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Permit 1973 Colina Court CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000451 Date 4/21/10 Property Address . . . . . . 1973 COLINA CT Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8521 ------------------- ------------------------------- Application desc ADD BRICK PAVERS TO DRIVEWAY ------------------------------------- Owner Contractor ------------------------ ------------------------ PEREZ PAUL I OWNER 1973 COLINA COURT ATLANTIC BEACH FL 32233 ----------------------------------------------- Permit DRIVEWAY PERMIT Additional desc INSTALL BRICK PAVERS Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date Valuation 0 Expiration Date . . 10/18/10 ------------------------------------------------ Special Notes and Comments Maximum driveway width in right-of-way is 20 ft, with 3 ' flare at curb. Roll off container company must be on City approved list and container cannot be placed on 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. C-ftY of Atlantic Beach , Suf1ding Deparft1jant APF LEGA.T1GN i�UI ER 300 Serninore goad d A. (To be assigned by the Bn€iding Begat enf.) Affanfdc Beach,Florida 333 5 Phone(904)2-47-582r, - Fax , /O E-mail: buffdin ( -584a Cityel�siEe: i�f `ffcacoab.rs Date routed: APPLICATIONREVIEW A RACKINGFORM 'MPSOYAddr.-` 73 //' 6,e,. /' e went"vee 'quired J Yes c opffeant l 'C 2 Buildfng Planning&Zoning Tree Ad€nlnisafor �ZCC/G �i' � Public Works � Pubric Utiriffas Public Safety Q 6 f t Eire Services E �.ttr�� s� _---- —— __'_ l�:"y.t�..=_'�-ate_--„-!*_c:.-�a.-•_--.,�-„-_� --_—..___ ._. _.—..--. _- . _.».� - _----�`Y''�:� -_ --fie- .t.-_ - :.-:- _ _ _ rs•--,—�-_ Other Agency Review or Fermit ked Review or pteceapt Of Permit Variffed Bir Date. Florida Dept Of ErvIrannaerrfaf Profecfion Florida IaepL of Transpa�on. C®�'t - - Sf:JOhns Rivar Wafer filfanagamerif Disfacf Army Corps of Engineers MvWon of HofeIs am Restaurants Dion of Beveragas and'1 obaocD A "O APPLICATjoN STAT jS �oio Wie i€tg Department Eirat Review; [VAPproved. QDenied. (Circle one.) €€n�aersfs: BUILDING /1CO�1C 1N Iva W rah- C41 W 1�-- ie✓r Cvw-S , 3� I` 1 C j�� Reviewed Ery Date.- TREE ADMIN. Date.- Revlew�- QAPproved*s revised. []Denied PUBLIC WORKS RKS Gommenfs: PUBLIC UTILITIES PUBLIC SAFETY Re leveed by: D��e: FIRE SERVICES Third Review: QA{apresved as revised. []Denied. Co€r€€a€ants: Reviekged by: feta: °esed Elvi'��F 1 r'�'��1 f✓r CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road Atlantic Beach,Florida 32233-5445 904-247-5800 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date 6113 , / �� [PERMIT# Job AddressP�13 C.�,l.,I4 W�!�;I ED BY THE CITY ------------- Permitee: — PL y Telephone# Permittee Address: — Requesting Permission to Construct: W tIc1F ,n f b� G�l .l Location: (Reference to Cross-Street) 7. Applicant declares that prior to filing this application he has ascertained. the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes N) No Bell South Telephone Company ( ) Dater 50110 Ferrell Gas Yes ( ) No (� Date: Comcast Yes ( ) No (N6Date: Yes (,A No ( ) Date: 3 t11 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of Superintendent) located at (Contractor's Project Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. S. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any Increase in impervious; area on owner's lot or in the cit Right of Way are to be included with this application 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of At Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER / .F°'', MICHELLE MONGER Signed: Date: ��/ ISSION N DO 951395 Before me this -E" day of ri 1 in the y of Duval ... r S:May 201 State Of Florida, has personally appeared. '" UnderwrWs Notary Public at Large,S to of Florida,County of Duv I. My commission expires: 020/ ersonally Kno Produced Identification: PROPOSAL Fallen Tree Contracting Services, Inc. Jim Szerba Licensed & Insured (904) 349-0850 Apr 04, 2010 Mr. Paul Perez 1973 Colina Ct. Atlantic Beach FL (904) 854-8877H/W 707-8531 C hereby propose to finish the materials and perform the labor necessary for the completion of..... PAVERS -TREMRON--- SELECTION TO BE MADE FROM THE SAMPLE BOARD. 1. Remove old concrete from current driveway and walkway. 2. Prepare area with paver base/919 mix, compact area. 3. Cut out new concrete triangle on left side of driveway. 4. Old stumps will be removed and flared joints will be at all joints. Note: All intersections of pavers; front sidewalk and driveway, will all be flared to joins. 5. All debris will be removed from the property. All work to be performed in accordance with the above specifications and completed in a substantial workmanlike manner for the sum of L9,.QQg f 'SLI.v Very respectfully submitted 4Jame2sS. S rba ------------------------------------------------------------------------------------ Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Signature r R.O.W. Permit Attachment of R.O.W. Permit# for issued ,200_ Atlantic Beach, FL 32233 Owner's Name: Property Address: 3 Z 3 3 Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT VOCABLE ENCROACHMENT PERMIT, issued on this l day of 20&, by Atlantic Beach, Florida, a municipal corporation organized and existing under e laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: &Z ccK Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified snail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly snake any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete 1 ral in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 10 4 CITY OF ATLANTIC BEACH (OWNER / 13UMDER A.F„F MAVIT L FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR R\4PROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILFTY TO MA-KE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. [I. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS4jV P(2� PHONE NUMBER Z PRINT NAME " 1/0 SIGNATURE DATE Before me this /day of 20L6 in the county of Duval,State of Florida,has personally ppeared herin by himself/herself and affirms that all statements and declarations are true aad accurate. / Notary Public at Large,State of �� ,County of V ❑P anally Known SHIRLEY L GRAHAM [ induced Identi9ca' - My COMMISSION#DD 957760 EXP +• �° :February 4 ` Rf Bond h of bli Notary Signa (J F:/6LDG/0vmer-Budder Affidavit;REVISED: 16/2009 MAP SHOWING BOUNDARY SURVEY OF LOT 31 AS SHOWN ON MAP OF SELVA NORTE' UNIT ONE AS RECORDED IN PLAT BOOK 39, PAGES 94 THROUGH 94B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. FOR• PA UL I PER Z BEARING REFERENCE: BEARING SHOWN ON SOUTHWESTERLY LOT LINE HEREON IS THE SAME AS SHOWN ON THE ABOVE MENTIONED PLAT. ELEVATIONS SHOWN THUS: (9.5 REFER TO NATIONAL GEODETIC VERTICAL DATUM. BUILDING SETBACK LINES ARE PER ORV 5834, PAGE 69 E—'--10' JEA EASEMENT I L O T 3 2 �t (N89'08'46"E 135.64' BY LAT) I Q r�08gA 0�. N89:1,8 0/, 7'0 I "E 136-21 (MEA URED) I Q ' — — 0.6' OMO(n 40.0 ��Oe� CONCRETE o "V M EBgL 10 (TO CH . 24.4' CONCRETE - . . 1 0" BSL '1 U w�r/^� A O f0 CO) ET i� PATIO 11.2 .4;r (o1`J� / E OR/ v STEPS m u M 2� •� �' � 17.7 0 !^ JQ ti p ti J ,s.r 2 STOR� FRAME M 12' I v.' O r`r` � (TO CH) �^ 4 2. DWELLINGG #1973 0 2.2' I W V 2 U , FIN P (11 L EL1 .59) 2.2' I Q JFtN y0 m 8.^ W REBPR (q� o ROOFED r9S INUTRANSFOPAD R o. ENTRY I m J CONCRETEp�'j \ry 0.3' BRICK 11.8' x'11 00 VENEER Sl 34.5' -j ((� V) v \- A/C SEED SOE PAVERS PRC P OL DECK ^I— N Q I 4 IN, ti m m �e3 - \ �0' POOL ,�0��'GOC� 3' WALL F I00O�' �� $ PLANTER ti0 2 w Lo ) 9�^�• P .. 0(O C r/"✓ O\ �N, I I N L O T 3 <ti�FJ �. \ I I I - o w 0 O J j I 0 p IN, I j a ti �9� \ p CERTIFIED TO: �+ PAUL I. PEREZ 25' 25' j J W LOT 92 011 1 is. L O T 6 �14Ic9 3131110 SELVA MARINA UNIT ,l NO. � _ CITY OF ATLANTIC BEACH ti T�1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 UrINSPECTION PHONE LINE 247-5826 t Application Number . . . . . 08-00000454 Date 4/11/08 Property Address . . . . . . 1973 COLINA CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 23147 ---------------------------------------------------------------------------- Application desc POOL ENCLOSURE AND STEM WALL --------------------------------------------------- ------------------------- Owner Contractor ------------------------ ------------------------ PEREZ TROPICAL ENCLOSURES INC . 1973 COLINA COURT 2072 MAYPORT ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-2298 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 150 . 00 Plan Check Fee 75 . 00 Issue Date . . . . valuation . . . . 23147 Expiration Date . . 10/08/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total 75 . 00 75 . 00 . 00 . 00 Grand Total 225 . 00 225 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT State of 0- o A Tax Folio No. County of `1Nt-- To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: /_L^ Address of property being improved: 1R 7 3 e o �L A C w R c f1-r1 a.iri h F.A.• 3 z General description of improvements: k Owner: Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): l e p rx- Name: Ncontractor: Ke`l r(c.,aso�-k ir- Address: r Telephone No..: � � `� Fax No: Surety(if any) Address: Amount of Bond$ r .— Telephone No: Fax No:_ Doc#2008089791,OR BK 14453 Page 2097, Number Pages: 1 Name and address of any person making a loan for the construction of the Filed&Recorded 04/09/2008 at 10:22 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL Name: COUNTY Address: RECORDING$10.00 Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: 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 Section 713.06(2)(b),Florida Statuell ' at y�er'spp io 479e.Name: _! GKCw Address: 2072 mayport . Alobc ., FL 82233 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 is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: 3 I tZ 108 Before me this 12.'x''- day of_ _ in the County of Duval,State Of Florida,has personally appeared 'Pc&A--A ejeZ M CK&LE HumsIN1m Notary Public at Large,State of Florida,County of Duval. r' NOIMy( AC_IMM of IftIS My commission expires: mp,j '8 2-0 10 C100ft wl& Personally Known: ✓ or W 54" Produced Identification:t7jo A t,'A 4 — 5%-0 lel-7 CITY OF ATLANTIC BEACH PERMIT BUMD G/ZONING DEPARTAIENT APPLICATION � 000 Seminole Road Atlantic Beach,Florida 32233 (904)247-5-000 (/ v (904)247-5845 Fax www.coabms APPLICATION TRACKING FORM REQUIRED DEPT: Y N PLANNING PropertyAddress- Z973 �o��c L Cr Y V�4 BUILDING F /f n / t Y N PUBLIC WORKS Applicant: - �"�l' � C� G��IO�fQ��S 0 Y N . PUBLIC UTILITIES Proec ' MII Y N FIRE DEPT. � 6 Y N PUBLIC SAFE T Y Lu APPROVAL 0, REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: LU Y m D.E.P HUFSTETLER Y N S.J.R.W.M. CARPER i Y N ARMY CORPS of ENG CARPER F- Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP IEWED BY: INITIAL: DATE: ® I —..[] 15T REV ® 1j,1, Sw P 0 1 -JI-7- 0 JI'7-O PLANKING CBILDINGQ WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV F[] F[] F ry CITY OF ATLANTIC BEACH 07- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I s1 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY ix JOfi ADt]RESr. , '' gtALtJ7IN t71 1NtK `SQ FT UNDER R}C?F,, 1�t'13 C0%.1WA CO-ZAC- 4.LEGAL dES IFTIQN u r, , - >�LASS ,` QRf4rf 3' �; 6. 3 ,T tUOTUREi r _ ��,1 EW BUILDING El DEMOLITION RESIDENTIAL LOT , BLOCK_SUBDIVISION SF1.J4 14o2� O� ADDITION ❑CONVERTING USE ❑COMMERCIAL 7, SCRlATtOHE WGfti, r^i -1 _ ❑ALTERATION ❑ACCESSORY BLDG. &=FIF2E SPRINK3 E . ❑REPAIR ❑POOL/SPA ❑YES N/A ❑MOVE HER ❑NO _ CONTTOR "aPROPERTY OWNER. '. HITECT�` NGINEEM 9 NAME 15.COMPANY NAME: 23,COMPANY NAME: Ti9-c�,ir t c4 ta,. E—A C epSa3 A95 16,NAME: "`VSEE NAME: U04 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: f Q13 C.o%..%eJ A CT. 18pD� g;_ 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 11-OFFICE PHONE 20.FAX 0.'. ^2 / 27.OFFICE PHONE: 28.FAX NO.: C�/u G/i (� 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: x FI$tblP ,T7�TDvH ERt ui? ; iN[IiIaGOMPAY of iG u p i t1At3RTGa�raELENGI}R 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 ANATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NY . ' IIB�I�lik 'v �! G�� i rhe � . I ;, ,r r Ir k 9 ¢ a ri iiiyI�r a, , ��' � �r,'Fu�Sry'"S�� i 'KV110( �. �l a i a Rad6i r A'U alrN„ I 4w i rLi ii�•, �„ a ali� )T ,.ter..,=„a41 o,�k�i , {r©ar Signed: Date: 3I�ZIQs Signed: Date: 3'i2`L�fl Before me this t 2i46'day o ,2007 in the county of Before me this A? day of W*5� 20109in the county of Duval,State of Florida,has personally appeared Du;alS of Florida,has personally appeared ��,� �►crez � ,y sar�r� herin 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 Fl(, County of DLLVC� Notary Public at Large,State of County of Wersonally Known - Personally Known &PProduced Identification-'O hda ,ay► 1 �• Notary Signature: t MICMEtt.E!�R CITY O T $�ay 2�,zoto NO" SEE PERMITS F T T BudgeOotaryBeni • � REQUIREMENTS AND CONDITIONS. COAB FO #un. ISED: opy . t V�ryr.. BY: DATE: ' »tAcI Jill MAP SHOWING BOUNDARY SURVEY OF LOT 3.1 AS SHOWN ON MAP OF SELVA NORTE" UNIT ONE AS RECORDED IN PLAT BOOK 39, PAGES 94 TI-IROUGH 94B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. I FOR: ANSBACEFR Bc S .HN .t .R. P_A. 3EARING REFERENCE: BEARING SHOWN ON SOUTHWESTERLY LOT UNE HEREON IS THE SAME AS SHOWN ON THE ABOVE MENTIONED PLAT. LEVATIONS SHOYN THUS: 9.5 REFER TO NATIONAL GEODETIC VERTICAL DATUM. 3UILDING SETBACK LINES ARE PER ORV 534, PAGE 69 i �. ,•\- —10' JEA EASEMENT d L O T 3 2 0, (N89108'466'�E 135.64' BT16. AT) q , e. OO �` 1 V 8 •� 7'0 1 ��G .G�f 1 (MEA uREv) o.a j O rs� C R/MLROAO TIES N h 00o;!, y �' 40.0: 6" W/6' W000 CE 10' BSL '✓ O W o M.. 8 " 24.4' . . . . .� .. t0 , �. 11.2 j+ p Q �.1, ` •• 0 9.8 �1 O to i... N 17.7 a 40.13' • 1s.r "° 2 S Eu�.ricFRAME Y 2' I L Y p l j (To T�� 61. . 4.2' 24' EAVES 3 n { Q O f a `. FIN FL EL(11.59) 'o 2• I tt 18.6' .. ROOFED �ptj ( I FOU1i0 S ER ' ` C6 O ENTRY n i• dRG� o 1N�AITE RI`D > /O O.3' BRICK i .8 b /� V CON�iE 1� OHO `. \N VENEER 81' rf E.9' V VJ I Y PRC �.�� Eo'Lt--os&0 I a o O t'm m QPO \ SEE CdUA5?6t9 X,NO �P { I- 10 ro 2 o N c�F'S LOT 31 I < C �tily, \ { I O W O CO 1-- O r ~ _ * ( Z { i L � I Z 0 • 2 �+ Q CERTIFIED;,TO: V 25-' 25' PAUL I. PEREZ J DIANA M. APONTE W ATTORNEY$' TITLE INSURANCE FUND, INC. (n HOMESOUT',H MORTGAGE COROORATION { ANSBACHER & SCHNEIDER, P-.A. LOT 92 L O T 6 SELVA MARINA UNIT NO. 10—C ` Koot Layout •customer:PE r clalgr Scale:3/32"=; V /zo -27 rsr �l��s U711-G 0'321• I 0•t 21't ' 0•t 214 0'318.3 0'316.3 1 0'i 21.4 �Vi2Yt 4 `0'321Y ' `0.310°i I Vk1(9Y yea 2 ) ) (23) 3 ` 73 21't 0't 2113 0.32113 0.3 77s` 0'318•! 7)21** 732113 03213 o31e4 731e3 4c 3 0't 214 04484 21'3 021** 0.3173184 3 2x3 ,o 7s2fY 7121"t 7321'3 04,,53 0478•Y 1 BM 2 EN 3 (�T'v BE 4 Bi 5 Bi 8 0.3214 0421•.t 04214 0'3184 O'318Y DQ VEON KI , FLA. LIC. NIJMBE; 49L CA. # 26687 DO KIM & Assoc.. LLC P.O. BOX 10039 TAMPA, FL 33679 (813) 874-5900 wan Layout Pustomer:PEREZ Scale:3/32"= 14 - 4{f -- ii 144-0' 144-W 1419` 14 1140" 1M-0' 164.0` �x2 777-0.0 7- (W80) 789 789" 74/ (23) 78 2 (1) (2) (9) II) X7' 77-0 780. 789 �;z 78-0 2Y� 40 W Wd I01 192-0" 1140' 128 0 J 82-0 B2-0-0 82-0 - 7 � LX 82.0 82.0 82-0 02-03&0 X60 82-0 y . I 7'00' I 7'0-0" I 7'0-0" 35,00 --� Wd rCl 980' 98.P 980' 98.0 90-C 980' 980' �xZ ` ►X?. (t2) (it) (N) 789 789 78-0 78-0 780 77-0 `r► IY'L 8'8.0' 40'W W /D7 E)O YF-O ft p FLA. LICNUM, CA. # 2688 R 49467 OO KIM ' ASSOC_, LLC P-0. BQX 10039 TAMPA, FL 33679 (a-1--i) s7e[_,900 !?' 2 Ma ° ` Atic gbh.,FI- 3 } Gy `er 03-3A"200$ Cage C,St©o'er 1 0� IL oa 9 00 K�O- ��t 3'3'679 S'906 $M3 A874�' t CITY OF ATLANTIC BEACH a 1� 800 SENIINOLE ROAD -' - ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000408 Date 4/07/08 Property Address . . . . . . 1973 COLINA CT Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 33000 ---------------------------------------------------------------------------- Application desc INSTALL SWIMMING POOL ---------------------------------------------------------------------------- Owner Contractor PEREZ THE BATTS COMPANY 1973 COLINA COURT 1602 NORTH THIRD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2455 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 195 . 00 Plan Check Fee 97 .50 Issue Date . . . . Valuation . . . . 33000 Expiration Date . . 10/04/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Pool -- Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 195 . 00 195 . 00 . 00 . .00 Plan Check Total 97 .50 97 . 50 . 00 .00 Grand Total 292 .50 292 . 50 . 00 .00 PERMIT.IS-APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 s> OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J '- BUILDING-DEPT@COAB.US { ,a BUILDING PERMIT APPLICATION DUVAL COUNTY 1,joB ADDRESS. .,.f . '; r x ��.L� ,.UALt1AT QN 4F K#iK .,ry 3.,SQ,FT L1PtDER C3C1f k513 Cot-%OA c10.3ar �3.00e•-+ 4.LEGAL OESCRI(af9ONtar, .,. USS DF STRUCTURE: SC-11-14A t4oitrE -J%Jv ' OTIC ❑NEW BCL BUILDING ❑DEMOLITION RESIDENTIAL LOT-11 BLOCK SUBDIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL DCSCRiPTICi3F 4yC;1Rll" .,-'` "�' .'+ ❑ALTERATION ACCESSORY BLDG. &.F1RE 5t'R1NKE ' .0 �; ! ' 1 ❑REPAIR 2-POOL/SPA ❑YES ❑N/A r ❑MOVE ❑OTHER ❑NO PRG1PEftT1 OWN1 R i �- CONTRkgTt�R�'=' ., a` ARC#ltT�CTl ENGINEERx" w. 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: --rt-+v 13 co , ILC Z. 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C_Pc OS 70'4(.CGc oSS�63 �(�3 C Okl w1 A G-�`34� 18,ADDRESS: 26.ADDRESS: 1 L o? }I. SRW Sr, %IV*r 31.Ake,N 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 8T4 - 188 -7 -2`I(0- Z-ESS Z-y4 -oY57 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: � I30.EMAIL ADDRESS: rjQ'k�'S � GBSI 11 e • Kms" FIcts�IFEF';T141 tib}6, R :ti o � tNd1t�C`P".QMFAIYr a i � .i ;.qIG .., a AiIIf CalttGE Ll=Ndl E 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. BE iP '�dlhdl a „�$ CT( AH — "�Ir C i� (iii i a, � � ld E �r ani 9, 1' i., Ii ki Pd� ofirttarney`G Agen ettEfquireldl,r , ;{ ¢• 7i&�dx rr,,. ,s,@OI1y ty� CUititfi#r DY •i � ,„ m., Signed: _ Date: 3I�Z-Id8 Signed: _Date: 1)Before me this I 2i�M' day of ,2007 in the county of Before me this 4IT+ day of M cW- 206rin the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared L-,Z,2 herin by himself/herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accurate. �.•.' true and accurate. /J Notary Public at Large,State of �11oYl�County of L)IIA OU N,,otaarry Public at Large,State of 1 County of f'Personally Known L7 Personally Known 11 Produced Identification- 10 hCG. 1��S "��%1-- ❑Produced entification- Notary Signature: Notary Sign ,,,rrr.r,,, .,,..,..,,. ..u,. .,,...,.�..�..�.�..,w CITY OF ATLANTIC BEACH E 0 MICHEIIE HUN P",S l�'S E ` ADDITION AL N°V'y PubNe� ,,� A�'flSl7iLi� } �TDITTONS. COAB Fo c �' . N o� Expires mber 9, 2009 •rr�nr�• E COP � �n�Qrfa Foul-Insu e.Inc.800-3"6,XTE: � u ��.`xs!'i�r,%�iaw71.,J'I«•.['.:iisa. s:�Z:Gl.'�t.F�tom,^"ia3:,�a NOTICE OF COMMENCEMENT State of r"�e-.ON Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: t--V t 31 5 e w4 A. i4 o¢.r--,- Q P o�( IS-73 a.oc.tnt A tr+,�r&iWcZc t'� �tfr -tt. Address of property being improved: l Q"1 S Co,-t t-1 A C.O.Ja4- General description of improvements: S •r M J4 ?-0%- e Sr-RC-,;S1 Owner: �A.�' t''��2.+Z Address: ( `t'��' Cc"eJa Cc, a<- p��A,scic 6.�aei4 Owner's interest in site of the improvement:-FL--c S„r.r' .< Fee Simple Titleholder(if other than owner): Name: Contractor: .TEES Address: Si -11A.tl �=i!-z4 Fa, _1'>Z.2- 54 Telephone No.:2-y "L�Ff"S Fax No: 2-'f`� " O Y 5 7 Surety(if any)_ r4 Ik Address: Amount of Bond$ ` Telephone No: Fax No: Name and address of any person making a loan for the construction of the i Doc-#2008079976, OR 8K 14440 Page 683, Name: Number Pages: 1 Filed&Recorded 03/31/2008 at 10:50 AM, Address: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Phone No: Fax No: RECORDING$10.00 Name of person within the State of Florida, other than himself, designate(. _..____ _ served: 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 Section 713.06(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 is specified): -)�y THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: 3-12--o3 Before me this 12`4" day of in the County of Duval,State Of Florida,has personally appeared e Notary Public at Large,State of Florida,County of Duval. y,�M 4N ae My commission expires: o�U 11G�R No1My Pow.1AM d� Personally Known: ✓Produced Identior E*w�� fication:'�{ayCd�'7vrJ�vs (�' r4 0 OD SMI �620- 99 -*JS-0 V4-0 TREE AFFIDAVIT This is to document that there are no protected trees in pool and screen patio area. Homeowner Name: ?A OL- FF--p-6 z- Homeowner Address: ck-13 Co Signed: Z a 1% Date: 3 • Z ' D o Signed: Date: 3-i2--c& Before me this_ I Z day of Mow cIP-N in the County of Duval, State of Florida, bas personally appeared V7b"--A -Rn-,ee.z Notary Public at Large, State of Florida, County of Duval. My commission expires: ►o Personally known: es Produced Identification:-R,vfcta- 1�r�vers Licer-se- M V�ZZD-Co89-55-o��l-Z� 12� �R ow i"r&•fto d Fbft CR I- top flipl >. . y. .: y / �` � < w :� » , � � G » = �§d � . � w _ , ��d�a . . ., . .a \/ \ r : �« � �� °� . ��f � �§ � ��© »\\�`?� < d y�^ . : . bans company General&Swimming Pool Contractors • 1602 N. 3rd • Jacksonville Beach • Florida 32250 Prepared by: �'�" Phone: �-`�6- Z'I SS Signature: I - Date: 3 3- 0 8 Applicable codes: -'04 Florida Building Code - '04 Florida Building Code-Residential - '05 National Electrical Cod - ASCE7-02 Structural Design Occupancy Class: R-3 Index of Drawings Page A Site Plan Page B Pool Plan Sheet 1 Side Sections, Structural Details& Filter System Sheet 2 Alternative Circulation Systems and Suction Vent Line System Sheet 3 Deck&Paver Details Sheet 4 Electrical Notes & Details Attachments: 1. Notarized Building Permit Application 2. Recorded Notice of Commencement 3. Tree Affidavit State Certified License: CPC 037046,CGC 055163 Customer Name: Paul Perez Address: 1973 Colina Court Atlantic Beach, FL 32233 Phone: 904 854-8877 Lot Coverage Calculations Total Lot Size: 17,479 sq. ft. House: 2,157 sq. ft. Driveway& Walkway 709 sq. ft. Pool: 385 sq. ft. Pool Deck: 1,050 sq. ft. CGC 055163 C PC 037046 CITY OF ATLANTIC BEACH PERMIT �; S,� APPLICATION 000 Seminole Road •.x Atlantic Beach,Florida 32233 �lot (904)247-5800 v (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM R- IRED DEPT: /-� eb6t+ N PLANNINGPY®peAddress, IqZ� I i l/�. 4 BUILDING N PUBLIC WORKS Applicant: � V PUBLIC UTILITIES n Y FIRE DEPT. Project: fi J 1 `� b6 / Y PUSLIC SAFE T Y w w -APPROVAL v o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE Z _� Y N D.E.P HUFSTETLER ¢� Ir- Y N S.J.R.W.M. CARPER _ Y N ARMY CORPS of ENG CAPPER O Y N HOTELS&RESAURANTS HUFSTEMER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® ® 1 ST REV PLANNING El RUILDIN ® 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 13 ® 3RD REV CITY OF ATC1ANUC BEACH PERMIT " BIIH. LNG 1 ZONING DEPARTMENT APPLICATION# 800 Seminole Road. Aflantio Beach,Florida 32233 8—'-lot "�Jlitar (904)247-$800 (904)247-5845 Fax vmw.coab us APPLICATION TRAGKING FORM REQWRED DEPT: /-► N ANN PLING At Property &esg: � a//* //& �VU` k BUILDING Y N PUBLIC WORKS Applic=t: W Y PUBLIC UTILITIES �l Y FIRE DEPT. Project: __ten' Ut/ I Y N PUBLIC SAFETY W -APPROVAL v REQUIRED AGENCY: RECEIVED BY: INITIAL DATE Lu Y N D.EP HUFSTETLER Cf w Y N S.J.R.W.M. CARPER � w� Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETtER APPLICATION STATUS _ CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: _ DATE: Q 1ST REV ® (,� OW I PLANNING ® 2ND REV BUILDI G PUB WO PUB C U S FIRE DEPT. PUBLIC SAFETY -0 3RD REV 10 1 _ .. . —inn CITY OF ATLANTIC BEACH 07- _ 800 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233 I "r21 OFFICE:(904)247-5826 a FAX NO.:(904)247-5645 BUWMG-DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATIQN QF WORK 11SQ.FT.UNDERROOF k S -J 3 Co,-%0A LZ3vRl' 33r000.r 4.LEGAL.DESCRIPTION: &CAASS OF WOr4K:,_, 8.USE OF STRUCTURE 'SEL VA tJoRrt' uN�r ort 17 NEw Buu)wG 0 DEMouTK)N CWtESIDENTIAL LOT'S BLOCK_,SUB OMSION 13 ADDITION 13 CONVERTING USE ❑comwRciAL 7.DESCRVnMOFVVOW, I❑ALTERATION 13 ACCESSORY BLDG. 8.FIRE SPRINKLER; EI REPAIR 2-POM I SPA EI YES EI WA �t 6 t} 10M EI OTHER ❑NO ROPERTYOYIMER: CONTRACTOR: + ARCHITECTIENGINEER; 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: -rvre '$A,.ns C.o . FA-1 'tZC Z 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C-PC-o1*1oy(-CGc Q 16 18.ADDRESS: 0 26.ADDRESS: i G of A 3iW Sr, a'otr V.-o cIA 11-OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: s 7 27.OFFICE PHONE: 28.FAX NO.: e s4- 8 8-1-7 14(0-z(s s - 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS. 22.EMAIL ADDRESS: PO.EMAIL ADDRESS: 4 E4S ( o(BSrK�- FEE-SNPLIE TML EF BONDING COMPANY: MORTGAGE LENDER: OF o1HetTww owls} .. _ 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 indleded. 1 certify that no work or installation has conwrienced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws rating construction in this jurisdiction. This permit becomes mill and void if work is rat commenced wifhin six(6)months, or if construction or work is suspended or abandoned for a period of six(6)m ontIn at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work.Pkimbing,ShM Wells,Pools,Furnaces,BoDws,Heaters,Tanks Air CondlikowiI,etc. OWNER'S AFFIDAVIT-t cerw fact all the foregoing information is accurate and that all work will be done in Compliance with all applicable laws regdaltiM construction and zoning.t will not occupy or use the referenced builtfirg or any part t1 of,unto all inspections are finaled and prior to obtairttrg a certificate of occupancy or completion issued by the building official,as rimed by law. **�k 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 o'Attornay(rlrserwy,LettwR%P*Va) (Quahtier Only) Signed: Date. 31�zi�� Signed: Date: Before me this t 'Z day of_ 2007 in the county of Before me this. F 14 day of 14 A4 2867'in the county of I Duval,State of Florida, personaiy appeared Duval.State of Florida,has personally appeared LOMA " Pa,i ` Pe'e-ez herin by Himself/herself and atfinns 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 Pubic at targe,State of FItovi County of --L-kA-VOJ Notary Public at Large,State of County of AOZ&7,�_ El'Peraorway rj a LfPar..W Kn. ❑Pm&xed wommeaaen- !u lricto.. !artvim.-s �:ce•->s�. o Proms Iaerdfacatim- Notary Signahxe: Notary Siglahrre: MCNELLE HtNrSINM Pl.:a Victoria E. Legg Ndwy Pratt:-ftb a ibfa. coABFo Epirpltl�►A,>>11f1 * - : Commission#DD479393 . ,qb, ComaNiioff s 00 54M �'�OF Fie B Trey m-nwmw Irc 800,W-019749 CrrY OF ATLANUC BEAM PERMIT BUMI)ING 1 ZONING DEPARTMWN'T APPLICATION# 8D0 Seminole Road. Atlaniie Beach,Florida 32233 (904)247-:5800 . (904)247-3845 Fax www.coab.us APPLICATION TRACKING FORM RERED DEPT: NPLANNING ]Property Address: ��all u eout+ K BUILDING Y N PUBLIC WORKS Applicant: . Y PUBLIC UTILIITEs -r ,J-� FIRE DEPT. Project: � 1 C-�.. �t �Vv ! Y N PUBLIC SAFEtY w -APPROVAL v o REQUIRED AGENCY: RECEIVED BY: INITIAL DATE Z it Y N D.E.P HUFSTETLER ¢D a C7 Y N S.J.R.W.NI CARPER U, 111 Y N ARMY CARPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS _ CIRCLE ONE: S BUILDING DA AP REVIEWED BY: ISNIf L• � DATE. A ❑ 'IST REV ❑ /"�— 7/' VU ' PLANNING ❑ ® 2ND REV 13-TBUILDING ❑ UBU0 WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY .® 0 3RD REV ® ® ' CITY OF ATLANTIC BEACH O'T 80o SEMI NOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.iOe ADDI SS; 2 VALIIATKNr OF wow 3.SQ.FT:UNDER ROOF �Q73 CO�.1*�p► Lt�vNtC" ��-p�.r 4.LEGAL DESCRIPTIM., &*ASS OF!A . .USE OF STRUCTURE: r�s f SEtNA (�IoRc-r5 tial11 0#4C 13 NEw BUILDING O DEmouTiON LO _BLOCK_SUB DMSIOPI O ADDITION 0 CONVERTING USE 0 COMMERCIAL _ 7.t TION'OF wOW', 0 ALTERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER: 10 REPAIR GiPOOL I SPA 0 YES 0 NIA D MOVE 0 OTHER 0 NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: . 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: Z 16.NAME: 24.LICENSEE NAME: 10 ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C�.Pc.O'S Toy`C,4c oSSlb3 l rt?3 Lo 1_t r.t a co•�'C" 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12 FAX NO.: 19-OFFICE PHONE: 120.FAX NO.: 2-1.OFFICE PHONE 28.FAX NO.: 2 5"4 - 38-7-7 Z`I(0• Z-ES S 1 2-1f4 -oKS 7 13.CELL PHONE: 21.CELL PHONE; 29.CELL PHONE: 14.EMAIL ADDRESS: 22-EMAIL ADDRESS: -t i30.EMAIL ADDRESS: be, IES ( c lest h Ni µtcc' FEE SIMPLE TITLE HOLDER: BANDING 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 installatieons as Indicated. 1 cartily 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 worts Is commenced. I understand that separate permits must be seared for Electrical Work,PttxnW Wails,Pools.Furnaces,Boilers Heaters,Tanks„ Air Condkloners,etc. OWNER-S AFFIDAVIT-i cer*that as the foregoing infonnadon is accurate and ttwit all work will be done in compliance with all applicable laws regulating construction and wrdrtg.I will not occupy or use the referenced building or any part therof,until all inspections are tinted and prior to obtaining a certificate of occupancy or completion issued by the building ot'tidal,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 of or.Agencyl.elter RoquKed) (Qualifier Only)', Signed: Data. 3112108 Signed: Before me this IV' day of _ 2007 in the county of Before me this 4 It+_day of 2Win the county of Duval.State of Florida.has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and airvms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Nota Public at Large.State of County of Notary Public at Large.Siete of �IaYi County of L�t�t-V t� [t penally Known ;r Pwaonatly'nown 0 Produced Identification- 10 Vi60-w Lvtv�.4"5 "Ce-A--• D Produced Iden ation- Nothry Signature: Notary Signatt- of rli.nr� " IttOG"HUNSIN(t3ER I� . � "on�`8� Victoria E Legg • Nolrir>I�-8b d FWAb * Commission#D6479393 COAs Mill!a FE>�Ns m18 �� o� Expires December 9,2009 > n• OF o P-e Bonded Ty Fam-Inwrance.InC 800.385.7019 CITY OF ATLANTIC BEACH << 600 SEW40LE ROAD,ATLANTIC BEACH.FL 32233 0• 1 l/1 l �� n F)l OFFICE:(904)247-5626•FAX NO.:(904)247-5845 BUILDING-DEP rQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS' 2.VALt1ATKNN WORK 3.$4 FT.UNDER ROOF 4.LEGAL DESCRIPTIOW S.CLASS OF WORK: B USE OF STRUCTURE: 13 NEw IAIL LOT' '( BLOCK SUB DIVISION S Et yA tJORt-ar vim,t Orta 13 ADDITIONS 13 CO NG 0 NG USE ❑COMMERCIAL 7.OESCRI117TIot OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR G111001./SPA ❑YES ❑WA ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT t EINUINEEPU: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: Tvce 3 tis GO 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA UCENSE NO.: 1-p C.0'57aq16CGt- 0SS!b3 16.ADDRESS: 26.ADDRESS: I'Lo? tL -CAP Sr, 'Ty'r -tti4:N 11.OFFICE PHONE: 12.FAX NO.: 19-OFFICE PHONE_ 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: '3 5'4- J S-7-7 1&14( -Z4 S S 2--4-%-0 K S 7 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 1.30.EMAIL ADDRESS: a-t+s t c(esn a . Kir FEE SIMPLE TITLE M' BONDING COMPANY: MORTGAGE LENDER: (IF OTe1ER n NN OWER) 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 tndicated. 1 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 construdbn or work is suspended or abandoned for a period of six(6)months at any time atter work is commenced. I understand that separate permits must be secured for Electrical Work,Pk=Wng,Signs,Wells,Pools,Furnaces,Soileirs,Heaters,Tanks. Air Conditlonens,etc. OWNEt`S AFFIDAVIT-i certify Out at the foregoing information is accurate and that as work will be done in compliance with all applicable laws regularing construction and zoning.I will not occupy or use the referenced building or any part tnerof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as rnx0red 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 of Attorney orAgancy Letter Regrind) (13-t-W ery Signed: Date: 3it-Z-108 Signed: Before me this 1 Z�'day of 2007 in the county of Before me this 4 tL day of t4 A*-c-44" 200,rin the County of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared Lfs-A herin by himself/herself and of mm that all statements and declarations are herrn by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. �Q /� , Notary Public at Large,State of IoYl County of l�. t � Notary Public at Large,State of Countyof 15LifdC' 19fPersonally Known PePetrsone6y Known ❑Produced IdenNrrcotion- 10 inctv.-L �S �i►�i�'� ❑Produced Identification- Notary Signature: Notary Signature: MICHELLE HUNSINGSER4so'�t�=r�e� Victoria E. Legg NO"PtiM-e1 o d Rofid� br 11.7Q10 er 9, 2009 * commission#DD479393 COAG FO bon M •,'•%s'„� a o¢ Expires Decemb CAIIMIIIIIiD11•DO 31iia1 . eonaee Ty Fam-xesuranee.Inc sacesaois CITY OF ATLANTIC BEACH PERMIT BUILDING/ZONING DEPAR.TAMNT APPLICATION# 800 Seminole Road Atiando Bead3,Florida 32233 --- � (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM R RED DEPT: Property Address: q��'l o�(r�-- z N PLANNING N BUILDING Y N PUBLIC WORKS ApPlIICN t: 0L✓ Y TI PUBLIC UTILITIES w ' Y FIDE DEPT. Project: ,_ �/ 1 I �/ ' Y N PUBLIC SAFETY W -APPROVAL Z REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE w Y N D.E.P HUFST7=TL8.R ¢5 Cf Y N S.J.RW.M. CARPER y Cr Y N ARMY CORPS of ENG f- Y N HOTELS&RESAURANTS CIRCLE ONE SITE BUILDING P NNIN ❑ ® 2ND REV ING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 0 0 3RD REV rJ CITY OF ATLANTIC BEACH PERMIT J St' BUILDING /ZONING DEPARTMENT APPLICATION# 800 Seminole Road Atlantic Beach,Florida 32233 U �,. (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM R UIRED DEPT: qr�{ / / � IY N PLANNING Property Address: J l�! c(.t�T z N BUILDING N PUBLIC WORKS Applicant: 0 Y N PUBLIC UTILITIES Project: Cj rs�''`J'' BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 1 < 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: ,1113 e k ACV&vftt Permit Number: Legal Description S�,I,tu, mai-(, VJyc� oira � 31 nh Valuation of Work(Replacement Cost) $ ■ Class of Work(Circle one): New Addition Alteration Repair ■ Use of existing/proposed structure(s) (Ci Commercial esidential ■ If an existing structure, is a fire sprinkler system installed?(Circle one : o N/A ■ Is approval of homeowner's association or other private entity required)?(Circle one): a No Describe in detail the type of work to be performed: a kk-�c I► O G��c c _Qct�-�►.- �.►�1 c�nu'�.�-c. s 1c�� Property Owner Information Name: -Pl err- . Address:_ City State_Zip _3'"3-i Phone "1 L'4 1 B J Contractor Information: Name of Company: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number State Certification/Registration# Office Fax# Architect Name&Phone# Engineer's Name&Phone# R 151AT6 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 ofa permit and that all work will beperformed to meet the standards of all laws regulating construction an this jurisdiction. 1P'his permit becomes null and void iwork is not commencedii thin six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time erworkiscommenced. I understand thatseparate permits must be secured for Electrical WorkPlumbing, Signs, lls,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. 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. Thereby certify that Ihave read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ra reermit does not resume to av *?�oNit" fo violate oN cancel the n��vislons of any other federal; .state; or local w gulating construction or the erfo of onstruction. r V ✓ Signature of Property Owner: Signature of Contractor: Sworn to and subsc i ed before me Sworn to and subscribed before me this Day of —7 this Day of Notary Public: Notary Public: wc �r rw Notary ubk state of Florida enise artinez REVISED 03.05.07 +mission dD432452 Expires 0512212009 '�'-peeial Information for Owner/Bufiders DISCLOSURE STATEMENT for Section 499.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LA.W. The exemption allows you as the owner ofyour property,to act as your own contractor even through you do not have a license., You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy.'It may not be built for sale or lease. Ifyou sell or lease more than one building you have built yourselfwithin one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un.-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees helshe hires. This responsibility includes,but may not be limited to: 1. Workers Compensation,for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. fawners hiring workers become employers and should also observe IRS withholding tax Form 1039 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be emriloygd under any circumstances Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(.24.7-5826 yf in doubt_ I hereby ackn wle I ve read and understand all the above on thisq. - Day of, 7,-007 q-1 3 Co I I wk6D J,,7- kki Owner Builder Si Ohre Address _ ��1 ��Z '10 -1 -"3 s"3 Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared fly!11.1 06q,7 to me well k-nown to be the individual and owner builder described in and who executed this instrument and severally acknowledgedthe execution thereofto be his own free act and deed as such owner builder Hereunto authorized. WITNESS my hand and official seal this day of%Atlantic each-County and State aforesaid. l' LIC,STATE OF ZLOBIDA o�.w Notary Public state.of Florida Print Name: C _ Den"Martittei c My Dninmissign 00,432452,. MY COMIVIESSION EXPIRES: 2 2 2-0 O ro .Exptros 05fP2/2©05:"" ,�rersonally Known ❑Identification: Doc # 2007154883, OR BK 13972 Page 1618, Number Pages: 1, Filed & Recorded 05/10/2007 at 08:32 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of CL.y r" n/k Tax Folio No._ County of ,) .,,1 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 3� -V Z�, - S e or 4-e- JN i T,. P,\ L-01 3 � -- Address of property being improved: (t1 Z 3 CF%� ►�t�Cc u r oe l -F 3 t L s General description of improvements: Owner:_ ) ( mere Z Address: i c1 -7 Cc,,; k Owner's interest in site of the improvement: c C t S t.ti, 0 C, fi }'1,-1,j j t✓ _ Fee Simple Titleholder(if other than owner): �I Name- V3 MAI _ J-�w i ycz— Address:Address: LKS L.a I f ��(t,.X f � IRj- Lti 3 2 Z} 3 Telephone No.: Q I- P, Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person malting a loan for the construction of the improvements Name: 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 may be served: 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 Section 713.06(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 is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER t /^ 4 Signed: Date; Before me this day of 2a�"� in the County of Duval,State Notary Public-State of Florida Of Florida,has personally appeared E 7— Denise Martinez Notary Public at l,arge,State of Florida,County of Duval. �,• My Commission DD432452 My commission expires: M 2 O w n Expires 0512212009 Personally Known:_ or Produced Identification: L PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, 1,L. Project Name: _ %L.�r �CG' '�. PA<Zd Permit# Project Address: Ll C . 0, As required by Florida Statute 553.842 and Florida Administrative Code 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 contact your product supplier if you do not know the product approval number for any of the applicable listed roducts. Information regarding statewide product a roval May be obtained at: www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# + Local# A.EXTERIOR DOORS . 1. Swinging 2. Sliding of tto#, - P sc i t 3. Sectional S`�vim,a�v ' S i f 0 t. 65�- 4.Roll up s` F-1q/41 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 la. Wind breaker 11.Dual action *her Category/Subcategory Manufacturer Product Description Limitation of Use State # Local ,ems C.PANEL WALL 1. Siding 'Pr4CSHAC�Nr cc..IF�r '99(Z-2- 2. Soffits 3.EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7.Glass block 8.Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1.Asphalt shingles 2. Underlayments �3 (z- F 3. Roofing fasteners 4.Nonstructural metal roof 5.Built-up roofing 6fir A04T W Adc;r' HP 6. Modified bitumen 7. Single ply roofing _15/10 OAF F� S-03 2_� 8.Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2.Bahama 3. Storm panels 4. Colonial 5. Roll-up 6.Equipment 7. Other F. STRUCTURAL g z�R COMPONENTS -7 o'gq 1. Wood connector/anchor 2. Truss plates 3.Engineered lumber 4.Railing 5. Coolers-freezers 6. Concrete admixtures 7.Material 8. Insulation forms 9.Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight ' CITY OF ATLANTIC BEACH PERMIT r BUILDING/ZONING DEPART1 NT aPPt_ICATtON# 1' 800 Seminole Road Atlantic Beach,Florida 32233 r (904)247-5800 r l (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM R IRED _DEPT: Y N PLANNING Property Address: �,,l ( �� C, Ql'T Z N BUILDING N PUBLIC WORKS Applicant: 1 7c� (, j/j Q ( �,(/�� oa, v N PUBLIC UTILmES Project: tidy�r ��h 7 C��r �' . Y' PUBLIC DEPT. APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w Y N D.E.P HUFSTETLER F-Cw9 Y N S.JR.W KD. APER Y N ARMY CORPS of ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INITIAL: DATE: ❑ ❑ 1ST REV ❑ NTNG BUILDING ❑ ❑ 2ND REV ❑ ❑ PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. ❑ 3RD REV [:] ❑ PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. rs'=s'Jr�y BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 o;3sv Office:(904)247-5826 9 Fax:(904)247-5845 Job Address: t 1 Cd c'cAc`i c t' Permit Number: _ Legal Description Q kNA, Md Al 04 Div-, `�j 31 Valuation of Work(Replacement Cost)S_ tOr ■ Class of Work(Circle one): New ddition Alteration Repair • Use of existinglproposed structuress Commercial esidential If an existing structure,is afire sp, er system installed. (Circle one): o N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): No Describe in detail the type of work to be performed: a kdl,�- i�c & 0CCS qC mL yC r t - v'► t c%�c�'� `c, S tc�,� Property Owner Information Name: - t Address: int`l 3 6-(if-C, tom ' City ti State �LZip L-1.aLPhone Contractor Information: Ott-)A%�.'�,,� t.v/jTh_ z-311(L1 Name of Company: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number State Certification/Registration# Office Fax# Architect Name&Phone# Engineer's Name&Phone# —_ v- 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 ofa permit and that all work will be rformed to meet the standards of all laws regulating construction rn this jurisdiction This permit becomes null and vaid ork is not commenced within six(6) months, ori construction or work is suspended or abandoned for a period of six ((6) months at ar�y time er work is commencedf I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, ells,Pools, Furnaces,Boilers,Heaters, Tanks and�Iir Conditioners,etG WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE OF COUi.N MNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR R-APROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. t hereb certi�,that I have read and examined this application and know the same to be true and correct. All rovisions o laws a ordinances governing this type of work will be complied with whether specked herein or not. The wanting of a permit does not presume to gry thority to violate or cancel the provisions of any other federal, .state, or locii taw regulating construction or the rfo of onstruction Signature of Property Owner: Signature of Contractor Sworn to and subsc ' ed before me Sworn to and subscribed before me this j!j Day of Mau acno-1 this Day of Notary Public: Notary Public: - ,,,p t4otary State of t�loride REVISED 03.05.07 '�. ooa�2a52 Ww �, osrnr�oos Impervious surface calculations % formula: Find square footage of-House footprint Driveway Sidewalk ZZ A/C pads Detached garages or shed Pool decking Patios,etc. 7.3-4.. Add the total square footage a the above then divide the sum by the total lot are '"I, , 064 PIE VP of pLUsn Bead► and Z°ttiMi dor�0 i lend l °t uestti� om•nd atom ,3� _ • �, de++ Ole�ssuanC dl ds yOR oM�W�� t + ` .!x• �. n .• rmad •.fir • x �� L.;a _ 6 �'.a. r dead+ ,.r. 10 lnw IV „•_ � (—.�i� .+te '„�!� �� C�.5�0�� c ,{�' 7)"i IMS M1.►� 'r , ~�,�yt" a+1 L rtl GN -eA VI r jf19�Q ti tt 1� . `� - � � � •^! � 4•�tt,• .tit QD �"y `�Jt '• X159 ,�t +'� � ��t ��r �''° ('�� r i Z yij E� y CITY OF ATLANTIC BEACH PERMIT BUILDING/ZONING DEPARTMENT A;LIC� TION# 800 Seminole Road ' Atlantic Beach,Florida 32233 ..- I1 r (904)247-5800 ` (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM R5QjJ1RED DEPT: N PLANNING Property Address: ' -f J t r�Q.� � :�1 '�. z N BUILDING N PUBLIC WORKS Applicant: cJj j Y N PUBLIC unLEs ` / (n Y FIRE DEPT. Project: CD U / C�� Ileonaeie,. Y N PUBUC SAFETY APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w v Y N D.E.P HUFSTETLER Y N S.J.R W.M D. CARPER d Y N ARMY CORPS of ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE, BUILDING DA AP {TIAL: ATE ❑ 1ST REV ❑ E&A I PLANNING BUILDING ❑ ❑ 2ND REV ❑ ❑ PUBLIC PU FIRE DEPT. ❑ ❑ 3RD REV ❑ ❑ PUBLIC SAFETY Return this form to the Balding Department once you have entered your comments into the AS400. rsi �r' BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax:(904)247-5845 Job Address: tl-� i h�, �� j" Permit Number: Legal Description \&I%tA, tG 0c NL- LO-f 31 Valuation of Work(Replacement Cost)$ 20,00 ■ Class of Work(Circle one): New Addition Alteration Repair • Use of Tdstinglproposed structure(s) Commercial esidential ■ If an existing structure, is a fire sprinkler system installed?(Circle one): o N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): No Describe in detail the type of work to be performed: Property Owner Information Name: T t.-;.. Address: 1-1 City State 1.Zip�� Phone Contractor Information: ()Vj ti%til �Z$►ti— Name of Company: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number State Certification/Regis ion# Office Fax# Architect Name&Phone# Engineer's Name&Phone# — SA i 1 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 qfa permit and that all work will be rformed to meet the standards of all mons re �thsmenced I understand that separate permits mast be secured for Electrical orl�Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Seaters, Tanks and Air Conditioners,etG WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF CON 4ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVENIE'NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONIlVIENCEMENT. Thereby certify that Ihave read and examined this application and know the same to be true and correct. All provisions of laws nd ordinances governing this type of work will be complied with whether specked herein or not. The granting ofa permit does not presume to giv hority .o violate or cancel the provisions of any other federal, .state, or local taw regulating construction or the rfo of onstruction. Signature of Property Owner. Signature of Contractor: Sworn to and subscjiW before me Swom to and subscribed before me thisq Day of this Day of Notary Public: Notary Public: *41,. Notary State of Fbnda DD432452 REVISED 03.05.07 ,�„� ExWes 0502r M Impervious surface calculations % formula: Find square footage of-House footprint 1 Drivewayt Sidewalk f2MA A/C pads Detached garages or shed Pool decking Patios,etc. 7.3-4.. Add the total square footage the above then divide the sum by the total lot area. + L C p �► 17 �a , — , 264 a CITY OF ATLANTIC BEACH FPERMIT ( }'` BUILDING/ZONING DEPARTMENT TION# Y 800 Seminole Road r Atlantic Beach,Florida 32233(�)247-5800 ` �( (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM RWLJIRED DEPT: ��., Y N PLANNING Property Address: q7-,5 CZZitiaj � �� r Z N BUILDING �j f�/� �✓ N PUBUC WORKS Applicant: j �C / �� l (�f/W 0) Y N PUBLIC UTILITIES ce Y FIRE DEPT. Project: �dy � ,��h 7 C��(/� � Y N PUBLIC SAFETY APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: UJ v Y N D.E.P HUFSTETLER 0O w Y S.J.R W.M.D. CARPER Y ARMY CORPS of ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INITIAL: DATE ❑ 1 ST REV ❑ �G� ?,� PLANNING BUILDING ❑ ❑ 2ND REV I ❑ ❑ 1 1 . BLIC S PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFE ❑ ❑ 3RD REV ❑ ❑ TY Return this form to the Building Department once you have entered your comments into the AS400. BUILDING PERMIT APPLICATION J 'j11 r CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax:(904)247-5845 Job Address: 1`113 Permit Number: Legal Description \VI%ta, mow i", 04, 01w- L-0-f 31 — Valuation of Work(Replacement Cost) y l O CX) ■ Class of Work(Circle one): New Addition Alteration Repair • Use of existing/proposed structure( Commercial esidential ■ If an existing structure,is a fire sp, ler system installed?(Circle one): o OND Is approval of homeowner's association or other private entity required?(Circle one): Describe in detail the type of work to be performed: Property Owner Information Name: T)t1 Ott-_, Address: City ftb P1.1jal. State&Zip :2 Phone Contractor Information: OV.)K) Name of Company: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number State Certification/Registration# Office Fax# Architect Name&Phone# Engineer's Name&Phone# ..SA3 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the issuance of{apermitand that all work will beperformed to meet Me standards ofall laws regulating construction m this jurisdiction. This permit becomes mill and void i work is not commenced within six(61 months comm , or�construction or work is suspended or abandoned far a period of six�6) months at arty time after work is ence I understand that separate permits must be secured for Electrical orgy Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Seaters, Tanks and Au Conditioners,etG WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR fMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTfU OF COMMENCEMENT. t hereby certify,that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specked herein or not. The grantin o a permit does not presume to gry -horny to violate or cancel the provisions of any other federal, .state, or local lawregulating construction or the rfo of onstruction. Signature of Property Owner: Signature of Contractor. Swom to and sub ed before me Sworn to and subscribed before me this Day of Z_ this Day of Notary Public: Notary Public: ,rA Notary ublic Store of ftida mse i lartinez REVISED 03.05.07 rrtissiortDD432�52 a Expxes0JCnJZ009 CITY OF ATLANTIC BEACH PERMIT BUILDING/ZONING DEPARTMENT ATION# � vr 800 Seminole Road Atlantic Beach,Florida 32233 iVr (�)247-58001(�/ (904)247-5845 Fax www.coab.us rA- - APPLICATION TRACKING FORM RWVIRED DEPT: ING Property Address: _� � � MOW ClYff4- a Y N BUILDING NG �j ff��1% f�/�t ,r z 1 / �dLt / ( •lIW' - N PL}BLIGWORI�S Applicant: c v N PUBLIC UTILITIES Project: Cja J JI Y FIRE DEPT. V Y N PUBLIC SAFETY APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: wU Y N D.E.P HUFSTETLER 0 Y S.J.P W.KD. CARPER Y ARMY CORPS of ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE SITe BUILDING DA AP INITIAL: DATE: ❑ 1 ST REV 0 .1 1 PLANNING BUILDING ❑ ❑ 1 2ND REV ❑ . BLIC WO S PUBLIC UTILITIES FIRE DEPT. 3RD REV ❑ ❑ PUBLIC SAFETY ❑ ❑ Return this form to the Building Department once you have entered your comments into the AS400. September 10, 2007 Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, FL 32233 Re.: Public Works Plan Review Comments Application/Permit# 07-1180 1973 Colina Court To Whom It May Concern: Your office has requested additional information on 2 points. Please note as follows: 1) Erosion and Sediment Control Plans—please see attached drawing. 2) Construction Site Management Plan. This is a relatively small owner-builder project that I am doing w/ a friend who is a carpenter. I park in the garage and he will park in the driveway. There will be an electrician there for two half days, and there is ample room for him in the driveway as well. There is also room for a small dumpster to haul away any debris at the end. I do not intend to rent a port-o-let since I already have three bathrooms available for only the two of us. Any materials will be stored in the other half of my two car garage. I hope this answers all of your questions. If further information is required, please call me. Thank you. Paul Perez Owner— 1973 Colina Court oj- 015) (;a- AP �Via, �d ��-a►.1. ��.�y� � - as .1tom► <105 Nv © �, , os � �� , X04} c 1 t �- Sy �` ,� . , • � "'� 46 ,.7* 400 ck In OR ID .- � �, ► X114 t� i F .>t r CITY OF ATLANTIC BEACH ( 3 � 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031696 Date 11/30/05 Property Address . . . . . . 1973 COLINA CT Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3950 Owner Contractor ------------------------ ------------------------ PEREZ, PAUL AlA ROOFING CO. , INC. 1973 COLINA COURT 48 W 6TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL ATLANTIC BEACH FL 32233 (904) 249-6999 -- ------ -------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3950 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 e PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Q� ��r-� C'l Date ll 2 aS Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ -per sq ft= $ Deck. @$ per sq ft= $ Patio @$ per sq ft^ $ TOTAL VALUATION: $ Total Valuation 13t $ do" cr_?___ $ Remaining Value S55per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ C� ZONING: +'/z Filing Fee $ t FLOOD ZONE: _ ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( )SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ `S' r 'J`� CITY OF ATLANTIC BEACH cc: 1' BUILDING / ZONING DEPARTMENT ° rY � 1 800 Seminole Road . Higgin$ Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN RENEW COMMENTS Permit Application # Property Address: L q l() LD11, 14-ou Nar+— Applicant: 01 a , �J� W-0 Cn ' T-Rc . Project: K fro This permit application has been: ni/Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. / Reviewed By: Date: ( �2�f DS Date Contractor Notified: �P�JJ Job Address: Owner of Pro ---- Address: �a��✓LCi ` -- j Telephone: Contractor: —_� 6�U State License Number: t+�C C Contractor's Address: � ! ��_ y� /��'G-A T� C� -- -- .._._---- - Telephone: ,;2'I Fax: Scope of Work: Al Deck Slope: A __Greater than 2:12. Less than 2:12 Valuation of work Product Name(Example: Timberline): / ,r� 'i.`��✓!��_ Manufacturer(Example: GAT): ASTM Designation(s): Required Inspections: Shcathing- d .00, Signature of Owner Date: � �•�• o Signature of Contractor: ! , �'�P Yl ,f." � Date:(l 1 c _ AS TO OWNER: Sworn to and subscribed before me this _day of dn r V`1 1° 1200S. State of Florida,County of Duval l,i"' Notary's Signature: — MaryoT Carriesa+VL�- Personally known MyCOMMISSM# DM667 EXPIRES ❑ Produced identification April 19,2006 Type of identification produced °�i,Rr ,•• BONDFD THRU TROY FAIN INSURANCE,INC AS TO CONTRACTOR: Sworn to and subscribed before me this b" day of 'y OV 20L State of Florida, County of Duval , Notary's Signature: M UA-4a, ersonally known YVETTE P MOPALES ❑ Produced identificationur+� �*raw 0=94" Type of identification produced 3442M N FWW&NoWN Mtn..Ino �.s s...:.......n n.s.».q..►....n......t 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 2%21103 Cil 001 f 001 11/07/2005 10:22 FAX Permit number Tax Folio number } NOTICE of Co1VYmENCEMENT o STATE of 17LORIDA COUNTY OF, DUVAL a 0 o THE'UNDERSIDED bereby gives Wtice that improvement will be made to certain real p mperty, a <j and m accordance with Chapter 713,Florida Statutes,the following information is provided is o 0 tlL s Notice of CioIItt encernent. MH Y o 1. 73- puan of rut". . . � Co 0 j L ___• rr 0 Nyoo 6 a U Z. G j/dej�s^cri�p�tio//.n�+of impveu�euts: V f0 M OUJ pNp �LJJ Z O a 0 _j 0 0 o 3 . Owner information: o E a. N d Ad o z W - ,• ✓�� t / J Er b. Intems in prapeaty: c. Name and address of fee simple titlebolder(other than owner): Out= name and address: a, Phone nutnbe . b. Fax nuutber: 'a''r 5. Surety information: a. Name and address: ' b. Phone number. c. Fax number _ d-Amount of bond: 6. Lender's ma.me and address: a. phone number: _ b. fax number: 7. Pewn within the State of Florida designed by owner upon whom notices or other documents maybe scrycd as provided by 713.17(1)(2),Florida Statues. NaMe and Address: a. Phase number. b.Fax Dumber. 8. 1D addition to bimself/herself,owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b),Florida Statutes. 9. Expiration date of Notice o rncemettt (die expiration darn is one (1) year *em rte date of Recanting unless a di eu to Signature of Owner. VAj ) 5 Sworu to and subscribed before me tlxis _day of _ _ZD . ,;heti' ry ,I Marijo T.Carnes MISSION# DDOil667 EXPIRES Known petsonally/li 4n_ My Cort e � April t9,2006 ,jj( IONDED THRU TROY FAIN INSURANCE,INC r a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r}j ! INSPECTION EMAIL REQUEST: Buildin�dept&gab.us Application Number . . . . . 07-00001180 Date 9/27/07 Property Address . . . . . . 1973 COLINA CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ------------------------- ------------------------ ------- --- --- - ------------- Application desc COVERED PORCH W/ CONCRETE SLAB -------- ------------- ------------- ------ ----- ---- -- ---- - --- --------- -------- Owner Contractor -- ------- ------ --------- ------ -- --- --- ---------- PEREZ OWNER 1973 COLINA COURT ATLANTIC BEACH FL 32233 ----- ----- ----------- Structure Information 000 000 - ---- ------- ---------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X -------------- ------ ------- ------- -------------- ---------- ------------ -- ---- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 3/25/08 ---------------- ------------------------------------------------------------ Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB .US ------------- ---- -- - ----------------------------- ------ ------- - - -- ---------- Fee summary Charged Paid Credited Due ----------------- -------- -- ---------- ---------- ----- ---- - Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Grand Total 195 . 00 195 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PSR-3iM 8858 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH i PERMIT INFORMATION - - LOCATION INFORMATION --------- Permit - Prmit Nuvibe : 8858 Address : 1973 COL INA COURT Permit Type: MECHANICAL ATLANTIC BEACH . " FLORIDA 32233 class 'Work,: ALTERATION LEOAL DESCRIPTION C"'onstz `Ty re: WOOD 'RAM Lot E'le�cSection: Proposed Use° SINGLE FAMILY Township: RNG; I a 1 i nq I (Noes; 0 Subdivision' Value: a I prow. Cost : $0. 0 Total Pie s Da 7/28 '94 Work b 6 DENSER " I ON APPLICATION FEES N RVI 'ES - .rr u,0, „ PERMIT X7 .00 NAS COURT WATER IMPACT FEE CH , .:PL R.TB S ` 3 , j 8110,0, I 1'A FEE ^ AN ,r Ntl• d 4 ,i -4- 1 .rflr ,dry d""^ Tt i�}pt " n RADON GAS-H.R. S . , T NPORMAT ON --_- RADON CAB 5% 0 . 00 AT 1,"APITA�L IMPROVE, 0 .00 C 9 S"1 r s IAT 1 I LLE, F 3. 2 SEN ER TAP $0 .00 r .� , T N AVj:NU r4, .n . C'? -,ROSS CONNECTION $0 ,00 Type. 3 SEC E IMPACT FEE Off' C NST.S1fIPi'' ARO "C ."O NOTES ,y E NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING '. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER t "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVIS1ONS.OF LAW. ATLANTIC BE H BUILDING DQE ART ENT `Ig 1 Vimm ' On.00 14 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC MUCK ft"IDA 09111*Il APPLICATION FOR MMHANICAL PERMIT CAL1.411 PIUM8 6A IMPORTANT— Applicant to complete all items in sections 1, Ii, Ill, and IV. U)"TION Stoat Add+ass . I 't�� n� OF loletreeting Slraatr: letwe•oAnti WILDING Svirdivislen II. IDENTIFICATION — To be completed by all applicants, In consideration of permit given for doing the *04 as described in the above stNemant wt hereby •gra" to perform said wort an occordence Frith A& otbeiyd pians end sM<ifit•fioh� which are . part Woof eed in acaordrnca with the City o0 Iacisonvillt adiehet:as and sbndards of good practice liit•d therein. Naeet d M•ohani�dl i Caohee►trr Catttgt%W {triol) r - G— Nttltt of 1mpr4y owaet m I I l si�wh A owner SiWnatufr tf M AeMarlaad Aganl =,fort or Eegioarf M. 601BtAL INFC*MATM A. T ed AwHoS 1wi; ®+ 119 OTHER ONST111ICTION KII0B W09 ON ' 0 THIS WILDIN!!ON SITE t 0 t Cm r--0 LIP 0 Neivm l 0 C.S*W Ufft IF yes, *I" "Wou or cftsnigrnft 0 00 rltaar/iT G ofh" — fwih � C� &f0yWlWEi r {trt)v;&Cars*%Wt of rsesprW06 M WA of All 11WO) FMatld4ntisl Of Lj COMft*rclol 0- H"t O Soso O ReveseW/ O C**W 10 t>♦eaf Q N"Oulking �(/Ak CmbdrHOetl*$-. [� ltttsrtt Caetrel ii"rlftli leting"Ming het I7 Doct Syr : #f•lefiel_ --- - - .., �Mof oxistinp symm wtealmom opacity ,R,f n © NOW Insta11sMM(NO systern pilhrlotwily WwtpMtl) Rr ri ofise © Lxternsion or add-on to sxietkq systsotl 00W—epwity coo," *,W; Capacity tion Q fire Vrirlltn: Numb* of hraA. _ Q bpvokr 0 MoofiN Q 6004 *AM ppt OWN un GMT uAred preeivfr veru Q 00W — Spot* f4rtegil uIrr ALL EQUIPMENT AOR CONDMONING AND RVILIGIMATION EQI tI' 21vm1tr Vaw D"0111pun X0,dd NUMIrf °� rt 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 06-00033603 Date 8/04/06 Property Address . . . . . . 1973 COLINA CT Application type description SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16000 Owner Contractor ------------------------ ------------------------ PEREZ, PAUL OWNER 1973 COLINA COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------------------------- -------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00 Issue Date . . . . Valuation . . . . 16000 Expiration Date . . 1/31/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total 55 . 00 55 . 00 . 00 . 00 Grand Total 165 . 00 165 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s r CITY OF ATLANTIC BEACH sib PLAN REVIEW SHEET Routed to: S.Makowski \� Building Department Public Works&Public Utilities Departments i in J,31 800 Seminole Road 1200 Sandpiper Lane oerr Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application# Property Address: Applicant: V Q P Project: QN.-fk-- This permit application has been: Approved as noted by the & O - Department. Final application approval must come from the Building Department. 0� Reviewed and the following items need attention: w �� --QC- 2 t2u 64 112A 8 ll - -1. 3'oaza 0 11.0/ 44a z- pax - #►Ibje�-#:- L-)77 Please re-submit your application when these items have been completed. Reviewed By: ' -EL Date: a�C Date Contractor Notified: HP Offlcejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Aug 02 2006 11:53AM Last Transaction Date Time Type Identification Duration Pages Result Aug 2 11:53AM Fax Sent 93016354 0:44 2 OK CITY OF ATLANTIC BEACH SIDING PERMIT APPLICATION Date: aJl,� I Zoo(o Please complete(2)complete set plans with application. n Job Address: �(Z 3 coo i NA CT. &l., 0- i 6 G ,lrq C H FL Owner of Property: PAU4 {. REQU - ttdM F 241-$6DS Address: 1473 Co[i NA CT. d T L.wr e ?EACH Telephone: cele- 7o7- 8531 Legal Description: Block Number: Lot Number: 3/ Zoning District: Siding Contractor: SELF- Contractor's ELFContractor's Address: Telephone: Fax: Describe proposed use and work to be done: g s ib c i{m"S E o i*r K 14A A Di E 6w4RD ezgu,g 5%Dian. PUT &#4 AIEk) I°T. CoRWEA >id PAAA!S Present use of land or building(s): .S i AJ 4 LE r.'4m iL Y Q cr`Si D EN cE Valuation of proposed construction: $ /61 DOo. 0 0 Is approval of Homeowner's Association or other private entity required? AIp If yes,please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Provide detailed information of product being used and how it is to be attached,i.e.,fasteners,etc. 2. Provide completed Owner's Authorization Form if applicant is other than property owner. Address and contact information of person to receive all correspondence regarding this application(please print). Name: 6/L /. I 7Ei CZ Mailing Address: /173 Coi lwl C7; 774R0T!4- t&ACM Fin . 32-2-33 Telephone: 7 0 7 - Ss3/ E-Mail: Glc' 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that all information provid d wit s a lica onus orrect. Signature of Owner: Date: �'�/�• 0 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this day of /V L y 12004 State of Florida,County of Duval Notary's Signature: ':v'rMichael].8rown i-► rsonally known ' :; MY COMMISSION N DD366447 WWd" ,:a= November 13,2008 ❑ Produced Identification` BONDED TM TROY FAIN NKURAHM MIC Type of Identification Produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 120 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced Identification Type of Identification Produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •bttp://www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner ofyour property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licenaed contractor. Telephone the building Division(:247-5820f in doubt. tr I hereby ackn w4lee t I ve read and understand all the above on this 2_Day of, . IgZ3. CT. 6- is &4C# Irl- Owner Builder Signature Address He E E2 2 SOS" Horr1E 707- 801 cE�G Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared to me well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this day o , to atAi;iantic each_ County and State aforesaid. NOT PUBI j+� T�.OF FL ti Michael].Brown //erll F` � r MY COMMISSION# DDUW7 EXPIRES Print Name: November 1i 2008 . HCS BONDED THRUTROY FAIN RiSURANCE NIC MY COMMISSION EXPIRES: ,FkPersonally Known ❑Identification: NOTICE OF COMMENCEMENT State of -'LLM b 4 Tax Folio No. County of D V V#-1 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 39 - 9 N ©$-09 ^ ZS -19 E Sc+ja 061& OX4 Vote, "+ 31 Address of property being improved: yil S CG 1146. C-o,►t'f' 1c •t, lack L *F General description of improvements: (x.11 +%' A VE "40ifC 4 P W t k W f 104L.rG fc, S(a Owner: NO Address: ict-13 601,,,L Comet Owner's interest in site of the improvement: Ice S Fee Simple Titleholder(if other than owner): 0 t At Name: Contractor: Am Ak Address: Lit "ab w o.J1- LA4kC Z•1 Telephone No.: j qt)y J $bo-b 30 Z Fax No: Surety(if any) c _ Doc#2006272024,OR BK 13436 Page 417, Address: Number Pages:1 _ Filed&Recorded 06/03/2006 at 03:39 PM, Telephone No: Fax Ni JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name and address of any person malting a loan for the construction o RECORDING$10.00 Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: N Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: t+ Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: / �" Date: !�,Va �o Before me this r day of t in the County of Duval,State 516 Of Florida,has personally appeared L Ptrcz Michgel7.&ownply��r W366 7 E)IPW Notary Public at Large,State of Fl ida,Counlyof Duval. NdV8111b9r 13y ZDIliB My commiecinn fres: //�/ �,�o eor�tw0UWFrwratw� MuC �efsonallyKno or 1'�r�dentification• f, Ho(4SE HA-5 ( X10 U6:lrriCAsE'NT. Z, I'HE,(LE A 245: IJC4,KEg-o0 5 djee45' or 2o7' sf'EciAzL Y t4T' He C0,2 ti1E25AdOD SOME TYRE ©F Ozo�ON F'i 4ec>" 5 4472 Mt- E4s'&c HE c- �. I GA�f/ ►-s j� Re Mo V E cx j S-"i."I C7 S;Di -xi w 44 r 2C 9v?r4E AJC iAjSpEcr 4AAo Re,&-14cE 5Hr14T.,Y; ./C? ,gS ofE.CESS,19"I CovE2 W fTI� ('$� TARPAPE,2� R�Si�E GJ►�-� 5�6"X SIGN FAMES' �lff�'E PR-OP,4 Cr-5 " kAAD i E Pl-R.uK 4rlr PosEip 4� /z4 TO LAJ ERT41F2, r-Au 4 9 A I-L sc9M.5 _ qA o t[T S) 14 NO Pl tv? : . ,S �R,2D!� P�R.tJ,k' w ic,c 8� FR.sr EalEa ', �y 3�inlD �1J,�tici,Jl� ►.c -rO WAf- VAV ZC-D D' i,q6 /YR1 GS UJIWAFFLE t)6,9D, ^o : l uD A.10 4,V ( oVR4i t,4OL-67 F'�R.�i,04; �El'ic;or 15)(iSTi IJla 2 X'cl CE7DI44 COAA1 E2 qNO W .0 Do wc..� .4NO ►QE> AGE ul(,T1f P2Ess u R E T(2E f'ep 2)C q er Ey �EFoIzG i�ls�c�f�`?`i onl. ' 7 �2 ^iE(411 A6 l�. ASN%x/!S W.s 7){Gy 42.E` 6')(i°©.sE 7>, 2x(o FRAME L.VAI;c S 3 yq I X1© GE�AQ iso �'�RP,ap�2 9A 1) p� l AJC tjbR_i 2oN A :51 D;m 6iF H I 6 /z" EXPO s G AFP�D t� � Mini. /6 O.C. R&C)6 4AP 41'N/E w4F- po.ssjae-E, cAa�x A" COD 14,00 Sir' �JbP 4T S s=4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000889 Date 7/02/08 Property Address . . . . . . 1973 COLINA CT Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc WIRE POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PEREZ HABITAT ELECTRICAL CONTRACTORS 1973 COLINA COURT 1628 HAMMOCK CIRCLE WEST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 247-2126 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/29/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 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 08_ � � "- i 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 st OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY YES PERMIT M d V rm 4.NAME: S.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 7 NAME OF,OMPAN : 8.ADDRESS.: Q; 9.$7pT OF- I 1 ICEN�SE NO: 10.CELL PHON v 11 FAX,a.^ q& C 12.EpAAI��AD� S�+ Qtr . ^i� • 13.OFFICE PHONE 14. 11��_77 CCLLcnm 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mon at any time after�w{J(Qrk is mmenced. CONTRACTORS SIGNATURE: `i Kz , ., ❑MULTI FAMILY-#OF UNITS: RESIDENTIAL SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR w �z '� - ❑ALTERATION ❑SIGN 'VOLD ❑NEW 13'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER. p q j°§'' f-0fi,� °{ "°°-' #,�ays:.. ,� `a%°�Z. d;, a.. .,.: :o✓"<, ,,, °fit tiFm X .y gas&., ESsas"X�,`yy p$ �` fj S� 20.TYPE OF SERVICE: ❑OVERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON [3 POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24,EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29.31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: =f,.<Y,fier.u,e �"'a" <Y,�' t. .sx G,�.n°e r ✓D>,r1 adv lf,'f a' `fz 69 #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 600V: NUMBER: KVA: DESCRIBE IN DETAIL: COAB FORM BLDG02:REVISED:1/10/2008 Tropical Enclosures Inc 2479241 P. 1 NOTICE OF CONRIl fENCEMENT State of o P Tax Folio No. County of17 udAm- To Whom It May Concern: �7 �✓'��% ��/ �L�[ The undersigned hereby informs you that improvements will be made to certain real7propaty7 ,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: i?/ : z t.'� ! :elm R l./U'vy, " Address of property being improved: C D`JLr A-^-*+I t'r c 'RSACAi, General description of improvements: ��cC +"�,.�-t+r•.I r.l G - �: S�?► Er<u.s�� Owner: 'eA-u- r--'XV2 Address: t9?3 C.ot.tlla. 0040-0- IsrcA4'"c ?--At*Q;0-.rZ7j3 Owner's interest in site of the improvement: Fee Simple Titleholder(ifotherthan owner): MP "'LiName: contractor 14e,. htc.,Jsoiat "L"i?ori'c./ka c"-r1C.wS. s 1 Address: ��` 72 i�, ►►/.rxtP��i�, .yTIL ,�•Yf/,_L .3 3 Telephone No../: �� /- ZZ Fax No: 01.2.!C 2 V/ Surety(if any) tt A Address: Amount of Bond S Q r Telephone No: Fax No: _ Doc a 2008M-191,OR SK 14453 PageNumrC97, Name and address of an n malar a loan for the construction of the Filed&v Pages:t Y 1� $ Filed 8 Retarded 04,'092OUB at 10:22 AM. .iIM FULLER CLERK CIRCUIT COURT OL'VAL Name: COUNTY Address: RECORDING S10.00 Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: 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 Section 713.06(2)(bl Florida Statues Fil` at I sio 076G. Name: /�Jn Address: 2-V1 Z MEWPIM 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 is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date:�;3►ti Before me this 12:0- day of in the County of Duval,State Of Florida,has personally appeared Notary Public at Largc,State of Florida,County of Duval. IMljf d�� My commission expires: jA4� '8. 201 O Ce�iMMr Persortally Known: ✓ or COraalWOa S Produced Identification:�_Layic La— v i Pe4s r`' ✓ }�j CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Vis,!>r INSPECTION EMAIL REQUEST: Building-depta coab.us Application Number . . . . . 07-00001180 Date 12/18/07 Property Address . . . . . 1973 COLINA CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc COVERED PORCH W/ CONCRETE SLAB ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PEREZ OWNER 1973 COLINA COURT ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc WIRE FOR ROOM ADDITION Sub Contractor BILL THOMPSON ELECTRIC CO, INC Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/15/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPTQCOAB.US ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT 1S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH _ I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPTcCiCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY !.-JOB ADDRESS: 6". ,El.._-•; r 9`.m . '. 2rI&THIS"ASUBPER,MII`T�,`''`!'fr�..,rlNQ.�H.a�uf�.`'-.. a. 3'DATEX!;¢' A��a�ntic h FL 32233 ONO EES PERMIT#: PROPERTY OWNER:. „aa,, iY _. ...:. 4.NAME. 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: -L7 a..�.._,......r.,v. •-.�r � e s.,oi`a�t. ..F.33�.et�..a.�?,'o�9�i tl°�3ue��fir�°�i.Rxlf EI.E,ri.�RlCi�l:'t'iON.�R�Ci:��G�5 . . ••e n . x I 7.NAME QF COMP '� C4 ATE �� 8.ADDRESS,*_pNAVA 9.STOF FLORIDA LICENS NO: �� 10.CELL PHONE: 11.FAX NO.:y,�o c A 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. G `•JLINv� ITDC�,cn -�vlvGi 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 rk is commenced. CONTRACTORS SIGNATURE: €.16.CLASS OF WORK:` 17"SERVICE:s00,1 MFfl)369s stl I f l e�8:s71IIETEF2 l7MB :IIS 691�G all w li' ❑ MULTI FAMILY-#OF UNITS: 56ILRESIDENTIAL ❑ SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL 50CADDITION ❑TRAILOR 19.BUILDING ,:..i.:�x,...+,„ i:,... aa,e; 19.CURRENT;CODE,c..,! ❑ALTERATION ❑ SIGN 5zOLD ❑ NEW '05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL/SPA ❑ REWIRE ❑ OTHER: C EU EIEC, p�C L WOppK pg g�,�y+.d �qq�i� g k t1li t.,,i,fi}ie t e...�N.•:t,.4tTS" ,4i i7gi 4 u .viii, .. ziw ; {,dEilililtlkill;�ii!it�i 1: 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPICITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: ISO PH: W: _ VOLT:o?,�0 RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT& M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS:__7_ 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: _ 31-100 AMPS: OVER 100 AMPS: ..;a;tx,ath ini." i�;.1.,.i,.+,32.WRCONDITIO_NING;a%Mi_1a1°aNld #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: '0111d'Ik`s ?c116€6Tk1Pe9Is@d?s 91P133drMOTORS: I . �II.. . i. NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: Eii;,34:rTRANSFO.RMER �11111ud1611a1111g111a3113n1111iId621'101i11�9i3�Eslk�is�l�E:�NV"lid 108DW UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: a a tsr,' .,i i s 35:~MISCELANEOUSIREPAIRS';uMI*1I1 I i DESCRIBE IN DETA ep, COAB FORM BLDG02:REVISED:8/13/2007 CITY OF ATLANTIC BEACH a 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000029 Date 1/27/09 Property Address . . . . . . 1973 COLINA CT Application type description REINSPECTION FEE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc failed inspection 010809 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PEREZ TROPICAL ENCLOSURES INC. 1973 COLINA COURT 2072 MAYPORT ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-2298 ---------------------------------------------------------------------------- Permit . . . . . . REINSPECTION FEE Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/27/09 ---------------------------------------------------------------------------- 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. HP Offlcejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information SystemsCITY O 904-247-5845 Jan 09 2009 10:26AM Last Transaction Date Time Type Identification Duration Pages Result Jan 9 10:25AM Fax Sent 92479241 0:51 3 OK b 0 °1 ` BP502IO2 CITY OF ATLANTIC BEACH 1/09/09 Inspection Inquiry - Results Comments 10:22 : 08 RE number . . . . . . . . 169506-1062- - Property address . . . . . . 1973 COLINA CT Appl, structure nbr . . . . . 08 00000454 000 000 Permit type, seq nbr . . . . BLDG 00 BUILDING PERMIT Inspection type, seq nbr 16 0002 BD CERTIFICATE OF COMPLETION Inspection status, date INSPECTION COMPLETED 1/09/09 Inspection Results Comments 1 . Cable brace at flat bar connection missing a tap-con at the slab. 2 . 2x2 large angle in 2 different places in the post to slab connection has head broke off of the tapcons. 3. Cable brace on the end wall not installed in the location approved per the engineer drawing. Bottom Press Enter to continue. F3=Exit F12=Cancel i I NOTICE OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted, o r-, . i. r i $35.00 REINSPECT FEE 0 NO CHARGE It is unlawful for any Carpenter, Contractor, Builder or other " persons, to cover to cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have BLDG been made contact the Building Dept. EIEC at 247-5826 for an inspection. Office MECH��T� hours are Monday through Friday PLMG 8:00 a.m.to 5:00 p.m. PREPARED 1/07/09, 16:19:17 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 1/08/09 ------------------------ ------------ ---- --------------------------- - ADDRESS : 1973 COLINA CT SUBDIV: V CONTRACTOR TROPICAL ENCLOSURES INC. PHONE (904) 241-2298 OWNER PEREZ PHONE PARCEL 169506-1062- - APPL NUMBER: 08-00000454 RESIDENTIAL ADDITION/ALTERATION ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------- _ 10 01 5/14/08 MJ BD FOOTING TIME: 17:00 5/14/08 DP -need am* pls call prior to inspection Kevin 591 5311 , Missing #3 bar @ 18in. on center perpendicular to the #5 bars in footer. DP $35. 10 02 5/15/08 MJ BD FOOTING TIME: 17:00 5/15/08 AP Kevin 591 5311 needs am 17 01 5/21/08 MJ BD ROOF SHEATHING TIME: 17:00 5/21/08 AP lintel lois 241 2298 16 01 10/31/08 MJ BD CERTIFICATE OF COMPLETION TIME: 17:00 10/31/08 DA pool enclosure final David 241-2298 No plans on site. 16 02 1/08/09MJ /'�� BD CERTIFICATE OF COMPLETION TIME: 17:00 �,J requested reinspection - screen enclosure Louis 241-2298. Owner lost orig. plans. Copied AB file copy to take with inspection -------------------------------------- COMMENTS AND NOTES -------------------------------------- rcoot Layout tusiomee:PEREZ L�/ .' �A�� W'e% Scale:3/32"= f' 7 or oor 1,A1A•1,. ^� i 3)e0 (32 0•x21.30.321.3 D'3t 21'&x )758.533 ) -.118 (35:B• 1 a•32rx h^327.3 I a•321^t + •018•: � •o•t,s•: t2t)88-a ) (23) 0321`3 QQotzri n2t•t ot18s' a:Nii lipv 04 27'3 0't 21.3 0'x 21.3 0•t in 0'#18'3 • 51 i ( 2)98-0 ( 1 (14) PAP Wo to 0't 27't 0.327.3 0'321'# 0'318'3 3 2x3 OU- WO 0•22 - O't2t'3 `n2iY mAlmk.. 01t183' 1 Bi 2 f,!3 �!v Bd 4 0R 5 B#6 (1)�—y-- Two (3i 88- _ 4 718 ( 1,8 U'321.3 a•32,•x 01321.3 O.3,8'3 0.318'3 C® Py DO YEDN K01.).E,:)y FLA. LIC_ NUMBS; ' 457 CA. 026 887 co� CO KIM .lS►SSOC., LLC y P.O. BOX 10039 TAMPA, FL 3367_.9 (813) 874-5900 vvan Layout Customer:PEREZ Scale:3/3Z'= 1' ,44-0" I" 144-0' 144 �x2 (z,) la) (v) 77-0 78-0 70-0 7" 7 7 C\ (1) (2) P) (4) 77-0 70-0. 7B-0 1 700 7B0 7&0 24L 0'7-m , 0.0-0' , 6 Ur 0.60' , 0'60' 40'0-T Wd fB) 1924 %62-0 180-0",444Y ,2(z4) ("I-0 0240 02-0 Zig Zx� 21 S Lw a2-0 82-0 820 e20 B2-0 L+Z "6-" v . 7'6-0" i 7'0-0" i 7'DW 35'W Wd rct �xZ nn ZXS �S 2�f 2�S �'� ►%L (�rj� 1XV (14) (1]) (14) (15) 76-0 7" 7" 7" 78-0 77-0 �V ea(L ,YZ 6'84r 0 8-0' 6'80' i 8 7-T 40.0-0• - Wd f Dl ?''b FLA. LI MCiM_ R 41614 CA- # 26887 DO KIM $,,ASSOC LLC P'.0. BCX 10039 TAMPA, FL 33679 (8-13) $?e!_6cgo0 ��co;,QrtutC�iK�laa �iitG. 2072 Mayport Rd. Atlantic Bch., FL 32233 3D VIEW Cage Mister 2000 CopyPight 1991-1999 Wilson Software Corp.Englewood,Florida 03-31-2008 Customer : PEREZ I - --- --------- 8 0, DO PEON - FLA. LIC., NUM 4 0 CA.W. 2t -l•�r DO KIM 8r ASSOC-, LLC- P.O. B:OX 10039 TAMPA, FL 33679 (813) 874-5900 . DEPARTMENT BUILDING ,. CITY OF ATLANTIC BEACH LOCATION INFO PERMIT INFORMATION A d��: 19'�3 COLINA COURT r it Number: 17639 AT�,AI'�T�O BEACH P FLORIDA 32233 rerMit Type:ELZCTRICAL -� LEGAL DESCRIPTION , -�.�,----_-- l ass.. ref Work:ALTERATION Bl rick:� Lot : Twp. 0 cons t> . 'Type:WOOD ,FRAME Section. 0 Subd� Rnq� 0 proposed Use: SINGLE FAMILY subdi:vi tion: Dwellings: O Est . Value3 0 .00 Improv. Lost: 0 .,00 Total Fees*- 4 25 00 Amount, Fal. y 25 At? to F, . r s I AFPL� ATIC3i4I FEES wW�».,» day 25.00 �lCCt4 CSC;~�" ». y 17, y E � � OP.IDA 3223 hone. ,k wad . CON �. ATION MADE' L I C ERVI CE iI Or RIDA 32245w ,IA,CKSONV I L L 7Exp: 3S," 3. SY"IUrnMvk.h'SeY�".,ae.nv.M -.e ,tr ., . I NC)TES.' f NOTICE - INSPECTIONS-MUST BE REQUESTED AT:LE--A:ST24 HOURS}URS PRIOR TO iNSPECTiON BUILDING MATERIAL, RUBBISH AND DEBRIS SROM THIS WORK MUST NOT BE"PL„ ►CI<D`1N PUBLIC SPACE, AND MUST BE CLEARED'UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE T4 COMPLY WITH THS MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTYOWNER PAYING TWICE FOR SUILDING IMPROVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC ATIONS FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CCC 1517 �4' r CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. .19efq IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. "k6 c '5-� , q/rq��- ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME G ��C1e. ��'�/�V ADDRESS: N2. RFD BOX BLDG.SIZE BETWEEN: RES.(/) APT.( ) comm.( ) PUBLIC ( ) INDUS. ( ) NEW( ! OLD ( 1 REW.( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ► SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS MAP SHOWING SURVEY OF LOT 31 , SELVA NORTE' UNIT ONE, AS RECORDED IN PLAT BOOK 39 , PAGES 94 , 94A AND 94B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. f FG�4 : �.x �` M. Co,�ST,PUCTio.�✓ C'oMt'��'✓Y o do IS19.49 a 3N 0 1-4) 0i FcPri.5. ,•/. 8 9'08' �o"E. -- /35.Co47 �o 24.3 P� ^ e$ `1''p � ' • • oRy �s� a z pry / /s, 73 IA fr A 4A all A T :r. w� o 1,1¢1973 " 0Q yv I Q J P c(iEcts/4N4 l 10, �e I 0 Z `r W w a � L o T 3o Q IIlk- g Ife�o �".,te.✓ T�/is is .o souvo.4Qy sv,PciEY. T;!/S FL 000 .AREAS E E(/.4T/o.�/'�' S�.L�wN T�/!/S••//7 Q� REFER To � �� .�4T.r; 0.4TG/N( >a s�o..,. �.ssr�o �c�.P�L�.-,erao.✓. 1 hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors,pursuant H. A. DURDEN to Section 472.07 Florida Statutes. L` & ASSOCIATES -11141C. LAND r,aereransu uwvevow No./6 iu►. SURVEYORS Poet office Box 50870 SIGNED IS 830 Beech Boulevard Jacksonville Beach,Florida 32280 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT Is EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. icy 4 INSPECTION LOG JOB ADDRESS CONTRACTOR OWNER BUILDING PERMIT ELECTRICAL PERMIT PLUMBING PERMIT TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .E.A. Temp Pole Footing Slab opk Framing Plumbing (R) Electrical (R) Mechanical Fireplace( Top out �- 3 Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued COPINENTS : , v = y . CITY OF � t 716 OCEAN BOULEVARD P.O.BOX 26 �- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 November 7, 1985 Pre-Service 233 West Duval Street Jacksonville, Florida 32202 The follaaing final inspection has been made and is satisfactory: Permit 1,E4826 - 1099 Cornell Lane Permit issued to Able Electric Company. Permit Yf4471 - 1973 Colina Court Permit issued to Ferris Electric Coupany Sincerely, r ' i Rene' Angers Inspection Supervisor I era pEcl�► d' L;Lvd C,oLt,Ja. coU,�7_ _ i _.4.. ,L ,& 1 J AA BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 52238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, il, III, and IV. I' "11'3 Com LOCATION Street Address: OF Intersecting Streets: Between4 rZ= —j7 And C OLt lU/4 L G BUILDING S wok K)OIZT Sub-division II. IDENTIFICATION-To be completed by all applicants In consideration of permit given for doing the work as.described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical Contractors Contractor (Print) -r- Mater MK4Z -7'%`)6 Name y Pro paety Owner v Siye�tun of Owner Signature of er Au#horioAgent r.._.. Architect or Engineer A' Type of Mating fool: E3. IS OTHER CONSTRUCTION BEING DONE ON ! XElectric THIS BUILDING OR SITE? !j O Ga-0 LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q OS PERMIT ❑ Other— Specify v IV. MIC AN CAL,GOUIPMiNT TO RE INSTALLED NATURE OF WORK (Provide complete list of components on bad of this form) Residential or ❑ Commercial Haat ❑ Span ❑ Reeaewd X Central O Boor New Building �I Air Condrtissninq: C3 Room 6( Control ( 13g ExistinBuilding pa Oecf mefenalb�a« TI►id� I �❑ Replacement of existing system ✓ pQ New Installation(No system previously lnst4,W Maximum capacity e.f.rn. r Q R#frigerotioe ❑ Extension or add-on to existing system , ❑ Other— Specify Q Cooling towari Capacity q.p.ra. Q Piro sprinkles: Number of heap ❑ Ebvefor ❑; Menlift ❑ Escalate r (number) THIS SPACE POR OFFICE USE 014ILY EY Gasoline pump (number) IR•e•a~•d1 C). Tank, (number) Remarks Or LPG containers (number) C] Unfirsd p ossan vaster Q Sailers Permit /Approved by ,13 Qther — Specify Permit 8T ALL EQUIPMENT it t qNKno "ML AM ItPFR GUA.TION IEQ[7WMENT qq llriatdt'bai+t�lr' Dworlption >1[odel XuRsber Sttuft>laroburar y GOA"Q VOL � DEPARTMENT OF BUILDING 7 0 CITY OF.ATLANTIC BEACH,FLORIDA PERMIT No. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date ltril 25, 19 c5 46•00 T 6640CY,T Valuation$ PTIMRMC Fee$ 66.00 1 156 1 A 5/10/13i 675U *00CAC; This permit not valid until above fee has been paid to City Treasurer,and is ( '5C 1 °A 5/1 Q/ subject to revocation for violation of applicable provisions of law. 1000 This is to certify that F.W- FAIR has permission to*kId TALC T�Ll -RIdRTNC Classification WSUiIAL Zone Owned by GO CONSMJ(TION Lot Block S/D House No. 1973 MUM COMM According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE — 10 4 D O Building material,rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractOZ''or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH / APPLICATION FOR PLUMBING= PERMIT DATE: 5-10-85 ' JOB LOCATION 1973 Colina Court PLUMBING CONTRACTOR F. W. Fair Plumbing Company LICENSE NUMBERS RF0037503 MP145 OWNER G. & Construction Company BUILDING CONTRACTOR G & M CONSTRUCTION COMPANY TYPE OF BUILDING DWELLING BP#6670 1 SINKS _SHOWERS 4_ LAVATORY _WATER HEATERS 2 BATH TUBS `DISHWASHERS URINALS __2iDISPOSALS 3 CLOSETS 1 WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT ib INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . DEPARTMENT OF BUILDING 6 51 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB t�[1• 11� S � �ctl•i�C�GKT Date April 25, 19 85 "74 6/[16/8 Valuation$ AEfHANTCAT. Fee$ 40'00 ' 7J 1 9011TAC P7 4U 1 I6/ea/nnut This permit not valid until above fee has been paid to City Treasurer,and is is subject to revocation for violation of applicable provisions of law. This is to certify that O(�ANS'I M I•EATMG fi. ATR 0001TIUMIC_ has permission to kkid 1=- Al 7 I&AT & j1 Classification RESIIEMTAI. Zone Owned by C,.C?tcassmMm Lot Block S/D House No. 1973 COLINA COURT According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE 4--00 4 1-0. O Building material, rubbish and debris izq from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractoror owner. A. x` I i Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER WATER Ate. CITY OF ATLANTIC BEACH, FLORIDA Approved sY APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: I 19-elf 00" IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. a&--u,s c- re ELECTRICAL FIRM: MASTER ELECTRICI AURE J�:,/JOURNEYMAN NAM 11"� �,,(� ADORES L G�FD BOX BLDG.SIZE BETWEEN: RES.t-l' AFT. ( 1 COMM.( 1 PUBLIC( ) INDUS.1 1 NEWt-1' OLD( ► REW.( ) ADDITION 1 ) TRAILER 1 ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW M-' INCREASE 1 1 REPAIR 1 1 FEE CONDUCTOR SIZE o AMPS 0.60 COPPER ALUM. SWITCH OR BREAKER AMPS PH 7W LT MU RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31.700 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CE1L HEAT: KW-HEAT c-1 OVER MOTORS �� H.P. - VOLTAGE RHS •S -NO. AP. �4 ;r MISCELLANEOUS ww� .w�.ww ..ww •.�.w..w www.• A\/CA.wM\/ . i I DEPARTMENT OF BUILDING . 62 7 C CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. ( J [, PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date APS 25, 19 85 IU4975 T � j Valuation$ 107,819 00 Fee$ 38(I,�� 7bB ( G 5/03/0 6762 40CA This permit not valid until above fee has been paid to City Treasurer,and is 755 1 5/93/0 subject to revocation for violation of applicable provisions of law. nua This is to certify that G6M 00MMUIM has permission to build i nullF,,gdly Um n Classification residmtia.1 Zone Owned by G&M QQN =IW Lot 31 Block SAD House No. 1973 OOLINA. ©Dt ' t According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE /-- 10 `� No 0 Building material, rubbish and debris -zi from this work must not be placed in public space, and must be cleared up .an hauled away by either co " trajetbjr or owner., Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER i WATER MECHANICAL PERMIT# ADDRESS PLUMBING PERMIT BUILDING PERMIT WORKSHEET ELECTRIC PERMIT TEMPORARY ELECT. }leated Square Footage S'lD @ $ per sq ft = $�� Q. dd Garage/Shed @ $� U per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ y _per sq ft = $ L3c> - Deck @ $ per sq ft = $ ' Patio /J @ $_ _Jper sq ft = $ TOTAL VALUATION $ � ©O Total Valuation Data 1st $ r 4 U, d()0 , Remainder Valuation @ $ / ., per thousand or portion thereof TOTAL BUILDING FEE $ 7 �� + 2 FILING FEE $ 02 .3 -a J FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ ----------------------- ---------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TE14PORARY $ ELECTRICAL PERMIT $ [WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) kPPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ � -SJ TOTAL WATER METER CHARGE $ � � TOTAL SEWER IMPACT FEES A P q r; n v r n TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES C? GRAND TOTAL DUE: $ �' A P n • GiTYAC'rt' 7 r) PLUMBING WORKSHEET SINKS SHOWERS ( DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS ! DISPOSALS , LAVATORY — URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT) 14ATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ('� UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (i UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DO'-STIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) _ KITCHEN SINK/WASTE GRINDER (3 UNITS) 90. TOTAL FIXTURE LNITS @ $10._00 EACH CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR WATER CUT-INS L/ Application is hereby made for one water cut-in at the following address for lr`�7 units . Cut-In charge of / 0 - 6r6 has been paid. Street Number l,' 3 ` Lot �_5/ Block Subdivision Account Number ff Building Department Meter Number Date Installed -------------------------------------------------------------------- APPLICATION FOR SEWER CUT-INS Account Number Street Number Lot Block Subdivision Owner Type of Building Building Department Date Inspected by -------------------------------------------------------------------- NOTES : ow �Hw� �ilrv�l�1 - -...- -- 1191 aN VA"95i o _ ov -No Date........... .. .................1! ...... Permit*----------------------Fee i..._._.............. CITY OF ATLANTIC BEACH ValuationiV� 4..............................._.........._....... FLORIDA $� -.�...-M ................. ... ..... . r APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application Is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida,all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that lieenses can be verified. Data....... 's� � � 2 .................. is ... .............................Address..............................._---------------------------Telephone No.._f::::�..._....... Architect......c-.....-.!'........ .Addreas......... ...... ........,. ......_.......-•----.......,Telephone No............................. Contractor Builds .�!.1` `� i�... .... ..........Address... . `?�JQ.....Telephone No.. �..��?.7... ..t. { - -... .. 1 Lot No......... . ..........................••-•-•..Block No....."F---•---......Sub Diviaion....: .).c�!5. ! $n� .......----------•---....................UrA..°:. ........ ..................................... ..•..-.....Street Side Between...........................................................and...........7!!7::= »..........116L Valuation $1-.1 !d P-9?...._For haft tpurpose will building be used..��5.:.Qe"x..........Type of construction...FL&m. 1.............. Dimensions of Building ?-.` � VU913-_Dimensions of ...f(�-r..............sire of Footings...... ............. Bite of Piers.......................Size of Bills........... ..........Greatest Sill Span in ft...._r- -.....Type Root.S-Z. i.. .... �.... Now will Building be Heated?kA �._�..kK-. ..... .......Will Buildin be on Solid or Filled Groundl....Svl. ?........ ..._.._... Bice of Ceiling Joists.....Z .......................... Distance on Centers.......... ..............., Greatest Span-.......1tO ........... .... " Sia.of Floor Joists...... I.............................Distance on Centers...... ` .�....................---•-• Greaten Span f..... 'd.............. . " Kiss of Rafters.........,).(t..................................Distance on Centers a._ It ....., Greatest Span........12�t'_ . This rectangle is to represent the lot Locate the building or buildings In the right position. Give distance In feet tram all lot-lines and existing buildings. REAR LOT LINE Two copin of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. L When steel is in place and ready to pour columns mWor lintel. �` °� � i � V , ":ACr1 3. When steel L in place and ready to pour beam. � �°� �_� c 4. When framing is completed. 5. When rough plumbing to completed,and ready to cover up. ,', `5 6. When septic tank drain field or sewer is laid but before it is covered. q 7. Electrical inspection by City of Jacksonville. a'3 S. Final Inspection. Note: In case of any refection,re-inspection MUST be called for rafter oorrections are made. FRONT OF LOT In consideration given for of the work as described in the above statement, we hereby agree to perform said work In aoco with th t ed p and specifications, which ars a part hereof, and in swordaace-with the building regulations of the ty of A c e Signature of Buil ........ ................ ... Address......1.1,I...... ..�.t`.......................................... Signatureof owner........................ ..................................................... Address.................................................................................................... FORM 900-IA-84 CLIMATE ZONES 1 2 3 WINTER SUMMER OR AREA SGL DBL WOF GROSS OR AREA SINGLE DOUBLE SOF GROSS (9F) WINTERCLR TINT CLR TINT (9F) SUMMER POINTS POINTS N XS C4 157.4 2 (p(-d , Z N jSq 146 123 12 101 JtOCI f 6cS NE 157.4 120.8 NE 221 186 190 159 V, E 157.4 20. 3 E 289 242,11-f5_1 209fq I j2 ,S SE 157.4 120.8 SE 261 219 226 189 a S 2 157.4 120.8 1 Zoo- S 190 160 160 134 ai SW 157.4 120.8 SW 261 219 226 189 C W 1 157.4 120. W Z 289 242 51 209 N NW 157.4 120.8 NW 221 186 190 .159 aN H 46.4 79.3 H 489 408 432 360 J W J U Z F- O Z O O H= HORIZONTAL GLASS(SKYLIGHTS). FOR SC OTHER THAN 0.83 SEE SEC.902.2(a)5.TINT MOLT.MAY USED FOR GLASS WITH SOLAR SCREENS FILM OR TINT. TOTAL GROSS WINTER POINTS U 1 Z TOTAL GROSS SUMMER POINTS 44j: -410- R=4.2-4.9 1.145-61589, R=4.2-4.9 1.14 �J R=5.0-6.6 1.12 R=5.0-6.6 1.12 >> R=6.7&UP 1.09 R=6.7&UP 1.09 DUCTS IN CONDI- ,,rr DUCTS IN CONDI- 114�j TIONED SPACE t 1.00 `40e, CONDI- TIONED SPACE b c 1.00 'rbS HSM FROM 9G OQ S 7. x3'1 .Z'ZI.O CSM FROM 9H t6f&KC .Z x DIVIDE BY DIVIDE BY CONDITIONED221 _ �c.j6 15 CONDITIONED C.l(gj,�, . `( FLOOR AREA ! WINTER POINTS FLOOR AREA - SUMMER POINTS CALC"ULATE ENERGYPERE RMANCE INDEX WINTER SUMMER HOT WATER E.P.I. ADJUSTMENT ADJUSTED CREDIT PTS. PENALTY CALCULATED POINTS POINTS PTS. 91 SUBTOTAL MULTI. 913E.P.I. 9C+ 9D PTS. 9E E.P.I. S. t + S4. c _ D _ +ct�Zx [,'lel 6 - 12- + 7S _ `Apt ' THE CALCULATED E.P.I.MUST BE EQUAL TO OR LESS THAN 100 POINTS. go ADJUS T MULTIPLIERS CONDITIONED 901- 1101- 1301- 1501- 1701- 1901- 2101- FLOOR AREA(SQ.FT.) 0-.900 1100 1300 1500 17001900 2100 2300 ABOVE ADJUSTMENT 1.21 1.25 1.31 1.36 1.42 1.49 1.57 1.651.74 MULTIPLIER 3 RESIDENTIAL CALCULATION FORM 900-A-84 CLIMATE ZONES 1 2 3 COMPONENT WINTER GROSS SUMMER GROSS WINTER SUMMER AREA x WPM = POINTS AREA x SPM = POINTS R 0-2.6 31.4 16.2 R 2.7-3.9 19.3 11.5 CONCRETE R 4.0-5.9 15.6 9'9 co R6.0&UP 13.1 9.2 -1 R 0-10.9 26.1 20.0 Q FRAME 3 OR R 11.0-18.9 7.8 9.2 BRICK R 19-25.9 4.9 5.6 VENEER R 26&UP 3.6 4.2 COMMON 7.8 2.5 WOOD OR METAL 247.7 36.4 It INSULATED 235.5 14.5 O STORM DOOR 124.4 29.0 p COMMON 61.9 4.5 R 19-21.9 5.0 5.5 UNDER R 22-29.9 4.1 5.0 ATTIC R 30&UP Z 3.3 3.7 2 O R 6-7.9 14.2 14.9 Z =l R 8-9.9 10.9 11.3 V W SINGLE R 10-11.9 9.2 9.5 ASSEMBLY R 12-18.9 6.7 7.0 NO ATTIC R 19-21.9 5.0 5.5 COMMON 4.8 1.5 v R 0-6.9 15.5 4.8 a R 7-10.9 6.5 2.1 w WOOD R 11-18.9 5.6 1.8 Q W R19&UP 4.0 1.3 Z �0 p R 0-2.9 19.4 6.0 ZO R 3-5.9 12.4 3.7 U'z R 6-10.9 9.3 2.6 ¢ CONCRETE R 11-18.9 6.2 2.2 W R19&UP 4.4 1.6 Q COMMON 4.8 1.5 w EDGE INSULATION PERIMETER WPM co a R 0-2.9 Cj `. 92.7 l R 3-5.9 69.5 z PERIMETER � R6&UP 46.4 2