Permit 885 Bonita Rd CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000411 Date 3/31/09
Property Address . . . . . . 885 BONITA RD
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
6FT FENCE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SITZ, ROBERT OWNER
P.O. BOX 781
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/27/09
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY
CONSTRUCTED.
*SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED.
PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL
INSPECTION.
Roll off container company must be on City approved list
and cannot be placed on City right-of-way.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
7�T
- S - OWING
A,
SU VEY OF
-ot 8,"Block ,,3, as shown o� the Plat of Royal Palms Unit 1', as recorded in Plat Book 309
Dages 601�4nd-fiOA of the Current Public Records of Duval County, Florida.
For: 'Robert Erwin Sitz N.H.A.C. Leslie
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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
E-mail: building-dept@coab.us Date routed:
City web-site: hftp:/Aw".coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: nt ZI
*a Innei n'.q—_&&
lni�ag
Applicant: to-n T—ree Administrator
Project: Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept,of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. ElDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
TREE ADMIN. Reviewed bv:.(2 Date:
PUAIC W Second Review: []Approved as revised. [—]Denied.
(�!UB IC I IE Comments:
PUB SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: RApproved as revised. RDenied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH 09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
3..SQ.FT.,UNDER ROOF'
2.
1-.JOB ADDRESS..
VALUATION OF VVORK�,,
��,4.,LEGAL DESCRIPTION.
6i USE
CLASS OFWORK �-C OF STRUCTURE:�
13 NEW BUILDING 11 DEMOLITION 0 RESIDENTIAL
LOT_BLOCK_SUB DIVISION E3 ADDITION 11 ONVERTING USE 13 COMMERCIAL
7,DESCRIP11ON OF WORik 0 ALTERATION ACCESSORY BLDG. 8.FIRE SPRINKLERi",.
0 REPAIR 11 POOL/SPA 13 YES 13 N/A
13 MOVE 13 OTHER 13 NO
PROPERTY OWNER'-
kIDTOR.I TECT I ENGINEEW
9.NAME: 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:
44 L- BcA
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: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEEZIMPLE TITLE HOLDER6;,,
d6iviPAN*
DER:
ONDING 111116IRTGAGIIi LEN
6iiiE'KtHM40 �R�,NF7
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
Electirical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEWS 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.
r
AGENT; CONTRACTOR"
A�Dmey or Aljeriq- Letter Required)
(ItAgeht,Power of ft
(Qua er Only)
Signed: A& Date:- Signed: Date:
I
Before me this_day of 2009 in the county of Before me this day of 2009 in the county Of
Duval,State of Floridakas personally appeapff ., Duval,State of Florida,has personally appeared
J). hlv 177 1 -2-
herin by himself/he4lf aNd affinrns that all statements and declarations are herin by himself I herself and affirms that all statements and cleclarations are
true and accurate. true and accurate.
�Om�� 1�
Notary Public at L ,§tate of County of Notary Public at Large,State of_,County of
0 Personally Kf� 13 Personally Known
0 Produced Idenfifi I Produced Identification
Notary Si a ur Li Notary Signature:
L A
SHIRLEY L.GRAHAM
+� p Notary Public-State of Flodda
BLDG01 Perrnft Application 81 0 1 '"MMmmissio,Expires Feb 14 2010
Commission#DD 51853�
nal Notary Assn.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-
OFFICE'(904)247-5826%FAX NO.:(904)247-SB45
loc.,
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
12 Y4PATIOR9,FWORK" DER ROOF
alS 91) -7 00 -06
S
S.,cLASS OFWORJU�,':;�; 8.USE,017.-STRUG�PUREJ..'�
13 NEW BUILDING El DEMOLITION 11 RESIDENTIAL
LOT_BLOCK. SUB DIVISION 13 ADDITION E3 ONVERTING USE 13 COMMERCIAL
q
4""7�DESCRIPTION OF ORKj'
,w 11 ALTERATIOl :6.FIRE SPRINPI R:
ACCESSORY BLDG. E F..
11 REPAIR OPOOL/SPA ElYES 0 NIA
04S 13 MOVE 130THER EINO
PROPERTY QWNER�'.. TRAC -,-'ARCHITECT I ENGINEER.-�
C014 TORI� , I ::,: �
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME
S',t.7-
1 16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
I B.ADDRESS: 26.ADDRESS:
,44L- '04-01
11.OFFICE PHONE: 112.FAX NO.: 19.OFFICE PHONE: 20�FAX NO.: 27.OFFICE PHONE" 28.FAX'NO.:
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
Sto- ID?F
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEEZIMPLk4-TITLE H OLDEM,
MDRTGA
F
COMPANY. .,
OF THM o4jh�
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 35.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,Fumaces,Boilers,HealWars,Tanks, Air Conditioners,etc.
OWNEWS 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.
-TOR"
CONT-RAC, ......
or cy
Paworxtfomey Al;s�hi LetlerR iirecn
Signed: Date: 3-�S-Ocf Signed:
Date:
Before me this day of 2009 in the county of Before me this day of 2009 in the county of
Duval,State of Floddekas personally appe�a Duval,State of Florida,has personally appeared
VV
1VW
herin by himself I he4lf Xd 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 L State of County ofl—l� Notary Public at Large,State Of_,County of
�—S I
0 Personally K<Q/�� 0 Personally Known
13 Produced ldenfflifl�) 0 Produced Iderifffication-
t=
Notary Si�a Y,-1 Notary Signature:
A
SH)RLEY L. GRAHAM
da
4o I 'M 7 010
.�o
Notary Public-State of Florida
BLDG01 Permit Applicaflon Bld ?Commission Expires Feb 14 2010
com
bt mission#DD 518533
Bonded By National Notary Assn..
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
-5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845
r E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address:
:?Tanning &Z
Applicant: T—ree Administrator
2�t�� -
Project: 6:91 BRID
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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
I_---
Reviewing Department First Review: 041jr-oved. DDenied.
(Circle one.) Comments:
BUILDING
(P`LAN?4J1-NG 8,�ZO
Reviewed by:__,�- _Date: lj?SI�4
TREE ADMIN. 4
PUBLIC WORKS Second Review: DAPproved as revised. ODenied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review- DApproved as revised. F-IDenied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-
r� OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
-DEPT@COAB.US
BUILDING
BUILDING PERMIT APPLICATION DUVAL COUNTY
z.3�,SQ;FT;'LNQER ROOF-,::,,
P-'9 4-tL- c:;17 00 -06
CLASS OF.WC)RKP'4�;�,�.,,','.'-,.��",:�i-,,i,�,-.,�l'.',*.:�'�,..,.�.�rt'l,�,' F! &U§E.OF.,--STRUGTURE.i
NEW BUILDING 11 DEMOUTION 11 RESIDENTIAL
LOT_BLOCK_SUB DIVISION Ell ADDITION E3 ONVERTING USE 0 COMMERCIAL
kTION
kA4kACCESSORY BLDG. FIRE,9PF0NK1LER;--
E3 ALTER) il ;
0 REPAIR 13POOL/SPA YES LEI NIA
PAI-te, A e-04S L--a&77 11 MOVE n OTHER NO
QINNER��.
PROPERTY. �CONTRWTO ARCHITECT,
R. I ENGJNEER�:'
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME'
906et 16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
r17 18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE:
_112.FAX NO.: 19�OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE--
--SIO- 11RF
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
1N -I,Nd-d "PA"
�,,",!EE SIMPLE TITLE HOL
TRAN
D'
: MORTGAG
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.
OWNEWS 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,unfit all inspections are finalled 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 ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWN F
E Z"&-AGENT'
CONTRACTOR
(If gent mar
A ''(�x4i�n6y6i�d�6��Le�erReauirecn�'.'
(Quafineroniv)
Signed: Date:
Signed: Date:
Before me this day of 2009 in the county of Before me this_day of 2009 in the county Of
Duval,State of Floriciff personally appea Duval,State of Florida,has personally appeared
kX J�77 'Sw--1 -2-
herin by himself/he4lf affr:m-a that-all statements and declarations are harin by himself I herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Lamg,'State of County Notary Public at Large,State of_,County of_
13 Personally 0 Personally Known
11 Produced ldentlfi El Produced Identification-
Notary Si at �12A Notary Signature:
SHIRLEY L. GRAHAm
Notary Public-State of Florida
BLI)GOlPermitApplication Bid
?e0mrillssion Expires Feb 14 2010
co
�61� mmlssion#DD 518533
13on ed By National K-- -ssn.
City of Atlantic Beach APPLICATION NUMBER
Building Department NA A P (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-544J�-�',-
Phone(904)247-5826 - Fax(qo4)'247za4��'
E-mail: building-dept@coab.us Date routed:
City web-site: hftp:/NAqw.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No]
Ui ,
Property Address: 'OT-an–n in q &Z�
Applicant: ool T—ree Administrator
c2m,11_5�p
Project: 4ku_ Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: EXApproved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN.
PUBLIC WORKS Second Review: F]Approved as revised. []Denied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: []Approved as revised. [—]Denied.
Comments:
Reviewed by: Date:
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
E-mail: building-dept@coab.us Date routed: 41�
City web-site: hftp://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
U &Zpa*
Property Address: �?tn - _�?d �L�
:?ran n i n q
Applicant: V_ee Administrator
Project: f4t u_ Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: PA'*'Pproved. [:]Denied.
(Circle one.) Comments:
BUILDIN9,,'
PLANNING &ZONING
Reviewed by: D a t e:
TREE ADMIN. U
PUBLIC WORKS Second Review: F]APproved as revised. F�Denied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: DApproved as revised. RDenied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH
09-
.1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
Wt
OFFICE:(904)247-SB26 0 FAX NO.:(904)247-6945
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
JOBADDREW.,
YALUATIO DFWQRK;��:.- SQ,FT�U
NDERROOF
=;C7 00 -06
6.USE,oFsTRucTURE,i`:."`
.6��UAss OF.WCRK�
-Le6ALDESCkIPTIOO.I"�-'�".-�,�,.�����,��"-.�,,-.-
-4.
NEW BUILDING El DEMOLITION El RESIDENTIAL
LOT_BLOCK_SUB DIVISION El ADDITION ?11 ONVERTING USE 11 COMMERCIAL
A.FIRE SPRINKLERi',
7�DE8CAIPTION_QF WORK! ALTERATION ACCESSORY BLDG.
0 REPAIR 0 POOL/SPA 0 YES 0 N/A
fl*g, K(174.%C 6 �Iaav 13 MOVE 11 OT HER 11 NO
'ARCHITECT I
PROP W ER--
ERTY 0 R CM WTORC ENGINEER.
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
goset 16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
V,r6 804_�t#� 9)'o-
rV 18.ADDRESS: 26.ADDRESS:
12
44L- 134 Fl-
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.. AX NO.: 27.OFFICE PH07�0.:
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
Sto- lLqjr-
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SUPLETULE 14OLDERA
cmp�.Wy_ LIORTG GE
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,Heartam,Tanks, Air Conditionem,etc.
OWNERS 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 FINA 'G'NGrC0NSUL1_W1IH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING Y UR NQTJQL QLCOMMEK
OWNEFV6i-`AGENT�
I N AQonk eyerAgen- LetterReqpired) oni
cy &JUR
_Wl" NOW a
Signed: A& -Date: Ct Signed-
Before me this_day of 2009 in the county of Before me t is
Duval,State of Flodd a personally appea Duval,Statt 'of rFlor(o)ttf3rj red-
1,V P-
Vff j 1!�1_1 -2_ (39951TE Wj�
herin by himself/hersfif-af1d a_ffir;�s that-ail statements and deciarations are herin by hi self %forre t,1Whal6Spj5(!fr .
aim f6a
true and accurate. Itrue and ac uratux;
Notary Public at L ,State of County of1%,61 Notary Pubi
L_M�-
Personally, i.at
0 Personally Known
11 Produced(dentification-
E1 Produced Identifi I
Notary Si t r Notary Signature
JL%A;dvjLjr-jv 1)FOH COD COMPLLANCE
Crry OF ATIANTIC BEACH
C
SHIRL G HAM SEE PERMITS FOR ADDITIONAL
F
Notary Public Stat�e REQUIREMENTS AND CONDITIONS.
BLDG01PernnftAppI[catIonBid of Honda
mommission Expires Feb 14,20 10
1 Ft., -`tl
Y..
REVIEWED By..
3 Commission#DD 518533 VI
'y
P. -M C�_ DATE: 51.0 9
LOWYss _r___
Assn. ---------
oF cl�
CIV 'S�>
0*4
VV�
vlolol�-,�,Vko
ell sv
4865
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFO IfATION LOCATION INFORMATION
Poi*it �Nuobor i 4416!� Addrepot 885 BONITA ROAD
'Permit Types, Oulmolob, ATLANTIC, BEACH, , FLORIVA' 32233,
Cla*w of Work i � ADDITION ----------: LESAL DESCRIPTION -------
Conatt-. T ei WOOD FRAME Lots 8 Block% 3 Section:
ype
RHO: 0
opow0d' Uset SIXOLE,FAMILY To,vneh*jpt
"Dw
*lliniq6t I Code I Subdivisiont,, ROYAL PALMS
$2210.00
"Zoti'mifted Va. U01
�-IiRprov. -Cowt-l' *0.00
Total Fees:
037.50
Amoun
1/29/92
�Woirk De ITION PER PLANS
ATION ' APPLICATION FEES
4.1------
t
-N , PERMIT $37. 50
WATER ,
Ad ROAD IMPACT FEE *0.00
CH. FLORID 113 IMPA FEioo,17- 10 �0 Oo
Z
RA :-OAS-�- R,
5%
T HFORMAT�ON ----- -- RADON, "GAS $0.00
memo S, Y IR WATER TAP *0. 00
HE
SV,`WtR -TAP, $0.00
HYDRAULIC ,SHARE
Ty RE'-IHSPECT PEE 40. 00
Pei
SEC. H� IMPACT PEE
f4OTeS:
NOTICE—ALLCONCRETE FORMS AND FOOTINGS MUST Be INSOECTED BEFORE POURIN,0
PERMITVOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC,SPACE,AND MUST BE,
.,CLEARED,UP AND HAULED AWAY BY"EltHER CONTRACTOR OR OWNER.
�'FAI
LURE TO COMPLYWITH THE MECHANICS' LIEN LAW CAN RESULT ItC
;THE PROPERTY OW NER PAYINGTWICE FOR BUILDING IMPR
VEM
�Zrm- 1CM FIR
PLA
ISSUED ACCORDING TO APPROVED ISIS WHICH ARE PART OF THIS PERMIT,AND SUBJN&R.REVOCATIWj��
APPLICABLE PAOVISIONS OF LAW.
VIRkTION OF:
$.00
S I P4*1
w
R AT,As'A S
IC BE
At AIIIT, ACH BUILDING DEPARTMENT
Address -l�� 2000A - K) U I I t ( T 11-( R 0 r)rk ADO i T iot,)
. Heated Square Footage $ -- per sq ft - $
Garage4�� / 70 � /3 r sq ft - $
Carport/Porch $ r sq ft - $
Deck _@ $ _.per sq'ft - $
Patio $,- __per sq ft = $
TOTAL VALUATION: $
C
76tal Valuation lst 61, 0
/ ) -;� I (" C -, (", r-� $
Remainder Val iWtion per thousand or
portion thereof
------------------------------------ --------) Total bAlding Fee IS-
AMITIONAL PERMS and/or FEES + Is Filing Fee
Mechanical Fireplaces @ 15.00 $
Bunmmpmw nz -37
PluTbing
Electric/New
---------------m---------------------------------
Elect-ric/Temp BUnDIM PEX41T $
Septic Tank
Well WATER ME= a1ARGE
S,Tlmdng Pool SEWER DFACr HE
Sign WATER DTACr FEE
Water Connection HISCEUANEDUS $
Sewer Connection $
Water Meter
Elevation Qertificate GRAND TOM ME $
-------------m------------- ------------------------------- ---------------------------
i
camun= and/or N=
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
Owner(s) --------------
Phone: t�:y
Address:
--------------
14- '1XII
Lot Block or Unit Subdivision:-4 -----
Contractor:
e one:
Describe wor 0
----------------------------
Present use of building:__ -------------------------
Valuation:
----- -- --------------------------------
Proposed use:..... ----------------------------------
If yes, what are the dimensions of
Is this an addition?- ' .ET--___
the addett space:_ ft. X ft. Will the added area
be heated and cooled?--,//--, -- New electrical (or increas ) ?-
New Heat/AC?
New plumbing fixtures?- New fireplace?A
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Date:
r
- -- -------------
Sivnature OWNER:
Si6nature CONTRACTOR:--------------------------- Date:-----------
'0
.4,%
0 -Ex W-A(A vp 1'-#5-r;)
CP
JAN 2 11992
Building and Zoning
OWNER. BUILDER PERMIT AFFIDAVIT--:,;.,
Stute of Florida
City of Atlantic Beach
EFORE ME, the undersigned authority, personally appeared
Z- t:T/
i 29�e�-r-?-/- ----------------- who upon fizat being duly
sworn, deposes anct sayus
------------------ and the legal
owner of the lollowInd proportys
Subdivision
Block Lots' _
AMA ="./Z`27 7
I am applying for a building permit pursuant Lo the Owner
Builder exemption not forth in Florida Statute, Section 489. 103.
Florida law requires that I have been provided witts ttie Lolloring
DISCLOSURE STATEMENTs
DISCLOSURE STATEMENT
-State law requires construction to be done by licensed
contractors. You have applied for 6 permit under an
�Pxemption to that low. The exemption allows you, as
the owner of your property, to act as your own
contractor &van though you do not have a license. You
must supervise the construction yourself. You may
build or improve a one - or two gamily residence or
farm outbuilding. You may also build or improve
commercial building at a cost of $25,000. 00 or loss.
The building must be for your use and occupancy. it
may not be built for sale or lease. If you sell or
leabe more then one building you have built yourself
within one year after the construction in complete, the
law will presume that you built it for sale or lease,
which in a violation of this exemption. Your
construction must be done according to building codes
a�d zoning regulations. It in your responsibility to
make sure that people employed by you have licenses
required by state law and by county or municipal
licensing ordinances.
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.
Further, affiant sayeth not.
Property Owner
Sworn to and subscribed
b&for me thla d
.1!)L(,� ---1, _
of
Lo 4,
It
OWING SUHVEY ,OF-
A
pck ,3, as shown oln the Plat of Royal Palms Unit 1', as recorded in Plat Book 30,
6e0*i%d 60A of the Current Public Records of Duval County, Flor da.
For: 'Robert Erwin Sitz N.H.A.C. Leslie
"Ov
X1/
10.
A
Z6.
eo 0
E-5 A.4 -r Foe F &-r/I-
01
77
J�p
is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000701 Date 5/20/09
Property Address . . . . . . 885 BONITA RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4845
----------------------------------------------------------------------------
Application desc
REROOF FL 9792 . 1
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SITZ, ROBERT SCHULTZ ROOFING, INC.
P.O. BOX 781 216 N. 20TH STREET
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 246-2315
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4845
Expiration Date . . 11/16/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 5S . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 55 . 00 55 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
K 800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233 09-
OFFICE:(904)247-5826 a FAX NO.:(904)247-5a45
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
7", ,, 77 7
NA
Z/ 0 NEW BUILDING 11 DEMOLITION 'M%RESIDENTIAL
LOTC9 BLOCK--3 SUB DFVISION&Z/A�6-4�41M'5 Z 11 ADDITION 13 CONVERTING USE 0 COMMERCIAL
0 ALTERATION
0 ACCESSORY BLDG.
E3 POOL/SPA 13 YES 13 N/A
J44U(ZfAk3 I-TA -91+ N�-s as-yr ]!0=MOVE IZOTHER 11 NO
9.NAME:
,obea 5- 15.COMPANY NAM 23.COMPANY NAME:
'�JAME 24.LICENSEE NAME:
1 4140 fi.
10.ADDRESS: 17.STATE!OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
- ,-,
18.A 26.ADDRESS:
IT,I-A 1 L 1 6-914. 1�6' 5�-
T FAX NO.:
11.OFFICE PHONE� 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO 27.OFFICE PHONE:
13.CELL PHONE: 21.CELL PHONE 29.CELL PHONE:
'14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
-V
411
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.
lo�Signed: 11-W lo Date: O� Signed: Date: 57/
Before me this / day 2009 in the county of Before me this day Of 2009 in the county of
DuvalA, tate of Florida,has personally appearaill Duval,State of Florida,has personally appeared
. k'6eei '�j 6 -Z' --bs f,a '-;� 14, 15�?h a/ r-;2—
herin by himself/herself and affirms that all statements and declarations are herin by himdelf/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of V5 County of A�Zxa'e Notary Public at Large,State of_( County of
0 Personally Known 2<rson0,Known
- L' 1,,S �&;!0 11�
,U?Produced ldentff* I 1 0 0 Produced Identification-'n
atU tU
Notary Sign re:� Notary Signa re:
ROSALIND CLARK
0 -V
A"'
L Ji- MY COMMISSION#DD 544427 ROSALIND C
My COMMISSION 544427
2
EXPIRES:August 25,2010 EX # 2
PIRES:August 201
Bonded Thru Notary Public Undenmilifters
0
1"�nu Notary
Bl. ation Bldg:REVISED:12/18/2008
Permit Number Tax Folio Number 12144P
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIGNED hereby gives notice that improvement will be mad to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information is
provided in this Notice of Commencement.
1. Description of property: 6�2rcS� RIX2 4�4,q PRJ,!22-� &A);6 6:��2-"
2. General description of improvement:
3. Owner information:
1. Name and Address: j2, -6
2. Interest in property:
AZ
3. Name and address of fee simple'titleh Ider(other than owner):
Douglas Schultz Schultz Roofing Co., Inc. 216 N 20th St Jax Bch, F1
4. Contactor's name and address:
a. Phone number: 904-246-2315
b. Fax number: 904-246-3808
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 number:
c. Fax number:
8. In addition to himself/herself,owner designates of
to receive a copy of the Lienor's Notice as provided in
Section 713.12(l)(b), Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is one (1)year from the
date of Recording unles� a different date is specified)
'�Signature of Owner:
Sworn to and subscribed before me this day of 20��.
INSPECTION RECORD
JOB ADDRESS t,
CONTRACTOR
OWNER
TYPE DATE REMARKS
FOUNDATION
SrAB
PLUMBING (R)
SEWER
TEMPORARY POLE
L1019TE /BERM
COLUMN
ELECTRICAL (R)
PLUMBING (F)
MMING
ELECTRICAL (P)
OTHER
41001,
FINAL
DEPARTMENT OF BUILDING 3 7 8 3
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 7/18/7 -19—
Valuation$ 6,616 Fee$_ 20.85 —
This peraxit not valid until above fee has been paid to City Treasurer. and is
subject to revocation for violation of applicable provisions of law.
This is to certify that Robert Z. Sitz
has permission to build a garAge
Classific restidt%nt-i-sikI
Owned y Robert- U- Sity
Lot s al-Block 3 S/D
House No- 885 Bonita Road
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
.4 01 4-110- 0 Building material, rubbish and debris
Zfrom this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner. 20.85 7L
J7j�Zj BiIdig0ffl*QCCACG
i'LW I I A 7 0 1
FOR OFFICE PERMIT CONTRACTOR
USE ONLY NUMBER DATE
PLUMBING
ELECTRICAL
:SEWER
W,ATERA
7_
ATER
law
FOR OFFICE SE ONLY
Date............=..bK........197.�
Permit #---���.Vee
F ATLANTIC BEACH Valuation $......!�Ljl.............................
1978 FLORIDA House # ......
CITY OF AT,LA)1kk%VbN FOR BUILDING PERMIT ...........................................................................
............................................................................
............................................................................
Application is hereby made for the-approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Da ........... - ------/7--------------------------------------
td�ner-----
....�.-NrI144-----------------------------------Address.... . ..... .*J1P_f.............Telephone
Architect-----------------------------------------------------------------------------------------------Address,----......................................................Telephone No.............................
Contractor Builder----- --------------------------------------------------Address................$-------------------------------------------Telephone No---------_--------------
Lot No...------------?-------------------------------Block No.-..-T--------------------Sub Division-,�0*1_40*010X------------------------------------------Zone.................
44�.)f 1 4 /
--- —------------------Street------------------------Side Between............._......................
..............and......................................................StO.
�`aluation $---OX500...........For what purpose will building��eused.... 40.;.L40We of congtriietion---..................................
Dimensions of Building.-4.4e . p'P .0 - /W 00.*
ooting-s
.. ....-----------Dimensions of Lot-17----
Size of Piers_------- ------------------------Size of Sills..... _-------------.....Greatest Sill Span in ft---------------------------Type Roof.....................................
How will Building be Heated?--------__--------------------------------------------_----Will Building be on Solid or Filled Ground?........................................
Size of Ceiling Joists------------------------_-_-__........ Distance on Centers.........................................., Greatest Span........................................... "
Size of Floor Joists-----------------------------------------------Distance on Centers----..... ----- ....................... Greatest Span............................................ op
Size of Rafters---------------- ----------------------- Distance on Centers-------- --------_----_-_------...... Greatest Span............................................ of
This rectangle is to represent the lot.
Locate the building or buildings in the
A P 0 V E: right p?sit on. Give distance in feet from
CIT all lot-11 and existing buildings.
Y OF �iTLA,,WiC BEACH RRAR LOT LINE
E1U1LDJ,,4G OFF71CZ-
Two copies of plans and specifications shall
be submitted with application. J 171 7
Inspections required.
1. When steel is in place and ready to pour foutinift
fA�
2. When steel is in place and ready to pour columinmas sn r
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksor ville. M
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signatureof Builder------pile" '--- ---------*-----*.. .. ..............***--------- Address.....................................___--------__---------------------------------------------
Signatureof Owner.Ax�___- .--1---P-7------_-------_--------- Address..................................................................................................
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.ot b, J31ock 3, as shown on- the Plat of Royal Palms Unif 1�, as recorded in Plat Book 30,
)ages; 60 and'60A of the Cur.rent Public Records of-Duval County, Florida.
For: Robert Erwin Sitz N.H.A.C. Leslie
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CITY OF ATLANTIC BEACH, FLORIDA
App"Md by AF LICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 6
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.,
ELECTRICALFIRM, EA ELft'llilic keadma" JOURNEYMAN
NAME _ADDRESS: RFD----J30X
BLDG.SIZE BETWEEN:
RES. APT.( COMMA PUBLIC INDUS. NEIN( OLD�4 REW.
ADDITION ( I TRAILER ( TEMP.I SIGNS ( -SCL FT.
SERVICE: NEW INCREASE REPAIR FEE
CONDUCTOR SIZE AMPS COPPER I ALUM. I
SWITCH OR BREAKER
PH 3Wl,-�?'?JCWOLT Q2Qs)-"ACEWAY c3)-n Co
EXIST.SERV.SIZE bC) AMPS PH 3 W oP-'L)C) VOLT Co�RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN I TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS.I-OVER
APPLIANCES I I I I BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT:l KW-HEAT
(161 OVER
MOTORS H.P. VOLTAGE I#PHS NO. I N.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.