Produced Ident ❑Produced Identscation- Notary igr' a lb Notary Signature: .r ommission Ex fires Commission#Bonded By National N BLDG01 Permit Application Bldg:REVISED:12/18/2006 City of Atlantic Beach APPLICATION NUMBER Building Department �i (To be assigned y the Building Department.) 800 Seminole Road 4247- Atlantic Beach, Florida 32233-544d�(Phone (904)247-5826 • Fax(904 ;!101, 9 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: J ® nt review required Yes No AppBicant: - P nnin g &Zoni Tree - trator Pi®jeC$; 11 h-C� �-' ublicW lic Utilities u is Safety Fire Services Rev(ewv 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 f=irst Review: *,14Approved. [—]Denied.one.) Comments: BUILDING PLANNING & ZONING Reviewed .y;� Date:�--rl�f TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLI 10 S Comments: PU C L IE PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES .third Review: ❑Approved as revised. [-]Denied. Comments. j Reviewed by: Date: Revised 05/14/09 Public Utilities Plan Review Comments Date: 8i yloc Initial4___I Project Name/Address: PI(-Fist+ Application Permit#: C9g Check Box Application Tracking Comments to Add Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call ❑ 247-5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and 13visible. A sewer cleanout must be installed at the property line. Cleanout must be covered ❑ with an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be ❑ tested by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an ❑ appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a coy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow requirements. At a minimum,Will require double check backflow ❑ preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" ❑ must be installed in a vault as noted in JEA specifications. a CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09' y OFFICE:(904)247-5826•FAX NO.:(904)247-5845 � BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADORESS: 2.'VALUATION* WORK 3.SO.FT.UNDER ROOF_ 4.LEGAL DESCRPTION 5.CLASS OF WORK 6.USE OF STRUCTURE- 11 TRUCTURE❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF RK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER..' (�f" P- �c me cAj-' ❑REPAIR ❑POOL/SPA 11 YES ❑N/A ❑MOVE Q OTHER Q NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: , 9.NAME: ` 15.COMPANY NAME 23.COMPANY NAME: 4ct V", t f"'e 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: VVV✓✓✓ 111 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: Sc,` I 1� r 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 2 2 2 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: c FEE 51A4PlE-TITLE,HOLDER: BONDING COMPANY: MORTGAGE LENDER: . - . QF 07HM TFIAN OV�NM:. - 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-1 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. 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 DE 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 AGENT CONTRACTOR (Of r of Attorney or Agency Letter Required) (Quamw Only) Signed: Datel s 6> Signed: Date: Before me t -d y of 2009 in the county of Before me this day of 2009 in the county of Duval, tat f Florida,has personally peared Duval,State of Florida,has personally appeared Kenn by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. ( true and accurate. Notary P tic at Larg e o County of V Notary Public at Large,State of County of P s.na"y Kno ❑Personally Known Produced Ida tifi - ❑Produced Identification- Notary ignsPw+p� L G HAM Notary Signature: �^ ommission Ex fires Feb 14,20 "*4. Commission# 518533 " Bonded By National Notary Assn.' BLDG01 Permit Application Bldg:REVISED:12/18/2000 Dear Code Enforcement Board: February 4, 2010F� My wife Elizabeth and I purchased our first home, at 365 Sailfish Dr. East, in May of 2007. As you can imagine we were both extremely excited to embark on this new chapter in our lives and to pursue our dream of settling down and starting a family. We knew beforehand, that this property was a fixer-upper, and we intended to move quickly with the re-model, even though we planned on doing the majority of the work ourselves. Our plan was to have the project completed within two years and then to start a family. My contracting business was doing well and Elizabeth also had a full time job. Olivia was born October 6, 2008 and shortly after Elizabeth was diagnosed with Rheumatoid Arthritis and could not endure the rigors of full-time employment as well as full-time motherhood. So now we were down to just my income with mounting medical expenses. On top of it all, my business, Dynamite Stone Countertops, has fallen victim to the drastic decline in the construction industry. Our income was greatly dependent on new home construction projects, which have fallen sharply for the past two years. Unfortunately for us, the mortgage industry is also suffering from recession and we have had no luck qualifying for either a home equity line of credit or a re-financed mortgage that would give us access to the capital that it will take to see us to the completion of our home. We have had to adjust our plan. However, all is not lost. Our circumstance is not hopeless. We have the determination and the desire to fix this dilapidated property that we call home; it's just going to take some time. Instead of hiring contractors and doing everything at once, we do the projects ourselves and one at a time. We have pulled permits for the projects we work on and we have every intention of following all of the rules. We apologize that we have not moved as quickly as you would like; it seems that we have needed your guidance in prioritizing some of the projects. We are currently working on replacing all of the siding as well as replacing the windows and due to our financial hardships, would like to renew our permit to give us more time. I intend to repair the fence this weekend. We will cooperate fully with your department. Sincerely, A. Zack White �i 2 qbff T � •SIIQ03 OAIIQ'Ilflu V(HHO Id 21HI (INV SIIOAiVKIIQIIO HN2[$ JIINV'IIV d0 AID 'I'IV HIIM T)SMIU033V NII A'INO Q21AOHJdV SI IIWHgd of -,,,J2( 00 • 00 00 09 00 " 09 TP-401 pu>?.a0 0000 ' 00 ' 0Z 00 ' 0Z TP-401 :IDGua UPId 00 ' 00 ' 00 ' Ob 00 " OIi TP-4OS. 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