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Permit 1848 Forsyth Court l 3 CITY OF ATLANTIC BEACH c 800 SEMINOLE ROAD "� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 J Application Number 09- 00000477 Date 4/24/09 Property Address 1848 FORSYTH CT Application type description SHED PERMIT Property Zoning TO BE UPDATED Application valuation . . . 3121 Application desc new shed Owner Contractor TOWERS TUFF SHED INC 1671 FRANCIS AVE. 1777 S HARRISON ST STE 600 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ( 90) 241 -1222 (904) 296 -2330 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 50.00 Plan Check Fee 25.00 Issue Date . . . Valuation . . . . 3121 Expiration Date . 10/21/09 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total 25.00 25.00 .00 .00 Grand Total 75.00 75.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH A„ F 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 O V - 1 I I I OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING DEPT @COAB.US • ' t BUILDING PERMIT APPLICATION '41494: ? 4 , , ; SF ,. �P 44 " 4 mfg ' . VA , DUVAL COUNTY t ils t£ t f ¢t c r : pT.. a pE I 1 QEh, B , . = p f ` $ $k F� y �r� cDo 80 per 31x1 C �"6t�JBE: -, LOT BLOCK SUB DIVISION f rQ ❑ NEW BUILDING ❑ DEMOLITION RESIDENTIAL r A�,4 tii fie. ADDITION C Fi' 1E? tWO r);i a wd n � • `; ❑ , ,Z; ❑ CONVERTING USE ❑ COMMERCIAL �` r r i ,w t� ❑ALTERATION �-�� �.QCCESSORY BLDG. S,�tE?sr�th�f ,,,y^ ❑ RE �r of' 1• �y�y T ❑MOVE PAIR ❑ POOL / SPA Li A ❑YES �N/ a.,, +! 1' ,d ; . a ...k.f =1 i.a ❑ NO 9. NAME OR -; )�, � 4. �3 `. AI' !'�1 t E r ' 15. COMPANY NAME Inc. � 1 VT 1 .Inc.. 3. C Ih P d AAP 1 �' ►aJLi 16. NAME LICENSEE Veni+a, burden lowGrs — T orn sa ' p�x�t- �v. Q, e. 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO : 25 STATE OF FLORIDA LICENSE NO.: 1848 Fors{ -h Court -to �a �C'f 3�t2 53 w ,-r. PE 4455S 26. A DDRESS: EVotr'►5 MICIAC Qtneh, f t . 32:233 Drtundo Ft. 3281 o F-1-• N► 33gc,1 11 OFFICE PHONE: 12. FAX NO.: 9 0'[ 253 - E. 120. FAXX O. 27. OFFICE PHO r,. . FAX NO.: 4104-303-3669 51 23q - 21 -'1'11 39- Z71- 1166 13. CELL PHONE: 21. CELL PHONE: 32I-2.02..-5-2101 \L 29. CELL PHONE: 14. EMAIL ADDRESS: 2' . EMAIL ADDRESS: //��' 30. EMAIL ADDRESS: n .,i3i ' d ry = .: 2/,' i h ` ~: i �1 f.t � - y .' 40. �� i; t ° it 404V 31. NAME: 33. NAME: 35. NAME: , '- ,� b : 32. ADDRESS: 34. ADDRESS: i ! ` /,A1/4, 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 N 1 TICE OF COMMENCEMENT. Signed: iJL ' £ L4)./zk Date 9 1O Signed: / / /rte Date: Before me this 1 day of , 2007 in the county of B -f. - e �U � ,l , 20 In the cou • . Duval, State of Florida, has personally appeared ,� .� ,Sat • j per e ared • V e -rA d w e i / /j2 R u f it Z herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements a clarations e true and accurate, true and accurate. Notary Public at Larg- tate of c6Vitick , County of Nota ublic at Large, State of - ' , County of " 1.171.' ♦ ' ❑ ersonally Known ` ' Personally Known t " ' ,o 6 roduced Identif ati /� �_ - �� _' ❑Produced Identifcat . . co o Notary Sign. ur-, IIIIIII,MllrIPZTA,Ir 4 Notary Signature: ! .✓ < A.--( U q � Ic a e o lorida H e . nson , rOc��10.�l/1'L� Z 0 My commission DD759618 U H o F''n■res 02/17/2012 • i.1 ^ i1f�l or c o , .,,. CI1 OF AT MPLIAN ��$ u r. LANT BEAC SEE PERMITS FOR ADDITIONAj iamm IREVIEWEDI3Y . REQUIREMENTS AND CONDITIONS. -- t�PY = NOTICE OF COMMENCEMENT State of Amid& Tax Folio No I. 1 -98 County of Val,., To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. . Legal Description of property being improved:"T End• 3`i Ii , 4 o f Lar 3 Fro r u Cove- Address of property being improved: 1 848 FVr h c nw r-%- A c . • fl • 3an.23 General description of improvements: 8x 10 S ownentleni412, 1b, ursten Address: 1134/3 c by"Strr l 0,00(4- Owner's interest in site of the improvement: cx.A.)nex Fee Simple Titleholder (if other than owner): t t / Name: N ContractorTu F F 31neJct Inc. � g �� Address: `� O t4 . o m e, El om Trr�l 1 Dr1Qnd o , Ft . 324! t� �" t Telephone No.Affl -2 - 5 8 Fax No: t%4 / c Surety (if any) Address: Amount of Bond $ Telephone No: i Name and address of any person making a loan for the construction of the improvements Name: Address: N_ Phone No: ax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Nameh r s , C . r Address: i • • • . ) ! !�' � ��-� r 1� It . Ii • .. /:e ! . 3 Telephone No. di • S - :, Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: F o: Expiration date of Notice of Commencement (the expiration date is one (I) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER! Signed: V 0.01A" Date: 4(1 109 \:J Before me this day of in the County of Duval, State Of Florida, has personally appeared rahlri • Allah Doc # 2009081970, OR BK 14836 Page 60, Notary Public at Large, State - * mo711111P" Number Pages: 1 Recorded 04/08/2009 at 08:55 AM, sir" My commission expires: , „ . _, _ — . - i Personally Known: Held C Johnson .t♦ or JIM FULLER CLERK CIRCUIT COURT DUVAL � r COUNTY Produced Identification- - tyrw:: twin ��t� j �y�� RECORDING $10.00 L .. .. MAP SHOWING SURVEY OF ° .... THE EAST 37.00 FEET OF LOT 3, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. F O R S Y T H C O U R T Y" II 50' RIGHT OF WAY PAVED w ` (589'24'29 "W 36.99' FIELD) Q N 89 °26' 40 "E 37.00 5' CONCRETE WALK FOUND 1 \2" IRON FOUND 1 \2" IRON PIPE 1133672 PIPE 183672 FIBERGLASS LIGHT POLE 0 ----°-- — ' D4 7.5' JEA ELECTRIC EASEMENT (37 D D CLEAN 1100 5' CONCRETE WALK OUT _ 10' UTILITY EASEMENT 1 CONCRETE 1 CONCRETE I VEWAY 7.5' JEA ELECTRIC EASEMENT DRIVEWAY L TRANSFORMER PAD csl CLEAN CLEAN OUT OUT I— I 0 0 csi W 11.1 - \/ o 15.2'„ 14.7 o \/- - - vi N - r7 Q 1 00 - 10.4' Q 10.4' 11.9 o 0 0 N 1 1- to 0 CO o I 0 o o < >- °0 `— >- 0 I ; `— w o _ w Ow pwo w + W L` u LOT 4 w h- 1 M � Q 0 - U< O z 1.-) o - t0 00. LOT 2 ;� r — LE .7 cc a 1 _w www ,,— .w LLw =¢ o o o L,.I w e! L�J l 1.-51 N Q �aua❑ Q ❑001 • O _I� a a �-- 25.5' Z 25... 1.3' 2 11.9 l 0.2' 164 � BUILDI _ BUILDING RES1.4ICTI0 LINES ° ▪ w o C G_� • - - w -- �1 - . - - 1 In 3 N e 15' PRIVATE DRAINAGE EASEMENT i — s — •— 0.1' .+ L . x (37.00') o.a'� n FOUND 1 \2" IRON FOUND 1 \2" IRON PIPE LB3672 PIPE LB3672 S89 °26' 40" W 37.00 NOTES: -THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING S00•34'13 "E AS PER PLAT. - BUILDING RESTRICTION LINES ARE 20 FEET FRONT AND REAR AND 7.5 FEET SIDES AS PER PLAT. - EASEMENTS AS PER PLAT. - WV DENOTES WATER VALVE. -HYD DENOTES FIRE HYDRANT. Doc # 2008297976, OR BK 14709 Page 1180, Number Pages: 3, Recorded 11/26/2008 at 12:22 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $27.00 DEED DOC ST $462.70 This instrument was prepared by: HAYWOOD M. BALL, ESQUIRE DONAHOO, BALL & McMENAMY, P.A. 50 North Laura Street, Suite 2925 Jacksonville, Florida 32202 (904) 354-8080 R.E. No.:172097 -9815 WARRANTY DEED THIS DEED made this aCe day of November, 2008, by BEACHES HABITAT FOR HUMANITY, INC., a not for profit Florida corporation, f /n /a HABITAT FOR HUMANITY OF THE JACKSONVILLE BEACHES, INC. (the "Grantor "), whose mailing address is Post Office Box 50939, Jacksonville Beach, Florida 32240, to VENITA DURDEN TOWERS, unmarried, whose mailing address is 1848 Forsyth Court, Atlantic Beach, Florida 32223 (the "Grantee "). WITNESSETH: That Grantor, for and in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, has granted, bargained and sold to Grantee, her heirs and assigns, in fee simple forever, the real property located in Duval County, Florida, being more particularly described as follows (the "Property"): The East 37 Feet of LOT 3, FRANCIS COVE THREE, according to the plat thereof recorded in Plat Book 56, Pages 26 and 26A, of the public records of Duval County, Florida. By acceptance of this conveyance, and by agreement with Grantor, Grantee hereby expressly assumes and agrees to be bound by and to comply with all of the covenants, terms, conditions and provisions set forth and contained in (1) Covenants And Restrictions of Francis Cove Three recorded in Official Records Book 11430, Page 1288; the easements and other matters contained on the Plat of Francis Cove Three aforesaid; ad valorem taxes accruing subsequent to December 31, 2007, and the following covenant running with the land, to wit: The Grantee understands that the Grantor is a non - profit, charitable organization that works with tow income people who need simple, decent housing. Grantor accepts contributions which are used to build new homes and has a responsibility to the contributors to put the money to its best possible use. OR BK 14709 PAGE 1181 • In the event Grantee desires to sell the Property at any time prior to twenty -five (25) years from the date hereof, Grantee must first offer to sell the Property to Grantor. The offer shall be made in writing at least sixty (60) days before Grantee accepts an offer to purchase from any third party. Grantor shall have sixty (60) days from the date of receipt of the offer to accept or reject said offer. This right of first refusal shall automatically terminate twenty -five (25) years from the date hereof or upon the recording of a satisfaction of the purchase money mortgage of even date herewith from Grantee to Grantor. Any conveyance of the Property contrary to this covenant shall be null and void. In the event of such a conveyance, Grantor shall have the option, at anytime within three (3) years of actual notice of such a conveyance, to purchase the Property from the title holder of record pursuant to the terms and conditions of this covenant. And Grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, the Grantor has executed these presents as of the day and year first above written. Signed and delivered in BEACHES HABTIAT FOR HUMANITY, the presence of: ' INC., a not for profit Florida corporation, f/k/a HABITAT FOR HUMANITY OF THE JACKS LLE INC. B ✓ �i�fylh� �:/Vt�... itness Haywood . Ball, Vice President -Real Estate [f�••' �•�lef/.�•�1.(•a•1YS ] [Affix Corporate Seal] Print name below signature Witness , ; �, �, t LECIn ?-LkSSeA ...... -""soY Print name below signature • F OR BK 14709 PAGE 1182 STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was acknowledged before me this ati day of November, 2008, by HAYWOOD M. BALL, as Vice President -Real Estate of BEACHES HABITAT FOR HUMANITY, INC., a not for profit Florida corporation, f/n /a HABITAT FOR HUMANITY OF THE JACKSONVILLE BEACHES, INC., on behalf of the corporation, the Grantor named therein, who [X] is personally known to me or [ ] has produced a Florida drivers license as identification [check one]. • Publ • . eofFl.j•a.tLarge [. ' . l\t • - Cr 3 Print name below signatures 1 [Affix Notary Stamp] My Commission Expires: Y V V . i l J tb My Commission No.: l q (.0 44(0 J WEN At NEISEC= MY COMMISSION 4 DO 610446 1 =: WIRES: November IL 2010 I ' di'yi • BarMdThu Nobly PUblo Undrwdwr NOTES: - UNINHABITED UTILITY BARN SI 1. BUILDING CODE: 200 FLORIDA BUILDING CODE WITH '09 SUPPLEMENTS PREMIER 1 2. DESIGN LOADING: WIND SPEED & EXPOSURE: 140C REFER 1 ROOF LIVE LOAD: 20 PSF LUMBER ROOF DEAD LOAD: 10 PSF 5 � TRUSS OPTIONAL ATTIC LIVE LOAD: 30 PSF 12 i .. IMPORTANCE FACTOR: 0.77 BUILDING CATEGORY: I 29 COMPONENT AND CLADDING: ROOF: 33 PSF (ZONE 1) WIND PRESSURE (psf) 38 PSF (ZONE 2, 3) (BASED ON 10 SQ FT) WALL: 36 PSF (ZONE 4) OPTIONAL ATTIC 44 PSF (ZONE 5) INTERNAL WIND PRESSURE COEFFICIENT: +0.18 2 (ENCLOSED BUILDING) -0.18 %) - - -* c") n _ - 1fi DOORS AND WINDOWS ALTERNATE WINDOWS: _ DETAIL CROFT WINDOWS FL 1096 -R1 `r - Zo - DOORS: ¢ - STANDARD DOOR CONSTRUCTION FOR TUFF SHED DOORS _ SEE ATTACHED SHEET FOR THE UP TO 47" x 80 1/4" ON SINGLE HUNG DOORS AND 96" x 80 1/4" - STEEL FLOOR WITH ANCHOR DETAIL ON DOUBLE DOORS EXCEED ALL LOAD REQUIREMENTS FOR THE FOLLOWING CRITERIA. - - 2007 FLORIDA BUILDING CODE WITH '09 SUPPLEMENTS 4, T [.., 6' -0" TO 12' -0" WIDE -WIND SPEED: 140 MPH - EXPOSURE: C 0 BUILDING SECTION SEE DOOR DETAILS - SHEET 2 SCALE: N.T.S. DOUBLE TOP PLATE HEADER NAILING: �_- HEADER TO STUD - 4 -16d END NAIL DOUBLED HEADER �' 1/2" PLYWOOD SPACER - 16d @ 16" STAGGERED FACE NAIL HEADERS FOR OPENINGS UP TO 3' -0" REFER TO SHEET 3 FOR WALL AND ROOF SHEATHING 1,--". (2) 2 x 4 SPF #2 NAILING. Mil 2 x 4 WINDOW SILL SIDEWALL DC DI o � k AVAILABLE ON IH TRIMMERS FLOOR DECKING BASEPLATE KING STUD FOR WINDOW OPENINGS UP TO 3' -0" WINDOW HEADER DETAIL DO__ OR HEA[ FOR LOAD BEARING 2 B WALLS FOR LOACI E SCALE: N.T.S. Order # SCALE N.T.S. P # THESE DRAWINGS AND THE 1 UFF SHED Customer: Drawn By: pK DESIGN ARE THE PROPERTY f1 Storage Buildings & Garages OF TUFF SHED, INC. THESE "'huh I? Date: 3/3/09 DR AWIN GS ARE FO A TUFF SHED, MFG. FACILITIES Site Address: BU ILDIN G TO B E SUPPLIED 3612 Emu Phon 3 9• Checked By: AN D BUI B TUF SHED. C. "° 8i TAMPA, FL AN OTH -USE Ig INEER OF ORLANDO, FL BUIIdIn S IZe:WIDTH - LENGTH - HEIGHT- SQ. FT. AREA Date: FO RBIDD EN BY BO TH TUFF TD THE B S H ED AN THE EE � TN R E CORD Bab Rude S tructu res DEPICTED i W ITH THE Inc. (WiTi 20C CHAPTER 1 �S }� „lr CITY OF ATLANTIC BEACH 09 1 1 1 1 vr 1 J 5�{ 1 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 - .z „” w ' s 1 OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 k�i ”` BUILDING - DEPT @COAB.US - BUILDING PERMIT APPLICATION DUVAL COUNTY ,, 0 .r '2,VALUATIONOF,W.OR1£ ...t "- ::._*' "'`3"aS0'F>T-UNpER>i>TOgF- ,,_# ~+a : , sse;�s �IJ¢ „AODR x; :.' � `� ar `. , :.u' a&� ,fit, ., . ... �ky'Px� . 1848 V rs irk 31a t 00 80 Or �.� -. r # m ' Tt # e e v a x :4 UCTURE .:aka;.. ??j`„t:EC�t.'RESCRkt?T�Q .� ±r�.. �xy ., „,.,....�". _,.�';�. 6�QLp�SSQFY+rOPiK:'..?,,..,.� > ;2 >� =,._. .. ,�> 6 SEOFS'TR.. •� � '(��,�,p ❑ NEW BUILDING ❑ DEMOLITION .RESIDENTIAL LOT 3 BLOCK _ SUB DIVISION cr4( i s c t{ >t� W ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL 4 , 1. otSCR,if;);TION'QFWOR} a g ''9` „ 4- .e" , .iii k a`'' ,'>* a 'm`a' 0 ALTERATION ACCESSORY BLDG. F.FIRE.SRRINI(LER:.,.a. .. - ( ❑ REPAIR ❑ POOL / SPA ❑ YES �N /A 11 > �t bn DP Loons � a ❑ MOVE ❑ OTHER ❑ NO ., y ; a* . CONTRACTOR: ^rs ,, . W . , . -;.ARPHITEC1„1''ENCiINEER ` „°"u.�, , �, .., a ,> PROPERT;Y = -� , ... l {f {/�{y�� p� Ty�/� 9. NAME: 1 1 be AM ..ii R.. b P Rude, VIA c6ve7 Ire, 16. NAME: A LICENSEE AME' r tb l-ot. urde lo n lowers Tc rn SatirLu, Trher '” \ie. v . Qude. 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 18` 8 �o � .� C eSe. ta 4S PE 44553 b DDRES 26. ADDRESS: oom • icrange- gt�cs+� .„.. �l• iliwi Evotr.s five. Ate' ar& & & , ft. 32 -x. Ortont o Ft. 32.81 c.) fir. me , 11 . OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE " X20. FAX NO.: 27. OFFICE PHONE: 2 8. FAX NO.: 104 303-3b5�1 10 253 - EL I e3 i 39- Z'1'1 -1` 64) 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 3Zt -2o2 -52103 14. EMAIL ADDRESS: V. • ADDRESS: `rr^. ^ 30. EMAIL ADDRESS: x , * ',FEE I m D s r .. BOND,)NGCOMPANY p t {MORTGAG kE D 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 1\,..\ / NA 36. ADDRESS: 1 v !A 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. l 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 N • TICE OF COMMENCEMENT. t 0 t at,r p 4 4 z t "a 6 . *• * rant ,. l; g j• : 'd . : 4 -, ' > - v r ;,fir a € A . "`: ,'n !. .m. .° IP - tiVi: L. wa3 . m gam Signed: - ...., 0 t t X/1/r/ Date: 4 i (O� Signed: vi q:; Date: Before me this 1 day of Apt' I , 2007 in the county of B f 1r1e 1�i oo l 20 In the cou Duval, State of Florida, has personally appeared rvaf� of to jf perso , = eared •VetA iTA 1 wens i,' `./A ui? herin by himself! herself and affirms that a!! statements and declarations are herin by himself! herself and affirms that a!! statements and c!arations : e true and accurate. n - true and accurate '/ Public at Larg- tate of `L , , County of y� P � e7 4. T � Notary g- y Notary ublic at Large, State of County of „ ,_ 0 r " 7, ❑ ersonally Known ° P ersonally Known Z 3 O roduced Identif ah / �. /� - ❑ Produced Identificati• _ m d O �1 a ,A--r' > > " Notary Signa ur Notary Signature: 6 T5 o Ic ate of Florida G ©� /� a Hei. nson �j l� c� c� �. CC Veto My Commission DD759618 . v - ? l ,- �, : << / 2 ' 7 e" 7 V N `of FL° r , 027/20 t 2 ' , i / / » K COAB FORM BLDG01: REVISED: 1/10/2008 F: r w, v — �` MAP SHOWING SURVEY OF THE PAGES 26 AND FEET 26A OF THE CURRENT FRANCIS PUBLIC RECORDS OF DUV FLORIDA. 56, PA • G yz,___,:i) F O R S Y T H C O U R T „ 50' RIGHT OF WAY PAVED w \ --I (S89'24'29 "W 36.99' FIELD) \ `t N 89 °26' 40" E 37.00' F OUND 1 \2” IRON FOUND 1 \2" IRON 5 CONCRETE WAUC PIPE LB3672 \ PIPE LB3672 FIBERGLASS LIGHT POLE (37.00 CLEAN 5 CONCRETE WALK — lo 7.5' JEA ELECTRIC EASE -ENT uo❑ - out L1D 10' UTILITY EASEMENT x I CONCRETE , ' CONCRETE 7.5' JEA ELECTRIC EASEMENT DRIVEWAY o6 DRIVEWAY 'TRANSFORMER PAD I CV a0 ( _ CLEAN CLEAN OUT OUT F- 0 0 r w U / 0 15.2'„ 14.7' o � / J O 'O 0 1 0 . 4• 11.9 ' I- O 10.4 _ J � 1_ 0 0 0 1 N ? >- o N w . CY =1k r- CC k O M w I W O w 01A 0I..LI O II I' S I- �w I -6wu a LOT2 LOT 4 I- I M u) <L 0 in I (n Q U z o Y.' - Cl_ �z O C? `' 1_ -v w r- .w t. Lt3 w r a s M o , 12.- LL ,1 o I n z C> v = i > 0 F- • d" Id o 0 �" O w ' o , w � ( N) w w I • 0 (1) 1 r6. cc w I O U o -r 0 t ❑ O ❑ .81' 1- 25.5' z 2 5 .�'.. 1.3' 0.2' � � ` 1 : W U BUILDING REST 'ICTIOP LINES .W U tC + LI O " �O ` r 15' P RIVATE DRAINAGE EASEMENT I lc iii (37.00 ')) 0.4_ - n FOUND 1 \2 IRON FOUND 1 \2" IRON PIPE L133672 PIPE 1B3672 i$irv4orncur, CA) c0c).uS S89 °26'40 " W 37.00' NOTES: V►a�St To1f'd�1 1. 2.31.E j( -THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF f WQIkwou&N s 2A Pr L BUILDIING LINES P ARE L.01 = 377`'1 g bh ie'..... = 34,0;if FRONT AND REAR AND 7.5 FEET SIDES AS PER A` C. Pe�da 9 Je PLAT. - EASEMENTS AS PER PLAT. SA't"oP s 31. -WV DENOTES WATER VALVE. C.� _ -HYD DENOTES FIRE HYDRANT. /510 — 7 - 67;=. - 7 - 67;=. 1 Z.v, porn- Nous = 223l4�" �y Showman, Lisa To: Heidi Johnson Cc: Carper, Rick Subject: RE: Permit 09 -0477 Shed for 1848 Forsyth Court Heidi — This is a duplex on two separate lots, therefore house should be calculated at 25.1' x 42.3' which equals 1061' (not the 2365 for the entire building on the two lots.) This new square footage for the house, which when added to other impervious areas, makes the total impervious 1570', which is less than 50 %. Your submittal has been corrected. Now all we need is the letter from the Homeowner's Association. Thanks -- Lisa From: Heidi Johnson [mailto:HJohnson @tuffshed.com] Sent: Thursday, April 09, 2009 10:52 AM To: Showman, Lisa Subject: Permit 09 -0477 Shed for 1848 Forsyth Court Hi Lisa, I have attached the calculations I came up with for your review and determination. 1 have also listed the dimensions as well. Thank you for all your help!!! House & Porch: 43 x 55 Stoop: 12 x 3 A/C Pad: 3 x 3 Walkway: 8 x 3 Driveway: 20 x 18 Shed: 8 x 10 Thank you, Heidi Heidi Johnson Tuff Shed, Inc /SE Regional Office Permit Technician 2105 New Point Place Parkway, Suite 200 Lawrenceville, Ga 30043 321- 202 -5263- Cell hjohnson @tuffshed.com From: heidi [maitto:hcj32@comcast.net] Sent: Thu 4/9/2009 8:45 AM To: Heidi Johnson Subject: Showman, Lisa To: hjohnson @tuffshed.com Cc: Boyd, Nancy Subject: Permit application for 1848 Forsyth Court Application #09 -0477 for a Shed Permit at 1848 Forsyth Court was reviewed and denied by the Public Works Department with the following comments: 1. Provide impervious surface calculations. 2. Provide Homeowner Association approval letter. Please submit these requirements to the Building Department at your earliest convenience. Thank you. Lisa Showman Administrative Assistant City of Atlantic Beach Public Works Department (904) 247 -5834 1 • Francis Cove 111 Forsyth Court Division Atlantic Beach April 13, 2009 To whom it may concern: This letter is hereby to certify that the homeowner residing at 1848 Forsyth Court Atlantic Beach, FL. 32233, has approval by the homeowner's association to build or construct a shed to be erected in her back yard. Thank you, Sincerely, C V,\ i Olga Iera Homei6wner's Secretary for Francis Cove III City of Atlantic Beach APPLICATION NUMBER Building Department ( To be assigned by the Building Department.) � � :s 800 Seminole Road {Iq D �� -cr Atlantic Beach, Florida 32233 -5445 r U Phone (904) 247 -5826 Fax (904) 247 -5845 ' �^ 4 E -mail: building- dept @coab.us %1, Date routed: City web -site: http: /fwww.coab.us APPLICATION REVIEW AND TRACKING FORM De.oartment review required Yes No Q a /` � �B�uilding Property Address: / (J � 0 �i C� Manning & Zoning /�,� Tree Administrator Applicant: �( �� Siff Public Works Public Utilities Project: J'/./9-Ati 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: ['Approved. [Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING /F/1, TREE ADMIN. Reviewed by: Date: PUBLIC WORKS Second Review: [Approved as revised. ['Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY J FIRE SERVICES Reviewed by: Date: _ Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: ( p11J - .0 6 City of Atlantic Beach APPLICATION NUMBER - ` t , Building Department (To be assigned by the Building Department.) �, , "! r 800 Seminole Road yr Atlantic Beach, Florida 32233 -5445 a9- o 17 ? Phone (904) 247 -5826 • Fax (904) 247 -5845 Q ,4 74 0 11 19 . , E -mail: building- dept @coab.us Date routed: y lJ Q 9 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes/No Property Address: /1 0 a /;:a.5)1R-) Buildin�c tanning & Zoning ini rator (�/�,� Tree Administrator Applicant: � (� Siff a Public Works Public Utilities 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: roved. [Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING ,�J TREE ADMIN. Reviewed by: //- Date: y /8/09 PUBLIC WORKS Second Review: Approved as revised. [Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: 01..w.v.. , City of Atlantic Beach APPLICATION NUMBER 0 / � q B De 4 (To be assigned by the Building Department.) s 800 Seminole Road U / - � '151.4 �r A tlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 q '`"�,1i1TP E -mail: building- dept @coab.us Date routed: / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No �Q P�'tY Pro a Address: /19 / p A :45 it tanning & Zoning � n f a Tree Administrator Applicant: Public Works Public Utilities Project: ��'� Public Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required 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: APPLICATI TATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUI r P NNING & ZONI = Reviewed by: tda Date �8 .07 E ADMIN. PUBLIC WORKS Second Review: QApproved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: • . • c s` r, CITY OF ATLANTIC BEACH O�� 1 I L I I .� ` , p 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 . Tr - - 0 OFFICE: (904)247-5826 • FAX NO.:(904)247 -5845 BUILDING- DEPT @COAB.US rt, BUILDING PERMIT APPLICATION DUVAL COUNTY l 9.Fc poR. ast $ . 1 , t. Im . ": ... a Y4 Srr , t`' . ,, . v A... t. 2 OF WOf2$ 1 , :, ° , 3,SQ.4F,T: UNDI R.R)f3F . a . b* "; +jr . 0 -� 31g.1 00 8o J� ,e 8 Fors-1-11 C' rk 'f"t;l:�iAt: DEStHftftl?TIO . ;`�'. ? . 1., . >. 1F ."�m`, .','� ".. :t�.�'� ;:: „ , , u '. ," a, . � °e f±3� {7F^: WS?R1f',.m r�"+, x .,t �„r � ��....�`,. ,;x �. , fr. �15E CSf�5TR4:tU"TUREtx ...„�"r n /1 ,gyp ❑ NEW BUILDING 0 DEMOLITION .RESIDENTIAL LOT BLOCK SUB DIVISION crQ t$ (r�e.�� G.V ❑ ADDITION ❑CONVERTING USE 0 COMMERCIAL . 7•'- -RESC1'SIPTIOLOKAIi,'7,,fKVil -7 ,i.. :' '... ? I itfP .t""!. kr . .• 0 ALTERATION XCCESSORY BLDG. 8.Far1.fiWSPBIhIf(f,E.R. , . �,y (QTY. ❑ REPAIR ❑ POOL / SPA ❑ YES �N /A 'n`141bn D t _ . eariafrUded C ❑ MOVE ❑ OTHER ❑ NO tar,; Ne + A w CQNT.RACTOR, ^•. , . F' "% ..k .. , ' ARCHITECTI ENGINEER. . �,.� °��...., � ..nPROPERTI',OW)jIER «_a ,�.�.. �, ,... ` 9. NAME 15. COMPANY NAME : nh t I _ 4u'/ -- rue-P. Shed .Inc. V� mn� 16. NAME: LICENSEE NAME..., ear►i-Iror 11urde 1 n lowers e rs — sort , Saar iV n6er -i r cv V� . Rude. 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: ^ n r tI+ 'I COr- '� 1 C.,eC - 1x 5 45 PE 4455 - 5 18445 F { „ u4- DDRES . )T . ADD V V 11 'I� ii1 ��OO � • �'�'0�9e- r�A�� ` 7 • z EVar+s me Wai,-l1c &o►c t, FL 3'2-' 2 .33 Orlando, F1.3281O C-+. Me yers ,• 33C O% 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE 2 _6120. FAX NO.: 27. OFFICE PHO E: 2 8. FAX NO.: CIK 303-365'1 401-253 u5�1 --- 3C 2r1� -'1 9 % L 39•1.1'l -1166 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 321 — 202-5263 14 EMAIL ADDRESS 22 EMAIL ADDRESS 30. EMAIL ADDRESS � ohnsa- cJ �urrshed can d F I'4 TITLE H A 'e ' _ 6 . t. �43 e '6f N0 I , 4 n la MORT6 E L .^ IaE , . 31. NAME: 33. NAME: 35. NAME: I 32. ADDRESS: 34. ADDRESS: / A\ 36. ADDRESS: 1 'w \ �+ t\ /A 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 p s • .� ` s,' as : _ �! ., �' ' . - � .fit _ t" a s AL Signed: • il i..1 1.Q Date: 4 h ID Signed: ! Date: Before me this '1 day of > Apii I , 2007 in the county of B-f i.e // � y 4. 0 f ? , 20 In the cou .. 1 ((lY SStratt €t f Duval, State of Florida, has personally appeared / . ,, as P erso ° P eared •VC'NiT'A 0wel4S %' fA ufe) ,. herin by himself !herself and affirms that at statements and declarations are herin by himsself/herself and affirms th a l! statements a c!araticns . e true and accurate. ri A \\ true and accurate. Pi Notary Public at Larg tate of T IDY10O1 , County of ,�,,1] s/ca Nota ublic at Large, State of D , County of ki ❑ ersonally Known ` ` Per sonally Known > roduced Identif at / a `� �� • ..—.• ❑ Produced Identificat• • - _ m d. U ( i. L life/ ? Notary Sign ur -. *- _ 4 .. 4 - - _ , .-. _ Notary Signature: z 6 O � '�' Ana, lc a of Florida My �/� 262 O z ,r�r 0 �� / 1'�� a d • neon L / O G� ,` 0 _ ,n ` Fx Commission DD759618 ( 7 ,-- - 1, / .2 i f- �/ ? , l of OP Fr ; es Q2/1 2 COAB FORM BLDG01: REVISED: 1/10/2008 ,,: City of Atlantic Beach APPLICATION NUMBER i =�?�'} ry , ( To be assigned by the Building Department.) 0 " Bui Departmen s 800 Seminole Road a / - D 7 Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 �l p q - ,,, E -mail: building- dept @coab.us Date routed: 7 0 / City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Dgpartment review required Yes No /1# Buildin Property Address: .eS tr Planning & Zoning Tree Administrator Applicant: a Public Works Public Utilities Project: ���� Public Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: V: TREE ADMIN. PUBLIC % ORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UT ' S PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑ Denied. Comments: Reviewed by: Date: .‘ T� /7' CITY OF ATLANTIC BEACH 1 1 1 I s f 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 V `"" � G�, OFFICE: (904)247 -5826 FAX NO.:(904j247 -5845 y u'� - / BUILDING - DEPT @COAB.US OQ� `'"- =ti — BUILDING PERMIT APPLICATION DUVAL COUNTY 1 re .' A . 5 . z ^ n ..t: .: '.. 2 ;VA UATIQN,oPWORt',+ " *z a , 3 Sq QQF , "'` 4 u��JQI�,ADQ�ES ! � � � � .; � t � 4 ' - FI UNogR , 18413 Fors -th ('rnrk 31 t . oo 8o _' n t.SC4*DI S'"RIPTIQ ,,, ' „. . .(s .. : t. '`5.CLAS$,QF.WQRIG �r«. "r 6r°; , ^rr. ' �UUSE'OF(STRUCTi3Rt . ..i;. /� ' ^•�' T,y� ❑NEW BUILDING ❑ DEMOLITION ,4ESIDENTIAL LOT 3 BLOCK SUB DIVISION Fra is cc7V e. 1 ` '� ❑ ADDITION ❑ CONVERTING USE ❑COMMERCIAL k: ass0ES`CRIP. `Sh6 r s.;- ......, & .''..'.� , .• 3'tik ".' - w,�,* ._+, ..., ❑ ALTERATION )(ACCESSORY BLDG. 82fi,WSPRINICL R -�' .,, l- j�+O�► ❑ REPAIR ❑ POOL / SPA ❑ YES �N /A �1 � 1 Q�►�n c :04 ❑ MOVE ❑ OTHER ❑ NO :.. 1 ,'pROPERMOY4f ER Y ,A ,.:!LOONTRACTOR ; tf . „ / `” A /ENGINEER,,,` " n 9. NAME: 1 TV eF- AM � '1 l— . 6111.. 1�t ie tJ\ fIJC I� V ve ire 16. NAME: �T� .Inc. J LICENSEE tJAME^ ^ , Veni#a. lburdcn lowers �'c 5c rc.y jo1Pr 9.1._7Cd 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 16'18 Fo C.� C. 1x45 PE 44553 Ast)68 4 . or tinge. Trt. VZ;s Evotf+s A• e. Amamic. &36..Ft.32,1.33 Drt(Ando 'F t. 32.810 F-t. M 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE — 2 ,�, 1 20. FAX NO.: 27. OFFICE PHO 2 8. FAX NO.: 6 104 303-3b5 90'1- 253 I -- e3g V19- '11'11 39- 2.1'1•'1'1bo 13. CELL PHONE: ...—. 2 1. CELL - NE: 2-5 1 \( 29. CELL P HONE: 14 EMAIL ADDRESS V. EMAIL ADDRESS Jh� 30. EMAIL ADDRESS ohnsa^ urrShec can ,'. � FE M R,t4a*TITLEx R �r a o GOMPA a I a +fit jNORTGAGi LEI�O nG � I j FAS'Nk�,RThtAj„uW N� d .+ ' .w'� -., ..s;... . . . ...,, 31. NAME: 33. NAME: 35. NAME: �t1 32. ADDRESS: 34. ADDRESS: /A 36. ADDRESS: 1 .l / . 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 N 1 TICE OF COM r ow .'6 eY ' Q. . k.„ r,^ a^� " ' i e 1 , y , b "`,x37 r o L�,,. v y�` '�; 1 qp' Sv` : ' - 0 t CAL ..... VV Date: 4 / � (PC; Signed: / /s :; Date: A. Signed: � i . Before me this 1 day of C pl.{ 1 , 2007 in the county of Bgfq;Eln11tlj5 g� ' 20 In the cou Duval, State of Florida, has personally appeared S ate ` f as so v er < . eared •Ve -r& e mein. 7 fA a7? d herin by himself !herself and affirms that a!! statements and declarations are herin by himself! herself and affirms that a!! statements and „c!arations . e true and accurate. [� - true and accurate. r'' AA Notary Public at Larg- tate of L►JDY1da1 , Cou=ty of v� Nota public e ' at Large, State of , County of ~ Z S . ❑ ersonally Known ` Personally Known roduced Identif ati / . ► `. IS • ❑ Produced Identific - ice. _ a3 p_ O U , e l.- , Notary Sign. ur-. ..- . _ Notary Signature: " p p Z N 51 ,, r Not t,.lic State of F lorida ��� � / � 0 He ° nson /�� = rn 1 I T My Commission DD759618 e, V J �� 2 7 / ` ?4 �' of PP Pxn res 02/17/2012 /j f � r /f e'` : /� // COAB FORM BLDG01: REVISED: 1/10/2008 , f, ;\.TJ r f �, + CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD - r ' : i ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 'r1Si Application Number . . . . . 09- 00000592 Date 4/30/09 Property Address 1790 FRANCIS AVE Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 fixture Owner Contractor NAPOLEON, EARTHA ADVANTAGE PLUMBING GREG GAUSE INC. (DBA) ATLANTIC BEACH FL 32233 941 11TH AVE S JAX BEACH FL 32250 (904) 247 -9848 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 42.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/27/09 Fee summary Charged Paid Credited Due Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL f VP' CITY OF ATLANTIC BEACH p 800 SEMINOLE ROAD. ATLANTIC BEACH. FL 32233 07- '- �) El kgr, OFFICE: (904)247 -5828 s FAX NO.:(904)247 -5845 BUILDING- DEPTQCOAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1 JOB'.ADDRESS: , T B:PERMIT= • ! T W ;: r n �� F - c CIS 1 1 L _ KNO YES PERMIT#: \�� \ Atlantic Beach, FL 32233 O '"T'sPROFERT`L.OWNE, O 77 " _ . t ? �M 77 4. NAME 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS :: 8. PHONE: . 747C077-7777 1 <PLTiMBING. CONTRA sue, R. ... 7. NAME OF COMPANY: " 8. ADDRESS.: C r CSC ITC . C� r Oc-+ 9. STATED FLORIDA LICENSE4O: 10. CELL PHONE: • 11. FAX NO :, 12. EMAIL ADDRESS: 13. OFFICE PHONE I 14. ado cLo cLs 1 I,(kk4 -In , 2 41 -ci c-I- Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify' that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (8) months, or if construction or work is suspended or abandoned for a period of six (6) months at any e after work is co enced. I ` / r CONTRACTORS SIGNAT UR • 11, i/ i«15:.NATUREOFWORKc 16 17', ? ;. 0 FLORIDA BU N O NEW ILDI G CODE- RE—PIPE PLUMBING ❑ OTHER: 19: 'NUMBER:OF BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20. PLUMBING PERMIT FEES: I PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: 1 x $7.00 (PER FIXTURE) + $35.00 2 ' a WAS] mitten D{.U{.iVJ. ntVItU. IW lo GW! CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 6/29/04 Parcel Number . . . 172123- 0000 -3 -1 Property Address . . . 1848 FORSYTH CT ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner BEACHES HABITAT Contractor BEACHES HABITAT 904 241 -1222 Application number . . 04- 00027611 000 000 Description of Work . . TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone Approved C B i ding Offic'al VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: '' j Z 3 J Contractor Name: ee_'Ct. Lh e c FAR lr'? 144+ Permit #: V "i ' Property Address: f 9)(-4(2) F 01 S f 14 C Legal Description: C., 21 E1. Q T Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single - Family Resident - Commercial - Other: D` - -'''Y-- / Lowest Floor Elevation: 0 ` S 1 5 .(9 Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works t D( if' 0 ‘ - / 4- A .." 40 y-- ( 1 Planning Dept. Q6 - -0 6Co Co-,,l �.S3J Building Dept. C. .7-9 v `f 6 ' - O ( ( ir Final Survey with FFE 110 No All Re- Inspect Fees Paid Yes No MAP SHOWING SURVEY OF THE EAST 37.00 FEET OF LOT 3, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0 (\1 11 FORSY" 1 J _ SET 1 \2" IRON 5' CONCRI / � Fo >p / ND 1\2" IRON _PIPE LB3672 : LB3672 FlBERGLASS UGHT POLE (3i 7.5' JEA ELECTRIC EASE NT CONCRETE 10' UTILITY EASEMENT a 7.5 JEA ELECTRIC EASEMENT DI IANSFORMER PAD • w MAP SHOWING SURVEY OF THE EAST 37.00 FEET OF LOT 3, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. b N II FORSY i'N l• '' '"R T .... w J Q U N ,[� SET 1 \2" IRON 5' CONCR / ? 7 e Q4$ �' 7 / , ,j ND 1 \2" IRON PIPE L83672 /' r :LB3672 FIBERGLASS UGHT P OLE " 7.5' JEA ELECTRIC EASE NT (3 CONCRETE WAU< 10' UTILITY EASEMENT Cl 7.5' JEA ELECTRIC EASEMENT DI 2ANSF0RMER PAD I- w i D � 00 10.. _ _. _.._.. J 1 4 0o I o O i o C 1- in O d- o cn O W › c o ,_ >._ K M I W � O w p w p w . O w 0 II I I w W LOT 4 w P ,, N Q U v< o� z :� _ o M o LOT 2 M 1- ._� QZ cZ oO N r cj W �� Zu-o r ZLLW =Q o I j O r , I X o o (n d- o o - o F- o .aJ LL I M Ld Li. w N W O � vi 0 °aa El z ❑ %a� 25.5' 25.1' 11.9' BUILDING REST1IC110N LINES IO I CV 15' PRIVATE DRAINAGE EASEMENT 1 (37.00') SET 1 \2" IRON SET 1 \2" IRON FOUND 1 \2" IRON PIPE L133672 PIPE LB3672 PIPE L83672 S89764'40 "W 37.00' NOTES: - THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING S0014'13 "E AS PER PLAT. - BUILDING RESTRICTION LINES ARE 20 FEET FRONT AND REAR AND 7.5 FEET SIDES AS PER PLAT. - EASEMENTS AS PER PLAT. -WV DENOTES WATER VALVE. -HYD DENOTES FIRE HYDRANT. 1 CITY OF ATLANTIC BEACH .: ss ., ` 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 44.4 Dill Application Number 04- 00027611 Date 5/17/04 Property Address 1848 FORSYTH CT Tenant nbr, name DPLX W/1850 RAD &SCH 1100 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 61618 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit PLUMBING PERMIT Additional desc . Sub Contractor . ADVANTAGE PLUMBING Permit Fee . . . 112.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Special Notes and Comments NEW PLUMBING 11 FIXTURES Fee summary Charged Paid Credited Due Permit Fee Total 112.00 112.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 112.00 112.00 .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 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION " Date: c Property Address: g Owner: a c.Ae ))2 / X 704 T Telephone #: 5'/ • / 22 Contractor: 4 u i c Telephone #: 9/7 - 9et8 Contractor Address: 6 3 2 /-. Fax #: 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, 4 New list the building permit number: ❑ Re -Pipe 02qCz ti f Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers 1 Sinks Disposals Urinals Floor Drains 1 Washing Machine Lavatory / Water j Sewer / Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: / I / X $7.00 + $35.00 = // OO 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us t j v irJ , f j I i / CITY OF ATLANTIC BEACH N ti ,Ss1 . ;., , " t. ' 800 SEMINOLE ROAD r) ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027611 Date 3/08/04 Property Address 1848 FORSYTH CT Tenant nbr, name DPLX W/1850 RAD &SCH 1100 Application description . . TWO FAMILY RESIDENCE Property, Zoning TO BE UPDATED Application valuation . . . 61618 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit ELECTRICAL PERMIT Additional desc . 150AMP,1PH,3W,240V NEW Permit Fee . . . 95.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.00 95.00 .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. sq 1 BUILDING OFFICIAL FROM :••• GRANGER) C PHONE NO. : 9047640038 Mar. 05 2004 06: 05PM P1 V.I0 4.1.,0 41.1C1 U.F. J.J JCJ4 441 ILLL zc,pli.rle.,z tli + / - I • CITY OF ATLANTIC BEACH, FLORIDA AITLICATION FOR ELEC7*' TO li. exTRY V.P.MinAt. r.-mIncrcat DA ... ........ ,...;, . • Ihtitk.JnIA!.!1 ?,,iCs D4 CONSIDERAT/ON OF IIERMIT 1:31 FOR DoIlqa rem •volitx AS DESoRJERD IN THE FoLLOWDIO, WE HERESY .!IOP.VE. TO PERFORM SAM \MAZIC, D4 ACCORD,11 WITE TR.5 Art,A.Oh2r) PLANS ANT) 5Pf.cw:CAroNs. %mot ARE A PART MEREoF, AND IN ACCORAMCE WM= THE ELECTRICAL ItEGULATioNs, coon AND CrrY oF ATLANTIC REA.CH ORIM4ANCES. • -.004014.0, 7n1s4: MASTER SIONATURE: • • 0 /1( 4 '____i .: . :I.F.- ...2•' ..34110 ;,..4411%. OWNERS NAlse:. ge?-e,..,).,e.)- k$s-11, A.DDREss: )P iv., 4r Box 1 1 BLDG. SIZE _ . • jitra - :__ — 11 RBS•p4) APT.( ) CO1v2v1.( ) PLTET„IC( ) Thus,( ) NEW( ) OW( ) REW.( ) ok.1 AzarrIgN( ) TRALEN ) TEMP.( ) SIGNE( ) N. FT. . . - VIA.,......L14k, w ... Lc....‹ .1 : iNt.:REASE( ) REPAIR( ) COnt7....TCTOR sra ktvan! COPPF - PEES i ,• [ SWITCH OR BREAKER )D __A'S 1 (...,4 w , VOLT RACEWAY ExIsT. SERNi. azE AMPS 1 PH 1 . w t votT _1 RACEWAY , ME!PP.:7 1.7.). SiZE NO. SIZE . ' i NO. SIZE 1 ' . — — i LI0'77.Nr. :}T..77177: rCI:ALEIL 1 r;':•.'E:- f0'4.N.:- . ONCEA.LED I 1 opzN TOTAL _...--..........,..._. c.,'. :44PS .i PLir67 .1-- LIFITCHES i • _._ • , I 4 . . i . • FLOURESCZNT rt+4 MN. , FIXE • , 1 ,0:., 4 '' . .-. ' -- - - - -,. . . APPI.I.A1.C.Li.: 1 -1 I _..Llia•A.. Ilki.,NSit. AIR I HP, PATINO i AP. RATING CEIL KW-HEAT .i ,,'u. :is • iv I Vt. tqflt. El . L , 11 . =-ML4 4 r F : • !.....,-• • ■1 - • • =.-..........:4=V : -1 . =,...- . H ...:" • ••■■■tt......7f4=...,...c;;, - ,,, , _i_ . !. - -._-, — . .....6 MIII•ROMORN,MOOnwrogr...........1.1......ass .-..........■.■rarr.■■........■ -...- -- — T OVER 1 ._ . . :1Y1OTORS H.P. , 1 VOLTAG PR S i NO. t 1, AP. I VOLTA OE PAS ' 1 -t— i -------] 1 J rTeir.F.crI.I„fi. ., - — -- • . I -- .... !,,ND5R 0 0, ...A RI - . - -- I ■ IlkA* J NO. -. T x VA -- • I . . _LV O. IcyA 1 i __ • r 1, J ' ' ` `�' CITY OF ATLANTIC BEACH S Y % A s ) 800 SEMINOLE ROAD J \\,,_ :44 ATLANTIC BEACH, FLORIDA 32233 _a -" .xwSYt INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027611 Date 3/17/04 Property Address 1848 FORSYTH CT Tenant nbr, name DPLX W/1850 RAD &SCH 1100 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 61618 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit MECHANICAL PERMIT Additional desc . Sub Contractor . OCEAN STATE HEAT & AIR Permit Fee . . . 71.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 71.00 71.00 .00 .00 Plan Check Total .00 ' .00 .00 .00 Grand Total 71.00 71.0'0 .A .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. 4 14,0%. i ING OFFICIAL + J' J�, � " ; CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION �rtluf V Date: A v. e /, ,e, V Property Address: /8 4/ 4-y& Owner: ,deecet, ,4,.o/ Telephone #: Contractor: .Z eel/oft Telephone #: 29 $ - 825/ Contractor Address: /y 76 , -/ a... .. .� /,,%,l Fax #: Ly 9 —89y 9 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 City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site, list the building permit number: Electric ❑ Gas: LP _Natural _Central Utility ❑ Oil O t - 176;t/ ❑ Other — Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK t'" Heat _ Space _ Recessed _ ! entral __Floor Residential li Air Conditioning: _Room 2entral ❑ruct System: Material FI' Thickness I` '' ❑ Commercial Maximum capacity (t> cfm ❑ Refrigeration L.I New Building ❑ Cooling Tower: Capacity gpm E Building ❑ Fire Sprinklers: Number of Heads O Elevator: __ Manli$ Escalator (Number) ❑ Replacement of Existing System O Gasoline Pumps ; (Number) O Tanks (Number) u'�� New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add -on to Existing System O Boilers ❑ Gas Piping 0 Other - Specify O Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s Agency i !/+ o cr/ P H Z.O7y¢O 2-y ose .Z V L HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # t M � anu � faacc c turerr BTU's �` Agency / 41r 4/... ✓�1... /' / - - �f-�N z+ l Z ei� / J4 uL .TA Nominal Capacity Type Liquid Serial Approving How Many & Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http:/ /www.ci.atlantic- beach.fl.us ql , 1111 , 1 111 1 � ' 1 CITY OF ATLANTIC BEACH , , ,. d 800 SEMINOLE ROAD ra .f) " ') ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 ex Application Number 04- 00027611 Date 2/20/04 Property Address 1848 FORSYTH CT Tenant nbr, name . . DPLX W/1850 RAD &SCH 1100 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 61618 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939, ATLANTIC BEACH FL 32233 JAX BEACH kl '1; FL 32240 (904) 241-1222 c, t (904) 241-12 ?1.119 Permit BUILDING PERMIT " Additional desc . x Permit Fee .00 Plan Check Fee . . .00 Issue Date . . . . 2/20/04 Valuation . . . . 61618 Other Fees CITY RADON SURCHARGE .27 CAPITAL IMPROVEMENT 325.00 ST CONSTRUCTION SURCHARGE 4.95 ' AB CONSTRUCTION SURCHARGE .55 STATE RADON SURCHARGE 5.22 SEWER IMPACT FEES 1250.00 WATER IMPACT FEE 370.00 WATER CONNECT /METER ONLY 85.00 WATER CROSS CONNECTION 35.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 ;Other Fee Total 2075.99 2075.99 '00 E .00 Grand Total 2075.99 2075.99 �0` 0i i' d .00 .,. { l' t 'i t Oi 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 CH ARE PART OF THIS PERMIT SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW ft Id i BUILDING OFFICIAL 0 , i 41-)....up, CITY OF ATLANTIC BEACH M ; r PERMIT CALCULATION SHEET J; Date: 2 7 '7 Address /FVP rigr i 74 ' 7-. 7-6 ,A1H.u'11 Heated Square Footage HO u . 0 @ $ 6' per sq ft = $ S 6 7 0 Garage / Shed/Srn @ $ a y per sq ft = $ 6 e a' Carport or h .5 . @ $ . S per sq ft = $ / 3 d 0 Deck @$ per sgft = $ Patio @$ per sgft= $ TOTAL VALUATION: $ ( ( 6 / P $ Total Valuation lst $ $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: 1LL._,. TOTAL BUILDING FEE $ /J44 ZONING: + 1 /z Filing Fee $ FLOOD ZONE: )C (Q Fireplaces @$35.00 $ •_ 0 - IMPERVIOUS SURFACE:,> s); BUILDING PERMIT FEE $ WATER IMPACT FEE $ 3 7 o SEWER IMPACT FEE $ ,/ S7c..) WATER METER/TAP $ 8 g' CAPITAL IMPROVEMENT $ 3 2 3 SEWER TAP $ - 0 -- C (/ RADON HRS .0050 $ SECTION H PAVING ( ) $ • - 0 '" CROSS CONNECTION $ s S ST(/ / 00) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) Date: S4 t kit7S Job Address: % V9//e5 Fots y 7 6 - (D 2 e )c> — Owner of Property: e 4 p -s e( 7-A 7- Address: /' 7` FQ4•Jcrs 4Lic Art 3 44 4 Fi - Telephone: 25// /2'2 - Legal Description: Block Number: Lot Number: .3 Zoning District: F4.4.0✓c.r.r Contractor: +VF4C #A A /774 r^ State License Number: Contractor's Address: 471 FRAA)Gi$ Aug, 4rL 2 Telephone: / r 281/ - / ZZ Fax: 9' 2 5/ 1 343i Describe proposed use and work to be done: C o„.>.. r Q 'A.e.0 � $ IVA ") Dec,044,ex Present use of land or building(s): 44 44N Valuation of proposed construction: `�� d b� .'v Is approval of Homeowner's Association or other private entity required? At If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. [+YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. -J Fi /4 7"- /a-cie A .,�i. , � R� AA - h'eu. -�! "' , r ❑ NO. Applicant certifies that no trees will be removed for this project. []'YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. JFi.^ X` - 774 l 44 ,,- Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: �.�/' y --- Date: /Z/- 7 ' / I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the 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 federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: 4,„.../24 Date: / 2 I/ t /o3 Address and contact information of person to receive all correspondence regarding this application (please print). Name: p,4 I- i" 11LjL Mailing Address: / f s 4 t ac. i —;Z Z 3 Telephone: /oY—lyj /t2-L Fax: 904— 2 4' '/z E -Mail: AS TO OWNER: Sworn to and subscribed before me this day of C- — , 20 State of Florida, County of Duval Notary's Signature: ��'v' f JENNIFER S CHLUE ER 1301 onally known 10 ers •'•. * MY COMMISSION # DD 12 EXPIRES'. May 2.7, 2006 ❑ Bonded Notary PubVicUndeiwri Produced identification Type of identification produced AS TO CONTRACTOR: 1 f Sworn to and subscribed before me this �h day of D t t - - , 20 State of Florida, County of Duval ,t _ f Y g i V I / Al&-(4 r v.- . JENNIFERSCHLUEfER Notary' Signature: r.'��► 4$ rY ' ' MY COMMISSION # DD 121301 �` •*= 27 2006 EXPIRES'. May - • ersonally known '�• 4111'. 0- Bonded Thru Notary Pubiro Under /inters ' ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Page 2 Revised 1/14/03 WATER IMPACT FEE WORKSHEET ADDRESS: / cl ( /GP Y 1 C7 " itic / & 4lgio DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 2 - - �-- Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fount maker Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 ( �- Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavato/ • 1 Shower compartment, domestic 2 Sink I 2 Urinal 4 Urinal, 1 gallon per flush or less 2 • Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation - 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 TOTAL $ 3 �- v Vii , :ri CITY OF ATLANTIC BEACH f J F BUILDING / ZONING DEPARTMENT Hi gins '731 + 800 Seminole Road S. Do Atlantic Beach, Florida 32233 (904) 247 -5800 (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # a ) L / 1 Property Address: / 8 `i ` Applicant: 13E /A \ C S 1 ( I Project: DPL -Y 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: s y CITY OF ATLANTIC BEACH D For J`' . „ ' � � BUILDING / ZONING DEPARTMENT L. Doerns - ; .-- A 800 Seminole Road J } Atlantic Beach, Florida 32233 (904) 247 -5800 1.4 f.)13 Vi a , (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # O1--1 — ' Lp I \ Property Address: ) 8 4 e F S L/ r0 C.57 _ Applicant: T3 'F,1( t I _ lam - 117 7 Project: PP I-4 . This ermit application has been: Approved 0 Reviewed and the following items need attention: Please re -subm your applicat hen these items have been completed. 5 °�.. Reviewed ley: / Date: f _Z 9 .-0 V DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE t , 14 �r ATLANTIC BEACH, FLORIDA 32233 -4318 j ; "J TELEPHONE: (904) 247 -5834 z ' , FAX: (904) 247 -5843 I }{ SUNCOM: 852 -5834 http: / /ci.atlantic- beach.fl.us vt. PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # — Applicant: TC £ 1 5 c L 1 Address: 16 F -W- s `/ ( I-1 C- Project: x Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. • )4/ Your permit application has been reviewed by the Public Works Department and the following items need attention: 7' e _,w... .; �' .. `gyp 1 or4S1on ced / e11 QO (HYD / "i cull n o , n r JJ • A" 1' = Isie i Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Reviewed by Donna Kaluzn , Public Utilities Director — / c Date 0 Signature Contractor Notified Date 1(1 l /Si /DV DEPARTMENT OF PUBLIC WORKS , i 1200 SANDPIPER LANE e* ATLANTIC BEACH, FLORIDA 32233 -4318 API TELEPHONE: (904) 247 -5834 M " FAX: 904 24 FAX: ( 904) 7 -5843 SUNCOM: 852 -5834 http: / /ci.atlantic- beach.±1 us r� PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # C ) LP Applicant: I -CGt. CHH 5 I-4 (AJ7 t +(1 Address: Ig L- 9 v F+ CT_ Project: D U P l A Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: GJ ' 'Mr t Sc eve TAp7 s Alvl [74-[;4 cJt// -? C?I Y ' S sL. 0-)4C► s /- / -zg - oak Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Revie ed by Donna K. zak, Public Utilities Director Date //2 9/CC Signature /7.,e5L Contractor Notified Date rayed i /3d /0 � • .7 : J� , , �, CITY OF ATLANTIC BEACH sA ;.,.:„1;-;..' „” %� 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 '� INSPECTION PHONE LINE 247 -5826 `_Js3 =) Application Number 03- 00027435 Date 12/29/03 Property Address 1848 FORSYTH CT Tenant nbr, name FOUNDATION NEW DUPLEX Application description . . FOUNDATION ONLY Property Zoning TO BE UPDATED Application valuation . . 60000 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit FOUNDATION ONLY Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 12/29/03 Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 H ARE PART OF THIS PE T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. v [G�� `\ 1. BUILDING OFFICIAL s r =} .� CITY OF ATLANTIC BEACH C . d s3`� , BUILDING / ZONING DEPARTMENT L. I s -— , 800 Seminole Road °..1- s . , Atlantic Beach, Florida 32233 `'" (904) 247 -5800 c ° t 3 . (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # C3 -- 1 7 - Property Address: i /R / / (57- -, Fc r i C - Applicant: - rArG)e s f - -Job) ` cri Project: ii n An `-1 prz )c. This permit application has been: Approved LI Reviewed and the following items need attention: Please re- submit your application en t ese items have been completed. Reviewed By: .. \ -- Date: /2 '2.- ,..0 5 MIN. RETURN Book 11484 Page 2045 - "HON E NOTICE OF C0MMFNCEiyIENT State of �� "r'r l Tax Folio No. County of To Whorn It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: * bClrsAre S 1 /2 C4 L /L d J � c�'r / 3 Address of property being improved: i'5 C t .. � -Fes 32 z 33 General description of improvements: 6. -p ?gig t j t .,,v a ...4. �47 X wner: E o i /43 r4 Address: / Pie/I/ z./ 3 3 Z wner's i nterest in site of the improvement: F e Simple Titleholder (if other than owner): Name: /s Contractor: cl.� e,!} 4 j 6-S M/ 3 r r A s°- Address: ,/Z 7 / s rl Fc 3 "tl_33 'Telephone No.: 0 Z Y / ZL2. Fax No: /4 -- Z•'j_ --)/.3 /v Surety (if any) Address: Amount of Bond S Telephone No: 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: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date 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 Dad 0 3 3 + 1 0 Signed: .`° ` Date: /09103 Book: 114 Before me this (� k day o '1 �� , e C• ty of v. ,State Page: 2045 Of Florida, has personally appeare• W!! :L; �.( , -s Filed & Recorded Notary Public at Large, State ofFlon•.+ oxity of auvai. 11/19/2003 04:17:43 PM My comm � commission expires: '3/ .,' j ,I IM FULLER Personally Known: ,✓,,� or CLERK CIRCUIT COURT Produced Identification: DUVAL COUNTY RECORDING $ 5.00 1�Yey AHl'ER TRUST FUND $ 1.04 CQPv11v1 SC # QU IUk 12130 n n CJ � ae. cvnr - 1 a 1 i R S f =- ,s L C {-A CA P L O T P L A N LOT 3, FRANCIS COVE THREE, AS RECORDED IN PLAT BOOK PAGES AND OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. • q/ cPC° ,__V. (1, FORSYTH COURT ____ \ti \ - -�Mr -- _ N89'26'40 "E 74.00' _ �___ ` +�? ‘5, —■ \c5)17 ` 10' UTILITY �0 --� L — am EASEMENT _ /i 7.5' JEA ELECTRIC °0 7.5' JEA ELECTRIC EASEMENT N I EASEMENT 20' BUILDING RESTRICTION LINE 11.6' 25.33' 25.33' 11.7 0 O N p z z_ 0 (NI -' _' r- tx ° PROPOSED RESIDENCE 7\ `L 2 t\ 0 —' "� W 3 4 : 0 0 M o J o FFE�13.90 ° d- z m itn I I m '0 In 0 ! n Z Dc � ' . � � ICTION LINE � O� ' ( . 1' r / ■ / \ / \ \ I s 0 rte ° J r CITY OF ATLANTIC BEACH ,,, ,,a FLOOD PLAIN DEVELOPMENT INFORMATION Location: I n/ / / ? 5 - 1> AT- y r,,/ 6 Type of Development: iEn ":" r _, ,,). t_ p i). n Fy . Flood Zone: X Required Lowest Floor Elevation: 13 90 If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinancess affecting the proposed development. Applicant's Signature: / / 7 Date: / tit 2105 Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 . 44* Beaches Habitat Habitat for Humanity of the Jacksonville Beaches, Inc. January 23, 2004 Ms Donna Kaluzniak Public Utilities Director City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Dear Ms Kaluzniak, I have submitted a building permit application for a duplex at 1848/1850 Forsyth Court. Beaches Habitat will not be installing a fire sprinkler in this structure. In addition, we will not be installing an irrigation system. Please give me a call (904- 241 -1222) if you require any additional information. Sincerely, Paul Finley Construction Manager P.O. Box 50939 • Jacksonville Beach, Florida 32240 • (904) 241 -1222 lko Beaches Habitat Habitat for Humanity of the Jacksonville Beaches, Inc. January 28, 2004 Ms Donna Kaluzniak Public Utilities Director City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Dear Ms Kaluzniak, Attached is a copy of the plot plan for 1848/1850 Forsyth Court. I have identified in red where we will be placing silt fencing to control erosion and sediment. Simultaneously with developing this lot, we will also be developing Lot 4. As such, I have not shown any silt fence along the western boundary of 1848/1850 Francis Court. However, I will install it if you so direct. Please give me a call (904 -241 -1222) if you require any additional information. Sincerely, Paul Finley Construction Manager P.O. Box 50939 • Jacksonville Beach, Florida 32240 • (904) 241 -1222 —_ __ (III 1 1 11 h 1 _ I IC , L 1 C_ ! I 1 H ,, 1 T ail I r 1 1 I lc I t'1 1 I ii l I II 1 I ' J� i I H ,:., - .1 , j lei fit,, I I 1 ,1 Ii II = ''1 11II� --- , L- : .. , i 1 I li! I -- --I- I 1 I 1 - ! 1 ! : 1 , , , 1,-:/.: -, 11 i l . I 1 1 1 , I I 1 . .•: ) .-L ' i 1 i 1 i 1 1 ' 1 1 -.- 1 : ■ : i 1 , , 1 H •,,, L • 1 . 1 1 Lili 1 ' 1 1! 1 1 1 . II 1 - ; I 1 ' I I I ! ' I I 1 . ' ! 1 I . _ . i . 6EAKING HE(GHT SCHEI r, - I i� I i I r- • I ;T 1 r , j /� N. il l 1 1 T I IITO1 fi TOT NOTES: N 1 . 1 2EFEF TO Ht 91 iRELOMIMIE!NDA.i Iv'NVE FOP T I H'NDLINC N TAL 6N ANP T MFOPA;r BRA FETE ur +E= Pr WINCH TOE FEEIAAIIE 6RA ING REDUIRED TO - ALL TRLAAEA IINLLLG DIN TRUSSES UNPEF { V.ALLE! FRAMIIHGI MUST EE CJMFLET_i i DELI:ED OF. FETE? TJ ?E V FOE ALTERNATE BR >CING 7E?LiIPEMENTA T I_iI p ' V ' E Ps A.EE TO' PEE CONPEr.TIONPLL' TEAMED ,7 BUILDS. TO3 ▪ ALL IRUAAEE ARE DE151IE r?r _' s r MAXIMUM ?EALING UNLESA JTHE"`N'SE PIC "CL i 5 , ALL WAL S SHOWN )1 '_MEIT I RI_,A /I. F ,ON5IDEP C E -OAC �T� BEAUINC_ UNLESS OTHERWISE 'IJTEL ' I ! n WITH RUSHES BE I ;HIU U BE II•;c' -:.. II 1 I 7 °Lt ROOF RJFA. H TI EF EE RIlvirTeR1 HUTHE UNLEHE OTHEFINISE NOTE. AL FLUOR TRUSS HANUEUU D 'MESON THA422 UNLESS OTHEF,WSE MOTS ▪ BEAM/HEADER/LINTEL Ii-DR' TD EE I T li j ,r"::' FURNISHED BY BUILDER ,— �� = glIBuilder$. Ti` . FirstSource T 6 unnefl , ' _ ?HONE - _ _ AT __ -__ V TUII Jacksonville PHONE U - - : -0:0 — -- Lake City Sanford DEACHES HABITAT 1848 -1850 FORSYTH GT. 3 BEDROOM DUPLEX = - 1/15/0 - 1GP /64513 SEARING HEIGHT SGHE( / 1 _ - ' I — T —1 1 II 1 1?l j I L' 1 IITOT I N 2EFE110 HIE 91 I F0 HANDLING INS AL A Add MPLR R 0' FA, 0E 10 ENGINEEPEC DH µ11l0 111 P PwAPIEI -'7 BEARING 0EOUI0E0 IU) ' LL . � A 70 (IN6LUOING TRU=7E= LMIC'E1 VALE r Fr AMINO MUST 0 MG E "EL r • ITC UED 01 R it E1 PETAL L F R 71 AL 1AL _ 0 A E T" 0E fl/ 'rNOMAL. 7 AME" 0 r 0UIL MA.xIMUM 7 , 0 Alltsb. UN_E -100N 0•1 L ,vA.c- o kra _0v PLA ME r I'T'1 P PI A 0 ",?NEDERE0 70 0E 0011 BEARING. UNL E-S OTHEEWIAE 110111 r4" TRUEEE= MUST BE INETAL_E,, 11 I / WITH THE TOR FEIN UP - r� ' 7 ALL .0001 TRLTE, HAN,AE 7, 50 SIMPS0N - 7J HU121 UNLE 010 PW! N[ ALL 1„001 TRLI HANU0RS 0 Ell 1101 0014_: UDIL E -S OTHEP,'NISE NCT =O .. DEP I I � 0 i EEAM /H A .l E LINTE[, (0001 10 EE FURNISHED 0' r NUIL.000 . % O Bu!lders FirstSource '.I Bunnell > � ?S. I0: - , - ± - 7 , 7 , -- ,- - - 7-3 - ,-4 ,, _ - _ . _qa Jacksonville T I1 AHGI'IE 04_ -_ :_510: .;,--4 -,__ __ Lake City Sanford BEACHES HABITAT 1848 -1850 FORSYTH CT uu,e'. 3 BEDROOM DUPLEX r , -NI, , 1/15/04 GP J64513 Bu First Source Project Information for: J64513 Builder: BEACHES HABITAT Address : 1848 -1850 Forsyth Ct Atlantic Beach, Florida J. ua 1,2004 County: DUVAL Truss Design E , "neer: : . Paine, PE Truss Count: 3 Florida License N Builders FirstSource, J.. -' • le, FL. 32244 Design Program: MiTek 2000 4.2 Truss Design Load Information: Gravity: Wind: Building Code:FBC2001 Roof: 42.0 Wind Standard: ASCE 7 -98 Floor: N/A Wind Speed: 120 mph Note: See the individual truss drawings for special loading conditions. Engineer of Record: Lawrence A. Paine, PE Florida P.E. License No. 21475 Address: 6550 Roosevelt Blvd. Jacksonville, FL 32244 Truss Design Engineer:Lawrence A. Paine, PE Florida P.E. License No. 21475 Company: Builders FirstSource Address: 6550 Roosevelt Blvd. Jacksonville, FL 32244 Notes: 1. Determination as to the suitability of these truss components for the structure is the responsibility of the building designer /engineer of record, as defined in ANSUTPI 1 -1995 Section 2.2 2. The seal date shown on the individual truss component drawings must match the seal date on this index sheet. 3. The Toads indicated on all referenced girder trusses are consistent with the truss placement plan numbered J64513 provided by Builders First Source - Jacksonville,FL and dated 01 -15 -2004. Loads applied by non -truss elements and basic load parameters /design criteria are to be reviewed and approved by the Engineer of Record /Building Designer. Otherwise, the Truss Design Engineer's responsibilities are limited as stated in Chapter 2 of ANSI/TPI 1 -1995. # Truss ID Dwg. # Seal Date 1 T01 J1066120 1/20/04 2 T02 J1066121 1/20/04 3 T03 J1066122 1/20/04 w1 4 Project Information for: J64513 Builder: BEACHES HABITAT Address 1848 -1850 Forsyth Ct Atlantic Beach, Florida J ua • 2004 County: DUVAL Truss Design ngineer. Caine, PE Truss Count: 3 Florida License umbe Builders FirstSour.. _ . ville, FL. 32244 Design Program: MiTek 2000 4.2 Truss Design Load Information: Gravity: Wind: Building Code:FBC2001 Roof: 42.0 Wind Standard: ASCE 7 -98 Floor: N/A Wind Speed: 120 mph Note: See the individual truss drawings for special loading conditions. Engineer of Record: Lawrence A. Paine, PE Florida P.E. License No. 21475 Address: 6550 Roosevelt Blvd. Jacksonville, FL 32244 Truss Design Engineer:Lawrence A. Paine, PE Florida P.E. License No. 21475 Company: Builders FirstSource Address: 6550 Roosevelt Blvd. Jacksonville, FL 32244 Notes: 1. Determination as to the suitability of these truss components for the structure is the responsibility of the building designer /engineer of record, as defined in ANSI/TPI 1 -1995 Section 2.2 2. The seal date shown on the individual truss component drawings must match the seal date on this index sheet. 3. The loads indicated on all referenced girder trusses are consistent with the truss placement plan numbered J64513 provided by Builders First Source- Jacksonville,FL and dated 01 -15 -2004. Loads applied by non -truss elements and basic load parameters /design criteria are to be reviewed and approved by the Engineer of Record /Building Designer. Otherwise, the Truss Design Engineer's responsibilities are limited as stated in Chapter 2 of ANSI /TPI 1 -1995. # Truss ID Dwg. # Seal Date 1 T01 J1066120 1/20/04 2 T02 J1066121 1/20/04 3 T03 J1066122 1/20/04 Job Truss - -- Truss Type Qty PI 1 Y Y 848 -1850 FORSYTH CT. J1066120 1 . J64513 ' T01 I ROOF TRUSS 4 1 Builders FirstSource, Jacksonville, FL. 32244 4.201 SR1 s Nov 162000 t h Tek Industries, Inc. Tue Jan 20 10:48:54 2004 Page 1 ,,_ 6 -9-7 12 -9 -2 - 25-0-0 2 -0 -0 6 -9-7 5 -11 -11 5 -11 -11 6-3-3 19 4.00 I ` - 12 18 Scale = 1:49.4 17 - 16 n BOTTOM CHORD TO BE LATERALLY BRACED FOR HORIZONTAL WIND LOADS. 15 BRACING SYSTEM TO BE DESIGNED AND FURNISHED BY OTHERS. 14 - , j 5x6 13 12 11 _...----2....-- 1 c 8 i'- ) ' ' " 6 j a 1 3x6% 3 1 I T I 01 /' ♦ • .∎ .∎ . 4∎•∎ - = .: ••_ A s• ∎• -• = • . • -� ••- • . •• . •-• . - ' = .. =.❖•-._.-♦ ..♦-♦ ♦:♦•♦ =♦ ♦.♦•♦ .-.•.:. 4x6 = 36 35 34 33 32 3130 29 28 27 26 25 24 23 22 21 20 3x6 = 3x4 = 6- 9- 7 12-9-2 18 -8 -13 25-0 -0 6-9-7 5 -11 -11 5 -11 -11 6 -3 -3 Plate Offsets (X,Y): [2:0 3- 12,Edge],[2:0- 0- 4,0 -2- 0],[11:0- 3- 0,0 -3 -0] LOADING (psf) SPACING 2 -0 -0 CSI DEFL in (loc) I /defl PLATES GRIP TCLL 20.0 I Plates Increase 1.25 TC 0.51 Vert(LL) n/a - n/a MI120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.26 Vert(TL) 0.02 1 -2 >999 BCLL 10.0 Rep Stress Incr NO WB 0.18 Horz(TL) -0.03 2 n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/defl = 240 Weight: 192 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 6 -0 -0 oc purlins, except end verticals. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 6 -0 -0 oc bracing. WEBS 2 X 4 SYP No.3 WEBS 1 Row at midpt 19 -20 OTHERS 2 X 4 SYP No.3 REACTIONS (Ib /size) 20= 22/25 -0 -0, 2= 617/25 -0 -0, 31= 8/25 -0 -0, 21= 138/25 -0 -0, 22= 203/25 -0 -0, 23= 193/25 -0 -0, 24= 192/25 -0 -0, 25= 192/25 -0 -0, 26= 193/25 -0 -0, 27= 189/25 -0 -0, 28= 193/25 -0 -0, 29= 195/25 -0 -0, 30= 184/25 -0 -0, 32= 193/25 -0 -0, 33= 177/25 -0 -0, 34= 275/25 -0 -0, 35 =- 203/25 -0 -0, 36= 853/25 -0 -0 Max Horz20= 883(load case 2) Max Uplift20=- 88(load case 2), 2=- 524(Ioad case 2), 21=- 79(load case 2), 22=- 211(load case 2), 23=- 203(Ioad case 2), 24=- 201(load case 2), 25=- 201(load case 2), 26=- 201(load case 2), 27=- 200(load case 2), 28=- 199(Ioad case 2) , 29=- 206(Ioad case 2), 30=- 203(load case 2), 32=- 203(load case 2), 33=- 194(Ioad case 2), 34=- 252(load case 2), 35=- 203(Ioad case 1), 36=- 705(load case 2) Max Grav20= 22(load case 1), 2 =617(Ioad case 1), 31= 8(load case 1), 21= 138(load case 1), 22= 203(Ioad case 1), 23= 193(Ioad case -1), 24= 192(load case 1), 25= 192(Ioad case 1), 26= 193(load case 1), 27= 189(load case 1), 28= 193(load case 1), 29= 195(load case 1), 30= 184(load case 1), 32= 193(load case 1), 33= 177(load case 1), 34= 275(load case 1), 35= 81(load case 3), 36= 853(load case 1) FORCES (Ib) - First Load Case Only TOP CHORD 1 -2 =71, 2- 3 = -57, 3-4 =103, 4- 5 = -93, 5 -6 =39, 6 -7 =24, 7 -8 =25, 8 -9 =25, 9- 10 =25, 10- 11 =26, 11- 12 =23, 12- 13 =24, 13- 14 =24, 14- 15 =24, 15- 16 =24, 16- 17 =24, 17- 18 =16, 18 -19 =6, 19- 20 = -25 BOT CHORD 2- 36 = -1, 35- 36 = -1, 34- 35 = -1, 33- 34 = -1, 32- 33 = -1, 31- 32 = -1, 30- 31 = -1, 29- 30 = -1, 28- 29 = -1, 27- 28 = -0, 26- 27 = -0, 25- 26 = -0, 24- 25 = -0, 23- 24 = -0, 22- 23 = -0, 21- 22 = -0, 20 -21 = -0 ` . 1 i WEBS 18 -21 =- 100, 17 -22= -162, 16 -23 =- 153, 15 -24= -152, 14- 25 = -152, 13 -26 =- 153, 12 -27= -149, 11- 28 = -154, 10- 29 = -154, CE 9 -30= -152, 8 -32= -152, 7 -33= -146, 6 -34= -200, 5 -35 =111, 4 -36= -619 : � �N A , '9 ' Q � • ' NOTES FL C • . A ,9 • A, 1) This truss has been designed for the wind loads generated by 120 mph winds at 15 ft above ground level, using 5.0 psf top chord V G. � « •• - dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category I1, condition 11 partially enclosed * N o. 21475 building, with exposure C ASCE 7 -98 per FBC2001 If end verticals or cantilevers exist, they are not exposed to wind. If porches exist,- - they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see MiTek "Standard - S TATE OF Gable End Detail" 3 .p •. 3) All plates are 2x4 MI120 unless otherwise indicated. - *PO •••.• 'LORIOp' ••• 4/ 4) Gable requires continuous bottom chord bearing. ' ' $ ��1 ` � 5) Gable studs spaced at 1-4 -0 oc. /" ` 9,c, • . AI- \ `� '' ''111It 111 � Continued on page 2 January 20,2004 A Waming - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MII -7473 BEFORE USE ! Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and is for an individual building component to be B ■ ■. ',, Installed and loaded vertically. Applicability of design paramenters and proper incorporation of component is responsibility of building designer - not truss ■ ■ II rs designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the �p� ren billity of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance Fir StS O u rc V regarding fabrication, quality control, storage, delivery, erection and bracing, consult QST-88 Quality Standard, DSB -89 Bracing Specification, and HIB -91 O Handling Installing and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 Job Truss - - - Truss Type y CT. i YP Qty Ply 1848 -1850 FORSYTH CT J64513 I T02 ROOF TRUSS 4 1 J1066121 I - - Builders FlrstSource, Jacksonville, FL. 32244 . ! (optional) 9 - - -- 1 4.201 SR1 s Oct 17 2001 MiTek Industries, Inc. Mon Jan 19 11:06:41 2004 Page 1 '.__-2 -r - - - 5 -7 -14 10 -5 -12 - r -- ---------------- --- .-- I ..-- .- ____..- -- 17,7 -4 - - _._ —. -... - 25 -0 -0 2 -0 -0 • 5 -7 -14 4 -9 -14 - - -- -- 7-1-8 7 -4 -12 3x4 Scale = 1:52.0 7 4.001 i - 6 % / �-� 3x4 3x4 - .Tre- 3x4 :: - ..- 1---------1:::::: \\ \' / �=✓ ��� � ^' 3 j �� 2x4 I Lc) 2 3x6 = 11 10 9 8 5x6 = 3x4 = 3x4 = 3x6 = 10 -5 -12 17 -7-4 25-0-0 I 10 -5 -12 7 -1 -8 7-4 -12 Plate Offsets (X,Y): [11:0- 3- 0,0 -3 -0] LOADING (psf) SPACING 2 -0 -0 CSI DEFL in (loc) I /deft PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.55 Vert(LL) -0.20 2 -11 >605 MI120 249/190 TCOL 7.0 Lumber Increase 1.25 BC 0.39 Vert(TL) -0.31 2 -11 >404 BCLL 10.0 Rep Stress Ina YES WB 0.55 Horz(TL) -0.02 8 n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I /defl = 240 Weight: 137 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 6 -0 -0 oc purlins, except end verticals. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 6 -0 -0 oc bracing. WEBS 2 X 4 SYP No.3 WEBS 1 Row at midpt 7 -8, 6 -8 REACTIONS (Ib /size) 8= 539/0 -3 -8, 2= 474/0 -3 -8, 11= 1181/0 -3 -8 Max Horz2= 914(load case 2) Max Uplift8=- 651(load case 2), 2=- 417(load case 2), 11=- 1160(load case 2) FORCES (Ib) - First Load Case Only TOP CHORD 1 -2 =34, 2 -3= -335, 3-4 =125, 4 -5 =203, 5 -6 =-427, 6- 7 = -96, 7 -8= -166 BOT CHORD 2 -11 =293, 10- 11 = -150, 9- 10 = -150, 8 -9 =352 WEBS 3 -11= -472, 5 -9 =560, 6- 9 = -51, 6 -8= -420, 5 -11= -733 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 15 ft above ground level, using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition 11 partially enclosed building, with exposure C ASCE 7 -98 per FBC2001 If end verticals or cantilevers exist, they are not exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 651 Ib uplift at joint 8, 417 Ib uplift at joint 2 and 1160 Ib uplift at joint 11. LOAD CASE(S) Standard ` ` y 1 1 1 1 1/ t. .`` � cGN C E Al p , , Q� � •''� �(1FIC • �4, v•V� • F F = * • No. 21475 1* * - -o STATE OF �0 •• F�OR10P' 41, ` ; % cs �� �' / �.` January 20,2004 A Warring - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MII -7473 BEFORE USE Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and is for an individual building component to be '. Installed and loaded vertically. Applicability of design paramenters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibillity of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance r regarding fabrication, quality control, storage, delivery, erection and bracing, consult QST -88 Quality Standard, DSB -89 Bracing Specification, and HIB -91 F i rstSo U f Ce Handling Installing and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofno Drive, Madison, WI 53719 J ` �,J I ! W 1 -V m , x m �\ 1 73 m I I fill -+ ni, 3 : n O D ill D 0 5 n Q 0 oa„ O N 3Q O o Q Z O 3 N 0 ° Q -. = w 3 _ o p n N o OQ Q 0 - Q �N - < 000 0 ' Z Qp N 2n -- O Q 0 0 WO ,. — <P , co Q Q Q Z. c Q_ (D Q� xi v. .--. O CD No O' v mQO C Q, (D v, 2 v, 2 Q n' O Q 5 Q T �0 0 0 ( Q5 O (D ° — �5' - 00 °m �� N <oo °moo D 3 (D n 7-O �1 co c Q <, °° H mp O Q m p O Q (0 (D v D� N Z Q — 2 Q - 0 -' n (D Q_ N 7 Q (D QK I ! ,z _� m ( Q7 0 y A ` p TOP CHORD A "' n �° n Z N fi Oz c N 3 n° D z =c i Z ( u rn :i7 Ni U D 7C = O. m - 6 , Z n C Z 0 3 —' . = gin m N 5 Lli\lia M O Q. M ° 2. OT -O P III 7 -4 O W2 = Co • r e o V ° W n O �O �• O O m ' S co W N �' rn r- 0 n (MD N N D rn D O o D y -I - , w , w 7 0 70 H c" V N rt 3 V w Z rn - N , n A V W TOP CHORD (n .A W N J O .0 P V 0- U . W N 0 T J a —. t 0 1.> o CDC) (1/0 Q O On c-.0 - o up 5E 377 �Nn - 00C O ac 0'5 - 0 0 0 00-17r t m 0 Q n 50 n 9, . a p -0 Q Q= O Q E3 ,T 3 0 . 50 S.O 3 0� �� o � �Q o° � o " -� �.� -. m� �QC �o Qo o Q� � (D m aa XI Q O - n O� 0- D Q- ( � D O ( � � Q - �� O Q Q 3 Q Q O 4 Q o Q o m c � 5,m m' O Q ' _ Q n Ln N ° Q mo m Q CD m m Q a) Q ° o O p ® .c- o Q _ g, a �, 3 • 0 Ni o _o N — m ._.3 ' Q = N (D 0 0 =1.0 S-'60 v, -v, -0c a (D( 7 D (p 05:0 m ..< Ov,' 0 �,• 0' _ — � � ( o � a) � ( D n � � C � 0 �Q � .0 � O 3 3 Q m � N � � � • Q (D O �� O H G 0. Q cD < . 5 ?NO Or :C , CD p aQ 0p (-7D' i n + C �m� O n (° ° m o 3° Q Q Qo (D cQ m o'° c° m =•r n -0- m a o`Q Q - - s, Q O Q In 0 Q_ 3 Q -~ 00_ n Q o o� 30 °�� =� Q �Q m =',- _ —c � �• Q 0 0 T. (D N - 0 0 ' Q -. 0 m v ' -0 op O c) O N (� ° "' 5 Q N P C= 6 Q.O N Q p a D Q Qo ,9 7,• Q O p < N C 0 C n v v Q ° N �� ( ° _ . 0 7p � � Q - Q� Q C QW Q Q p w mQ 0 3 (1) �� N.Q o Q <° o 0O _ QcQ' _ m Q oN 0 Q co� N — t+ o ' � o 5 c 0 Q aom Q -L7. 0 n n O v ' =, o 0 P g Q Q(Q c p'� a fl 2 ° 2 a Q Q m o _ Q 5 (D Q ? 2 co Q � O O O O O � a o m N o 0 3 J" ,,, O O Q 0 (D — �� ( — gQ n O O N Q � Q Z CD o Q o Q Q n. � m « 0 ' tn Job listing Page 1 of 1 3 ,, ,:i.4 ,1, x ., ii,, „. 4 ".;„„„,„,, 4 !1 4 ' 4,„„ :kirk:- ; kl : ; 1 ..„ A..4 i Jobs Functionalities You have sent 1 job(s). The tracking number for the jobs you sent are listed belo� Send Jobs see where your job is in our process. There are 1 jobs sent. Search for Jobs Give us your thoughts Printer Friendly list Setup Send Defaults Tracking Job Job Job Itiurik�t My Account 'unhl)er Name Description �'c *rsit.� .�, Office Rec'is ed of Change Password I'r €1SSe' Delivery Addresses 6119 / 1848 -1850 4.2 1/19/2004 Security Code J64513 FORSYTH Seals Jacksonville 11:07:12 3 J1066120 CT. Wood AM Contact Us Logout Mil 2 ?02 Mil ck Industries, Inc. All righ is reserved. http: / /miilink. buildersfirstsource. com /JobList.aspx ?NewlySubmitted =1 1/19/2004 Job Information Page 1 of 1 1,egeDd Information Tracking Number: 6119 / J1066120 Job Name: J64513 Job Description: 1848 -1850 FORSYTH CT. Version: 4.2 Wood Job Type: Seals Office: Jacksonville Received: 1/19/2004 11:07:12 AM Number of Trusses: 3 Status: In Processing Sender: Eric Derricotte Company: Builders First Source Trusses Trusses: t01, t02, t03 Tracking Numbers Tracking Numbers: J1066120 - J1066122 http: / /miilink. buildersfirstsource. com /JobInfoPrinterFriendly.aspx 1/19/2004 . P L O T P L A N LOT 3, FRANCIS COVE THREE, AS RECORDED IN PLAT BOOK PAGES AND OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 111 11 ��, FORSYTH COURT :// - ( N r1 " ) .. 7\ N89'26'40 "E 74.00' \rn .61 ------- 10' UTILITY — —Z — — — --, t c9Q— EASEMENT Co 7.5' JEA ELECTRIC 7.5' JEA ELECTRIC EASEMENT EASEMENT 1 i 7 20' BUILDING RESTRICTION LINE -1 • o 0 75" R tit s r CITY OF ATLANTIC BEACH A 3 F j� { fi o97 - 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 I 1 1 I OFFICE: (904)247 -5826 is FAX NO.:(904)247 -5845 BUILDING -DEPT: COAB.US LL1 BUILDING PERMIT APPLICATION DUVAL COUNTY 1, JOB ADDRESS: " - 2. VALUATION OF WORK 3. SQ. FT UNDER ROOF , ' 1 0740 -00 'Ir 4, LEGAL DESCRIPTION: _: 5. CLASS OF WORK:. 8. USE OF STRUCTURE: • ❑ NEW BUILDING ❑ DEMOLITION ❑ RESIDENTIAL LOT_ BLOCK_ SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL s 1, DESCRIPTION OF WORK - i. ❑ ALTERATION ❑ ACCESSORY BLDG. 8.. FIRE SPRINKLER: 450-c2- ❑ REPAIR ❑ POOL / SPA 0 ❑YES ❑ N/A ❑ MOVE ❑ NO ` PRO TYe CONTRACTOR: °; ARCHITECT / ENGINEER: 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: f / 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: FEE SIMPLE TITLE HOLDER: BONDING COMPANY :, . MORTGAGE LENDER: ,,. h , ' (IF 07HER THANONMER) - '" . 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. OWNER orAGENT CONTRACTOR • (If Agent, Power of Attomey or Agency Letter Required) (Qualifier Only) Signed: / • J"V 1 ate: 1 - 1 (o • - 0 r '! Signed: Date: Before me this I(e_ day of _air_:•osA , 2009 in the county of Before me this day of , 2009 in the county of Duval, Sta of Florida, has persona I appeared Duval, State of Florida, has personally appeared wail . T` herin by himse erself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and - urate. '. true and accurate. Notary • • L - Large, State of r County NI Notary Public at Large, State of , County of ❑ Persona own �a , ❑ Personally Known Pr ced Identiri ❑ Produced Identification - Nota . -' • n . _.. T�.w -�� "' ' ? tary Signature: � a J1(� •-•-■ Notary Public - State of Florida • 2My Commission Expires Feb 14, 2010 Commission # DD 518533 °(,'; '' '' Bonded By National Notary Assn. I BLDG01 Permit Application Bldg:: " - - - - - • e 1 S...f.L1r- 4 D O 7.,5" kilt " CITY OF ATLANTIC BEACH 09 - I I 1 1 1 F - :(. 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 7 ( [ OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 \ .: BUILDING - DEPT ©COAB.US 4 i),) BUILDING PERMIT APPLICATION DUVAL COUNTY ; JOB ADDRESS: ' 2. VALUATION OF WORK 3. SO. FT. UNDER ROOF 151 / - 0r, t CI, 62; •OD 4. LEGAL DESCRIPT l N: 5. CLASS OF WORK: 6. USE OF STRUCTURE: ❑ NEW BUILDING ❑ DEMOLITION ❑ RESIDENTIAL LOT_ BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL 7. DESCRIPTION OF WORK: ❑ ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: 1 ,� ❑ REPAIR ❑ POOL / SPA ❑YES ❑ N/A IIISSSJJ! 4 5E4- ❑MOVE ❑OTHER ❑ NO PRO TY CONTRACTOR: ' ARCHITECT /ENGINEERS 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: \l 16. NAME: 24. LICENSEE NAME 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 18. ADDRESS: 26. ADDRESS: I QOa* (7-C--. Pe i k:-L 11. OFFICE PHONE: I12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 128. FAX NO.: I 0 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPLE TITLE BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 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. *Ink- 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. OWNER or AGENT CONTRACTOR (If Agent, Power of Attomey or Agency Letter Required) (qualifier Only) i Signed: e1_, aate: I l le -oq Signed: Date: f Before me this I day of e, • , 2009 in the county of Before me this day of , 2009 in the county of Duval, Statls of Florida, has person � Duval, State of Florida, has personally appeared herin by himse `T erseetf and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and - • urate. G1JL true and accurate. Notary • Large, State of t ��L_ Count• V Notary Public at Large, State of , County of �I C 'e �; ' . / f► r / ,. f~7 ❑ Personally Known � - ' den. IA �, ❑ Produced Identification - 111 �r� �►� r ° ��' ► •.. ota Si. nature: PLAN . ry, Public -State of Florida '�'°` --- "" -- -�--� THIS i R ' .m Expires Feb 14, 2010 REVIEWED FOR CODE COMPLIANCE - 1 , - Con mission # DD 518533 ( iti CITY OF ATLANTIC BEACH 1 j r � 0 ti onded By National Notary Assn. l SEE PERMITS I OR `�,)iTIiyNAL LD 01 enn Appli � :.: EACH INSPECTION REQCIREMENTS AMID CONDITIONS. REVIEWED BY: J G1 DATE: ±2 t OI__ MAP SHOWING SURVEY OF THE EAST 37.00 FEET OF LOT 3, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ii:_, S Y T H C O U R T 50' RIGHT OF WAY PAVED - (589'24'29 "W 36.99' FIELD) Q N 89 °26' 40 37.00 0 FOUND 1 \2" IRON FOUND 1 \2" IRON 5' CONCRETE WALK PIPE LB3672 PIPE LB3672 — — FIBERGLASS LIGHT POLE (37.00') — � 0 wV �5 CONCRETE WALK 7.5' JEA ELECTRIC EASEMENT LID0 CLEAN LID❑ --- — _ _ _ — _ 10' UTILITY EASEMENT CONCRETE CONCRETE l 7.5' JEA ELECTRIC EASEMENT DRIVEWAY cO I DRIVEWAY _____1_ I TRANSFORMER PAD _ N CLEAN CLEAN OUT OUT 1- O O N W 15.2' „ 14.7 o �. / 0_ \ / o v i� ` / �. r7 / vi o 10. O 10.4• 11.9 o O ,° 0 N Oo o I \ r -- 1 ) in 0 0, . J U1 0o [ � �_ • 0 Nj w W O I r Cr ' I 4i: 0 L i U_ N O w ■ O w 0 II _ LOT 2 LOT 4 o I u) u)< ` " o " P7 ° • Lu I Ww w Ccw o � o �° w art z 0 z �> O "d- r U o O �" O ( - 7 ) 2 w u) (r) V) o i d u, W W �- w w � • 0 � 0 o r � w -' a a 25.5 Z 2 5.1' 11 1.3' 0Z � U z BUILDING RES1 flCTION LINES w w u.. U 1 O Z __ 10 1 3 N 15' �RIVATE x DRAINAGE EASEMENT ^ 0.1 (37.00_) 0.4' l n — .- — — FOUND 1 \2 " IRON FOUND 1 \2 "IRON PIPE LB3672 PIPE LB3672 S89 °26'40 " W 37.00' NOTES: - THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING S00'34'13 "E AS PER PLAT. ■ ........ nrc-Tn(/'Tl(1A1 1 Inir APF 9n FFET i a MAP SHOWING SURVEY OF THE EAST 37.00 FEET OF LOT 3, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. III R S Y T f C O U R T F 0 II 50' RIGHT OF WAY PAVED . i 0 w J - (589'24'29 "W .36.99' FIELD) Q N89°26'40 71 E 37.00 o ' FOUND 1 \2" IRON FOUND 1 \2" IRON 5' CONCRETE WALK PIPE LB3672 PIPE L03672 — FIBERGLASS LIGHT POLE • (37.00') a WV LIDO 5 CONCRETE WALK 7�5' JEA ELECTRIC EASEMENT LIDO OUT CLEAN _ — 10 UTILITY EASEMENT byA — CONCRETE CONCRETE r 7.5' JEA ELECTRIC EASEMENT DRIVEWAY {DRIVEWAY —� TRANSFORMER PAD — N CLEAN CLEAN OUT OUT I— 0 0 N W W \ ......- 0 15.2'., 14.7' 0 �.. / O 1 / \ ui - �. r7 0 A 1 1.9 ' 0 0 10.4' O 10.4' O J ( �, O N 00 W I O ° 0 w in 00 • F- J P >- >- _ w _ r7 N W cc 4 W -1:0 w Ww fir ° = I— LJ 0 II 0 o LOT 2 LOT 4 I- I (J < 0 U) < 0 Z M 0 I w -1 Z tY Z o2 N o • F _ v WLI.W W~ a in Li MIX $ I 0 5 0 U) z w Q ( � 0 0 W W W w w O • ( fl O W O oar ❑ 0 ❑ aa V) 25.5' z 25.1 1 1.9 ' ✓ 1.3' BUILDING RES1 ',ICTION LINES Z •w w i.. U p — I Z Q I 3 N ID 15' 1'RIVATE DRAINAGE EASEMENT (37.00_) 0.4'x' e rs — .— FOUND 1 \2" IRON FOUND 1 \2" IRON PIPE LB3672 PIPE LB3672 S89 °26'4 -0 37.00' NOTES: -THIS IS A BOUNDARY SURVEY. copY 1 LOT 3 BEING 500•34'13 "E AS PER PLAT. J . i.1rn wnr nn rrrT MAP SHO \WING SURVEY OF THE EAST 37.00 FEET OF LOT 3, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0 F O R S Y T H C O U R T II 50' RIGHT OF WAY PAVED _ w J - (S89'24'29 "W 36.99' FIELD) Q N 89 °26' 40 37.00 0 5' CONCRETE WALK FOUND 1 \2" IRON FOUND 1 \2 "IRON PIPE LB3672 PIPE LB3672 — — FIBERGLASS LIGHT POLE° (37 ` o WV \ CLEAN LID❑ 5' CONCRETE WALK 7.5' JEA ELECTRIC EASEMENT uo❑ OUT 10' UTILITY EASEMENT — CONCRETE CONCRETE 7.5' JEA ELECTRIC EASEMENT lo DRIVEWAY I DRIVEWAY TRANSFORMER PAD N — � ,I CLEAN CLEAN OUT OUT 1- N W 15.2' „ 14.7' o �. / lit - � / - o O 10.4. 0 10.4' 1- 0 O J N. I O 0 O, O �0 O J O < >-- � _ f >- � _ r I-- I W n W . c CC w 1 I-,- N O w I OWE OW O it t, = 1- � W 1- � u_i u_ - o (O O LOT 2 LOT 4 1- Ipo � QU to <U r 0 Lv c Z o2 a a �� �O Li.J j. W ' I w ( W f'7 w U_ w w 0 x 0 CL CC • uI ri 0 c, o= 0 O -' ❑ 0 ❑ a CL J aa 25.5' 25.1' 11.9' — 0 2' w = y,i 1.3' BUILDING RES 'ICTION LINES Z w �' o _ -- -- ____L_ J _ � in I 3 N 15' �RIVATE DRAINAGE EASEMENT of ` — (37.00;) 0.4' . M — - FOUND 1 \2" IRON FOUND 1 \2" IRON PIPE LB3672 PIPE L53672 S89 °26'40 "W 37.00' NOTES: -THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING S00'34'13 "E AS PER PLAT. ni ,,i nrrut orcTON'TInN 1 INFS ARE 20 FEET MAP SHOWING SURVEY OF THE EAST 37.00 FEET OF LOT 3, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. II 0 w F O R S Y T H C O U R T " II 50' RIGHT OF WAY PAVED _ -J - (S89'24 "W 36.99' FIELD) Q N89 °26 " E 37.00 5' CONCRETE WALK FOUND 1 \2" IRON FOUND 1 \2" IRON PIPE LB3672 PIPE LB3672 — — FIBERGLASS LIGHT POLE (37 ` o WV 7.5' JEA ELECTRIC EASEMENT LIDO CLEAN LID \5' CONCRETE WALK OUT 10' UTILITY EASEMENT - rA - I CONCRETE 7.5' JEA ELECTRIC EASEMENT CONCRETE Co [DRIVEWAY DRIVEWAY (TRANSFORMER PAD — N CLEAN CLEAN I OUT OUT 1- 0 O N W W - \/ 0 15.2'„ 14.7' o \/ O I O o 10. a OO 10.4' 11.9' I- O J I1_ o I � a o w >- oo >- c � ; 1- W o i w . a_ =; o w I 1 - i - 0 N W I� O L, W O 1,� LOT 4 W 1 ;•, U< O < U z ) 0 M in 1,-) LOT 2 2 Z DC Z O ° a r � O N" F-- I L� 1 L W �-- W Li w W a �1 V rn v ° o O ' O , z UJ o u (f) O W L� 1" w I� w a • o Ir 0 w x00 0-:,-',1 ❑ 0 ❑ aa~ V) 25.5' z 25.1 11.9 1.3' o.2'--- I U BUILDING REST ',ICTION LINES Z •w 41 1.6 U p - - Z -- --_- 3 - -1--- W s - ,3 'in I 3 N 15' �'RIVATE DRAINAGE EASEMENT 0.1� : .--. � II (37.00_) 0.4'< ,' - FOUND 1 \2" IRON FOUND 1 \2" IRON PIPE LB3672 PIPE LB3672 S89°26'4-0”W 37.00' NOTES: -THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT .3 BEING SOO'34'13 "E AS PER PLAT. DI m r IMr Pr TRIrTIDN 1 INES ARE 20 FEET PERMIT WORKSHEET Certificate of Occupancy Job Address: I Type Work Y Propert Owner: �T EACt+E Phone # Contractor: At t -A Phone # Permit # : -M t _ L _ �-7 , ( Date Issued: 0 1111 Building Inspections: Footing T---- Slab Q E , CT o3 - Z1 4 - 3c Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building im mips' Tree Permit # 1 I YES NO Electrical Permit # I cy+- ( i Date /Copy to JEA 3 Temp, Pole Permit # Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Temp. Power M Released to JEA Temp. Pole Released to JEA Tem Tem � Released to JEA RE� E Released to JEA Mechanical Permit # fregiWINEREI Inspections: Rough S• i y, p -m.011 Final Plumbing Permit # Inspections: Rough / Underslab Water / Sewer Topout S /y a Final Final IIRMElleir IRE Drainage Inspection Pool Permit # Inspections: Steel Grounding Final Final Roofing Permit # Inspections: Nailing / Sheathing • Final Fire Inspection: Failed lnspctior_fs: Date Paid: Date Paid: I,, + r CITY OF ATLANTIC BEACH SS 4 2 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 \ �dr Application Number 03- 00100021 Date 8/11/03 Property Address FRANCIS AVE Tenant nbr, name FINAL ENGINEERING PLAN RE Application description . . SUB PRELIM PLAT REVIEW Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CONNELLY & WICKER, INC. JAX BEACH FL 32250 Permit SUB. PRELIM. PLAT REVIEW Additional desc . Permit Fee . . . 250.00 Plan Check Fee . . .00 Issue Date . . . 6/26/03 Valuation . . . . 0 Expiration Date . 6/26/03 Special Notes and Comments APPROVED AS NOTED: PROVIDE INCORPORATION DOCUMENTS FOR "FRANCIS COVE III HOA" INCLUDING OFFICERS NAMES AND ADDRESSES. PER BOB KOSOY Fee summary Charged Paid Credited Due Permit Fee Total 250.00 250.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 250.00 250.00 .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 y ° A CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00000075 Date 2/06/09 Property Address 1848 FORSYTH CT Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 6ft fence Owner Contractor TOWERS OWNER 1671 FRANCIS AVE. ATLANTIC BEACH FL 32233 (904) 241 -1222 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . 2/05/09 Valuation . . . . 0 Expiration Date . 8/04/09 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 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. *EMAIL INSPECTION REQUESTS TO BUILDING- DEPT@COAB.US 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. AP SHOWING SURVEY OF RECORDED IN PLAT BOOK � E FRANCIS COVE THREE AS RE THE EAST 26 AND FEET OF LOT 3, 56, PAGES 26 AND 266 A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. b C o � R T cV II O R S Y T � 50' RIGHT OF WAY PAVED w J Q (S89'24-'29”W 36.99' FIELD) 0 N89°26'40 77 89 °26' 40 E 37.00 FOUND 1 \2" IRON FOUND 1 \2" IRON PIPE LB3672 — __ ------ 5' CONCRETE WALK PIPE LB3672 �� ` o WV 5' CONCRETE WALK FIBERGLASS LIGHT POLE (37.00 ') CLEAN u00 10' UTILITY EASEMENT LID OUT - 7.5' JEA ELECTRIC EASEMENT _ _ _ ____ CONCRETE 7.5' JEA ELECTRIC EASEMENT C ONCRETE DRIVEWAY 10 I DRIVEWAY ' TRANSFORMER PAD — cd __ I 1 N CLEAN CLEAN OUT OUT /p 41 N 0 Y o 15.2' 14.7 °.� O O 6 11.9' O 10.4' - I 0 10.4' O N oo O i o 0 0, O �o o 00 lW > v— >-- aM w w o I 11 N w w o w e o II I� iv, - \ 11i O I-2w -' o o LOT 2 = I–�w . , co <0 w z "' O M CI LOT4 w 1 � �z to (y.Zo0, a a , Imo _ wu_.w ,— ww =Q 0_ . O- 1 z 0 Z CI (> 0 1- d U °F-) O C }- O n Z J v> Q o I ,X o ,_, � w V) (w w w I 0 0 O w 1 ¢a O % °¢ 0 1.3' ¢ ° 25.1' 11.9 { 25.5_ . — 0 2' U Z BUILDING REST ',ICTION LINES "w w p U ° Z ° 0 0 6 no 1 3 N 10 15' tDRIVATE DRAINAGE EASEMENT li__________ , 0.1' - , n (37.00) 0.4' . ;,�1 Wit. FOUND 1 \2 IRON Manning and "..' ' PIPE LB3672 S 89 °2 e 'T fdt l+hg, Y �su i rs i� " alien ether Wilelible development regulation*, but does net NOTES: constitute — THIS IS A BOUNDARY SURVEY. approval for the issuance of permits. Compliance with Florida Building Code and ail other applicable — BEARINGS BASED ON EASTERLY LINE OF local, State and Federal permitting requirements __ -_ .... ",- nrD 0 i DT must be verified �b r Ngnature of the City of Mien*: ...Ler v tlr lu.L,rA At A 01u, City of Atlantic Beach APPLICATION NUMBER a z� Building Department (To be assigned by the Building Department.) r 800 Seminole Road `, r Atlantic Beach, Florida 32233 -5445 69 -- 5 Phone (904) 247 -5826 - Fax (904) 247 -5845 .ta3yyP E -mail: building- dept @coab.us Date routed: /4' City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No 19 r /1 t idin Property Address: o' �/ Inning & Z_orsing ree dministrator Applicant: O�� ublic W s c Pub tilitiei Project: btr 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING TREE ADMIN. Reviewed by: Date: 0-2/7 / PUBLIC WORKS Second Review: ['Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: ir11e s: w �' *! • • roved as revised. ['Denied. Commen Reviewed by: Date: Public Works Plan Review Comments 1 , 0 0 Inas: ni Date: I ) Project Name /Address: Application Permit #: - „CheckBoa Comments _ to 'Add Pplication °Traekin4gn. Comment Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. ❑ Provide drainage plans showing site topography (flow arrows, etc.) Provide construction site management plan, including Right -of -Way Permit if using ❑ it -of -wa for construction te= a Florida Licensed Provide a pre - construction topographic survey prepared b y ❑ Professional Land Surve or, showin_ 1' contours. Section 24 -66(b) of the Land Development 1 ons a on site retention required quired ❑ increased runoff. Provide Delta volume calculations Section 24- 66(b). (See attached info. Sheet) If on -site storage is required, a post construction topographic survey documenting ❑ ro ter construction will be re uired. ❑ A Right -of -Way Permit must be obtained for use A Revocable Encroachment Permit must be obtained. Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from fl street or dr•' 1 • .e feature (swale, structure or 1•.00n . All driveway aprons must be concrete, 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW Commercial drivewa s — 6" thick . Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the Mans. Roll off container company must be on City approved list and cannot be placed on City right -of -way. D 0 0 ❑ dod 7S s� r CITY OF ATLANTIC BEACH 09 I I I I I '( "' - F fi . 8 00 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 I �' �� y OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 �" �'"- - - EPT©COAB.US . MIT APP LICATION DU VAL COUNTY - a BUILDING -D BUILDING PER ., .. 2. VALUATION OFWORK., ;;` E I3. SQ. FT; UNDER ROOF ", ' " ' `' . 1 JOB ADDRESS: 1 5'y r $ /`cr,� -d x"40.00 - 5. CLASS OF WORK: -` ,' : ' ' ' 6. USE OF STRUCTURE: • ' . ": 4 LEGAL DESCRIPTION: ❑ NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL 7: DESCRIPTION OF WORK: "' " ❑ ALTERATION ❑ ACCESSORY BLDG. B. FIRE SPRINKLER: ' - CO ❑ REPAIR ❑ POOL /SPA ❑ YES ❑ N/A ❑ MOVE ❑ OTHER ❑ NO PRO TY :"`. 'r. , - CONTRACtOR - " ' ' ARCHITECT /ENGINEER::` - ." 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: 16. NAME: 24. LICENSEE NAME: J Q.-4.-r ,-1-Uir✓e -14j 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: //��� (fir 1 %4 " - � � `' 18. ADDRESS: 26. ADDRESS: 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE 128. FAX NO.: -- -3 +C c 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY MORTGAGE LENDER':: pF oTt�R Yt•wN owr•I�) � - � 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. OWNERor AGENT CONTRACTOR (If Agent, Power of Attorney or Agency Letter Required) (Qualifier Only)" ' Date: Signed: • Date: l (to - V Signed: Before me this le day of . 1 , 2009 in the county of Before me this day of , 2009 in the county of Duval, Sta of lorida, has p srsonla I appeared Duval, State of Florida, has personally appeared 4 ' ( 6W herin by himse ersetf and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and - • urate. n 4 true and accurate. Notary - • ' _ - Large, State of i County df \ "-- ' Notary Public at Large, State of , County of ❑Personal own ❑ Personally Known Pr Personal Identfi ,� 0 Produced Identification - Note . - •• ! . j ° " Jotary Signature: M. ,11.,n� SHIKLtY L. GRAHAM i - r � o Notary Public - State of Florida . • My Commission Expires Feb 14, 2010 - ' ,-- ' = Commission # DD 518533 , Bonded By National Notary Assn. BLDGOI Permit Application Bldg::. - - - . • s CITY OF ATLANTIC BEACH ''` v D ,• OWNER/BUILDER AFFIDAVIT Date: 1 _ , -«- C Job Address: . ^� 1 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. 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 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. 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. 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. • PROPERTY * $UILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS ' DAY OF C;. f„ "..1 i1 -r 207 .) - �`' / j NOTARY PUBLIC - -- NOTE: PHRASES UNDERLINED ABOVE. ' Y 4 J Vii` - : SHAW , x •, 74 MY COMMISSION # DD 435986 °e ° ' ' EXPIRES: May 31, 2009 N„ i ;: � 0 a • 9ondedmru Notary public Underwriter' MAP SHOWING SURVEY OF LOT 3, EXCEPT THE EAST 37.00 FEET, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .021 b N II FORSY•TH COURT w (589'24'52 "W 37.01' FIELD) N 89'26' 40"E 37.00 0 SET 1 \2" IRON 5' CONCRETE WALK SET 1 \2" IRON FOUND 1 \2" IRON PIPE LB3672 PIPE LB3672 PIPE LB3672 FIBERGLASS LIGHT P011 (37.00') ' 7.5' JEA ELECTRIC EASEL NT UD❑ LEA LIDO 5' CONCRETE WALK OUT 10' UTILITY EASEMENT coNCR j �o CONCRETE I 7.5' JEA ELECTRIC EASEMENT DRIVEW � c v 'DRIVEWAY n TRANSFORMER PAD 0.1..' cLEAN N � CLEAN - h`r / UT I O w W `. \/ 0 15.2' w 14.7 vi ' o \/� /\ Ili / \ M O ° 0 11.5 10.4' O l 10. o w r – (f) a, 0 d o C3 0 �� w '_ w 0 cY 0 w �' 0 q II W o w ( ° LOT 4 N o LOT 2 o In <9 (nQC) w p M 0 Z 7, ^ D �- 0_ d wCC z "4- �_ w�' 1 w g 7 w o Q Z D o 1 S • X zJ r O N NI • W cn Z oda V) ❑ :' a 11 5' 25.5' 25.1' �, L I BUILD!, # RES ICTION LINES _1__ \ 9 15' PRIVATE DRAINAGE EASEMENT (37.00') SET 1 \2" IRON SET 1 \2" IRON FOUND 1 \2" IRON PIPE L63672 ‘ PIPE L63672 PIPE LB3672 S89'26' 40" W 37.00' (N89'25'55 "E 36.94' FIELD) NOTES: -THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING S00'34'13 "E AS PER PLAT. - BUILDING RESTRICTION LINES ARE 20 FEET FRONT AND REAR AND 7.5 FEET SIDES AS PER PLAT, - EASEMENTS AS PER PLAT. -WV DENOTES WATER VALVE. , ,, r`" :' 2 CITY OF ATLANTIC BEACH PUBLIC WORKS DEPARTMENT . i 1200 Sandpiper Lane J -: Atlantic Beach, Florida 32233 ''!'J,iI3' (904) 247 -5834 (904) 247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0 5 — 2 5 1 I Property Address: \ ' 5L.' in C , . Applicant: b h 0 al . jtA a Project: t y 4(1 1 1 LC I itn (f.2 Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: (A.) i / ( r3--e .7N 71- _ ( S ' Pry Lug (VA, Etil-9 i.e ,f Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247 -5834. Reviewer y:: arper, P.E., Public Works Director /41(A0 Date lal3 d Signature Contractor Notified Date -� - `'''� f��, . CITY OF ATLANTIC BEACH ft' ,-, 1 4 FENCE PERMIT APPLICATION Date: I ( ,�r f/ 1..L' 1% PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address C s /,.-, ,I - _ �.. 1 _.:A "1 I Ai ( ". " . j • _ Ff . _ :,� ;.. ' `` 9. L1 V ° 4 i ! ' L � '" Owner's Name: V V ‘1 fin Address: ' C- . } .. I 1 Phone: At Legal Description: Block Number: Lot Number: Zoning District: 4.-' - Fence Contractor: :. Address: � LX, al - Phone: City: State: Zip: Fax: Type of fence and materials to be used: (t: ' 1 (' - e (( (i t Valuation Of Fence: DE •--- , " - erior Lot ❑ Corner Lot ❑ Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Tree Protection: 1440. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement) Address and contact information of person to receive all l correspondence regarding this application (please print). Name: ��'�) Li 1.4 Ct.•t' ` , Lt ( . 6 Mailing Address: �1 t L .. ��_. � -� i r _ � i __` - =� _ 1 Phone: - T =1 ° p� Fax: E -Mail: 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ciatlantic- beach.fi.us Page 1 Revised 3/04/04 I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the 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 federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. fff •Imo.• Date: (C ' 7 �� ignature of Owner: • AS TO OWNER:, wm • ,..;_: . c.' -...: s. v'.' � Sworn to and subscribed before me this i day of l -'-' 1 "t , 20,t., State of Florida, County of Duval r f `P" JEANNE M. SHAW Notary's Signature: d MY COMMISSION N DD 435966 I EXPIRES: Ma 31, y 2009 El Personally known §anded Public Underv+dtero ''Produced identification Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 • State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 3/04/04 J + °,� Q ` a CITY OF ATLANTIC BEACH J OWNER/BUILDER AFFIDAVIT _: ----7 f - Date: - Job Address: a -_.. L d` � - k C It , L (. L , ' ?` 7,-) --5 ,r t 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. 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. OWNERS HERING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. 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. 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. q PROPERTY ' $UILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS I DAY OF s.12 -'1- b r 20._'a r ,. 1/ NOTARY PUBLIC , NOTE: PHRASES UNDERLINED ABOVE. ,paY rte: ,, J74 . . S W ` ;. i a, . MY COMMISSION # DD 435986 a. � •, vI E EXPIRES: May 31, 2009 �'}; Bonded Thru Notary Public Underwriters MAP SHOWING SURVEY OF LOT 3, EXCEPT THE EAST 37.00 FEET, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. o \31.) \III ' II F O R S Y T H C O U R T Li (S89'24'52 "W 37.01' FIELD) J Q N89'26'40 "E 37.00' c. cn SET 1 \2" IRON 5' CONCRETE WALK SET 1 \2" IRON FOUND 1 \2" IRON PIPE L83672 PIPE i83672 pQ \ E LB3672 — — FIBERGLASS LJGHT POLE O u0❑ (37.00')l VN C ST \5 ' C ONCRETE WALK 7.5' JEA ELECTRIC EASE NT uD❑ 10' UTILITY EASEMENT L� — _.__ C � Zn N ^ CONCRETE I 7,5 J E A PAD ELECTRIC EASEMENT ' WAY oo 'DRIVEWAY J TRANSF — CLEAN `CLEAN \ 4. ' .BOUT OUT ` w l .. � „ J " ., 15.2' � 14.7' i W �/ ' T N j\ M 0 0 11.5' / ar "' 0 7: O 10.4' O NM C w 1-\ 0 0 ' o ►kc >- A ce _ v- >- °° t 0 X 5 w � L.1 OW 011 X1.1 0g 1.1- o LOT 4 0 F — N 1 Q U w Z 1'7 1n Q U M ° LOT 2 o w ►,') a s UJ L W S Q W W I " in 000 X ° p o w> Z p t--,, I Z . W N (n Z J O ?T.) O Q O M I- i W O C T ' �' O Z Oaa❑ (n ❑ as F- 1n 11 5' — 25 5.1_ I B G REST'.I9Q LINES 1 5' PRIVATE DRAINAGE EASEMENT (37.00') 1 - SET 1\2" IRON SET 1 \2" IRON FOUND 1\2" IRON PIPE LB3672 PIPE L83672 PIPE L83672 S89'26' 40" W 37.00' (N89'25'55 "E 36.94' FIELD) NOTES: -THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING 500'34'13 "E AS PER PLAT. - BUILDING RESTRICTION LINES ARE 20 FEET FRONT AND REAR AND 7.5 FEET SIDES AS PER PLAT. - EASEMENTS AS PER PLAT. -WV DENOTES WATER VALVE. -HYf) f1FNf1TFC FIRE' I- IYIlPA1JT CITY OF ATLANTIC BEACH ' '\,'' PUBLIC UTILITIES DEPARTMENT 1 / 'j 1200 Sandpiper Lane \- ! - Atlantic Beach, Florida 32233 _ � �/' (904) 247 247 -5834 584 `= -i'' �- (904) -3 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # d 3 1 o --1 9 Property Address: \ tj 0 D Ff r- b C ' Applicant: 1 1" i C' ► l rime( ' l t a' t lo Project: 1-1 Crt I' W 1' v1- - Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: F -CE s oe, G J Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247 -5834. Reviewed b a Kaluzniak, Public Utilities Director f-V-C2---- Date / — // Signature Contractor Notified Date tr CITY OF ATLANTIC BEACH a FENCE PERMIT APPLICATION Date: 1 l ./ PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: t &2 -& 1- -�L1 t1 ± , Owner's Name: al 0 A a Y - ( (1 � - • '34' Address: Phone: Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: �y j (> `-' .) VLf Address: (.A �' VI L Phone: City: _ State: Zip: Fax: Type of fence and materials to be used: I �, wr CX--; Lot ❑ Corner Lot ❑ Dumpster storage tank enclosure ster or stora Valuation Of Fence: p g Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Tree Protection: 10. Applicant certifies that no trees will be removed for the installation of this fence. 0 YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and /or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application (please print). Y Name: IT) 014 a V'hC �� ;/ 1 s� U .( b — Mailing Address: I # 5C _ _ "— + { / Phone: ' 354{.r Fax: E -Mail: 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http: / /www.ci.atlantic- beach.fl.us Page 1 Revised 3/04/04 A I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the 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 federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. //yy �� Date: f�(.° /'7/, 4gnature of Owner: ®t AS TO OWNER: K,v,, N.�.,.ec.S ut.-4 k) ‘.30u v 00.^-, Sworn to and subscribed before me this day of C C 1 , 20 Oci . State of Florida, County of Duval 41 R.-..._.._ S y P h. JEANNE M. SHAW ___ Notary's Signature: �-- 1' l ; \s MY COMMISSION # DD 435986 1, , 1 , EXPIRES. May 31, 2009 ❑ Personally known Bonded rnru Notary Public Underwriters El/Produced identification Type of identification produced f U- t)r ki Uc° Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 3/04/04 • c ,�„' CITY OF ATLANTIC BEACH r 15 � f � Y V <�•.. r s ; , OWNER/BUILDER AFFIDAVIT Date: 1 L % _7 . % Job Address: &> — Li �" 411 0 ++ Q . 1 L. 52',2'5- 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. 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. 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. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEOUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. 0 t.. At. ROPERTY a WNER/$UILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS 1 DAY OF C -1 1 - c. -r 20._� TARY PUBLIC MY c : At . ,.. 4 ::. - :--- - -. __— . ( f, NOTE: PHRASES UNDERLINED ABOVE. . S AW e = ;3 ' a m • MY COMMISSION # DD 435966 411 : .%, / j EXPIRES: May 31, 2009 ' Bonded Thru Notary Public Underwriters a " MAP SHOWING SURVEY OF LOT 3, EXCEPT THE EAST 37.00 FEET, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ill r CLi F O R S Y T H C O U R T (S8924'52 "W 37.01' FIELD) N8976'40 "E 37.00' SET 1 \2" IRON 5' CONCRETE WALK SET 1 \2" IRON FOUND 1 \2" IRON PIPE L83672 PIPE LB3672 PIPE LB3672 FIBERGLASS LIGHT POLE (37.00')l 0 7.5' JEA ELECTRIC EASE NT UD ❑ our LID❑ 5• CONCRETE WALK L - - 10 UTILITY EASEMENT a CONCRE V CONCRETE DRI W (ll,„!/// 0o DRIVEWAY 7.5 JEA ELECTRIC EASEMENT (V L I1 1RANSFORMER PAD SAN L E OUT TOU AN o , o w . b 15.2' 14.7' o \ / p 0 0 11.5' i� p i� 0 10.4' p 10.4' O~ 1 N trri CV o p � C 0 of W r— 103) >,. w 1cc� ec W o j W i p W o f II W 0 W u- cV LOT4 No i I - 2WL I z 7 �QV ; , 0 ° ° LOT2 O , (4 (nQU 0 cr Z L a w 0 T 1 "3 Fl].., WIX w r- Z � W 4.1 M O �� O N W V 6 a 0 1 d Z Q M N . w • W Ch W I p O 0 1-0a 0 diic Z Daa El moo-' 1115' 25.5' 25.1_ i r I /'� BUILDING RES I• T40;,L .Ii: 1 . e,. — — — TO 15' PRIVATE DRAINAGE EASEMENT 9 � cV s (37.00') SET 1 \2" IRON SET 1 \2" IRON FOUND 1 \2" IRON PIPE L83672 PIPE L83672 PIPE LB3672 S89'26'40 "W 37.00' (N89'25'55 "E 36.94' FIELD) NOTES: -THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING SO0'34'13 "E AS PER PLAT. - BUILDING RESTRICTION LINES ARE 20 FEET FRONT AND REAR AND 7.5 FEET SIDES AS PER PLAT. - EASEMENTS AS PER PLAT. -WV DENOTES WATER VALVE. -HYD DENOTES FIRE HYDRANT_ - PERMIT WORKSHEET Certificate of Occupancy (©) 2 1 Job Address: Type Work: \ Property Owner: Phone # fAA c. Ltej 241 t Z 2 Contractor: Phone # Permit #:&, i - 12 Date Issued: Z , -C 4 Building Inspections: Footing Slab u Attsi h .u► )C - r - 1 0 3 - 21LBS Tie Beam r jZ��T Lintel Nailing / Sheathing 3-15c.-01... Framing / Cover Up 5.14/.c.41 5• /(i • o if Insulation Final Building ( Tree Permit # YES NO Electrical Permit # Date / Copy to o4- z- P49 JEA 3 �Yo� Temp, Pole Permit # Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric 5.)4•04 5 'i g• o-/ Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final glipmmi Released to JEA Mechanical Permit # Inspections: Rough 6- J • of � s'/§i.Dhf Final ifftwevra _ Plumbing Permit # 01-( -7( p / ), Inspections: Rough / Underslab Topout S « 04 S .19 Water / Sewer Final Drainage Inspection.: Pool Permit # Inspections: Steel Final Grounding Final Roofing Permit # Inspections: Nailing / Sheathing • Final 1 Fire Inspection: Failed lnspgptions: Date Paid: - } Date Paid: A W !-4-P' - O ° r1 0, to W N : r ,p O N O 7 a mo4-Pj ?Th 4 9 dP :- Pip P to 4.4. c �,,,,d • a 5 5 ^ ^ ^ n ^ ^ 0:7 n ^ ^ ^ 'o H • m o w ^ kE[1 y Cm i!Fr N r te] ^ . F� " " . 0. 3Ta1a r°°.n �. o. 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O g G m . . 0° 0 2 0 0 0 0 0 O C m 7 ciuiw d - -, zdai 0 dW .dd.: a g... .4 4. <aaam: a g • /i �u # \, CITY OF ATLANTIC BEACH { 1 800 SEMINOLE ROAD f ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 05- 00031379 Date 10/17/05 Property Address 1850 FORSYTH CT Tenant nbr, name INSTALL 6' FENCE Application description . . FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor BEACHES HABITAT OWNER 1671 FRANCIS AVE. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -1222 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00. Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 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. • 13IIILtiR6 OFFICIAL