Permit Deck 1929 Seminole 2011 p . j ,,,„,1 r CITY OF ATLANTIC BEACH
,x sz, 800 SEMINOLE ROAD
ii •
.. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
11- 00001920 Date 4/19/11
Application Number 1929 SEMINOLE RD
Property Address
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . • •
Application desc
REPLACE DECK
Contractor
Owner
GALAXY BUILDERS INC
1929 LAMBERT 5544 DOVER CREST LN
ATL ANTTIC IC B B EAA CH FL 32233 E ROAD JACKSONVILLE FL 32258
ATL (904) 616 -8938
Permit RESIDENTIAL ALT /OTHER
Additional desc . 90.00 Plan Check Fee 45.00
Permit Fee Valuation 8000
Issue Date •
Expiration Date . . 10/16/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
STATE DCA SURCHARGE 2.00
Other Fees STATE DBPR SURCHARGE 2.00
g
Fee summary
Charged Paid Credited Due
90.00 .00 .00
90.00
Permit Fee Total .00 .00
Plan Check Total 45.00 45.00 . .00
Other Fee Total 4.00 4.00 .00
Grand Total
139.00 139.00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
Tax Folio No.
State of 10-
County of _ V
To Whom It May Concern: and in accordance with Section 713 of
ed hereby informs you that improvements will be made to certain real props T.
The lodersign information is sta....! in this NOTICE OF _ . A
the Florida Statutes, the following g improved: ! _ . ( .
Legal Description of property
Address of property being improved: nil IP • V A Z
General description of improvements: • CA ` - -
4 416: Address: 23 3
Owner: k /
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Name: t 1, 53- ,.� _ rw at
Contractor: L S N�! '! j 1.
j Address: `t Fax No:
Telephone No.: r Si 2.f
S ure t y (if any) Amount of Bond $
Address: Fax No:
Telephone No: improvements
Name and address of any person making a loan for the construction of the imp
Name:
Address: Fax No:
Phone No: by owner upon whom notices or other documents may be
Name of person within the State of Florida, other than himself, Y
served: Name:
Address: Fax No:
Telephone No: of the Lienor's Notice as provided in Section
owner designates the following person to receive a copy
In addition to himself, _
713.06(2)(b), Florida Statues. (Fill in at Owner's option) --
Name:
Address: Fax No:
Telephone No: year from the date of recording unless a different date is
Expiration date of Notice of Commencement (the expiration date is one (1) y ______ -_
specified):
OWNER z T/�
I Ells SPACE FOR RECORDER'S USE ONLY OWNER Date:
Signed: _� / /__ ` -- -- `1 rH day of P� ►� �C'r in the County of Duval, State
Jvc o s i v� r 20
K tiK 1 �5 re) r'age zi i5. Before me this /VIA K. 5 f � i County of D
Of F l or ida, has personally appeared ►
ecord d pages 1 e State appeared
orid. County of Duval.
Recur U L 34 R ;19 2 u11 C 12:58 PM Large, I
Fu? _ER CLERK CIRCUIT COURT DUVAL Notary Public at Larg M commission expires: P. co JIM � ECOR ' erson 1y Known: ( i r v f 1 �IUl1Ut
=_c�K�Fr�v sic �v
oduced I cation: — L D �'' I C� r
r' r Albert Moreno % G "�y Commission DD674778
\ �� 1�86K i too j1 _ ' af`_° =,, 05/15/2011
d Pi'._
:AP PLICAT ION NUMBER
me
(To be ass A tie Building D
of Atlantic Beach � { }} �'r
City 1
meri T, 1 10, Building D _
�`' pate routed `. ' Y
r > .•y Ph Seminole Road 2011
rrra "wN -rr Atlantic Beach, Florida 32 3 - 445 247 5 APR
r 247 5826
> � ter ` P hone ( 904) . de t coab.us
M " E -mail: building P °� coab.us
AP ,
KING FOR
^ ..�,3 �� City web -site: http: / /www. �. - -�
APPLICATION REVI��'k -' =-
De ■ ar{ment review required ragiumNo
er Address: � • _ � � � h Planning &Zoning --
Property f! Administrator -
_ , � Y I, i a Tree A —
Applicant: Public Works
_ / — public Utilities --
IN
Project: Public Safety --
r r,1*�w �. :i D p attire. y
� I
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation .■■
St. Johns River Water Management District 1111NNIIII
Army Corps of Engineers -
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco .
Other:
APPLICATION STATUS
Reviewing Department First Review: gi Approved. Denied.
(Circle one.) Comments:
/0L n f-'cie
BUILDING
PLANNING & ZONING
TREE ADMIN. ReVleWed b y;
s !_ .
1
BUILDING PERNQT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
rob Address: 1 dQ kJT . d ( G ril i Ch - Permit Number: 1/ / 9�
legal Description -p ( D Ct, t Parcel #
Floor Area of S.Ft. Slt
Taluation of Work $ FOU0 Proposed Work h ted/cooled n - heated/cooled
;lass of Work (circle one): New Addition Alteration (Repal Move Demolition pool/spa window /door
-
Tse of existing /proposed structures) ) (circle one): Commercial (Residential
f an existing structure, is a fire sprinkler system installed? (Circle one): - -Yes No N /A
lorida Product Approval #
or multiple products use product approval o m
)escribe in detail the type of work to be performed: pf c_1( W r0*
- 4_ _ .1a !) ',J k e
roperty Owner Information:
p J
rame: t 1
4 IL . -A F) ` Address: 1 ' _ l / e tI-
ity aZ/��U. State Zip it Phone jmigke� - Mail or Fax # (Optional)
' ontractor Information:
ompany Name: 1 ; 1 J l /';>fi` 1 Quahfv ig Agent: ,/'n , ��,.� � � r /' � ,/
.ddress: L, �`t - ' ,; - t -t L City _•ic , ,� .2 :>. —'
f 4'- - y � l / .: State )� �. Zip � �,�
ffice Phone j -' j �{ ' Job Site/ Contact Number .9.M J Fax# I'-/
- M
:ate Certification/Registration. # e 6 C. / 5 3 .:P(
rchitect Name & Phone # SS Q l_ 1637 fd
agineer's Name & Phone #
3e Simple Title Holder Name and Address
onding Company Name and Address
[ortgage Lender Name and Address
rplication 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
:uance 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
: d void (work is not commenced within six (6) months, or if construction or work is suspended or abandoned for _ of six ) months at any time after
irk is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
cnks 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
CONIlVIENCEMENT.
ereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
'e 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
7visions of any other federal, state, or local law regulating construction or the performance of construction.
ture of Owner
� Signature of Contractor
int Name OA °t ✓1 Print Name /1 , ; y' k `2 t � e/ ,,
aornto and subs 'be. befp e me Sworn, subscr'.ed,before me
is 4i ii) of & a ", 20 this j -- Day of AV Li , 20 )f
{w
,. s,5 � a r1n s5rtRn /,$."1
_
)tary Public ? A� E f ES: Februxy 14, 2014 Natal_ P b i BEN R. THIEROFF
ip • Bonded Thai Notary public Underwriters
- Notary Public, State of Florida
it A
Commission#DD9ise�.0
My comm. expires Dec. 03, 2013
5!.41.1'r City of Atlantic Beach
\z -5s ' ' t Building Department APPLICATION NUMBER
x _.� 800 Seminole Road u nn (To be assigned by the` Building_ Department )
1 5 V � Z c sJ u
Atlantic Beach, Florida 32233 -5445
•
` " Phone (904) 247 -5826 • Fax (904) 247 5 5
��1; �r E -mail: building - dept @coab.us APR 2011 1 ��
City web -site: http: / /www.coab.us _ , Dat e rou..ted { = t� 1 _ , �<
APPLICATION REVI a;! -- ..- - KING FORM
Property Address: /9 2 9 ..._ ia -role d De artment review required Ye No
Applicant: ,� 4 t T in
, AV ALI ! A f Planning & Zoning
Tree Administrator
Project: R qb) '2> 0, Public Works
Public Utilities
Public Safety
Fire Services
Re vile ; �. _ � �
. �,.: z.; :.s � � x „D e BSI a . ; fi: ,;
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: glApproved.
(Circle one. Denied.
�) Comments: /lJ 0 C n e-ede
BUILDING
PLANNING & ZONING
Reviewed by: Date: 7 f'i'-,1
TREE ADMIN.
Second Review: []Approved as revised. ❑De
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: (-Approved as revised.
(Denied.
Comments:
Reviewed by: Date:
evised 05/14/09