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Permit 23 Saratoga Circle CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000355 Date 4/28/10 Property Address . . . . . . 23 N SARATOGA CIR Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8200 ---------------------------------------------------- ------------------------ Application desc 16 x 20 shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------- ----------------- ARCHER, DAVID BACKYARD STORAGE SOLUTIONS INC 23 SARATOGA 2450 SMITH RD UNIT S ATLANTIC BEACH FL 32233 KISSIMMEE FL 34744 (407) 343-0012 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee 47. 50 Issue Date . . . . Valuation 8200 Expiration Date . . 10/25/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 . 50 . 00 . 00 Grand Total 142 . 50 142 . 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 APPLICATION NUMBER �5 BuildingDepartment p (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 '". is a%' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Addr ss: A3 47 D . nt review required Yes No Buildin Applicant: anning &Zonin / Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services R MR,'�z4s" p bob Other 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: A roved as revised. ❑ Pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 �.tj...Luv Cz r Z Clvu 1 1iY1r1-,1%-A 11V14 CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 1 Job Address: ,�3 ki*L d qa- C l i Nvo>e.-r g Permit Number: to Legal Descri tion i 4 g LI' Parcel# Valuation of Work$ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp D 30i#41d Use of existing/proposed structures)(circle one): Commercial <ZeRsi-de—HRAt> /J Han existing structure,is a fire sprinkler system installed?(Circle one): e o N/A OR Florida Product Approval# For multiple products use product approval form Describe in detail the a of w//or to be performed: �t �-2 e*Z- 2� O G-pp ,5/ne-a Property Owner Information: City E-Mail or Fax#(Optional) Contractor Information: ,G Company Name 06Cc4 kt "5e i1 f.0-*S&k g Agent: Address: S' City ;,SSI Zip office Phone / Job Site/Contact Number ®y/( z Fax# Ye rS��3 Od State Certification/Registration# if Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication 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 ssuance 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 mill snd void tf work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a erzod of srx f6)months at any time ajier work is commenced I understand that separate permits must be secured for EleGbz'cal Wor/r,Ph�mbing,Signs, ells,Pools, ' maces,Bpile�s,Heaters, ranks and Air Conditioners,d 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. !hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this ype o work will be complied with whether speci�d herein or not. The granting of a permit does not presume to give authority to violate or cancel the 7rovisions of any other federal,state, or local law regulating construction or the performance of construction. `�%x � 4 ,• 35ignature of Owner Signature of Contracto �' ?rmt Name v ............�`.. �fj.l. .. ....................... Print Name a;;_tC._!�.- ...... 1.:5. ......._...._................................................._... �. Sworn t and subscr ed before me Sworn t4 and subse ed befpre me :his 14 Day of �tAg c �,, .20/0 this �'5�O , 20 10 Jotary IC SCOTT HTTCHINGS NO P li MY COMMISSION*DD915674 T}iEF2 K$EYMOM EXPIRES:AUG 10,2013 i{V41 PUBI�C.ssro�id 01.26.10 Bonded through tst state Insurance MS"ODD913845 XPIRE38/4l2013 BONDED THRu 1-ee"Maav1 `c rr ZU10093591, OR BK 15223 Page 1690, Number pages: 1 04/26/2010 at 12:04 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTYRECORDING $10.00 ' NOTICE O COMMENC MENT Permit No. Tax Folio No.�7/THE UNDERSIGNED hereby gives noti 713.13 of the Florida Statutes,the following ce that improvements will be made to certain real property,and in accordance with Section information is provided in this NOTICE OF COMMENCEMENT. 1-Description of Property(l�ga!descr don): / a)Street(lob)Address: M S - 2•(3enera d of improvements : f 001 iv 3-Owner Information a)Name and address: �22401, ,�� b)Name and address of fee supple titleholder(If other than owner) ��� c)Interest in property Ci/AT/ ' n eh )a 4.ContraInformation NOR a)Name and address: TG/ in QLt Telephone No.: !)Iy S.Surety information -I y '—Om! Fax No.(Opt,) a)Name and address: b)Amount Of Bond: c)Telephone No.: 6-Lender No.(Opt,) a)Name and address: o. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: 8111 addition to himself,owns designates the followingFax No.(Opt.) 713.13(10),Florida Statutes: person to receive a copy of the Lienor's Notice as provided in Section a)Name and address: b)Telephone No.: _ 9.Expiration date of Notice of Fax(the expiration date ls one year frroom het date of recording unkss a different date b atxcltkd): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES,AND CAN 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 YOUR LENDER SIE ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PINELLAS 10. S gnature of, ", Cr' Au onzed om`cr/D� Ue 1e- ov reclodPunnedMane6er Pnnt Name The foregoing instrument was acknowledged before me this � Q ,� day of Aell _ 20/0 by 4ka, as �y, el- (hype of authority,e.g.ofiker,trustee, attorney i4 fact)for (name of party ou half of'"Irumtmt wJga exeeuted).Personally Known____OR Produced identification / Notary Signature 1p Type of Identification Produced I �(.�,?ar.►tdt✓ /y2 �C@ r P/ Name(print) OR Verification pursuant to Section 92.525,Florida Statutes.U the facts stated in it are true to the best of kowled a and belief.tallies of perjury,I declare that i have read the foregoing and that FoeNSMocA.d"10 / �fNAM Joe rMa C 47 murk reason igmnE(m lue N 10.)Above ar w V f � f E i i P I A + J ' I I ! i L0SAP SHOWING SU 7- 25 � RVEF OF AS ,E'�Cb,4t��p W 4TL�1�VT/C SEAC,y A 7_ BOd 1//L L q U/v/7_ PugG/C it/g, z DU(/4C COU/UT-Y� n 5747,27-7 ROgp pEP4�'Ti�/ENT //85 Pa�E ssg 4��o 2-- 4//VqG� �P/CiyT oF- RDi.Uc 7-0 pB. W9Y Feuvp �N L'qe^1Re,v.oivE G' Q O A A/CC r . CO•t/G. 0.2 Is Y` lk �4 0 .' x \a% �� STEP � _ X � E4SEME.VT FO,p t>Pa/,C/�rGE 13 UT/G/TIES CgY PG 4 T� 2 .s I ,Ye.i /3.7' r I S7'o,e y .•: ' U a vv� f'/'1/n` L07 ZIO ln,x �-�r_x BfZ/CK E F!?4 ME Co.c j� /SES/o6 vcE .5,448 V —a.f, 57, .Ktv--� 30'�U/LO/NG ('6Y PLAT, 4� •t, wa�K � / �. ¢'Caat• m m 1. m W ORivFwaY -�' •' �, O F„�o z 'iaoti �,.E �] /C/BBO•`t5 (No CAP y 95•x'✓.. X5.00 `� r TS• Hrs•) I i MAP SHOWING SURVEY OF GOT z5 , 5ZCCK .3, 47-G441TiC �EAC� V/LLA !1ti/T /t/o, z A 7- 800f; 3J �wC� o �oL/' - DP4 �GR161-1 7--oORT1/NoA 45 / ST4T� ArO4o / 7eV, 11g:5 , YSA 1185 , PAGE 358 ACCoRDi��7 TO PB. 3/, PG• /3�) �'OL.JNrI �i ROK P/pE F04A/P��IRbN P/,cG °.z — � Ilk O �� � �� /o"EoSEMENT FaK flRQ/,U//GE sTEP x UT/L/T/ES �BY PGAT� 16 v �J x J� 47.7' `'�.';a• i v?� ra /3.7' J STORY _' •' W o���W � BR/C K �' PR4 ME � Co✓c,' ,� Q OT 916v,X /vEvcE GoT � � o,r• a � �u 370 n; � V r' lTESTR/cT/oN J(� w w4 LA( l7 su 'm mo 0 ti lJRNEWAY -�' O F No Z••/RaN P/P6 I4a`' .z 75,ao• �` 75.00 \ \ /V 3/69` '25"'Lt/. ?S.Oo' �, cuTs•� �NTz.) (N•r•s.� 10,7,Wesr• Foa"- 1"tao,v p/ve Tef0✓,vo z•IReK P/PE (No C4P� z lZ (.1/ CAP) $t SET "�RO.t/P/PEl �P.G.S• 44zG) J 77or4 c��c�� NOR TH /. THIS /S 4 9041A/D4R Y S14/9VE Y, N -3 2. 5E491,t/65; 4R. 345E0' ON PLAT,r.ZK 3/, PAGE /3, 3, N/T S• DE.UDTES Ivor ro 7N/5 PROPERTY 4APE4/45 TO G1E JN FLODD z0/VE C " WN/GN /5 THE AR.E4 OF M1/t111W4G FLCVU/A/r fJ% MOP R' tl/SED ,d- /aA 1lNfNUA1/7-Y P4A/E1 AID. 176075- 1 1 � I � �✓y1 a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �Ji3l�rj Application Number . . . . . 10-00000390 Date 4/15/10 Property Address . . . . . . 23 N SARATOGA CIR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------ Application desc slab for shed ------------------------------- Owner Contractor ------------------------ ------------------------ ARCHER, DAVID OWNER 23 SARATOGA ATLANTIC BEACH FL 32233 ------------------------------------------ Permit . . . . BUILDING PERMIT Additional desc . . SLAB FOR SHED Permit Fee . . . . 55 . 00 Plan Check Fee Issue Date . 00 Expiration Date . . 10/12/10 Valuation 0 ----------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. --------------------- ------------ -------------------- -ee- gsummary Char ed Paid Credited Due ------------- ---------- -- ------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 ,CCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA -BUILDING PERMIT APPLr,ICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904).2947-5826 Fax(904)247-5845 o b Address• A_ 61•� -Al ` G" Permit Number: /0 U ,ega.l Description Parcel# — Valuation of Work S :lass of Work(circle one): 4ewDAddition Alteration Repair Move Demolition pool/spa window/door se of existing/proposed struta s) circle ane): Commercial Residential Can existing structure,is d fire sp er system installed? (Circle one): Yes No N/A lorida Product Approval# or multiple products use product approval jorm describe in detail the type of work to be performed: Z �� Egp±rty Owner Information: ame: ity L r Address: -Mail.or Fax#(optional) � p ?hone ontractor Information, FILE C ompany Name: Qialzfying Agent: ddress: City State Zip ff ce Phone Job Site/Contact Number Fax—# ate Certification/Registration# rchitect Name&Phone# agineer's Name&Phone# nnv ;e Simple Title Holder Name and Address )nding Company Name and Address :ortgage Lender Name and Address plication is At made to obtain a permit to do the work and installations as indicated I certzfy that no work or installation has commenced prior to the pante of a permit and that all work wz11 be performed to meet the standards o all Zaws re f gulatirig construction in this jurisdiction Thispermit becomes null Lkvor d zf work isnocewnsx(�months, or if construction or work is ended or abandoned fora er iod of six jb)months at any time afterscommencd I understand that searate ermits mt bd hZbells,Pools,l•tirnaces,Boilers,Heaters,and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'T'ICE OF COAMENCEWM MAY RESULT IN YOUR PAYING TWICE FOR EWROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ;reb certify that I have read and examined this plication and know the same to be true and correct. All provisions olaws and ordinances governingthis e ofYwork will be complied with whether speci zed hereLn or not. The granting of a permit does not presume to give authority to violate or cancl the ,visions of arty o#zer federal state, or local lmv regulating construction or the performance ofconstruction. mature of Owner ]1 Signature of Contractor nt Name • 1�1�._.._j '.h ( ___....__ Pant Name and subscrib before me Sworn to and subscribed before me s Day f 20 this Day of 20 c �fj h"" A) tary Notary Public t SHIRLEYL,GRAHAM 'Revised 01.26.10 * :+ MyrOp?,;,y.,r7Pd" 957760 a i;1 i4,2014 I hl Notary Public Ondenvdters CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT I. 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 IMPROVE 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 RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ll. 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. 03 =� �2 �7 ADDRESS PHONE NUMBER PRINT NAME _�/W/ v /"-SIGNATURE DATE Before me this jedy of — J_,20` Qin the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true d accurate. ////►�� DEBORAH A.WHITE Notary Public at Large,State of County of A" 3�.'hY pNc; �,/ MY COMMISSION#DD 634126 Personally Known ,: ,0. EXPIRES:May 21,2011 '?......l� Bonded Thru Notary Pu611c Undenvdtera Produced IdentiFcation- _ f❑� '' -. Notary Signal F:BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009 t r r 'I t P � � 4.w 1 0 e i i i M V J x c MAP SHOWING SURVEY( OR LOT 25 BL O C/� F -?;I r9TL 4!c/T/C zSEAC AI VIZ-Z-4 U/V/T- /(/o, o WCU/�,QENT f UBLlC RECO/eos p� DUV4L CoLrvrY� �C ol4/py o ¢5 S1-47�c- ROAD 0EP4,gTA-1E/VT t:)e4/N46,-E ,q/ANT-oF- W4 FouvO n jRON PrpE - (,v CAP - ,5', ��✓'3/., 'ZC.,G. ��.J,_/.�' f-e�,.o�'r,P,N,�,,R� - `,wp `UT/(-/T/ES �BY P647-) �W u3 477' .-i,.g• x ' mQ LOT in i rt--+_r—x- scae 4 s � f7E5/oEA/cE M' CO.VGRti T@ r�1 LD / I \N OTAWWMch Planning U#C Tpning Departme*,c°,ac• m W I ti ThY F°wv "I4cw /'ire l0lllneeein ,tea bl ver on and0 ince i OG81 Land ` y (•v. ZA-) ('`/O �"''� devel ment regulatioh'�, but does not constitute approi al for the Issuance of permits. Compliance 3 •. /b.s' � 3Z9,38' (,/r.s,..) local, tate an omenta 75.00' �N j r�' � -C' must be y furp of the City of Atlantic Beach Bui(diag al prior'to the Issuance of a �0 FO z IRCV PIPE CNO C4P) o.7'Wesr-) Building PQrmit. V� $A $ET Z "IROA/PiPE� /•4 t/oar.r r 44 ZG) Oaro: ve opm L Ivo, ,rH /107165.' /. 7H/S /S A 9,941rVO4&Y Sc/Rl/E Y. r" ` r, l f(j•�E /!.� 2. 5E4R//t/GS; 4RE -�WSEo Oti/ PL4T 3t19K 31PgGE /3, l d 3. /t/. T. S. 0.EW0TE5 NOr ro SG9L E. 7H/5 PROPERT y' APPEgI�S TO L/E Al FGODL� zOrvE C " WN/CN /5 THE 4R.E4 OF 1V1A///W4G FL g2171A1rfj'/ FG�b M!1 P I 1//5eo *//9/9 3, -,Wxi A11TY P,4A/EL /t/0. /20075-Gam/ C, City of Atlantic Beads APPL(GATIt N NUMBER Building Department (I-o be assigned by the Building Department.) 800 Seminole Road -= x-• Atlantic Beach,Florida 322335445 / f - - Phone(904)247-5828 - Fax(904•)247,5845 ,yr E-mail: buff crng.dsptu@coalz us Date routed: City v,,6"r'€e_ h1tp:1Aifw ►.coab.us APPLICATION REVIEW AND TRACKING FORM P00perty Address- 9 'G Os �r 'red Yes No !Applicant ing&zon F-- 0 r btic pro Utlrr�es Hire Services . .. - Aj �.. rtt tomer Agemy Review or Penu t Required Review or Receipt date of Permit Veffled Florida Dept of Environmental Pmtedion By Florida Dept of Transportaifan St:Johns Einer Waw Managennent Distriei Angry Corps of Engineers DMsFtnrn of# ateffs and Restaurants 13mmon of At alo is Beverages and Tahaoca over. APPLICATIf N STATUS leviewing Deprarknent First Review proved- []Denied. (Circle one.) Commenis. BUILDING ql ��NG� 1 Reviewed ley= J/ Date: e`f-el '-/y TREE ADMIN. SOCOnd Revienar: []Approved as revised. []Denied_ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by. Date: FIRE SERVICES Third Revievrr: []Approved as revised. []Denied. Corr men s: Reviewed by. mate: Wised 05114M ,CKY 4f Atlantic Beach PLICI-tTIQN N[IIttII ER Btii tlbRg Depar€nne (ro be assigned by the Build{ng Deparfinertit.) 800 Seminole Road Aglantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 It 6-rnait: buJWJn9-d9pt@coab.us Daft - _ Cify web-si=ie: ht€p:1AMw.coab.us APPLICATION REVIEW AND TRACKJNG FORM PfoPerEY Address:�4 p �� flfe Ye rent�r 'red s Edo 4Pomant: !/lunL 4- Planning&Z _ r blit wore Publa -t► a^ Fka Senrbces CMMr Aged Revk%v or PamRequfted rsE PR ie Review or Verified Date Florida Dept.of Envfrontnental Protection Florida Dept of Transporfafion S€Johns R-reer Wafer Management District Array Corps of Engineers Dndsion of{'totals and Res€ muanfs Division of Ak oWJc leges anti Tcba=o Other: APPLICAMON STATUS devievring Department First Reveew: p *Fpmved. ODenied. (Circle one.) � BUILDING =LANNING&ZONING Reviewed by: Date: 6 TREE ADMIN. Second Review- ElApproved as revised. QDenied- PUBLIC WORKS Conunants: TILI S ETY Reviewed aY- Date: T /►VICES Third Review: []Approved as revised. ❑Dented. Reviewed by- Date: ECR59d f�^f��fc�� fs,r . City 4f Atlantic Bead ED APP�[ ATEfN tUftBER Building EDepai�eert assigned by the Buillding Department.) 800 Seminole Road v�Atlantic Beach,Florida 32233-5445Phone(904)247--5826 - Fax(goo)247.58,45 • g-dept@coab.usclt3�� E--mailbu�dn - roofed:Ci web-site: h rt5+ ftp:ffvJw+nrcoab.us APPLICATIONREVIEW AND 1` IN FORM Property Address- De/ �- e � r€ment review reQ€iired Yes Na Applicant (/��'l C�.- Planning&Zonl or � Project. ublic Work Utilities U arety Fire Services 'mow` _- _$ ^�•J;'�- --- c:`43r.'--`X:....�,.^:^:4 Mar Agency Review or Pennit Raquired Review or Receipt Date Florida Dept of Environmental Pmtertion Of Permit Verified B Florida Dept of Transportation St johns River dilater Management District Array Carps of Engineers Division of Hotels and Restaurants Division of Alcoholic Severagas and Tobacco Other. APPLICATION STATUS RevlewingEDepartment First Review: VfAPproved. E]Denied. (Circle one.) Comments.- r-� BUILDING Reviewed by Dafe: / TREE ADMIN. Second Review. ❑Approved as revised. E]Denied- PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. QDenied. Comments: Reviewed by: Date_ G' €� Atlantic BeachApOL-ICATff�I�l*i�fL�MB R. s (To be assigned by the Building Department.) Building Department ~M`Mxfr ' 800 Seminole Road e h. 35'l^Atantic Beach,Florida 3223 !� Phone(904)27-5825 - Fax(904)247-5845 Date routed: E-mall: binding-deptrrcoab,-us Crr web-site: http:ftwnr w coab.us APPLICATION REVIEW AND TRACKING FORM Property Address".s� apartment.review required � fifes o Applicant: ����� :Pla=nning or Project: ti s u tc asety Fire Services Review of Receipt Date €3 her agency Review Dor Permit Requlmd of permit,Verged By Florida Dept.of ErMronmental Protection Florida Deist.of Transportation St:Johns Diver Water Management District Army Corps of Engineers Division of Hotels and Restaurants DivWon of Alcoholic Beverages and T0l3acaa Other: APPLICATION STATUS 6ev1-wing Department First Review: RApproved. ODenied. (Circle eine.) Comments: /'-eed �o -ir—v I1 V a �t,Gi.T)'U YN /'`h.Q- c) n BUILDING P-e P17'I i T> 1 ANNING&ZONING Reviewed by: -// � Date: TREE ADMIN. Second Review= QApproved as revised. [Denied_ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES T€frd Review: QApproved as revised. [[Denied. Comments: Revievkred by: Date: e^esed asfg4fag f f,^e ' CITY OF ATLANTIC BEACH fTl 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 .� . INSPECTION PHONE LINE 247-5826 Application Number 10-00000700 Date 6 Property Address . . . 23 N SARATOGA CIR /02/10 Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED -----Application valuation . 2500 Application desc ------------------------------------------------------- REMODEL LIVING ROOM ---------------------------- Owner Contractor ------------------------ _ ARCHER, DAVID MEDITERRANEAN DESIGNS/BUILD 23 SARATOGA 2751 MCCORMICK WOODS DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 ------------- ------------------------------------ Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee Issue Date 32 . 50 Expiration Date . . 11/29/10 Valuation . . . . 2500 ----------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS ------ - ------*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS --------------------- ------------ --------- Fee summary Charged Paid CreditedDue ---------- _______ Permit Fee Total 65 . 00 65 . 00 00 Plan Check Total 32 . 50 32 . 50 . 00 Grand Total 97 . 50 97 . 50 . 00 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. B U1 LI)-LN G YERAU T APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach., FL 32233 Office (904)247-5826 Fax (904) 247-5845 ob Address: _gam) �ar�-���0. C-vY-C L'e— IJ Permit Number: .egal Description 00 oar ea o q• t Parcel# valuation of Work$ (�C� , Proposed Work heated/cooled t non-heated/cooled 'lass of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door -se of existing/proposed structures) (circle one an existing structure,is a fire s rinmer system imtaffed?�(Circ a one):ial ResidentialNo N/A lorida Product Approval# � ( , ct or multiple products use product approva •rm lescribe in detail the type of work to be performed:-Li ')i roperty Owner Information: V— Address: State i -Marl or Fax#(Optional) -- p Phone ontractor Information: company ame: g 3dress: r rY- Wua.lifyinAgent: -�r°J ffice Phone ,(7b Job Site/Contact Numbers ql�ty �.33 S axtate�--Zip ate Certification/Registration# C r( U �- ©(Oq. �22_0. yp -chitect Name&Phone# igineer's Name&Phone# -e Simple Title Holder Name and Address fading Company Name and Address ortgage Lender Name and Address plication is hereby made to obtain a permit to do the work arzd installations as indicated Icer izfy that no work or installation has commenced prior to the ounce 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 void if work is not commenced within six(6)months or if construction or work is suspended or abandoned fora erzod ofsix(6)months at any time¢iter rk is commenced I understand that separ ate permits must be secured for Electrical Work,Plumbing, Signs, bells,Pools, 6'months Boilers,Heaters, rxks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMAIENCEMENT. !reby cer tzfy that I have read and examined this plication and know the same to be true and correct. f411 provisions of laws arzd ordinances governing this V work will be complied with whether sppecs d herein or not. The granting of a permit does not presume to give authority to violate or cancel the visions of any other federal,state, or local Isw regulating construction or the performance ofconstruction. nature of Owne Signature of Contractors at Name . �� .J....... ........ '�.(�.7��... ................................... Print Name . �? ---....�s—s�•_h,..- . -. ......� ora o and subscrib d before me - of ` �o Sw t ands scrrbe re me ® d ?; DF p ' 20 C.2 Lary Public ...rm....�„ y lMr �• DEBORAH �. qE A WHITE SEEP ebruary 14 014 ' I MY COMMISSION#Dq ru Notary Public U rwriters a ! v IS 634126 REQUI F "Y EXPIRES:May 21,2011 LJI 6.1 �..� Pf to Bonded 7hru Notary Public Underwrlters REVIEWED BY: DATE: -- /U rh MAP SHOWING SURVEY OF Lor 25 , BLOCK 33 197-4.4AITJC BEACAl 1//LL4 A5 �'ECb�taEp IAl CUR/QEitIT f U8GlG .QECD/2�5 OF DU(/4L COUNTY, FGORJhA. W o ¢5 " 5T4716- R040 0EP4RT,0-cA/T DCPA/�V4GE �P/C,HT-oF- W4Y Ery 51 '05-,5. 75"-CO' 0.2• 4�GFi/4I L/N,C x� 6 F CE Raloop /Q"EoSEME.,v`l F� �,Pd/,t/AGE 2 `� star x E UT/G/T/ES (,OY PGQT� 47.�' !o.s• � w 4 /3.7' I SToc Y L 4®tt�� rye\ $L4Q Q - 4OT Z6 '", '`-* -%- aES/pFsa/CE V Y i>� 4oT Z4 ."' /'O' .•• 90"BL//GOING M •� R�srR��r/ov �• ` `hh �'L :•tis GInIE iSY AcR ,: m lei 2'Coac• ^� � oQ �: ORlvEWRY � � 1^taev r,r� M R/EBa�I S AnAne% lb c Fowio i^lea✓Firs u.e) `�No C4P) Z (A,r.S.) �-•—�---- i 3 /d.5' �• 329,x$' �N•r•s.� /l/• 69'3/'25"Gt/- 75.co' FOr/Ya Z-IRav PiPB MTS-� \ C� CAr) .�°,� FO✓w,o rJwP/PP jr.Vo C4,-) 0.7'We$r- � � SET Z ^IROt/PirE� X04.5•�4ZG� 117 040 ;tl C1, A1011?7 H I. TH/5 /5 A 9041AIP4RY St/R(/EY. -7 At Z. 6EC ,� 4R/,UG4RE 9SEo aAJ PLAT�K 31, P.4G�/3, 3 3. /1/.T. S. DE.t/OTES Nor TO SCAL E. TNS PROPER r Y APPE4R5 To L./E IA/ FLOOIO .ZOAIE C " WN/GN ./S THE ARE4 DF IWIA11R14G FGGbOJA/T.q- ey FGGrib 1LJ/lP REf//5EO 41/883, CdMtilun/iTY PAAlEL it/o. Iry 75 rO, 12aVJo L• e.QOt31rt/E,.9REiS�E/P, AMER/C4/1 F �/` IFt f • � � i i t1 t i f � J OS ► i ` j z 'i j f 6 v� q d f � s .x w Y %A J C i ! 1 City of Atlantic Beach APPLICATION NUMBER taz Building Department (To be assigned by the Building Department.) `J 800 Seminole Road �p.- .700 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 Date routed: 6 - 1—lo E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: cl.,r- Department review required— Ye No rn- Building Applicant: 1� e Planning &Zoning -�Y"_ Tree Administrator Public Works Project: Public Utilities Public Safety Fire Services Review fee $. wDept Slgnai Review or Receipt Date re 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: PApproved. ❑Denied. (Circle one.) Comments: BUIL6 PL ZONING Reviewed by: Y!'I Date: 6 "l/O TREE ADMIN. Second Review: ❑Approved as revised. ❑ Hied. 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