Permit 372 10th Street CITY OF ATLANTIC BEACH
r j 800 SEMINOLE ROAD
=� =, ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
oil
Application Number . . . . . 10-00000631 Date 5/25/10
Property Address . . . . . . 372 10TH ST
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
-------------------------------------------------------------------------
Application desc
12 x 10 shed
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
MOBLEY GEORGE AND DORIS RBC HOMES, LLC
23 CEDAR VIEW DRIVE 12 PONTE VEDRA CIRCLE
SAVANNAH GA 31410 PONTE VEDRA BCH FL 32082
(912) 897-9552 (904) 591-0360
--------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc 10 X 12 SHED
Permit Fee . . . . 65 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 11/21/10
----------------------------------------------------------------------------
Special Notes and Comments
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
Roll off container company must be on City approved list
and cannot be placed on City right-of-way.
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 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
g BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 372 10th Street Permit Number: ICI-0621
Legal Description L of 3 3 T1 O ck 12 Parcel #
Valuation of Work$ 2Floor Area o q. t. \�Sq F�'t
a`�gyp, Proposed Work heated/cooled non-heated/cooled IZO
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial �R�eside 'If an existing structure,is a fire sprinkler system installed? (Circle one) o N/A
Florida Product Approval#
For multiple products use product approval orm
Describe in detail the type of work to be performed: 9z 114n�g : ga
r p�Atr - Tae
Property Owner Information:
Name: Doris B'ryant Mobley&George Carter Mobley Address: 23 Cedar View Drive
City Savannah State GA Zip 31410 Phone 912-897-9552 or 912-856-0121
E-Mail or Fax#(Optional)dorismobley@live.com
Contractor Information:
Company Name: Tn c i. Qualifying A ent:
Address: c City 49V State Zip_320E'2_
Office Phone , Z f b n Z 6`i Job Site/Contact Number q I 0,3 (_- 1 Fax# 2,,PO p2 6`(
State Certification/Registration# e_ L to 3 9 O g
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and`Address
Bonding Company Name and Address
Mortgage Lender Name and 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 ofa 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 ofsix(6)months at any time after
work is commenced. I understand that separate permits must be secured or Electrical Work, Plumbing, Signs, Wells,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.
1 hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o0 work will be complied with whether sped led herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,sta or local law regulating construction r the performance of construction.
Signature of Owner Signature of Contractor
Doris . o ley
Print Name G. Carter Moble Print Name
Swo nd subscrib be or e Sworn to and subscribed before me
this ay of 20 this Allay of C 20 I U
N to ublic 111 Qt Notary Public
+1 4,��,�� ....
• 06. Revised 01.26.10
S«�•1 j City of Atlantic Beach Em
ER
partment.)
Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
® ment review required Yes No
Pr®party Addre
B
�S Fining Zoning--)
Applicant �r f re trator
ublic Wor
Project: - Public Utilities
u ey
Fire Services
Review fee . Dept S gnatuE
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZON Reviewed by: G%(�(/�'`" Date:
REE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
I
Reviewed by: Date:
Revised 05/14109
MAP SHOWING BOUNDARY SURVEY OF I
LOT 33, BLOCK 12, ACCORDING TO THE PLAT OF "PLAT NO. i SUBDIVISION A ATLANTIC BEACH" AS
RECORDED IN PLAT BOOK 5; PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED T0:
CARTER MOBLEY, DORIS MOBLEY,
OLD REPUBLIC NATIONAI. TITLE INSURANCE COMPANY,
KEITH WATSON' TITLE. SERVICES, INC.
AND THE COASTAL. BANK.
VIOL
NT V N
�tirc..5'r�l�s
N �,F
N A=>-2' 30. 3 9. City of Atlantic Beac
.Inning and Zoning Dep ant
.I 0) Th l val verifies compliancy th applicable
N subdivision and of r local land
�7J2Y ment regulations, but do s not constitute
4j 9. p I for the issuance of permits. Compliance
` it rIda Building Code and all other applicable
L. o T �� O 0 I�c to&a Foer,Qt pt Vitting requirements
! >�lfu be rified by si ature of the City of Atlantic
tia 372 g ���eeeee h Bu' ing O 1 prior to the is an of a
dui g P rmtt.
a , a.
N 0mun eve opment IreCtor
m
a�
D'!o
zG•5-
00
o•/' bZ� �o' ��� /3.7' x
Al, PAD r
-7- �� 0
'4,
x
,.) x
X L. 0 7- 7- �4 I L o '-T !30
P E Y C GENERAL NOYESs n
J RP t. BEARINGS ARE BASED ON /L(oTQPPL/C4�1LE,l7 CAGES Si/OWn/
City of Atlantic Beach y APPLICATION NUMBER
Building Department ��,. — (To be assigned by the Building Department.)
�l800 Seminole Road
Atlantic Beach, Florida 32233-5445 `
Phone (904)247-5826 • Fax(904)247-684 ,
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addre L_X) XFFireServices review required Yes No
Applicant 1 J Q` �Sa
rator
�� X /0 Work
Project:
ReviewDept S gnature
Review or Receipt ®ate
Other Agency Review or Permit Required of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: (Approved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
P WORKS om ents:
`` y Reviewed by: Date:
PUBL SAF TY
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Public Utilities Plan Re%7ievv Comments
Initials.
Date: � I �a��D
3
�� p ST Application Permit#: )o
Project Name/Address:
:Check Bos
Comments to Ai1d
Application Trucking -Comment
ilities• VAS' vertical and horizontal
Avoid damage to underground water/sewer ut
location of utilities. Hand dig if necessary. If field coordination is needed, call ❑
247-5834. ❑
Ensure all meter boxes, sewer cleanouts and valve covers are set to made and
visible. roe 13.ine. Cleanout must be covered 71A sewer cleanout must be installed at the p p m
with an RTI concrete box with metal lid. Cleanoutbe -be bedirrigation wille Set to grade,alld be
A reduced pressure zone backflow preventer m
us redo e or prif essure
is a private well on the property. BacIlow preventer must be ❑
p of the results sent to Public Utilities.
tested by a certified tester and a co y plans cbange, �y fire line installed
plans note the building will be nnsprinlded. If p
must eter
be metered with a Senses touch-readBm -flo properly
re enter must be tested by a
acl
appropriate bacl:low preveo fe-resultser masent to Public Utilities.
certified tester and a coycontact Malcolm Clemons at 247-5839 for
If fire sprinlder system is provided, will re uire double check bacl:low ❑
backflow requirements. At a minimum, q
eventer. ❑
Fire lines must be metered with a Senses touch-,read� a�o�r. Meters larger than?"
Specifications-
-must be installed in a vault as noted'n JE
A
❑
J
❑
City of Atlantic Beach APPLICATION NUMBER
Building Department t:o� v (To be assigned by the Building Department.)
800 Seminole Road
j - Atlantic Beach, Florida 32233-5445 '
Phone (904)247-5826 • Fax(904) 47-584
CUR E-mail: building-dept@coab.us r'; zp1(� Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AN® ACKING FORM
Property Addre Lz- L�o e QepartLment review required Yes No
B "
Applican&r, �9 h��' ning Zoni
~� re trator
Project: �p `G• X /0 ublic Wor
Public Utilities
U e
Fire Services
Review,#ee.�t J DeptyS;ignature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. Denied.
(Circle one.) Comments: C,pt"i-j-
BUILDING
PLANNING &ZONING Reviewed by: Date: J-1-21//Q
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
Reviewed b Date: ,
PUBLIC SAFETY Y�
6
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Yzr„a,�;yJ, City of Atlantic Beach / 9 �` APPLICATION NUMBER
Building Department (To be assigned the Buildi Department.)
t j 800 Seminole Road ��� , /
Atlantic Beach, Florida 32233 , If
O
Phone (904)247-5826 • Fax(914) 47-5845 J� Date routed:
E-mail: building-dept@coab.usAr Ar
City web-site: http://www.coab.us
APPLICATION REVIEW A TRACKING FORM
Property Address: 37L- Department review required Yes No
Building
Applicant: %1"W1200Planning &Zoning
Tree Adrnhistrator
Project: 4L5—ublic Works
Public tilities
Public Safety
Fire Services
Review fee $. Dept Slgnafure
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
p p
St. Johns River Water Management District
Army Corps of Engineers woo,
Division of Hotels and Restaurants011
Division of Alcoholic Beverages and Tobacco go
Other: C,s
APPLICATION STATUS 'I
Reviewing Department First Review: ❑Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
t'
MAP SHOWING BOUNDARY SURVEY OF
LOT 33, BLOCK 12, ACCORDING TO THE PLAT OF "PLAT NO. i SUBDIVISION A ATLANTIC BEACH" AS
RECORDED IN PLAT BOOK 5s, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED T '
CARTER MOBLEY, DORIS MOBLEY,
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY,
KEITH WATSON TITLE. SERVICES, INC.
AND THE COASTAL BANK.
r7�'/�'�i�-✓ l �-p'R/w� STQ�'�'T"
•• T• 0.2 r
212010
V� � eco A�•.
SNC.ST8
.�N F
''nn
I /O 2
30 3' 9.6 WW
.7._. 'f5l
372 8\ (P S C (� (�} L o�
2 3 R 16 1dwr v 14141
a(c� � vIvvo
O'�
o 2 5
V 1 �'92D ASG F�LID
Z - a T 05
cD X
a � �I O G-�� lz..� �� a•7
77Orl/
l� o 7' L.. 0 7— L o 7" 250
E Y p R GENERAL NOTES,
S t. BEARINGS ARE BASED ON
WO
wq
11 777
ILAO
GAAP SHOWING BOUNDARY SURVEY OF
LOT 33, BLOCK 129 ACCORDING TO THE PLAT OF "PLAT NO. i SUBDIVISION A ATLANTIC BEACH" AS
RECORDED iN PLAT BOOK 5;. PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO.
CARTER MOBLEY, DORIS MOBLEY,
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY,
KEITH WATSON TITLE SERVICES, INC.
AND THE COASTAL BANK.
?�'/�"it'.,✓ � =�-p"R/1;.�� vim'"T���-•�"
7Z=
r`,.
ro z
� Gbh. COhrG'.
.Sr'�'Ps.� •�0 \D
J7'J 2Y
L., o T
Q 1�,b. 372 $ '
3 N o 3 8
m
a 0 2.3
x zG•3'
Ant
� �qe .arc PAD
7 -:33
hs
172 �
o � 8 0 � � "� � •—�reY`` �cC�
W M•� X
/ll l./7/,7::-iCa771--
7' ��
L o 7-
E Y p R GENERAL NOTES&
S 1. BEARINGS ARE BASED ON .�lbT 4PPL/ �iLE�jVG(�$ Sf�OWA/
.I.a ;y,, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
J 800 Seminole Road :
j Atlantic Beach, Florida 32233-5445
..F Phone (904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addre Lz) 721 D ment review required Yes No
B "
Applican&ri : C-�k ze�' .s Hing oni
re ' trator
Project: N X ublic Wor
Public Utilities
u ey
Fire Services
711
Review fee $. Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09