Permits 336 Aquatic Drive .� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000636 Date 5/07/08
Property Address . . . . . . 336 AQUATIC DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1980
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Application desc
T-11 SIDING
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Owner Contractor
------------------------ ------------------------
JOHNSON, JAMES OWNER
336 AQUATIC DRIVE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00
Issue Date . . . . Valuation . . . . 1980
Expiration Date . . 11/03/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 . 00 40 . 00 . 00 . 00
Plan Check Total 20 . 00 20 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH R_
9;dt 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08 I ( I
n OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
Mill BUILDING PERMIT jAPy+µPLICy�ATION DOUVAL COUNTY
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❑NEW BUILDING ❑DEMOLITION ESIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
r ;m u d ERATION ❑ F ACCESSORY BLDG. FRE4i
_❑REPAIR ❑POOL/SPA ❑YES ❑N/A
❑MOVE ❑OTHER I�O
Iu � NTA [ z {EiGN1 PER ,O
9.NAME: �y 15.COMPANY NAME: 23.COMPANY NAME:
16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS:d 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
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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.
„ pa'ii iry.. i
,£ p00
i,�fA4ttCN7i$y'or l ¢' ,no„�,.. �q Ff I Iir,�b i 31�+ h6'w I i �.1 ��'� illi�u�`'• r
Sig Date: Signed: Date:
Bef r me this y of 200/,nttecountyof Before me this day of 2007 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all st +� n �cjecl nsYhimsel herself and affirms that all statements and declarations are
ry Flu tic-S ��
true and accurate. c•. ra
MY Commission Expi s Feb 14,gplo
Notary Public at Large,State of P Commissino# � is a arge,State of ,County of
❑Personally Known Bonded By NationSo ( K wn
❑Produced Identification- tification-
Notary Signature: Notary Signature:
COAG FORM BLDG01:REVISED:11/6/2007
r CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDAVIT
1. 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
MROVE 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.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
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 $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
4
ADDRESS �$,g PHONE NUMBER
Tames ss/✓
P NT NAME
a.
IGNATURE �f may, DATE T—
Before me this 4 day of 2007 in the county of
Duval,State of Florida,has personally ap ared
herin by himself/herself and affirms that all statements and declarati s�[[eaY P,, SHIRLEY L.GRAHAM
true and accurate. ;o` "e ••
Notary Public at Large,State of/,County 26%/CL 'r Notary Public-State of Florida
•_My Commission Expires Feb 14.2010
❑P nails Known Commission 0 DD 518533
roduced Idem Ceti n-
,� Z �7�' "�/�` "° "'• Bonded By National Notary Assn.
Notary Signatur .
COAB FORM BLDG07;REVISED: 8/14/2007
CITY OF ATLANTIC 13EACE PERMIT -CALCUL.ATION' SEEET
.Addresses'
Date_ rE�• �' , �_��`
Heated square Factage @ $ mer. sq ft .._ $ '
-Garage/Shedez- sq ft
$ -
Carport/Po.rch @ $ Per sq ft ._ $
Deck
@ S ner sq ft $
.Pati o
@ $ ner : sc ft = $
TOTAL VALUATION:
. Tota Valuation
� �- $ •� -' _ .
1 on 1st
Remaining Value
$S• Per thousand
or :portion thereof
--------------
TOTAL BUILDING FEE
+ ..1/2 Filing . Fee $
(. . ). F.ir.epla.ces . @ . $1.5. 00.
.'.BUILDING . PERMIT FEE $ `j
WATER IMPACT ,FEE $
SEWER :IMPACT .FEE $
WATER' METER/TAP $
CAPITAL IMPROVEMENT. $
SEWER .TAP_ > S
' .. -( - ) •RADON (HRS} . 0050: ' $ � '
SECTION 1i PAVING ( ) $
HYDRAUL.IC ,SH. RES $
CROSS CONNECTION $
( ) SURCHARGE . 0 0 5 0 $
OT�FER $ --�
GRAND .T OTAL' DUE
ADDITIONAL PERMITS OR '.FEES :.,Meehan-� ca1
Electric/New � ..Plying
Electric/Temp ;SwimmirngPool
Septic Tank___; yell Sign Finish Floor Elevation
Survey Other
CALCUL`"TZQNS and/or NOTES :
�ir�4lFxr�
CITY OF ATLANTIC BEACH cc:
u� BUILDING / ZONING DEPARTMENT
.� 800 Seminole Road S. Doerr
s) Atlantic Beach,Florida 32233
J
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application
Property Address: 3 s(2 'A I)yAT(�
Applicant: {�jr't
Project: � � -
This permit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
r� r�
t 1
s)
CITY OF ATLANTIC BEACH
f ROOFING PERMIT APPLICATION '
Date:
Job Address: ? ( din Z 13611 �3
Owner of Property: 0 S J l ec d I
Address: vi CAI ATelephone:
Contractor. f, V00 I^qili2CS State License Number: _ 4
Contractor's Address: 6 PL,
. 5;+/,C(fi
Telephone: Z 6 6 4 Fax: ��-901 U
Scope of Work: �/�/�,L,/ ZD-0T
Deck Slope: Z Greater than 2:12 Less than 2:12
Valuation of work: fl 0 o L)
Product Name(Example: Timberline):
Manufacturer(Example: GAF): C) Qcj�
ASTM Designation(s):
Required Inspection . Sheathing and Final �
Signature of Owner: �(J l
e:
Signature of Contractor: Date: b �o r r
AS TO OWNER: //�
Sworn to and subscribed before me this �`�l day of oc l--- 200
State of Florida,County of Duval
Notary's Signature: //"7
3oseph Jude Romano
MYCOMMISSION# DD240635 EXPIRES ❑ Personally known
August 1Z 2007 p
- R;
BONDED THRU TROY FAIN INSURANCE INC 'Produced identi tion ` �{ k7-7 5 -p��
Type of identifi ation produced (-�•f
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of
State of Florida,County of Duval
Notary's Signature: � -_-�y-�-�2�G
GLORIA J.CASTERLINE•MoLAUGHLIN
MY COMMISSION#CC 976739 Personally known
��OF i11' EXPIRES December 8,2004
❑ Produced identification
14m.3-NOTARY FL Notary Samoa a� BoW�,Inc. Type of identification produced
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.H.us
Page 1 Revised 2/21/03
5' m'tjERN r ,( Book 11421 Page 2046
Doc# 2403341483
Book: 11 42 1
Pa e. 2046
NOTICE OF COMMENCEMENT Filed & Recorded
State of10/15/2003 12:20:11 PM
County of Tax Folio FULLERo No. rt FRK rrRPnTT rMwr
DUVAL COUNTY
To Whom it May Concern: RECORDING $ 5.00
TRUST FUND f 1.00
COPY FEE t 1.00
The undersigned hereby informs you that improvements will be made to certain realproperty,RTFY f 1.00
with Section 713'of the Florida Statutes,the following information is stated in this NOTICE OFC MMENCEMENT. ce
Legal description of property being improved: vq4-/2
Address of property being c 2
P Pe rty g improved: v
General description of improvements:
Owner: / ve
Address: ef
Owner's interest in site of the improvement: Z
Fee Simple Titleholder(if other than owner):
Name.
Address:
Contractor:
Address: Z Z
Phone No: -2 Fax No: 7 y7r
Surety(if any):
Address:
Phone No: Amount of Bond S
Fax No:
Name and address of any person making 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:
Phone No:
Fax No'
In addition to himself,owner designates the following person to receive a c 1
Section 713.06(2)(b),Florida Statues. (Fill in at Owner' ion), copy of the Lienor's Notice as provided in
Owner's option).
_
Address:
Phone No:
Expiration dFax Na
ate 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
Sign7'Q�
Befo me s day of in the County
of Duval, Stat ida,has personally appeare
No ary Pub' at Large, State of Florida,County of Duval.
My co Ission expires:
Personally Known:
Produced Identification: C
2-�
Joseph Jude R6=no
.; MY COMMIS"# DD240635 EXPIRES
August tZ 2007
Rt`.
BONDEDTHRUTROYFAIN)NSURANC�INC
ty'L�l r CITY OF ATLANTIC BEACH
BUILDING AND PLANNING
800 SEMINOLE ROAD
%+ ATLANTIC BEACH,FLORIDA 32233-5445
S) TELEPHONE:(904)247-5800
FAX: (904)247-5845
http://ci.atlantic-beach.fl.us
October 15, 2004
Barbara Rossignol
336 Aquatic Drive
Atlantic Beach, FL 32233
Dear Property Owner,
Your property is in a "Repetitive Loss" flood area that has had more than one claimed
flood loss claim with the Federal Emergency Management Agency in the last ten years.
The last known flood in your area was caused by the Hopkins Creek backing up into the
Aquatic Gardens subdivision in 1997. Since this flood, the Hopkins Creek drainage
system has been repaired by the City of Jacksonville Hopkins Creek/Atlantic Blvd.
Drainage project and the City of Atlantic Beach 1999 Stormwater System Improvements
project which were completed in April, 2000.
The city participates in the National Flood Insurance Program and encourages property
owners to purchase flood insurance to protect their property. Your property is located in a
"X" flood zone therefore the insurance is very affordable. The city maintains information
pertaining to flood insurance at the Building Department in City Hall at 800 Seminole
Road.
Our hours are from 8:00 a.m. to 5:00 p.m. Monday through Friday. You can find
additional information at our website at www.COAB.us or by calling us at 904-247-5826.
Sincerely,
L , C ` P,,,,.,
Don C. Ford CBO
Buidling Official
Cc: File
,a
r CITY OF ATLANTIC BEACH
800 SENUNOLE ROAD
j ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027093 Date 10/16/03
Property Address . . . . . . 336 AQUATIC DR
Tenant nbr, name . . . . . . NEW ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
Owner Contractor
-------------- ---------- -- ---- ------------- -----
ROSSIGNOLL, BARBARA ROMANO ROOFING SERVICES
336 AQUATIC DRIVE P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649 (904) 246-5649
---------- -------------------- -------------- -- --- - ------------------ -- ------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3500
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
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. "FAILURE TO COMPLY WITH THE CONSTRUCTION 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 PROVISIONS OF LAW.
BUILDING OFFICIAL
w `} CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
• '" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
I9 INSPECTION EMAIL REQUEST:
Building-dept(kcoab.us
Application Number . . . . . 07-00000539 Date 4/25/07
Property Address . . . . . . 336 AQUATIC DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
--------------------------------------- ---------------------
Application desc
replace 6ft fence
-----------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOHNSON OWNER
336 AQUATIC DRIVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
---------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/22/07
-----------------------------------------------------------
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 APPROVVI) ONI V IN ACCORDANCE E W!TII .Al L (';TN' (IF ATVANTIC RE AC II ORDINANCES ,AND TIIF I:I,ORIDA
BUILDING CODES.
BP250U01 CITY OF ATLANTIC BEACH 4/25/07
Application Tracking Step Selection by Revision 14: 27 : 14
Application number . . . . : 07 00000539
Address . . . . . . . . . . : 336 AQUATIC DR
RE number . . . . 171818-5112- -
Application type . . . . . : FENCE PERMIT
NCR OLD ACCOUNT NUMBERS . . : AB25006
Tenant name, number . . . . .
Type options, press Enter.
2=Change 4=Delete 5=View 6=Fast log 8 Action log maintenance
9=In/out maint
Path ---- Rey Dates --- - Review Summary -
Opt Agency description Rev Step Req In Est Cmpl Resulted Stat By
BUILDING DEPT. A 01 Y 04/20/07 05/01/07 04/20/07 AP SLG
PLANNING & ZONING A 01 Y 04/20/07 05/01/07 04/23/07 AP SD
PUBLIC UTILITIES A 01 Y 04/23/07 05/01/07 04/23/07 APN LS
PUBLIC WORKS A 01 Y 04/23/07 05/01/07 04/23/07 APN LS
F3=Exit F5=Land inquiry F6=Add F7=Revisions F8 Misc info inquiry Bottom
F10 View 2 Fll=Sort by agency F12=Cancel F14 Action log inq F24 More keys
_� CITY OF ATLANTIC BEACH
z Ss1
71 PLAN REVIEW SHEET e
+ r Building Department Public Works&Public Utilities Departments gic
J' 1 800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 a
(904)247-5800 (904)247-5834
(904)247-5845 Fax (904)247-5843 Fax ety
Jax Fire dept.
PLAN REVIEW COMMENTS
Permit Application# Q 7 • o S-:3,9
Property Address '336
Applicant: h#-A/-'SM 40 Alt-r—
Project: !/IC 9- (� r
Review Result (Circle o ): A rove Disapproved Approved w/Conditions
Review Initials/Date s
Development Size: Habitable Space Non-Habitable
Impervious area Total Area
Miscellaneous Information :
Occupancy Group Type of Construction Number Of Stories
Zoning District # Parking Spaces Max. Occupancy Load
Fire Sprinklers Required Flood Zone
Conditions or Comments:
Building Dept, Public Works and Utility information at top of page, failure to
notify the correct department of your revisions may delay your permit from
being issued.
BUILDING PERMIT APPLICATION
S
J Ssl
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax: (904)247-5845
Job Address: &iai) .,-2t v i
Permit Number:
Legal Description O QZ t Cy�,i f L_ !��2 Ian •t� Z
cc'
Valuation of Work(Replacement Cost) $ I f
• Class of Work(Circle one): �ew> Addition Alteration Repair ove■ Use of existin proposed structure (Circle one): Commercial esi entia
■ If an existing structure, is a fire sprinkler system installed?(Circle one): es o Pes/Is approval of homeowner's association or other private entity required?(Circle one):
Describe in detail the type of work to be performed: f e-K/or tfZ/-:!;5 u/?e iv-/v Fro
A/F A4 0 C,i X
j�
Property Owner Information
Name: t;o.e/ Address: ¢3. &U1J ric.
City A TL/a.(-'1 c 0 c 14 State /-Zip Phone >O et
Contractor Information:
Name of Company: 044i f�,6e�c =,vc j joiFc�< Qualifying Agent:
Address: 1;2c>,Ca. City YZrp✓5e.c, State Zip 3-2`3�
Office Phone J Srov 4---7 9 5 2- Job Site/Contact Number
State Certification/Registration# Office Fax#0 Olt �T4th-cw o,2—
Architect Name&Phone#
Engineer's Name&Phone#
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
perform
ed to meet the standards of all
laws regulating construction to this jurisdiction. This permit becomes null and void iwork is not commenced within six(6�
months, ort construction or work is suspended or abandoned for a period of six (5) months at any time after work is
commencedf I understand that separate ppermits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools,
Furnaces,Boilers,Heaters, Tanks and fir 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 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 specified herein or not. The granting o�f a
permit does not presume to gave authority to violate or cancel the provisions of any other federal, state, or local laaw
regulating construction or the perfa e of construction.
Signature of Property Ownen-la—Ly- Signature of Contractor: --
Swo d sub d be e/me Sworn and subscribed b or e
this Day of + l this Day of
Notary Public. N
My EXM$Feb 1t,2010 ry �- oLr"
a.� C ission 0 DD 518533 Ja
Bonded By National Notary Assn.
2009
REVISED 03.05. r� co,in;,,io„8 DD 3tary
Z,rti I �/���
(2�1ated By Natbnai Notary Assn.
02/06/2003 00!31 904-5982712 ARA - WEST JAX PAGE 97/x9
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CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET e
Building Department Public Works&Public Utilities Departments S.
Ui31>' 800 Seminole Road 1200 Sandpiper Lane R.
Atlantic Beach,Florida 32233 Atlantic Beach, lorida 32233 . aluznia
(904)247-5800 (904)247-5834 RECEIVED is afety
(904)247-5845 Fax (904)247-5843 Fax Jax Fire dept.
APR 2 3 2007
PLAN REVIEW COMMENTS Y.
Permit Application# - o Y3 9
Property Address l0 fy'Q u 4 L LJ F
Applicant: i✓L;M UPJ Ate e r
Project: qr"
ff
Review Result (Circle one . Approved Disapproved Approved w/Conditions
Review Initials/Date ne Z4,00`
Development Size: Habitable Space Non-Habitable
Impervious area Total Area
Miscellaneous Information :
Occupancy Group Type of Construction Number Of Stories
Zoning District # Parking Spaces Max. Occupancy Load
Fire Sprinklers Required Flood Zone
Conditions or Comments:
Building Dept, Public Works and Utility information at top of page, failure to
notify the correct department of your revisions may delay your permit from
being issued.
t�L�rjj' BUILDING PERMIT APPLICATION
S r
CITY OF ATLANTIC BEACH
? t Y 800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax: (904)247-5845
Job Address: _ iia r ii C j L i Permit Number:
Legal Description �O i,Z/3y i&,i j y t7_
cc'
Valuation of Work(Replacement Cost) $ /v d 0
■ Class of Work((Circle one): ew Addition Alteration Repair ove
■ Use of existing/proposed structure s) (Circle one): CommercialI-. esidenh .
■ If an existing structure, is a fire sprinkler system installed?(Circle one): es oPes'Is approval of homeowner's association or other private entity required? (Circle one):
Describe in detail the type of work to be performed: `� r- f of
•4l2 A-1 0 C_, ;Sz %X
Property Owner Information
Name: Address: '3364 A cP uri rir. t�v�
City A TG 11),4.1 C J-) State!/-Zip Phone Opt
Contractor Information:
Name of Company: O c4 7f
3Acei��,� ;� �t �'�" Qualifying Agent:
Address: 12 G 4� i.f lrl i �.c ;.:s ,o A v City o i 6 n✓sa.cr State FY- Zip '3233 /'
Office PhoneJob Site/Contact Number
State Certification/Registration# Office Fax Yc/,--e3l e--?,2—
Architect
v`Z-
Architect Name&Phone#
Engineer's Name&Phone#
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 beerformed to meet the standards ofall
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 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 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 specified herein or not. The granting of a
permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law
regulating construction or the performa e of construction.
Signature of Property Owner.: Si ature of Contractor:
gnP �' —
Swo d subscri d be e/me Sworn and subscribed b ore�e
this Day of C� this ? Day of
y SHi lEY LGRAHAM
Notary Public. N
Wy Co i Sion Expires Feb 14 2010��~""•, \
C fission#DO 518533 =r+� *�`; Notsry b6c• tate of Florida
9; •5My Comm ' n pins Jan 20,2003
REVISED 03.05. Bonded By National Notary Assn. a Commission#DD 388347
Z, /L ! a _ °f" ,• Bonded By National Notary Assn.
V
r S r1�\J
s s J CITY OF ATLANTIC BEACH
r
PLAN REVIEW SHEET e
Building Department Public Works&Public Utilities Departments S.
Ji3l 800 Seminole Road 1200 Sandpiper Lane R,
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 . Kaluznia
(904)247-5800 (904)247-5834
afetyy
(904)247-5845 Fax (904)247-5843 Fax Jax Fire dept.
PLAN REVIEW COMMENTS
Permit Application # � ;7 - 0 5-3 9
Property Address SS6 �Q// �-j � r
Applicant: jJ/ d,<;7n -- &Alt- r'
Project:
Review Result (Circle o pprove Disapproved Approved w/Conditions
Review Initials/Dateia! Q -Z 3 'd 7
Development Size: Habitable Space Non-Habitable
Impervious area Total Area
Miscellaneous Information :
Occupancy Group Type of Construction Number Of Stories
Zoning District # Parking Spaces Max. Occupancy Load
Fire Sprinklers Required Flood Zone
Conditions or Comments:
Building Dept, Public Works and Utility information at top of page, failure to
notify the correct department of your revisions may delay your permit from
being issued.
4
S-Lir BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
yrs»
r 800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 9 Fax: (904)247-5845
Job Address: �� � %r C %o J-2r c�i' Permit Number:
Legal Description '77),/3 A(fi r %>c'
cc-
Valuation of Work(Replacement Cost) $ /
■ Class of Work(Circle one): ew Addition Alteration Repair ove
■ Use of existing/proposed structure s (Circle one): Commercial !es
den�tia
■ If an existing structure, is a fire sprinkler system installed? Circle one): lvo c�N/
■ Is approval of homeowner's association or other private entity required? (Circle one): eT s��
Describe in detail the type of work to be performed: r15-0
%Z A-'i U v t %X 6f i / ,Id t.) r`z
Property Owner Information
Name: 0 t;o.f/ Address: 3 3 6 A d) Or,
City A TL Acs t c i7,c ti State/ Zip Phone )ort 2 '? — 8-.�2
Contractor Information:
Name of Company: 0cel 1_3 Ac I-ci` � e��4 j: c-e-r� Qualifying Agent:
Address: 12 o O, WA-;i4l/-,4,I�I✓ A v City '0"664, State F4 Zip 3:133 r
Office Phone/-4c c., *'11�--'7'l'5':1- Job Site/Contact Number
State Certification/Registration# Office Fax#NOV Ll-yl--G-!o,z—
Architect Name&Phone#
Engineer's Name&Phone#
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 workwill be erformed to meet the standards of all
laws regulating construction in this jurisdiction, Thispermit becomes null and void if work is not commenced within six(6)
months, or f 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 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.
thereb certify that have read and examined this application and know the same to be true and correct. All rovisions oa
laws and ordinances governing this type of work wN be complied with whether specified herein or not. The granting of
permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law
regulating construction or the performa e of construction.
Signature of Property Owner:- 6---A' Signature of Contractor:
Swod subscritkd In 1 e/me Sworn and subscribed b ore�e A
this Day of l� this + Da of j Q` U
Y
Y SHt LEY L GRAHAM — -
Notary Public. N
• : My Co i sion Expires Feb 14,2010 ry$'�,ay '/Z,s� Notary blic tate of Florida
C ission#DD 518533
'F ov, '• My Comm n pir�Jan 20,2009
Bonded 9 National Nota Assn.
REVISED 03.05. y Notary =Z� ` Commission#DD 388347
�°F�t`. Bonded By National Notary Assn.
`� �-d
02/06/x003 0?;31 90Q-598-2712 ARA - WEST JAX PAGE 07/68
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CITY OF ATLANTIC BEACH
S PLAN REVIEW SHEET
gicafety
ry`Jl,l,r Building Department Public Works&Public Utilities Departments
800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834
(904)247-5845 Fax (904)247-5843 Fax
Jax Fire dept.
PLAN REVIEW COMMENTS _
Permit Application # Q ? ' Q�3 9 RECEIVED
?�
Property Address J (' APR 2 3 2007
Applicant: r/1 �Alt Qt r-
BY:
Project: L r
Review Result (Circle on roved Disapproved Approved w/Conditions
Review Initials/Date
Development Size: Habitable Space Non-Habitable
Impervious area Total Area
Miscellaneous Information :
Occupancy Group Type of Construction Number Of Stories
Zoning District # Parking Spaces Max. Occupancy Load
Fire Sprinklers Required Flood Zone
Conditions or Comments:
Building Dept, Public Works and Utility information at top of page, failure to
notify the correct department of your revisions may delay your permit from
being issued.
"a