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Permit Bldg Alt 285 Seminole Rd 2010 to CITY OF ATLANTIC BEACH 4s. 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 10- 00001421 Date 12/01/10 Property Address 285 SEMINOLE RD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 3800 Application desc CONVERT EXISTING CARPORT TO GARAGE Owner Contractor BROWN IAN AND AUBREY OWNER 285 SEMINOLE ROAD ATLANTIC BEACH FL 32233 - -- Structure Information 000 000 CONVERT CARPORT TO GARAGE Permit BUILDING PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . 35.00 Issue Date . . . Valuation . . . . 3800 Expiration Date . 5/30/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total 35.00 35.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 109.00 109.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION ' ' CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 �, s\ ► i� • , Permit Number: �'O - AA/ Job Address: _ .► ►._ �. _ Legal Description [0-8 .-� ( 2 - - .7' q Parcel no c-2., 0 000 F loor re o v Sq.Ft. q. t Valuation of Work $��� Proposed Work heated /cooled non - heated /cooled 2?" Class of Work (circle one): New Addition .... C - Fteration, Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial iden esti If an existing structure, is a fire sprinkler system installed? (Circle one)! N /A Florida Product Approval # '� For multiple products use product approval form Describe in detail the type of work to be performed: _ , li • , , I ,l lord, L .. Property Owner Information: Name: ,,q l Address: L s L City 4-t ^A 1,Z. 43c4— State fLZip 3 72.33 Phone 74 G2 (- j 3 (iD E -Mail or Fax # (Optional) Contractor Information: / /� /` Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/ Contact Number Fax # State Certification/Registration # _— Architect Name & Phone # Engineer's Name & Phone # / Fee Simple Title Holder Name and Address 4, rs..,{ 4,�brr, ° ?i 5i � P-. 4-k 3 Bonding Company Name and Address , Mortgage Lender Name and Address - e ' l ,. , _ -) g A - 4 - - - - 'O i r " Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 work void if mmenced. understand that separate or if be secured for Electrical Plumbing, Signs, a Wells, Pools, Furnaces, Boilers, Heate s, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether s eci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or lo. . l regulating constructio . . .X !g.K 9. Z,0Kc��, str4uctiOn. Signature of Owner FI Ls E atC O P t Y 4 !. t..k'' ...,: F I Print Name - - -7 ", 42 'rmt j maw, ; � , �• . Swor• . .. , subscri: :. be ore me . .. _ _ ; e me this ,� : y of _ i` D F CO OM - , 20 I �/ / , / 4 v 1 , N # 6n 6„i4 f C I , OF ATLANTIC BEACH Notary Public + q EXP�f� �Y ` MITS Fj�lp�pl ' +r . 3ond ed1hru No Pubuo _ IREMENTS AND OND ITIONS. �f„Fti Revised 01.26.10 1 REVIEWED BY: II DATE: /61750-I0 „,.,;:$1.-, ', CITY OF ATLANTIC BEACH r (J% WNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING” REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. 2 5f5 5eMi i'-o'(1 / a C 7 ADDRESS P •NE UMBER r 7 PK)--.....•"\-------- 1 NA SIGN R 7.30.L. DATE Before me this ✓" day of , 20A in the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations ar nd accurate. Notary Public at Large, State of , County of DEBORAH A. NP ❑ Personally Known Ft- PC, i 6 � l Z C ` ! � . , ,. . MY COMMISSION Erodu Notary Signature: 34126 ced Identification - 3w., em:: soi l 1 ' „ QC PP ©ondedThruNo'' EXPIRES: tv ndenvtiters �� Oh& F: BLDG /Owner - Builder Affadavit; REVISED: 4/16/2009 NOV -30 -2010 13:54 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1 /1 t' NOTICE OF COMMENCEMENT r (PREPARE IN DUPUCATE) Permit No. /C2 "/ `I - / Tax Folio No. , 17 r7 1 — C7 0 V J State of F/ t.4. . County of Dv Vw 1 To whom It may concern; The undersigned hereby Inrormg 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 ` `ts_ — ( 4 - — 2_ 5 ^ - 7 I Address of property being irrproved: 7 SYC {.12. L / 1? d , j /. 2 ^h; %t general description of improvements: '7 cr(,, 1..�.... 4 _ _ c I , 4 4, ,.. _. /- /rs. d r c.— _ r O wTta f, ,_.. w.� •t ? r'ril � " -." C Addroae 2 .JY K" 4. ,a 1. R- � At g . 32 \ � man Interest in sate of the Improvement F 4...../, lc-. �� O Fee Simple Titleholder (if other than owner) _ `J \ Name Address Contractor / t.,, v' - Address Phone No. Fax No. Seamy Of any) Address Amount of bond $ Phone No. _ Fax No. Name end address of any person making a loan forte const uciion of impmvernentswi Name Adniess Phone No. Fax Na_ Mame of pereon within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: A/4.1-- /. Nome Address Phone No. Fehr No_ In nddlUon 10 himself. owner designates the following person to retie ve a copy of the timer's No9tD as provided In section 713.06 (2) (b), Ftonda Statutes. (Fill In at Owners option). Name /, A// Address _ Phone No. Fax No. f]tpiratton date of Notice of Commencement (Ma expiration date Is one (1) year from the date of recording unless a different date Is specified): THIS SPACE FOR RECO;,+_-' LY /' /may, OWNER iiit _te I( Pk' o Maned- �1� f f� >�' lr-- DATE - f //�L� r lON OD 634128 aerem nu _day et (�irq • re r •,- - f ' •#; tRin 21,2011 Cu/rV> '°°"9�5/°Po`r. la 1 ,y A putik uPd. Mended/ nenetraneem 1m ear tip eedemene ,nd dodarndone ho eIn to by OM Ave end wounds 4 r t 4.1_ LlidLiCe, 0 Dui: M Ju t Ul /. I d-i, un4 id '1 6440 Page 2213• evil Puore al !NM stets or County of 01" - Pktmixr r`epos', 'I wryddmrnheton denies; PCCordrK1 1 1/30/2010 3t 12.59 PM, P roduc e d Idandl h ""' qU j I Q ° It ProdlreedldonCtcatan P'L�1Jr.+ ' JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10,00 E STAR' Qualified in A115(1 States • T ` \. \ \\ •. � :.o�:.. LNERGYSiAR \ \ N .-. N \ .. ' N 6 UMW N(3 N FRC MFG CODE: SIL \` CPON SIL —N -3 2301 Single Hung Vinyl Dual Glazed MftmlFormatm LoE3 Argon Fill Raba Council. CERTIFIED ENERGY PERFORMANCE RATINGS U — Factor Solar Heai Gain Coefficient 0.30 I 1.70 0.26 (U,S,/I•P) (Metric /SI) ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.52 Marufadver stipulates that 1`+ese ratings conform to aptJ preceoses 'or determining while product performance NFRC ratings are determned for a fed set of ern ironmentai candtlicns and a spec,fc - product size NFRC does not recommend any product and does not .Narraro tne sutaod ty of art; product for arty specific use Consult manufacturer's literature for other product per'ormance infc•,ma *on mw/Krc crg WDMA A W'NOOWANDD000 ".' \' ` I1 . �.I•n �.' A \�� MAN ,:14TION \'1 mmn, Wilma con' 111 11 Fier) 440 —H- 013.06 Silver Line Windows 2160 SERIES SINGLE HUNG Manufacturer Stioulabs Conformance a the folleelne standards STANDARD RATING AAMA /WDMA /CSA 101/I .S.2/A440 -08 CLASS R -P660 Size Tested 36 x 62 in DP .501 -50 pef 1 1 Glazing 2.2 em Single Str AN Outer/ 2.2 me Single Sir AN Inner Complies with HUD UM Bulletin 111 R0 /R0 All N IGCC4/IGMAr 04/10 19444666.1.1 LABEL 2010 Meets or exceeds MEC, CEC • IECC Air Infiltration Requirements 4NOMA Hallmark Certification P _,. -_ 1_ , J ELWWE N WINDOWS & DOORS HURRICANE DOOR SYSTEMS SISTEMA PARA y PUERTAS HURACANES , ' f 1/4„, CONTAINS: Pg. Product Descriptions Certificate Florida Approval No. Configuration In -swing and 2 Inset specifications required for all anchor installations NA NA Out-swing 3 Steel, WE, Full Lite, Single or Double Impact Door System 08- 0312.09 11251.7 Out -swing 10 Steel, WE, Full Lite, Single or Double Impact Door System 08- 0312.12 11251.15 In -swing Glad /Fin, Opaque, Single or Double Door System w /Non- 16 Impact Side -lites NI005423 -R2 10701.9 In -swing Steel, WE, Opaque, Single or Double Impact Door System 19 w /Non - impact Side - lites 07- 0820.07 11251.1 In -swing Energy Saver, full -cite, Single or Double Door System 26 w /Side - lites N1005360 -R2 10818.5 Out -swing Energy Saver, Full -lite, Single or Double Door System 28 w /Sidelites N1005361 -R2 10818.6 In -swing Glad /Fin /Energy Saver, Opaque, Single or Double Impact 32 Door System w /Non - impact Side -lites 08- 0422.02 11251.16 Out -swing For a complete listing ofJELD -WEN Hurricane Door Systems, visit our website at: www.jeld- wen.com Notice of Acceptance aid Approval/Installation Dri s Save for Builder and • ENERGY STAR° Qualified In All 50 States ENERGY STAR J EL ws &D f RC �! N ' Swinging Door CPD# JEL -M -2 strafcn Steel Wood Edge Door .•„ .unc CRTIFIED ENERGY PERFORMANCE RATINGS • RODUCT DESCRIPTION* U- Factor / Solar Heat Gain Coefficient (SHGC) 8e`au,'t ** t/4Lae irzute Wood 314 Lite FLII Lite s410' 5 900' 5 1100' > 1100' G: 2;. „!��O25" 0 0.26 0.31 0.34 • 0.03 --' 0.16 - - 0.23 � , --' 0.28 ;G ,c f(21 At10.25" 0.18 0.26 0.31 034 AtmGrid 0.02 � , 0.14 0.21 0.25 IG /LowE(2) /Air10.50" - - 0 , 0 , with SDL - - 0.18 0.22 IG /LowE(2) /Airl0.316 ", 0.316" - - - 0.29 - with Deco IGILowE(2)/Air10.75" 0 - 0 , 0 , 0.30 , • 0.03 -'' 0.16 - _ - 0.23 --" 0.28 IGILowE(2)IAir /0.75" 0.18 , 0.25 , 0.28 , 0.30 , • with Grid 0.02 0.14 0.20 0.25 IG /LowE Plus(2)/Air/0.75" IG /LowE Plus(2)/Air/0.75" - - - 0.29 with Grid IGILowE Plus(2) /Air /0.813" with retractable IG blind - - 0.10 - 0.14 0.18 IGltriple /LowE(2) /Air/0.50 ", 0 . 81 3 " 0 , with Blind and Grid Flush / Embossed U- Factor 0.161 SHGC 0.00 Threshold U- Factor Add•Ons Aluminum - Non - Thermally Broken: +0.02 Manufacturer *lets that these ratings =font applicableNFRCproceduresfor determiningwholeprodctprfomanceNFRCratings are detennined for a (bred set ofenviron rental wndicau and a sperif k product size NFRC does not recommend any product and does not wanantthe suitability of any productfor any specifk use Consuftmanufaclurer's literature for other porduct performane information. *Glazing type/Clear or Coated (surface)/gapfiu/gap " "per NFRC 100 Section 33 'SC a - e inches www.nfrc.org Remove Only After Final Inspection - Retain Label For Your Records Another Energy Efficient Product from JELD -WENe Low -E JWO- 14295,.2/19/10 ;izavlr f , City of Atlantic Beach APPLICATION NUMBER / �2 ,, Building Department r :� g (To be assigned by the Building Department.) f 0 , r 800 Seminole Road j } Atlantic Beach, Florida 32233 -5445 /O — /4 1 Phone (904) 247 -5826 • Fax (904) 247 -5845 r u c ) 'r E -mail: building- dept @coab.us Date routed: 4- 30-/0 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Zg C C A JcL Li., 14X Department review required Yes No ui in ‘./ Applicant: l L-& anning & Zo n in Y' Tree Administrator Project: e6....7., Public Works Public Utilities l Public Safety Fire Services er $ ,��{y� � ' n 6"� � � � x {� EL �y �"'� � � I � i � i J F�.� Vi i) � � M -,r r r. x.�-." T���'a ", `�� "�, _ i r�i �l� 3 �,�� � i) i' � ���I �� �' ��, � �1 c_di'fi� ��r�� ., . a '' �- i Other Agency Review or Permit Required Review or Receipt Date 016-*4 Permit Verified By Florida Dept. of Environmental Protection f . 2 l Florida Dept. of Transportation 1 t 1' i tp jA A St. Johns River Water Management District Army Corps of Engineers U" Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPVCATION STATUS Reviewing Department A First Review: roved. g p pp ❑Denied. _ �_``•- .■L''MINIFl1...: (Circle one.) Comments: g se-1 BUILDIN PLANNING & ZONING Reviewed by: M Date: /0 - 30 - YO TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 � sl;. 1, City of Atlantic Beach \rs � a� �� Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) � r Atlantic Beach, Florida 32233 -5445 /0 f 7 4z . / Phone (904) 247 -5826 • Fax (904) 247 -5845 ^ ..r jt y)» E -mail: building- dept @coab.us Date routed: ,/I 30 /0 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 02 (j SK/IX-C-P- Department review required Yes No Building Applicant: tei g- � - �n;r; r r il�istr . ✓ Project: (j,ve.i! , i Public Works �' Public Utilities Public Safety Fire Services "P" t nil` 1 im,n �� :. 4 ,il ,.x�ic •„'v0 , i 'n "1 ek'ti S ig t A��., 'F� s^,a , - ' , ; 01-- 1 , F€ 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 CANNING & ZONI 4 Reviewed by: 1 ; te: /.0/"7c0 REE ADMI Second Review: Approved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09