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Permit 882 Ocean Boulevard CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 10-00000147 Date 3/04/10 Property Address . . . . . . 882 OCEAN BLVD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5SO00 ---------------------------------------------------------------------------- Application desc INTERIOR REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICE DANIEL A ETAL GENESIS BUILDING CORP 882 OCEAN BLVD. 21S8 MAYPORT RD. C/O RICE CHRIS T TODD BOSCO, QUAL AGENT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . COGBURN AND WAKEFIELD PLBG Permit Fee . . . . 237 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/31/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 237 . 00 237 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 237 . 00 237 . 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 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- 8 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.15 THIS A SUB PERMIT- 3.DATE: 13 NP --7 '7U 3 NkfES PERMIT#: 0 1 PRoWR—r r OWNER- 7 7 0 q .2-,y 4.NAM E* 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: —PLUMBING CONTRACTOR: 7 NAME OF COMPANY 8.ADDRESS.: p�.J CAJ A"fl',t U 32241-1 9,VATE OF FLORIDA YCENSE NO: 10.CELL PHONE 11 FAX NO 170 y (e o3 1 12.EMAIL Ao�rESS: 13.OFFICE PHONE: 14. 0 0 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 a e w commenced. CONTRACTORS SIGNATURE: 15.NATURE OF WORK: 16. 18.CURRENT CODE: 0 N�A 0'06 FLORIDA BUILDING CODE- 9-IIE-PIPE PLUMBING 13 OTHER: 19.NUMBER aF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN 14 WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 BLDG03 Permit Applicabion Plumb:12118r2" CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000361 Date 5/06/10 Property Address . . . . . . 882 OCEAN BLVD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc paver driveway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TOLBERT GENESIS BUILDING CORP 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 24 1-0320 ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . 5/04/10 valuation . . . . 0 Expiration Date . . 10/31/10 ---------------------------------------------------------------------------- Special Notes and Comments Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout must be set to grade and visible . ---------------------------------------------------------------------------- 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 ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. j)oc#2010'100110,C)Rt3K'Ib231 Page428. Number Pages: 1 NOTICE OF COMAMNCIEMMNT Recorded 05!03/2010 at 10:53 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10-00 iNo. 1olioNd F_LTNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 3.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMNENCEMENT. i.Description of property(legal descripdon): S ta yh 4'A /o�o a)Street(job)Address: 2.General description of improvements: AerA re, i q. *,a; IA,. -e iffesffire^ 00i 3-Owner Information LtL- A0wr-n e- te. AnMTV— &9ctt a)Name and address: KGVZ b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4 Contractor Information a)Name and address: MA 0, -7 IN -e r kka.1 1'C_e-41 b)Telephone No-: Fax No.(Opt.)!26 Y 2—V4 9 8!�6— 5 2,7_3 2 5.Surety Information a)Name and address: b)Amount of Bond: 0 Telephone No.: Fax No.(Opt. 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by Rwner gpon whom notices or other documents imay be served: a)Name and addres;r F1"Z_t%Vj± LA-E , /*0 SCA446LC 124) b)Telephone No.:(qQO) Fax No.(Opt) 8.In addition to himself,ow3e—r desIgnat-es the following person to receive a copy of the Lienor's Notice ection 713.13(l)(b),Florida Statutes: a)Name and address: 5AA6 b)Telephone No.: Fax No.(Opt) 9.Expiration date ofNotice of Commencement(the expiration date is one year from the date of g unl d' e is specified): !T - WARNING TO OWNER' ANY PAYMENTS MADE By THE OWNER AFTER THE EX 10 THE NO OF COMAMNCEMENT ARE CONSIDERED RAFROPER PAYMENTS UNDER CHAPTER,13,PART 1, 0 .13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR DVROVEM�EENTS TO YO ERTY. A NOTICE OF COMA1ENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE g un' ',,diffe14 0 OF LR S TI'YO iR Y. To EFORE9 COMMENCING WORK OR RECORDING YOUR NOTICE, OF LCINCEMENT. STATE OF FLORMA e- N- JOANNRUGGIERO 10. MY COWASSION#DD614885 Si ture r Owner's Authorizra Off icer/Di"T/pLagWer/Manager EXPHkS:D=Wxr06,20l0 y FL Not"Wwwt As=Co it Print Name The foregoing instrument was acknowledged before me this 4-1 day of 20_LO ,by as (type of authority,e�g.officer,trustee, attorney in fact)for (name of party behalf of who mistrument was executed). Personally Known YOR Produced Identification No�Signature 7�" U \J Type of Identification Produced Name(print) Jo Pe\ &o OR Verification pursuant to Section 92.525,Florida Statutes.Urider penalties of perjury,I declare that I haVC read the foregoing and that t1le facts stated in it are true to the best of my Imowledge and belief. FORMSNOC,�sd'2010 S ignature of Natural Person Si ping.(in line 4 10.)Above PREPARED 4/06/10, 10 : 25 : 28 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 10-00000361 882 OCEAN BLVD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- DRIVEWAY PERMIT 3S . 00 TOTAL DUE 35 . 00 Please present this receipt to the cashier with full payment. Door Garage Door Plant er Back Patio utility P Closet a n Door Door t e r P a n t e r Entry Street GENESIS Building Corporation M , 252010 By 0- 3/25/2010 Tolbert Residence — Permit 10-00000147 —882 Ocean Blvd. Pe rviou s/I rn pervious Calculations Working from the survey, plans as submitted previously and the paver lay-out, we have calculated a lot size of 5510.40 square feet ( 50 % 2755.20) and an impervious surface area of 2647.98 square feet, leaving 2862.42 square feet of pervious surface area. Lot Size: 5510.40 50% 2755.20 Impervious: 2647.96 Balance: 2862.42 Insured and Licensed - CBC1250212 2158 Mayport Road - Atlantic Beach, Florida 32233 Phone (904) 241-0320 * Fax (904) 241-0326 - wwwgenesisbuildingcorporation.com CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000147 Date 3/15/10 Property Address . . . . . . 882 OCEAN BLVD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 55000 ---------------------------------------------------------------------------- Application desc INTERIOR REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICE DANIEL A ETAL GENESIS BUILDING CORP 882 OCEAN BLVD. 2158 MAYPORT RD. C/O RICE CHRIS T TODD BOSCO, QUAL AGENT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . LORE ELECTRICAL CONTRACTORS Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/11/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERNHT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 P (9 14)247-5826 Fax (904)247-5845 JOB ADDRESS: 6/a d- - PERmrr# NEW SERVICE E]Overhead Underground El Underground up Pole OResidential (Main) Service 00-100 amps 0101-150amps 0 151-200amps 0 __,amps #of Meters 0 Commercial(Main) Service 110-100 amps 0101-150amps, 0 151-200amps 0 ___ampS OCT Service amps Conductor Type Size OMulti-Family(Main) Service 00-100 amps 0101-150amps 0 151-200amps 0 __amps #of Unit Meters 0 Temporary Pole 0 arn-ps SERVICE UPGRADE 0 s 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps 0 _.amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 3 1-1 00amps 101-200amps A/C Circuits: 0-60amps 61-1 00amps Heat Circuits: # circuits @_jp_kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist) Qty volts/arnps VALUEOFWORK$ REPAIRS/MISCELLANEOUS 0 Replace Bumt/Damaged Meter Can 0 Safety Inspection 0 Panel Change OOH to UG 11 Other-, , Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction, Property Owners Name 76 -jz� Phone Number Electrical Company E�:/&—CAZ/�,6 C Office Phone 23-1118 Fax Co.Address: 2-16 N, City" State�?/' Zip -3 2-af2— License Holder(Print): SWe-)Certification/Registration# 6:x_1 3 6/.?o e Notarized Signature of LiCense 0- V af -s wauid Rit" &2hb before nle�hi da L4 20LO 2" 20, a 1,2 EXPIRES-MaY P 'rwers g ublic CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000103 Date 2/01/10 Property Address . . . . . . 882 OCEAN BLVD Application type description DEMOLITION (ENTIRE BUILDING) Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INTERIOR DEMO ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TOLBERT GENESIS BUILDING CORP 882 OCEAN BLVD. 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 TODD BOSCO, QUAL AGENT ATLANTIC BEACH FL 32233 (904) 24 1-03 2 0 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/31/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ATLANTIC BEACH BUILDING DEPT. DEMOLITION — PROPERTY OWNER RELEASE FORM !j �"T Date: To Whom It May Concern: I /We the current property owners of: Lot Block Legal Description of Property AKA c---'e'q ev AL-V'D have contracted with to have (Address of Property) evxio. to remove the (Company Name) I (Single Family,Duplex,Commercial,etc.) Prior to the construction of L"/ 00-T'q tool-I r ---- - As a condition of issuing the permit we agree to the following: 1. All utilities are to be located and clearly marked. 2. Once house is removed, lot is to be graded and leveled. 3. All construction debris is to be removed from the property. 4. Affected area is to have grass or seed in place. 5. Erosion control devices will be put in place and will remain in place until grass has covered affected area or new structure is completed and landscaping is in place. I /��Ov Signature Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: Before me this day of in the County of Duval,State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: CITY OF ATLANTIC BEACH 0 800 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233 OFFICE:(904)247-5826*FAX NO.:(904)247-5845 BUILDING-DEPT@COAB-US DUVAL COUNTY T APPLICATION )OF BUILDING PERNII- nr.WnRK- SQ.FT.UNDER R(, 1.JOB ADDRESS'----�' —e N/A v, BF1 At ,Y,7- vo�fw- il�- jantiC Beach. FL 32233 6.USE OF sTRUCTURE: 4,LEGAL DESCRIPTION: ILDING 0 DEMOLITION 0 RESIDENTIAL N 0 CONVERTING USE 0 COMMERCIAL LOT BLOCK I -IjB DIVISION IL ION [3 ACCESSORY'BLDG. a.FIRE SPRINKLER� 7.DE SCRIPTION OF WORK. 0 PbOLISPA OYES 0 NIA REPA VNO MOVE 0 OTHER C NTRACTOR: AR3111 ECT I ----PROP1E'UY OWNER: 23.COMPANY NAME: 15 COMPANY NAME: '/'� C 1 9.NAME: eneSiS BUildin Cor oration y'd."0- 24.LIC�YSEE NAME: 010WA/)ITP 16.NA Ei 0,1'-? Todd Bosco 25,STATE OF MUI—1--E NO.: 17.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: C13C 1 26.ADDRESS: 4 '5 -p-0 -C� 18.ADDRESS: (P r,-,4 2158 Mayport Road fl- P,tlantic Be 32233 28.FAX NO.: ........... ................ J$L OFFICE PHONE: 1'2.FAX NO.: -- --.f - 11.OFFICE PHONE:4 n CELL PHONE: A, 13.CELL PHONE! (904)545-1608 30,EMAIL ADDRESS: 14.EMA L ADDR SS' 22.E AIL ADDRESS: Ik MORTGAGE LENDEW. EE 33.NAME: sONDING COMPANY:, 35,NAME: 31,NAME: 36.ADDRESS: 32.ADDRESS: 34.ADDRESS: I certify that no Work Or installation has obtain a permit to do the work and installations as indicated. ng Application is hereby made to meet the standards of all laws regulatil construction in this commenced p?jor to the issuance of a permit and that all work will be performed to null and void it work is not commenced within six(6)months, of it construction or work is suspended or jurisdiction. This permit becomes I understand that separate permits must be secured for abandoned for a period of six(6) months at any time after work is commenced. ---- Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters Tanks, Air Conditioners,etc.compliance with all applicable OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done In laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof.until all inspectfions 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR Nf%Tlrg: nr COMMENCEMENT. CONTRAG-1 UK NER PEN (clusaffier Onty) Requkad) Date: Dat IX __�//O. Signed: Signed: B fo me this Air-day of J/9/r .._,200 in the county Of Before me is da 2010 in the county of ida,has personally appeared Duval,Stat rida,has personalty appeared 14, — LA,'W-15� P/---6M 1—ants and declarations are herin by himself herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statem true and accurate. true and accurate. Notary Public at Large,State of_,County Of Notary Public at Large,State of County Of Personally Knawn Personally Known C3 Produced Iderrilfication- 10, Produced Identification- 1 1, 'le- kl-tary Signature; Notary Signature: WILLIAM L POPE WILLIAM L POPE ida t4olary public.state ol Florida NOISTY Public.state ot Nor MY GOMM.exp.Oct 19,2011 My comm.exp.Oct 19,2011 COA13 FORM BLDG01:REVISED:11`10/2008 GOMM,No. DD 714216 Comm. No. DD 714216 0 OULEVARD LLJ OCEAN PAVED 0 20' RIGHT OF 'NA( C E3 y PLAT CON TINFNIAL AVENU 9,,E llg.g6' FIELD S05-49*4 I >- 120.00 77r7n--� 6 D 0' 0 S05 30"E z Lj .T.............. -V ........... 0 OF PA EVEN, D()- .............................. Lli CD OE U3 60.0' 6 Qo < > 7��— U ;7 z 3; <uj 0 3: —E u> E uj3 6 LIN a 7.4' 0 L.Li 14.7' 6 'al E C) C (D 0 LLJ .6 U) ry co Z 00 V-- LJ oo 03 '04 (f) Cif c� C) 0 Ld U� 0 a 0 LL < ;4- .4- uj 0 L)-4 150, y z 1— 0 14.6'0 30.4' 0 0� D o �o 0 co CONCRETE CONCRETE 'N < CL 0 lot— 2,d STORY N - U w000 DEC ::CoCRF-,j -j C, C) < 0 uj co co 2 7.4' < > 0 U Z LLJ 0 Lo Li Lo M 31 C) 0 ��j 5 0 L Ly cr cy- E iNE L-- C) (L CLOTHES I 27,4' < 0 t_�Ny�FENCE Li 4' CH I N LINK FENCE 'NOOD FEN-,E 6-0.0, o 'o.0c) N05*37'00�11992' FIELD N 0 --J C)5-37*0()"'N m m C,4 0 CD C3 z -- cl-� LLJ O� < CK I--- 0 Lc) —i cl) LLJ 0 :F- LO C'j 0 L, C) C-) _j 0 C) < Z < ui m < Lli :3 m C/� ,-C) L;j z Z �z ui ui Ld < CJ < z < -E Fn < ::: C- < U) 0 D .1 .1 m m 0 0 Cf) 0 LL- 0 Ld 0 < �-- z LL. >- CO SC)5'51'30"E 0— LLJ Z z -1 < C5 F- < UO 0 Lj -J >- -6 0 �AGLE C) E -j LLJ C) W) Ld cf) 0 > z LO In cr 0 z '0 3: > 0 C) LLI F- V) 3:CL CL- m CIL < -i < . D CN LLJ C) > 0 Ob C', cy- Lij < of uj [�-j M—j < < 0 0 C/) C) T z 0 5. D- Z ( - _j - -) LLJ 0 0 LL- F- U) [If C) LLJ 0 LL- L, LLJ > 3� 00 Cke () < Ld 0-- m 0 U) LL, 0 > z Z 00 OD 0 < U) 0 _j C) LLJ 0 < ,06 0 F- LiJ (D) L� 0 — z LLJ o Z C)O Ld < -i < C)) L� D- — P- :c C) 0 CL� I > 6 0 ct� LL 0 N 3: -1 - >- r,�D — Of z < 1-- - 0 0 L, Cf) LLJ C) < 0 00 >- LLJ V) LLJ L-Li C:) — F- > a_ C) CL LLJ F- 0 0 G� < > V) Ld D IL Lr) C) z < m V) < LLJ LLJ 0 co < LLJ C) 6 0 -J(r LLJ LL] 0 Cl- C) c cf) CD Lj 0 UO — T- < CO C) z LLJ LLj < �> U 0 Ij 0 Ln > LLJ < Cl'- D M LO cl-- I < Lli C) 0 >:(f) L.LJ m < -C) LLJ < < > cl� LLJ (-) < C) < U� Li LJ F�: ow� 0 F-: L,: :D C-) LJ c) 0 < U) CD 7- V)V) < LLJ C) < cn 0 T- _j Ld C:) z Cf) < 0- < -i z U-) F- Lj a- U 0 C, i�- -1 < < (A - LLj LJ M C:) LLJ ct� 0 11 L'i 0 --) 0 L < v) Ld ?�: - C-) C) < z U� c-,j 0 U� Z C) 0 C/') cn a) z >- C) Cf) < < M C\J Ln W C) < (�- <V) > :-j cr M C) ch, LLJ < -1 0 Lij V) D El Z 0 > < >- z C:� U) C) - Z Li y L'i 0 C) 0- U) > ,- < U�LLI Ll C) 0 DE Ld GJ LJ LLA I -J Iii < ui z �-- m (n ft, U� T L -j Li- OL C) 0 LL. City of Atlantic Beach APPLICATION NUMBER Buffding Department i Cro be asdigned by the BWding Department) 800 Seminole Road Agantle Beach,Florida 3=3Z445 Phone(904)247-58ZO - Fax(904)247-5845 L D E-mail: b"ing-dsptQcoab.us _.�aft nout4tt City web-srfs� hf±pYAmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Mp;arftne;kravbwr9q_Wred Tes Me Bolcring AP01catit iQ�-afh.5 aq Planning&Zoning r Prolwt �Mdy� L1204 V -WpgA!�� -�rlc uffgas-w Public Safety FIM services �MIMMM Rmfew or pacew Other Agency Review or Permit Requked of PenTa VeMed By Daft Flodda DePL of Environmental Protection Florida DepL of Trans;porfaffan SL Johns Rmer Wafer Management Distut Army Corps of Eng�neers UnfisiDn of Hotaft and Restmmants Mmon of Alcoharre Bmmra_wz and Tbbacco othen APPLICATION STATUS RwAmwng Department First Review- %Approved- DDenied. (Cur,le one) Comments: BUILDING MANNING&ZONING Reviewed bvr -_ - TREE ADMIN_ Second Review- E]Approved as revised- F�Denied_ PUBLIGWORKS Conunents., PU Lf�IESE9 P LI Reviewed by-_Date: .3 F51SPiiCES Third Review: DApproved as revised. E]Denled. Reviewed by- Da t-_ avised City of Atlantic Beach APPLICATION Building Department (To be a ignedby the Building Department.) -SS 800 Seminole Roacl Atlantic Beach,Florida 3'2933-5445 Phone(904)247-58263 - Fax(904)247-5845 V �3 E-mail: buffding-deptQcoab.us Date route.d., a GffY Web-site- hffp.-1/www.coab.us APPLICATION REVIEW ANO TRACKING FORM 61a Property Address: - 61) 10 Department review required Yes No Building Applicant: Planning&Zoning Proiect: mfivigo- —pj-y-/*I(L Iadd V 5korld Public Safety Fire Sentm" s Other Agency Review or Permit ReWired Review or Recelpt Daft of Permit Veriffed By Florida Dept.of Environmental Protection Florida Dept of Transportation St Johns Rwer Miter Management Dr-trict Army Corps of Engineers Dwsiori of Hotels and Restaurants Division of Alcoholic Bevemgea and Tobacco Other APPLICATION STATUS Reviewing Deparhment First Review: [:]Approved. [ODenled. (Circle one.) BUILDING PLANNING&ZONING Reviewed Date: TREE ADMIN. Second Review: d as revised. FlDenied- PUBLICWORKS contments: a /L PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:z Date:- FIRE SERVICES Third Review: E]Approved as revised. FIDenied. Co M- Ments: Reviewed by: Date- -�Vfssd 05114M BP255UO2 CITY OF ATLANTIC BEACH 3/30/10 Application Tracking Action Log Maintenance 15: 00: 04 Application number . . . . . : 10 00000361 Application type . . . . . . : RIGHT-OF-WAY PERMIT Address . . . . . . . . . . : 882 OCEAN BLVD Revision/Path/Step/Seq/Agency: A 01 00 PUBLIC WORKS Type information, press Enter. Action date . . . . . . . : 3/30/10 Action by . . . . . . . . : LS LISA SHOWMAN - 1ST REVIEW Action code . . . . . . . : FR DISSAPPROVED Time spent (hours) . . . . . . 00 Correction report item - - Y Y=Yes, N=No 1=Add new comment 2=Change comment 4=Delete comment Print Opt Seq Comments 1 . 000 Solid surface pavers being used are not eligible for 50% impervious credit. Appears to be >50 impervious . Provide detailed impervious calculations. 2 . 000 3 . 000 V-36Exit F9=Add standard comment F12=Cancel GENESIS Building Corporation 3/25/2010 Tolbert Residence — Permit 10-00000147 —882 Ocean Blvd. Pervious/Impervious Calculations Working from the survey, plans as submitted previously and the paver lay-out, we have calculated a lot size of 5510.40 square feet ( 50 % 2755.20) and an impervious surface area of 2647.98 square feet, leaving 2862.42 square feet of pervious surface area. Lot Size: 5510.40 50% 2755.20 Impervious: 2647.96 Balance: 2862.42 Insured and Licensed - CBC1250212 2158 Mayport Road - Atlantic Beach, Florida 32233 Phone (904) 241-0320 - Fax (904) 241-0326 - wwwgenesisbuildingcorporation.com IDp 7iew Comments Public Utilities Plan witial Date: Application Permit Project Name/Address: Ocea r . -B�V1 ):o:ntal to Add Application Trucking Comments Comment ::a ound water/sewer utilities. Verify vertical and horizontal FAvoid damage to undergr If field coordination is needed, call location of utilities. Hand dig if necessary. 247-5834. sewer cleanouts and valve covers are set to grade,and Ensure all meter boxes, visible. the property line. Otanout must be covered A sewer cleanout Must e-installed at to arade and visible. with an RTl concrete box with metal lid. Cleanout to be set A reduced pressure zone backflow preventer must be ins e if irrigation will be provided or if there is a private well on the property. Backflow preventer must be e ed b acertified teste- and a copy of the results sent to Public Utilities. c' ill b' '' '�p k ns change, any fire-line installed �e P as note the building w e rin-led. If pla sized vault and an must be metered with a Sensus touch-read meter in a properly rappropniate backf low preventer installed. Bac0ow preventer must be tested by a certified tester and a c0:)y of the results sent to Public Utilities. If file sprinkler system Is provided, c ntact Malcolm clemo at 247-5 83 9 for will require double check backflow backfJow requirements. At a mmmuln, Fire lines must be meter with a Sensus touch-read meter. Meters larger 2" ri must be installed in a vault as noted in JEA specifications 0 --------------- ri CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address 10-00000147 Date 3/03/10 882 OCEAN BLVD Application type description RESIDENTIAL ADDITI Property Zoning TO BE UPDATED ON/ALTERATION Application valuation ----------- ---- -----Application-desc---------------------55000------------------------------ INTERIOR REMODEL ---------------------------------------------------------------------------- Owner ------------------------ Contractor RICE DANIEL A ETAL ------------------------ 882 OCEAN BLVD. GENESIS BUILDING CORP CIO RICE CHRIS T 2158 MAYPORT RD. TODD BOSCO, QUAL AGENT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------- (904) 241-0320 Structure Information 000 000 Construction Type TYPE 5-A Occupancy Type Flood Zone . . . . . . RESIDENTIAL . . . . . . . . ZONE X ------ - - - - - - ---------- ---- ------ Permit MECHANICAL-HVAC-PERMIT---------------------------- Additional desc . . Sub Contractor HAMMOND AIR CONDITIONING INC Permit Fee 103 . 00 Issue Date Plan Check Fee . 00 Expiration Date 8/30/lo Valuation 0 ------- ----- --- -------- Special Notes and Comments--------------------------------------------- *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --- ------- ------- ---- Fee summary Charged--------Paid--------------------------------- ----------------- ---------- Credited Due Permit Fee Total 103 . 00 ----103 . 00 ---------- ---------- Plan Check Total . 00 . 00 . 00 . 00 Grand Total 103 . 00 103 . 00 . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -NFFCHANICAL PERMIT APPLICATION &5C CITY OF ATLANTIC 13EACH 6,e 51�:) -3�; i a 900 Seminole Rd Atlantic Be'- ach, FL 32233 Ph (904) 247-5826 Fax (904)247-5845 JOR Aimp.Ess: PERMT# 11,4 PROjECT VAL UE S-0 NEW AIR CONDITIONING & JIFA-flNG SYSTEM INSTALLA-110N - ------- Air Conditioning: Unit Qu,%-Iti - A Heat: tY--J— Tons Per Unit 24t Unit Quantity 13TWs Per UL,*t Duct Systems —.J— Total CFM 3 e;�r Ra t i ng -3 "PLACEMENT AIR CONDITIONING & HEATING SYSTE:M INS jEK(�!UIRED Air Conditioning: unit Quantity T-ALLATION Heat: Unit Quantity Tons Per Unit ARJ# - Duct Systems: Total CFM BTU's Per Unit Rir(?—U1AED FIRE PREVENTION Seer Ratizi-"OUNIR—ED Fire Sprinkler system Quantity Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quanti -------- (Requires 3 sets of plans) Commercial Roo& tyy Fire Suppressi -- Quantit (Requires 3 sets of plans) on S),stems Quantity --------- (Requires 3 sets of plans) FTRE PLACES --------- (Requires 3 sets of plans) Pr-tefiabricated Fireplace Qty__. MISCELLANEOUS: 'C-as Piping Outlets Automobile Lifts Boilers ALL OTHER GAS PIPING ot('41 Heat Exchanger --------- Pumns tMea- Waii Furnaces Ff ZCMS a OTHER: Peffnit becornes void if work does not cornmcnce,wi&j.q a s, x mm:h� this application and know the same to be true and correct. All provisions of laws and in ---- ---- ances gOverAing this work will becorrqAied'with whether spcCified or riot. The Permit does not give autha*to violate the provisions of any other state or local law regulation construction or the perfonnance Of Cowtmcbon. Property Owners Name Phone Number �f& L/- 4-4 5-91q Mechanical Company 901/ Co. Address: Z�Wf rice Phone Jc) License Holder(Print): City 1AC—,f- State r(- zip i7-—Zl,? 3,e 4facyl "a tn—oa-d—state certification/Registration /'K I it -Vs-e) NofariW Signature of License Holder Swom and subscribed before me this—day of 20 &gnature of Notary Public 6uiuo!j!puo0 ji PUOWW13H azzleo ol� �.,o JBIN Z'd qqoa-�%-V06 0 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 < Q A N�� Application Number . . . . . 10-00000147 Date 2/17/10 Property Address . . . . . . 882 OCEAN BLVD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 55000 ---------------------------------------------------------------------------- Application desc INTERIOR REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TOLBERT GENESIS BUILDING CORP 882 OCEAN BLVD. 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 TODD BOSCO, QUAL AGENT ATLANTIC BEACH FL 32233 (904) 241-0320 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 300 . 00 Plan Check Fee 150 . 00 Issue Date . . . . Valuation . . . . 55000 Expiration Date . . 8/16/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 300 . 00 300 . 00 . 00 . 00 Plan Check Total 150 . 00 150 . 00 . 00 . 00 Grand Total 450 . 00 450 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. city of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 te r uted: I VIF I lit E-mail: building-dept@coab.us EDa rou ;;g City web-site: hftp:/twww.coab.us E APPLICATION REVIEW AND TRACKING FORM Property Address: d2_ Department review required Yes 0 r 1�-�uildin�g ... Applicant: PlariMing &zoning Tree Administrator Public Works Project: -Public Utilities Public Safety Fire Services Revipwlea DePt igna ure, Review or Rece Other Agency Review or Permit Required of Permit Verified By Date 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: [ErA_'pproved. [-]Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: /'77 Date:_'-� 4( TREE ADMIN. Second Review: E]Approved as revised. ODgied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised 06114/09 CITY OF ATLANTIC BEACH 00- 1 / 14� 171 800 SEMINOLE ROAD.ATLANTIC BEACH,I L 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING DEPT@,(,OAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2,VALUATION OF WORK: 13.SQ.FT.UNDER ROOF N/A ,F' Atlantic Beach, FL 32233 4.LEGAL DESCRIPTION: 5.CLA4S OF WORK: &USE OF STRUCTURE: A1�77- 73C,ff 70Aiv7')`1 ruf-*: El NEW BUILDING El DEMCLITICN 11-RESIDENTIAL LOT�E(BLOCK_J SUB DIVISION El ADDITION El CONVERTING USE 11 COMMERCIAL 7.DESCRIPTION OF WORK: X-ALTERATiON 0 ACCESSORY BLDG. 8.FIRE SPRINKLER: El REPAIR EIPOOLISPA C3 YES 1:1 N/A El MOVE OOTHER No PROPERTY OWNER: CONTRACTOP- ARCHITECTSI-QUINEER: NAME Via15.COMPANY NAME: 23 COMPANY NAME: ,,1Te,(0t4 D�6tlJvy-- ,Genesis Building Corporation_ e f) zrflf C <-, 16.NAME: EE NAME: Todd Bosco 0 f1f 6,1+?1FA'M 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: .4("2,5 'T� Ave-, CEC 1250212 FL -10,�- �;-.f 7�L r 18.ADDRESS: 26.ADDRESS: c�rol-ol A Ve- 4�- _tk) R_ 2158 Mayport Road Atlantic Beach, FL 32233 4- 11.OFFICE PHONE: 112.FAX NO.: 19 OFFICE PHONE: 20.FAX NO.: 27,OFFICE PHONE: 28.FAX NO.: 7(4c) 1 1 -0-7951- 1�, .- 2- 2?4A , (904)241-0320_1 (904)241-0326 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: (904)54S-1608 19 9- V-3C t- 14�EMAIL ADDRESS' 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: it todd0h sroriligtinmhomAs-rom C FEE SIMPLE TITLE I (IF OTHER THAN M BONDING COMPANY: MORTGAGE LENDER: 31.NAME: 33.NAME: 35,NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. WNER rAGENT ONTRACTOR of*0Mfo'4.q_.,tt4W Rapimd) Signed: �Y-Date:... Si n�d: Date: Before me his clal�4/ B 9 r 200 in the county f rethis day f 200 in/the county of Duval,StJ� rida,has personally appeared Duval,State of Florida,has personally appeared kjv:pl-c� Tio4'ge"�1- '72�fla 4, A�ljcv herin by himself/herself al�d affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of____ Notary Public at Large,State of County of fPersonally Known Personally Known roduced Identification- 9 ir AT rc ;Z 7� 1 Wl LIAM L k*WOFATIANTICBEAC NILLIAM POPE FILE ur T f NotaryF bliC,State OWDiffiRMITS FOR ADDITIONAL 147 CONDrrp#�V PUNC, te of Florida L ENTS AND my corr i.exp. OCWt#WMF CIDAB-FORM al-QL� COM 1.18?VJMft DATE:- mycomexp. 019, 2011 ,-7aa)W. No. I D 714216 Permit Number_10 — Tax Folio Number NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. I- Description of property (Address): cr4,V, vO. 2. General description of improvement: Vathb r-, 3. Owner infon-nation: 1. Name and Address: 14 0 16A�t 2. Interest inproperty: 3. Name and address of fee simple titleholder(other than owner): 4. Contactor's name and address: . C 62 ( a. Phone number: u f) or+ -0-3 b. Fax number: \1/ �1/ 5. Surety Information: a. Name and address: b. Phone Number: c. Fax Number: d. Amount of Bond: 6. :Lender's name and address: a. Name and address: b. Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(l)(a), Florida Statutes. a. Name and address: b. Phone nw-nber: c. Fax nurnber: 8. In addition to himself/herself, owner designates of to receive a copy of the Lienor's Notice as provided—in Section 713.12(11)(b), Florida Statutes. 9. Expiration date of N tice C mmenw nt (the ex iration date is one (1) year from the date of Recording u ess a di er t d 'e i s ie Signature of Owner: