Permit Pool Screen 1795 Sea oats 2011 S f `y CITY OF ATLANTIC BEACH
,r j 800 SEMINOLE ROAD
J =" ATLANTIC BEACH, FL 32233
$' INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001896 Date 4/12/11
Property Address 1792 SEA OATS DR
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 6200
Application desc
SCREEN IN EXISTING SLAB FOR POOL ENCLOSURE
Owner Contractor
HUNTER MASTER SCREENS
1792 SEA OATS DRIVE 4411 KELNAPA DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 993 -2256
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee . . 42.50
Issue Date . . . Valuation . . . . 6200
Expiration Date . 10/09/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
REQUIRED INSPECTIONS:
*POOL STEEL
*ELECTRICAL GROUNDING AND BONDING
*FINAL (PUMPS MUST BE RUNNING FOR FINAL)
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total 42.50 42.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 131.50 131.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Apr 11 11 04:03p Legends Sports Experience 904 - 247 -0890 p.1
•
AFFIDAVIT FOR ATTACHING ANEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Department, City of Atlantic Beach, SOO Seminclo Road
Home Owner. I m lee.
Name _
79,2 s.4= rs•
Street 4ddre.ss
. 7 - '/e1.✓1 t - /J- , ° -a-G%
City. State arid ,gip Code
Contractor: c� C1 / CJ
Permit Number
As the Contractor for the proposed now structure located at the above address, I have personally viewed
with the above named homo owner those structure on which. postions •-
proposed new structuro are to be attached for structural support. I am confident that the drawings and
details included with this permit application depict the existing conditions of the host structure, and the
members of the existing structure upon which the new structure are to be attached are sound with no rot
or deterioration. The home owner has been advised by me that in my best judgment based on experience
and knowledge of structural adequacy, the members of the existing structure upon which the new
structure antes be attached aro sound with no rot or deterioration and will support all structural loads and
forces imposed on them. By signing below, I hereby declare that I will hold the City of Atlantic Beach
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from this work, and further that I will not initiate, execute or enjoin any legal action against the
City of Atlantic Beach for such. consegvenecs or failures.
•
A. copy of this document will he recorded as an official record with the Building Inspection
Department permit history so that ray and aR future buyers /owners of this property may be made
aware of the status of quark performed o 's structure.
Signed_ " „bier Date T i/ t(/
Before me this day
lo the County of Duval, State ofFlorida, has personally appeared
3 CO44 it • N O V'+b r, herein by himself/herself and
Affirms all srtements and declarations herein are true and accurate.
/4
LR
Notary Public at .Large, State of FL -, County of ,1) (, Va... I
Personally .'nown or Produce identification V "
» TYpf: b(... NLo3S - '? i, -1,(p - 2 /00 —0
F: buildlop/affidavit for nu-thing a new 1tructure to an existinp:trueture,dota. — 7J21/O9
;:; LP.UREN BARRATT
Commission # 81
4
z ,,. Expires September EE 01 2, 51 201
cF,• pee d fifu Troy Fain Insurance 800-385-
r ■i'
MAP SHOWING BOUNDARY SURVEY OF
LOT 13, BLOCK 14, ACCORDING TO THE PLAT OF
$ELYA MARINA W�NOT NO.,
AS RECORDED IN PLAT BOOK 34, PAGE 85 OF THE CURRENT
CI' ;1 I i' I IP I O: PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
IWRI ;R'f' HUNTER, CAMTT,T.E HUNTER, STEWART TITLE GUARANTY COMPANY,
KEl'ili WATSON TITLE SERVICES, INC. AND BANK OF AMERICA, N.A.
LOT 10
LOT 9 BLOCK 14
01OCK 14 I N al `'.12 '21" E 9797' (R)
b
1/2 N 0!',75 ?2" 1 LOT 11
0.4' E 97.88' (M) 0
B LOCK 14
Q -- -- LT -i T - - - _
I ' z . • -__ --- --- -- _� 3.9' 1 1.0'
o
I TL
C X 1 7 " T " di s LOT 13
INGROUND
POOL BLOCK 14 T
N
4
•
E) . w 9
FRAME CONC
W /VINYL SIDING 37.9'
SHED ��
E k t CO
VD CONC. WALK -----.,\ q
I
_P y --'• M C 16 9' fCC . mi: 1791 ' . ., ,
4 - ) e PLASTIC 1O F
d y � Fo W CONC. ALK r=X( 4, PAD - )r 1 •
d- R2 0 1.B 1 STORY BRICK
`y N I RESIDENCE N N
U o N0. 1792 ^ �t
n �1
O O ;T N J J
CO k
I' -.„ A '.. -:71.(e. BTT4
• 1 t. : ROCKS D ^/ 3 3
O cv _ c} ■ __. (...(;)
30.2' "� — , w • _ I ,
• 1.6'— 16 d :VII " iii. '. I 1 . • 4C BA d • 0 ._ �. • • ._d- Co WALL _
Lb J 1 �f`- CONC. ' N � •� �� a O
DRIVE.. p.L7U1 T1Uo � 7.1' hi
�7� ��L� L l 1 .' . it 21.1' 17.5' /� 1.1'
i
/ FRAME
W/VINYL SIDING
p 1ti / SHED
1.8' I ON CONC.
To I
., „. / N' N.
I / M h.
'T'I • . 4' ( .
c l ,
•
213.98' (R) . ,
•
213.72' (M)
1 /2' 1/2' BEARING REFERENCE UNE 1/2"
LB 3672
P.C. . , , • RLS
e'
S 00'08'20" W 96.44' (M) 4144
•
S 00 °08'20" If 96.44' (R)
1.5' CURB SEA OATS DRIVE - =
& c_.lTTEr: (60' R/4 1' = 200' '
OM 70NE ' - AREAS DETERMINED TO SE OUTSIDE THE 0,2% ANNUAL. CHANCE F1000 PLAIN / FL000 ZONE "x (SHADED)" - AREAS OF 0.2X ANNUAL CHANCE FL000; AREAS OF IX ANNUAL
IANCf: AIM AWRAGE DEPTHS OF LESS THAN 1 FOOT OR 9TH DRAINAGE MEAS LESS THAN 1 SQUARE MILE: ANO AREAS ' OTECIEO RY LEWES FROM tX ANNUAL CHANCE FLOW.
R y E Y R QvanA ATE 3I
J S 1. BEARINGS ARE BASED ON WITHIN
PLAT 800K 3 4, PAGE 85
A ! /// 2. STRUCTURE NO. 1792 SHOWN HEREON UES N FLOOD ZONE X AS
SS0CIATED SURVEYORS INC. 3.THS IS A SURFACE a S RVEY ONL THE P EXTENT L OF O UNDERGROUND FOOTINGS,
/ff/ ./ /LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED.
3846 BLANDING BOULEVARD 4. JURISDICTIONAL AND /OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
LOCATED BY THIS SURVEY.
/ S JACKSONVILLE, FLORIDA 32210 5. THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC
? 904 - 771 - 6468 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, TITLE,
0 COVENANTS, B.R.L.'S RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.
�0 S V CERTIFICATE OF AUTHORIZATION N0. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL.
�•� 6. UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
HEREE3Y CERTIFY THIS SURVEY WAS DONE UNDER MY LEiiEf4D /AEfBIIRENIATIAPdS
RECT SUPERVISION AND MEET THE MINIMUM TECHNICAL 0 SET IRON PIPE OR REBAR P.C. = POINT OF CURVE CH = CHORD
IANDARD FOR LAND _ RVEYING PUR UANT TO CHAPTER "ASSOC.SURVEY" OR L8.5488 P.T. = POINT OF TANNCY R
1017 -- LORIDA ADMIT 1 1V CODF, CHA• ER 472, F.S. • FOUND IRON PIN OR PIPE (IP) _ O.U. -= OVER H GE AD UTILITIES () = RECORD
• • FOUND CONCRETE MONUMENT (C.M.) FIR HYDRANT ( M ) MEASURED
42-1'1_ X = CROSS CUT OR GRILL HOLE CONC. CONCRETE (C) =COMPUTED DATA
Y ' J : , O.R.B.- OFFICIAL RECORD BOOK ABC = AIR CONDITIONER R = RADIUS
CH L E;S B. HATCH . t FLORIDA CET FICATE NO. 3771 O.R.V.= OFFICIAL RECORD VOLUME CO = HATER METER L = ARC LENGTH
P.R.M.= PERMANENT REFERENCE MONUMENT P.EQ. = POOL EQUIPMENT ° PHONE RISER
CH RLES L. STARLING FLORIDA C 'TIFICATE NO. 4579 B,R.L= BUILDING RESTRICTION LINE X—X CHAIN LINK FENCE R/ ° RIGHT OF MAY
RAYMOND J. SCHAEFE FLORIDA CERTIFICATE NO. 6132 E.T. = ELECTRIC TRANSFORMER Sc PAD W`W WIRE FENCE B.T. = BUILDING 71E
J.E.A. = JACKSONVILLE ELECTRIC AUTHORITY U U WOOD FENCE E).- UTILITY POLE
OD NO. 56235 DATE 04 -13 -2009 C & R = COVENANTS k RESTRICTIONS 'I —I IRON FENCE --0-= GUY ANCHOR
CALE: 1" = 20' DRAFTER S. Spurting
P.C.C. Q ONT O OF C REVERRSE CURVE ET. BETWEEN 'E D E.8. = COVERED
P.R.C.
( ) EAVE TIE E.B.- ELECTRIC BOX
OT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT
The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your
residence. The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various
sunroom category requirements. There may be restrictions on the use of your present home depending on the category
of sunroom you are installing. The property owner is hereby notified that should they make changes to the sunroom
which could include, but not be limited to, addition of any form of temperature control system or removal of the
doors/windows separating the sunroom from the host structure, the room may become non - compliant with the
requirements as mandated by the Florida Building Code, the Florida Model Energy Code and State Statutes.
O WNER
I have read this complete form and u�n rstand I aa receiving a Category / Sunroom. (I-V)
Printed Name 44 �/ c e ` c Address 1 pZ See, OQ 4"f r
Signed: /itTi/A Date: 3 / /7 /
l/_
Before me this / 7 day of Afar C 4 00 ity in the County of Duval, State of Florida, has
tY personally appeared
u� 6 , ....-. herein .by.elfLrselfarularr S all
statement and declarations herein true and accurate.
� � h hrrrrs En �
Notary g ,�^ 1 • Co unty of (J 1 _ ' c (' ;: �� �p F V � rr �
Nota Public at Large, State of I U ✓ GL N +r Of)7 (x336
Personally Known ❑ orrrod r d Identification [} 400 �� /!""® r *fRE i to �.ry 21, 2012
ID hype F/. a � —._ �s L� / f -,. C' !. '' .�-'m 1
Sunroom and Screen Enclosure Requirements
Category -- 0 II III 1. ._ IV V
Habitable Space N No Yes Yes
Foundation Walls <200pIf Walls <200pIf Walls <200pIf can Walls <200pIf Walls <200pIf can
can have 8 "W can have 8 "W have 8 "W x12 "D can have have 8"VVx12"D
x12 "D ftg or 3- x12 "D ftg or 3- ftg or 3 -1/2" slab if 8 "Wx12 "D ftg ftg OR have site
1/2" slab if no 1/2" slab if no no concentrated OR have site specific
concentrated concentrated load >7501b OR specific engineering
load >7501b OR load >7501b OR have site specific engineering
have site specific have site specific engineering
engineering engineering
Existing exterior
GFCI outlet Relocate or add additional outlet to exterior if enclosed
Exit Lighting Not Required Required Required _ Required Required _
Interior Electric Not Required Not Required Required Required Required
Outlets
Emergency Egress from Egress and Exit Egress and Exit Egress and Egress and Exit
Escape exist. structure must meet code must meet code. Exit must meet must meet code.
Openings allowed if open to code.
atmosphere and
has screen door
leading away
from residence.
Misc. Window Host structure Windows must Windows may be Host structure Host structure
and Door windows /doors be removable fixed or removable. windows & windows & doors
Requirements shall not be Host structure Host structure doors shall not may be removed.
removed. windows/doors windows and be removed. Forced entry, air
shall not be doors shall not be Forced entry, leakage and water
removed. removed. Forced air leakage penetration
entry, air leakage and water requirements
and water penetration apply.
penetration requirements
requirements apply.
apply. _ ,
Wind Borne
Debris Opening Not Required Not Required Required, can be or host structure, if built under existing
Protection roof
Energy Sheets Not Required Not Required Not Required Required Required
1/ ,,9g
, ,
" J `i CITY OF ATLANTIC BEACH
=� " 1s'r' 800 SEMINOLE ROAD. AT: ANTIC BEACH, FL 32233 f I I I I I
1-3 ` Y J OFFICE: (904)247 -5826 ■ FAX NO.:(904)247 -5845 / ! r� (nl
�� BUILDING- DEPT @COAB.US LS ( � j
"'.5i BUILDING PERMIT APPLICATI!U j 1/ COUNTY
1. JOB ADDRES '.I .. ; , . , VALUATION OF. WOR_K:' i f I F . UNDER • eO'
Atlantic Beach, FL 32233 6
Atla : /
4, LEGAL DESCRIPTION: : 5: CLASS! OF WORK:? .� ... 6. •F STRUCTURE:
� t / SUB 71_ Q ❑ NEW BUILDING ❑ D hai.ry� 13- IDENTIAL
LOT L✓ Q BLOCK / ISUB DIVISION Set Vet // r f Uv 0 13'li6DITION ❑ CONVERTING SE-- C'.MMERCIAL
7, DESCRIPTION OF WORK: ❑ ALTERATION ❑ ACCESSORY BLDG. 8. - 'E SPRINKLER:
� QI ❑ REPAIR ❑ POOL / SPA ❑ YES 11A
S creek he loS4r -e- ❑ MOVE ❑ OTHER ❑ NO
PROPERTY OWNER: . CONTRACTOR: ? : >: ARCHITECT / ENG1NEER
9. NAME: / 15. COMPANY AAME � � 23. COMPANY NAME:
1` ...��� 16. NAME: 24. LICENSEE NAME:
Scar i-4- ,Na le
10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO..
)7 See, aces 1>r'. S'Cc..._ / 3 e / 5-c 3s�
i� / fig � , n I' C 1 • !' I 18. ADDRESS: 26. ADDRESS:
` a z 1 2 � 33
11. OFFICE PHONE: 1:: FAX NO.: 19. OFFIC P ONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
1ti4 -3 5 -60 2?? g - 3W - o3 /S 79 5Coo Sig- 34 0.31
13. CELL PHONE: 21. CELL WC/NE: 7- ZZ r � 29. CELL PHONE:
14. EMAIL ADDRESS: 22 EMAIL AADDRE 1 , 30. EMAIL ADDRESS:
+popeeq en c.l0xufe a9 „� 1 . COA
FEE SIMPLE TITLE HOLDER: BONDING COMPANY.' ` ' '. . ' MORTGAGE LENDER:
(IF OTHER THHN OW NER) 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 orior to the issuance of a permit and that all work will be performed to meet the standards of all taws 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 my time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing, Signs, Wells, Po Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFIDAVIT - I certify that ail 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 rinaled and
prior to obtaining a certificate of ocrup :ncy or corr.plation issued by the building official, as required by law.
* WARNING TO OWNER: *** -
YOUR FAILURE TO RECORD P► 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
A ft (If Agent, Power of 'ttoroey or Agen.y1. Kt o Required) ; ' j (Qu 1,, , ' Or
Signed. ' �-L� ' `' _Date: _ '> MI I ( Si gned: t / / /� D ate: i
.i
�.
Before me this fay of _� � j �./y , 20#0in the county of Before me this --- of '01 r _ ` , in the county of
Duval, State of Florida has personally appeared Duval, State of Florida, has persons 1( appeared
herin by himself / herself and affirrns that all statement:; and declarations are herin by himself / herself and affirms that all statements and declarations are
true and accurate. true and accurate. ( •�'
Notary uclic. at Large, State of , r ount, of ._. Notary Public at Large, State of _RI( rr�1 County of t ii�
ereonally Known �� (].Personally Known
❑ Produced Identification - _. /, __ II Produced Identification
Notary Signature:f , / -' 111. Notary Signature:
' Y F C �.. 5.. O 1 T Oi j •r .. M Y' COMMISSI # DD7503 � +► "41 Notary Public State of Florida
'�,. r: v u: , r Angelia J Jackson
? oF t � d` L ! IRIS Janu 21, 2012 c
COAB FORM BLDG01: R 1.d MY C omm i as ,2 EE077804
7p 98 3 .. r allotaryServica.com aR Expires 0 6/1 21201 5
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the B uilding Departmerit.)
800 Seminole Road
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
of3 �r E -mail: building- dept @coab.us Date routed
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /79 Z Jff DAIS I r ent review required Yes No
'Idin
Applicant: 4 Planning & Zoning
Tree Administrator
Project: c 0f c-"2 ! 6 e C i-27chs-tez Public Works
Public Utilities
Public Safety
Fire Services
.i r 2 }a' F Lf' r"" y 3 � -7 3 n a 1 6� xe rj d 5. ? ; .t L '"" 7� . 7 r 5
Review fee $ t r; �,4 %1M CN e l 7i .,,e4 q_ t S l nature ' t � ; t�
wawu.,a p K a_nn...... t .: 8 ..,S a 1SJ..,. ^, P_
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. EDenied.
(Circle one.) Comments: ,�-^14.; j/ r . y J
.I v
fi'tt; d iu i ! _. a -I� fa rl, fh q I� F cv l7 j VC cr✓A- -4° an
UILDING fix, g,S j tr v c 11,1-e needs -40 E) -� ..f'• life( ov+ ti-
PLANNI & CONING
Reviewed by: Date: '9
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