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Permit 885 Seminole Rd City of Atlantic Beach AT ER APPLICATION 7NUMB 2'� Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Bea 0 ch, Florida /0—/Ap Phone(904)247-5826 - Fax(904)247-5'845 E-mail: building-dept@coab.us t City web-site: hftp://Www.coab.us [Date 7routeed. .. APPLICATION REVIEW AND TRACKING FORM Property Address: lozpk review re uIred Yes No C Buildlnu__- Applicant: -TMVAdrnhstratar-- Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By FFlorida Dept.of Environmental Protection Florida Dept.of Transportation St Johns River Water Management District— '_r"vef vv M Army Corps of Engineers s r s Division of Hotels and Restaurants I olic v r g s To Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: KApproved. ODenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by(�� Date:, TREE ADMIN. Second Review: F—]Approved as revised. r-]Denied. PUB Comments: PUBLIC TI PAILI 5_F/rzj-'% , ym Reviewed by: Date: FIR SER410ES Third Review: DApproved as revised. F]Denied. Comments: Reviewed by: Date:- Revised 06114109 City of Atlantic-Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Ilf-I Atlantic Beach, Florida 32233-5445 /0 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us uted: City web-site: hftp://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address review required Yes No Applicant: �f ran n i zoning r).LSL1_AdrrTtrTistrartCFr__� Project: Public Safety Fire Services P"6V f6 Oew vi*t* 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: [!?A/pproved. F�Denied. (Circle one.) Comments: (FILDDIN PLANNING &ZONING Reviewed by: Date: /Ci TREE ADMIN. Second Review: []Approved as revised. FIDeffied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: MApproved as revised. FlDenied. Comments: Reviewed by: Date: Revised 06/14/09 City of Atlantic�Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 9 Atlantic Beach, Florida 32233-5445 /0 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date r uted: Cityweb-site: hftp://www.coab.us !�n APPLICATION REVIEW AND TRACKING FORM Property Address: DAM?!Tyn"review required Yes No Building,,,:��. anning&zoning Applicant: Project: Public Safety Fire Services 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: PAPProved. FDenied. (Circle one.) Comments: BUILDING PLANNING &_ZONING— Reviewed by: Date: 104/40 TREE ADMIN. Second Review. FlApproved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. F�Denied. Comments: Reviewed by: Date: Revised 05114/09 % CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 10- ;7 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 WWWCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY o�.�I JOBPDRESS', 2.ZVALUATIONOEWORK FT.UNDER RQOF-�".''� jWSQ 774 LEGALDESCRIPTIOW-�i�-��'� CLASS S'LISE OF�STRUCTURE NEW BUILDING 0 DEMOLITION 0 RESIDENTIAL LOT_BLOCK_SUB DIVISION 13 ADDITION 11 CONVERTING USE 13 COMMERCIAL 7.DESCRIPTION OF VVORK�-.r 13 ALTERATION 11 ACCESSORY BLDG. 9.FIRE SPRINKLEF.--, -' 11 REPAIR E3 POOL/SPA 13 YES 0 N/A 113 MOVE �r='HER 11 NO PROPERTYOWNER*.�11: ',-0 'CONTRACTOR- ARCHITECTI ENGIINEER:�� 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16-elu-6- zl-/� II1W% 16.NAME: 24.LICENSE ri 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: =0 26.ADDRESS: . &.gj 3 20to 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20 FAX NO.: 27.OFFICEPHONE: --T8.FAX NO.: 13.,��PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEESIMPLEL DIER:,v�,�, BOND ,t a,1.a --., .,LLL,.-" 7 _ E N E EUITL �E D R T1.1i= 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. OWNEWS 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. !];.��s-.Ow R-dfAGEN ent,Power mg or genq CONTRACTM. A A� r Required) us 0� Signe Date: Signed: Date: t d Before me this 2010 in the county of Before me this day of 2010 in the county of Duval,State of Florida,h a personall ..eappeared Duval,State of Florida,has personally appeared 1Z 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. true and accurate. Notary Public at Large,State of County Of Notary Public at Large,State of_,County of 0 Personally Known 0 Personally Known \17-1- filication-T �.�F,oduced Ida 0 0 Produced Identification- ry Signature:_ X; (144 Notary Signature: Bldg Permit Application 2010 Armstrong Fence Co. CONTRACT Phone Number 3226 Talleyrand Ave. Date Job# Jacksonville, FL 39206 . 014),356, Pfi.nd' Ob Site sales Rep (904) 356-2333 9 (9 -2332 Contact Name Proposal To: Fax Number Job Name: ----------- Job Address: j City; A 4 1 State: zip: Near:N/S of: ------- E/W of: Billing Address: City: State: Zip: Install El Level O'Straight Top 0 Contour El Stepped (Approx.#'s) Jackhammer #holes Core Drill #holes Air Drill #holes Sets: 'OStandard L 0 Plated 0 Special t Lines W D_ Terms W D_ Gates W D— Special Tools 11 Torch 0 Welder 0 Ladder Special Instructions: 1:1 Hammer Drill Set In Concrete 0 Other as 0 No Color sion Wire FRA 11i7i:111:111,1[ E]Galv Pattern 0 7GA Tension Wire 0 Color Type 1-1 Box Brace/Thiss FABRIC 0 GaIv 0 K/K 13 Krr 11 T/K 0'F/T Line Posts Rails Te:rm irb Wire �Iae ;11n:ajj.:: Bi E22t R_ Ht. Gau e mesh Size Space Gauge Size Gauge T/m/6 ze Gall— -7 TYPE(circle one) si r SNG DBL SLIDE 113 Strands CANT O/H 0 5 Strands CANT O/H El El El 3 Strands Quantity Quantity 0 6 Strands Posts x (Y Posts Line Posts f —x Footage Style Ht. Size Pickets Rail # wt.x t. X Space Size Space --;7,z—. of Rails Color Wt.X Ht._x Hinges I- Hinges Latch IT I Latch_ __HEINEN= Frame Size I I a Frame Size ga Footage Style Ht. Good Type Line osts Pickets Side Wood a Trim Trees Space Size #of Size Clear Line R F H T CONTRACT Armstrong Fence Co. Date Job# Phone Number 3226 Talleyrand Ave. �Job Site.. Sales Rep Jacksonville FL 32206 one' c (904) 356-2333 (904) 356-2332 J. Contact Name Fax Number r Job Name: Proposal To: city;A State: zip: Job Address: e-S J EM bt Near:N/S of: City: State: Zip: Billing Address: Install 0 Level 0-Straight Top 0 Contour 0 Stepped (Approx.#'S) Jackhammer #holes Core Drill #holes Air Drill #holes Sets: TIStandard 0 Plated El Special Lines W D_ Terms W D C i Gates W D s pecial Tools 11 Torch 0 Welder 0 Ladder 0 Hammer Drill Set In Concrete 0 Other Special Instructions: jp"Yes D No Color 171 9GA Tension Wire Type 0 7GA Tension Wire Pattern 0 Box Brace/Truss FRAMEWORK o Gav 0 K/K o Krr El T/K El T/T 0 Color FABRIC 11 GaIv Line Posts Rails Terminals Barb Wire TYPE,ficircle one) PE(circle one) 11 0 Color Gauge 0 Gaiv 1:1 Alum SNa/DBL SLIDE SNG DBL SLIDE Footage Ht6 Gauge Mesh Size Space Gauge Size Gauge T/M/B Size It-'/ El 1:10 0 3 Strands CANT O/H CANT O/H 0 5 Strands I 1:1 110 0 3 Strands Quantity Quantity El 6 Strands Posts x Posts-X so NEW BEER= IMIM _2 , Line Posts Pickets Rail # Wt.X Ht. — x Wt.X Ht. Footage Style Ht. of Rails Color TY Size Space Size Space Size Hinges Hinges Latch T u A Latch 77 1 7 1 Frame Size jAa Frame Size ga Good Type Line Posts Pickets Rails Trim Trees Footage Style Ht. Side Wood Size Space S ize #of Size Clear Line Remove Fence 0 D4 6 Haul FenCE Trench 60/ft/90 POSIAGN :Aq P9M91A91A :SqUGLUWOO -p9Iu9(]R 'PeSIA9J Se P9AojddV :MGIAGM PJ14JL SAOIA83S M11=1 R :Aq P9M9IA88 �aDjvs onand q Od s3anin onand -4 V4(S OV ',5V,1d,7vP Ov mue'W"WO53f smaom onend PqIuq(]R -POSIA91 Se P6Aoiddv[] :MGIAGN PUO'OOS 'NILNaV 3*381 alea :Aq pamama�j ONINOZ V !DNINNVId ONicnins :squewWO3 (-quo 910J10) -paivaGE] 'POAoidd :MGIAON 49JI.4 juempadeaBUIMOIAG"d V� snIVIS NOIIV011ddV omeqo.L pue seBeisA99 mjoqoojV jo uolstA sluemalse-d PUB SIG)OH 10 UOISIAI(] SJG$u'BU3 10 sdioO AuuV PPIS!(]IUSWGBeUeW JOIBM IGAI .0 suyor is uoiWqjodsuej_L jo-Ide(I oppol=1 U01139101d leluOwuOJIAU3 JOIdOG ePPOIJ 9;ea A13 PGUtJOA:PWJGd 10 Paimbell I!WJGd JO Aft Idle*911 JO MOIAOIJ GIAeM AouoBV j9%O . .......... d S831AIGS 9JIA A49jeS oilqnd �_d 5) :4:)DfOJd VaMOIA AHI (INV S33NVNdC[H0 HDV3ff 311MV11V 10 A113 IIV HIIM 93KVC[Ho3DV M AINO (laAOH4ldV Sl ITWHHJ 00 ' 00 ' 0 0 * S E 0 0 S E TeqOJ, PUP-TE) 00 ' 0 0 00 * 0 0 TeqOJ, X09LID u-eTd 0 0 * 0 0 0 0 , S E 0 0 S E T-eqOJ, aaq qTw.;[9d ---------- ---------- ---------- ---------- ----------------- anci P;DqTPa-TD PTed PaBi-eLID Aa-ewwns ;99,q ---------------------------------------------------------------------------- aVNId 'dOq 2[rIgVrIIVAV HEI ISfIN 7,21A'dflS CHAOUddV GNV IINUEd NHHE SVH HDNRa HDN0 N0IlDHdSNI 7vNia s7fia3HDS* 'GRIDMISNOD XaqVIINVISSnS HS qqVHS GNVq aO SHEfIS0qDNH UO SHONSa 77V* *HGOD qVDIHIDRqR qVNOIIVN SOOZ *qVIINRCISSE - HGOD 0NIGqIfl9 VGIU07a LOOZ SINHNHqddfIS 90 , -SO , /M HGOD 0NIGqIfl9 VCI'dOUa LOOZ* squ@ulwOD PuP s9qON TPloads ---------------------- ------------------------------------------------------ OT/TT/8 . . 9,4,eci uo-rq-ea-Edxa 0 . . . . 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DS9P TeuOTqTPPV 1IMEld RONSE -4Tw-lad -------------------------- -------------------------------------------------- UZZE ria HDVEM Z)IJNVrIJV CI'd ErIONINSS 986 'dHNMO lufIx 'Iau�fflsso ------------------------ ------------------------ aoqo-eaquoD aaumo -------------------------- -------------------------------------------------- SCMV2� UVEI-d CINV RGIS HGVXDOJS 9 HLIM HDNEla HDVrIdHu OsaP UOTq-eDTTddV ----------------------------------------------------- ----------------------- . . . . uoTqpnTPA SEET uOTqPDTTddv CEIVGdn HS 01 BuTuoz Aqaadoad IINEEd HDNHA U0TqdTa0S9P ad,,�q uoTqpoiTddV GU Hq0NIWHS S88 ssaappv Aqaadoad OT/ZT/Z GqPG 8TTOOOOO-OT aaqlunN U0T4P3TTddV 9ZR5-LVZ :lKlrT 'AK0Hd K0II3rJdSKI CEZU ria'Havatt DIJLmvrljLv Gvou TIONINUS 008 HDV:Itt DIJLNvrlljLv Ao AJLI3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000034 Date 1/12/10 Property Address . . . . . . 885 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1600 ---------------------------------------------------------------------------- Application desc repair/Replace 4 squares of shingles ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GAFF, JAMIE MANN' S ROOFING AND WATERPROOFI 885 SEMINOLE RD NG LLC ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLVD W JACKSONVILLE FL 32217 (904) 419-1010 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . ROOF REPAIRS 4 SQUARES Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1600 Expiration Date . . 7/11/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jan 05 10 07:27p Heather 904-619-6321 CITY OF ATLANTIC BEACH Date: .0 ROOFING PERMIT APPLICATION e. Job Address:8(;?j. vin o�t- CL-acrx'4 4 1 ax�I r :)tac'k Ownerof Property: IC_9-c-a -XS-9 cl(9 Address: (9 1 n 0 A i IcLni 01 _____jelephone: __- -1 52- Cy I Roof contractonfr4x(lin'A -X+<4eNt'at*e i7rnse Number C'S7 r— C"K ContractoesAddress:S�0�4-3 V>OAo/&a.44 �cw, � L_ �2_2_ 111L gj 4 q 1 5 I L) F..- qO 4 4' ins (oC4 Telephon Email: (ago-,J-CC4 —"iqC-a _T Scope of Work- Roofing Material '0 FL Product Approval# f L 4-19 Valuation of work- S I GOO Required Inspections: Sheathing/in Progress-Dry In /Final 1fre-rod: Assessed Value o1SW.Kture:.Z-c$300,000/__.;-$300,000,Roof-to-wall Improvements required? I Applies to single family structures only) aWARNING TO OWNER-, YOUR FAILURE TO RECORD NOTKE OF COMMENCEMENT AdAV RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUSTBE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECnON. IF YOU INTMD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A TFORNEY 0 E RE60AM116 YOUR Ngra OF COMMENCEMENT' SIGNATURE OF OWNER: Daite: 0 AS TO OWNER: Swam to and subscrib day of U .20 10 State crf unty cd@WIA GUERRA WAVY Public No s Signature: STA:fr-- 0 Personally known OF TEXAS Fxp.03�15 N"y GOMM [Vff6auced Identification od Type of identification pr SIGNATURE OF CONTRACTOR: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signature: 0 Personally known 0 Produced Identification Type of identification produced sm Seminole Road-Atlantic Beach,Florida 32233-5445 Telephone: (904)247-59M-Fax:(904)247-584S FAroof Permit aWkaton.d= 7taMi . . . . . . . . . . . . . . . . . . . . . . . . MAGNOLIA COPY CENTER 18904 FM 1488 STE B MAGNOLIA TX 7?355 281-356-216? 01/06/2010 14:09:23 Sax 1 f� : Transaction # 2 - ? Card Type: AMEX Acc: 3?1284539241001 Exp. Date: 0?10 Entry: Swiped Total : 2E3 - C37 Device ID: 4632 Reference No. : 0002804136626?5 Auth.Code: 596450 Respon. AUTH/TXT 596450 Merchant number ***12709 I AGREE TO PAY ABOUE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CRE71T UOPER) 4GEiBH� XURT J MERCHANT COPY