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555 Selva Lakes Cir-2011 porch addition `� S CITY OF ATLANTIC BEACH , .2 800 SEMINOLE ROAD f- `� A BEACH, FL 32233 J `r w __ ____„) INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002016 Date 5/09/11 Property Address 555 SELVA LAKES CIR Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . • • 5800 Application desc porch addition Owner Contractor CLAYTON THEODORE ET AL FISETTE CONSTRUCTION & REMODEL 555 SEVLA LAKES CIR. 2336 PINE ISLAND COURT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 992 -4782 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ADDITION Additional desc . 40.00 Permit Fee . . • • 80.00 Plan Check Fee . . Issue Date Valuation . . . • 5800 Expiration Date . . 11/05/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 80.00 80.00 .00 .00 Plan Check Total 40.00 40.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 124.00 124.00 .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 . ob Address: 3 S SJ✓(A aide, 44,iao4A, cJ F/ . Permit Number: 11 /G .egal Description 1.P (4 SeJva takes !Ali-I 0�-• 43 p II�►I4 Parcel # I Floor Area of Sq.F't. 5 q .F't Taluation of Work S' &OD. 07 Proposed Work heated /cooled non - heated /cooled 1 iii f6 :lass of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Tse of existing /proposed structure(s) (circle one): Commercial ' esiden' installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): ' es o N /A lorida Product Approval # S, r nAles - F1.: /0124. /(/ 'or multiple products use prouct approval form )escribe in detail the type of work to be erformed• - wit kit PaCs /, .i i LA WI Pa ✓JII ` £ 13 4 4 ex.14i�► vin iVt� 3 I )(.13 Pu i Id. view 141 Roo- ovd,k(a r . I')__ roperty Owner Information: /► // ame: p Address: 6S( &'JV ' 1 k C»K.CQ. i p ,i, � 2 k State s Zip 2 iZ-3 Phone 3' l - v 35 tY -Mail or Fax # (Optional) out-actor Information: . ' ompany "S"') N Ad. � ..,, ,.. n a 4 'f' 'A:. 41 ./ Qualifyint Agent: I 5Se / c - ddress: /t P ✓ City r __-_, OI L !!P State ..■ Zip 'iii v ffice Phone 1 - 1 1 )301 Job Site / Conta' t Number . 9)/ - Q(oor o Fax # Z /& -&' 6 :ate Certification/Registration # _ . - 1 i► _ rchitect Name & Phone # De h ti IS A I. 1 ,'a ,m - r # yam'" '""o '" `" °`"" '-,""` x agineer's Name & Phone # ' Simple Title Holder Name and Address 1 ! ` r anding Company Name and Address "11 1)111 Olt R :ortgage Lender Name and Address t plication 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 f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time after )rk is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, :nks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM1VIENCEMENT 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. ereby 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 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 visions of any other federal, state, r local law regul ting construction or the performance of construction. mature of Owner Signature of Con or L/` T - 'Int Name ' CZ t )2- ` f! " 177 "..- Print Name tl e G / f i sdir , Tom toad subscribes before me Sworn t and subscribRd before me \ s Z Day of r �� 'r' � , 20 \ 1 this m ay of \-� , 20 �� Not. RM _7 tary . to P .: . ALLYSONDRA V. CREEL c-.� ZL , A 1 Notary Public, State of Florida 1 . A A.4...1 .o, ALLYSONDRA V. c �'is 01.26.10 0 ..,, Commission #DD900221 \I(2, ` 2 ' ,�' � ' � Notary Public, State of Florida L L. A d My comm. expires Mar. 4, 2012 � ' " Com mission #DD900221 V � "►"+ �e-- My comm. expires Mar. 4, 201 MAP SHOWING BOUNDARY SURVEY OF LOT 62 ACCORDING TO THE PLAT OF SELVA LAKES UtAIT TWO AS RECORDED IN PLAT BOOK 43, PAGE(S) 11,11A AND 118 OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY, FLORIDA. 1 GCE 0 1 1 ° ° n ,i2- s CIFI 5 2 6°4 . (g) y K ) E 1 4.8 .,,6 E �,Ap R 1 1 8 26 Pzi V ,0. (6 p'$ , (g) 5 14. Ta p d tel a 5E� S $ 0.4 . g' E • •VS• ��� 11.78 (R) H �, 2g. , (M) t, ' 1/2.• 1.74' (M) o • f ' 5 2 3 . 0'1' � 2 KG'" H >Z 1//22 \ t /2� �' 1 E.T. P. C. t/ H cra o CRO ABSOC . 5URV. t048 a O d LB. 8219 �. LB. 5488 P.R.C. 5'X5' J.E.A. H z O �_ �, EOUIP. t Q, ' • (R • C0 : , i 11L`. .9 EASEMENT 3g.1�. �� CONC. _ 4 .. DRIVE 414. n 01 • ed DRIVE • • • O CI H Z a 0.3' zrri )-4 NVORT '° _ . • • 1, ' 15.2' H o 7' 1.2' c 17. �1 H y z ' CONC. \ tzi y7s� d . WAUC m to y N+ cc '. 0.1• 14 ►-+ I..1 C fi g. 9 ' ; N ~ En cn 9 I N / 4 ez N E S f - 4 9.1' H t-+ r (r- t a / a.o z z cn io - Nii 3 SCREENED O H 41)§ ~ N o COVO CONC. J 3 kk 6 -L '6 1 o, d p W NCONC. h.. H �I , A/C O o 25' - a K �° H .0 a 5.3' 5.3' • H PI . H k r5 4 3 " c r 2 t/ 9.0' C 0.i' c�i 8 9' O z ` ✓� /�i COV'D h r �s coe o) H 34t H "Bolt 1 IXXISWOMAI • LOT 62 1 1.1'20.8' 1 STUCCO COUMAN O. , 2 ' Tye • ; �1.0' e1N 1.0' e • Q3' . • • 1/2" 0.3' 3`4 I9 1048 N 06'50 3f W 35.15' (U N 08°45'00 r 35.0 (1?) SAN PIPER CIRCLE (an- sue) (40' &V RAM ZONE "X' ...AREAS OEVERMNED 10 EE OUTSIDE 1FE 0.22 •MML CRAmE R000PLAM / FL000 ZOIE "X (91AOEDr .. AREAS OF 0.22 P.NNuAL. QIANCE FL000 MFRS OF 12 MHJM. CHANCE am MENACE DEPTHS OF LESS THAN 1 FOOT OR U1H 0RAMAOE AREAS LESS 'MAN 1 SOMME MILE. AND AREAS PROTECTED BY LEVEES FROM /x ANNUAL CHANCE FLOOD. R V E Y p 4, 1. ARE BASED ON GENERAL PLAT nom s 4 3 . PAGE 118 0, � / s 2 STRUCTURE NO. 555 SHOW HEREON LES WTHN Ft= ZONE X AS A SSOCIATED SURVEYORS INC. 3. THIS I ,R ONLY. THE E MAPS PANE EXTENT OF � R o OU UNO 1 OonNGSS, LAND & ENGINEERING SURVEYS PIPES AND UIIUTIES, IF ANY, NOT DETERMINED. w jj A. 4. JURISDICTIONAL AND OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT 3846 BLANDING BOULEVARD LOCATED BY TENS JACKSONVILLE. FLORIDA 32210 5. THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC 904- 771 -5468 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, O TITLE, COVENANTS, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC. O s s v CE OF AUTHORIZATION NO. L8 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL. 6. UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IOENTIF1CATION. I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY L.EOEND/AYREVIATIONS DIRECT SUPERVISION AND MEETS - THE MINIMUM TECHNICAL 0 SET IRON PIPE OR REBAR P.C. = POINT OF CURVE COVO = COVEREL STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER "ASSOC,suRVEY OR LB,3488 P.T. = POINT OF TNT E.B. =ELECTRIC BOX 61G17- • FL • '40A ADMINISTRATIVE CODE, ` ' 472. F.S. • FOUND IRON PIN OR PIPE (IP P.R.C. = POINT OF REVERSE CURVE � • FOUND CONCRETE MONUIENT (.M COMPOUND P.C.C. = PONT OF CO CURVE BY: _ �0 _ . / . f , ' ' X .. CROSS our OR DRNI HOLE (C) = COMPUTED DATA R/W • RIGHT OF WAY (R) • RECORD (M) - MEASURED CONC. CONCRETE B.T. = BUILDING RTE C B. HATCHER FLORTT)A C2 F LATE NO. 1 N... RADIUS L = ARC LENGTH A \C = AR CONDITIONER (ET.) - EAVE TIE CHARLES L STARUNG FLORIDA C MATE NO. 4579 O.R.B. - OFFICIAL RECORD BOOK CBI = WATER METER 'A,= IMLAY POLE RAYMOND J. SCHAEFER FXrOR101C C 4` MATE N0. 6132 O.R =OFFN�AL RECORD VO LUME PEA =POOL EOUIPMENT - .= GUY MOO P.R.M. - PE'AIYM1D T NEFI VICE MOMUMOff 0.U.- =OVER HEAD U IL Es 01 _ CFIORI JOB NO. 53359 DATE 08 - - 2007 B.R.L = BUI.DNG RE RICTION LINE X - X C NN LNK FENCE 19Th. = BETWEET ET. 11, ELECTRIC SCALE: 1 11tAti. Nk PAD W-W 1NIfI` FENCE -O- -D-W000 FETdCE " = 20' 1T1;• , J.E.A. = JRCI SONIIN.IE mac witioRtly C a R = COVENANTS & RESTRICTIONS NOT VAUD WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA UCENSED SURVEYOR AND MAPPER SUNROOM, SCREEN ENCLOSURE, AND /OR SCREEN ROOM AFFIDAVIT CITY OF ATLANTIC BEACH JOB ADDRESS: Oc 910, (.0,.. 5 ,Yk A `a 7 '�,� L(4 . PERMIT # // �c 0 / 6 INSPECTION REQUF PHONE LINE (904)1247 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 any form of temperature control system be added to a Category I, Il, or III Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur, the room shall become non - compliant and must comply fully with all of the requirements for habitable /conditioned spaces as mandated by the Florida Building Code, The Florida Model Energy Code and State Statutes. Screen Room. Sunroom and Screen Enclosure Requirements Category I II HI IV V Habitable Space No No No Yes Yes Foundation Walls <200pIf can Walls <200plf can Walls <200pIf can Walls <200plf can have Walls <200plf can have have 8 "Wx12 "D ftg have 8 "Wx12 "D ftg have 8 "Wx12 "D ftg 3 "Wx12 "D ftg 8 "Wx12 "D ftg or 3 -1/2" slab if no or 3 -1/2" slab if no or 3 -1/2" slab if no concentrated load concentrated load concentrated load >7501b >7501b >7501b Exit Lighting Not Required Required Required Required Required Interior Electric Not Required Not Required Not Required Required Required Outlets Emergency EscapeEgress from exist. Egress and Exit must Egress and Exit must Egress and Exit must Egress and Exit must Openings structure allowed if meet code meet code. Other meet code. Other meet code. Other open to atmosphere or resistance resistance requirements resistance requirements considered screen requirements for for forced entry, air for forced entry, air enclosure and has forced entry, air _ eakage and water leakage and water screen door leading leakage and water penetration also apply. penetration also apply. away from residence. penetration also apply. Misc. Window and Host structure Removable windows Removable windows Host structure windows Host structure windows Door Requirements windows /doors shall allowed in sunroom. allowed in sunroom. EL doors shall not be & doors may be not be removed. Host structure Host structure - emoved. removed. windows /doors shall windows /doors shall not be removed. not be removed. Wind Borne Debris Not Required Not Required Not Required Required Required Opening Protection Energy Sheets Not Required Not Required Not Required Required Required I hereby acknowledge that I have read and understand all the above on this Day of C /"-\-- '' ? boa e_i, Home Owner's Signature Print Name STATE OF FLORIDA, COUNTY OF DUVAL: 2-$ d ay foregoing instrument was acknowledged before me this 2-T day of 1 c_. - - -_ - . , 20 \ \ , by c) . (D. ,, f herein y himself/herself and affirms all statements and declarations herein are true and accura`- n 1 1 . I tiers �`►i.�, ACP NO' IC STATE OF FLORIDA , 1/40 , N� ALLYSONDRA V. CREEL q a Notary Public, State 0 of Florida Print Name: Pt\ - . -'\�(� V Q re- 1 a�„z: Commission #DD900221 r My comm. expires Mar. 4, 2012 i"' �� -�- El Personally Known/entification: 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 PHONE (904) 247 -5826 FAX (904) 247 -5845 REVISED 1 -20 -10 V ° AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole Road Home Owner: it 6 A TO A Name v C // U Cam' Str et Address 22 City. State and Zip Code Contractor: � 2't' �P S U, 4 v✓locle,1I w . Permit Number // - c20 / 6 As the Contractor for the proposed new structure located at the above address, I have personally viewed with the above named home owner those portions of existing structure on which portions of the - proposed new structure 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 are to be attached are 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 consequences or failures. A copy of this document will be recorded as an official record with the Building Inspection Department permit history so that any and all future buyers /owners of this property may be made aware of the status of work performed on this structure. • Signed Date zi 127/ la / Before me this Z 9-Clay of P \ 7 In the County of Duval, State of Florida, has personally appeared cQ2 S • C 1 M -tk) n '3f herein by himself/herself and Affirms all statements and declarations here"' e true and accurate. mG ALLY5fiNDRA V. CREEL � , r� Rotary Public, State of Flor:l j Cmmission #DD900221 41 .4411 My Comm. expires Mar. No :m fit large State of , County of Personally Known or Produced Identification c-(=) L ID Type C 4 c % Z ki cs F: buiding/affidavit for attaching a new structure to an existing structure.doc: 7/21/09 SELVA LAKES HOMEOWNERS ASSOCIATION, RE LEST I: ti R a ` - T 'TURAL • PPR V • L T'l,is re uest firm is to be conTleted by the i ioni owner and submitted to the (ARC)yrior to the commencement of work. ii 1« r 'f;1'If3 BY .ARC: THIS SECTION TO H COMPLETED f) BY i' OMEOW �tER Hate: Lot vainc. " l C✓ � `1 c -L� y � t / / email: V G GF /v 1 Address: `) � 'S L_�._t' /011 Home Phone: 6" 2 - 1 7V/ Other Phone: C'onlractor: 1 i-a (. c :fL, -rp'aC; ,/ Describe the work to be done: (i.e. screen room. addition, fence. garage door. siding, outdoor lights, exterior paintm ;. roof repairs /replacement. ;utters. etc.) L7 iL ( nop4Llie t. (IF Pax 1L A006-- / Pikkir se.z..s. Do.1A-L. PAS r, c21.) hi nn on _ .`t t "f t' g- i:. j) ;+ L Z�t"/1 i °, �✓ �,> Lc1t Lid ....5r�t t U L.t_. G - i(2A 4 /Mk Mk j t'- e.:- Gtr 6 �'"4, 31 A11 'TD M +4Z aC t5il rt1 r. c544't N L I_.�.5 , ... S i Ail S i . ' i .Attach a cop of your survc indicating the tocation of the , .vork to he done. :i. ribe Location: specifications: Attach a copy o plans. draN‘inv. , picture. specifications (material, color. etc.) All exterior paint muss "c; :t eificutions. Purchase at Duval Point and Hardware, 3 " St. South. ?acksonvilic Beach. Reference Selva Lakes standard. f..-ainnated date of completion: C FIT:: :: Owners are responsible for the conduct of the contractor. You are required to supervise the work being done. You vtrsonally responsible and liable for an: damage done to common property or adjacent property. 'hen required by the City or -.riantic Beach. you are required pro% ide the ARC with a copy of the building permit. , Signature: ..__ = � '` Date: _._ .._. __ 2 v ....... _... _._ : WA C O/ oY- Date Denied /y• 4444„. 6s6 seal/4 d A4 S c, • 6 jl,,;o c' ) { ; y .,3,t t ;:� ?° n�.„i•� /ow,. , 1'� Kt j :. ..�. /c,_ = y .��> f + �l ` '?. - K' / r „ 4 ,1 i <' I w..,. . w l il tbrm to: Selva Lakes Homeowners Association. Inc.. P.O. Box 331365, Atlantic Beach. FL 32233 Email for questions or comments - - - - r Gt1TION NONIPU. Dep : ' Y5, Ly City of Atlantic Beach ' '� a l (To be asst ned ` b y th e Buiidi g artment as , Building Department + g 4{h�r �� � . . -4 ' 1 f 800 S Road { 41 _ � r r ' F ,-.• �''� �� r� Atlantic Beach, Florida 32233 -5445 • - ,� ' •w2 s Phone (904) 247 -5826 • Fax (904) 2 ' 7-584k Y ° �` 0�F Y.1 y_ 4 r t- � . ?Oil Date route. , va tr.:—'- -c r r + f vsa OP' E-mail: building- dept @coab.us ,' � ,._.:-- ,.,:,. r<.��. - �. vs,�� .- . -- . .:, - City web -site: http:Uwww.coab.us ` ^ 7 7 APPLICATION REVIEW AN I A CKIN FORNI) � ; / ,: d ? , ��� ` '� Department review req Yes �. Property Addres Building � , _. Planning & Zoning Applicant: 7 r / / . 7 • Tree Administrator Project: i 61 C- IiCA� dc' - : , • Public Works Public Utilities 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: t APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Date: V ✓ LI �r Reviewed by: TREE ADMIN. Second Review: QApproved as revised. Denied. P' / ' 0" K j / Comments: / 6/ 7 II A 1' ter: I ._,�,3.- f PUBlI Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: revised 05/14/09 City of Atlantic Beach ' <T0,, Lf ATIQN NUMi3 F 014-V-1-4-4, ` �� (To be assigned�b the Bwidi g Depardnent ", Building Department Mgy x� c � # y +, �';�' ` �� 800 Seminole Road ' - Fx � - x : Atlantic Beach, Florida 32233 -5445 r' Phone (904) 247 -5826 • Fax (904) 247- 414, t 7.4 . , - `-{ { 9'1 : � E -mail: building- dept @coab.us Date route • 2 , r +r , 0;0''0; ° t. 4 a `` —=` City web -site: http: //www.coab.us i =' , ? ,,,, APPLICATION REVIEW AND TRACKIN , FORIV1), ;, ; r 3 C ' / ' - ( (' t,1 ` 2 - Department review req Yes! o Property Addres / - - : 15- 3 --- , Building / Applicant: % —, �` e Planning & Zoning / Tree Administrator Project: / I -rl / (- &' 7-64---- Public Works Public Utilities Public Safety Fire Services r 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 4e-"--,) 4 /-X7 .' Reviewing Department First Review: DApproved. (Denied. (Circle one.) Comments: BUILDING ) PLANNING & ZONING Reviewed by: Date: f`i / TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES Reviewed by: - , Date: j /Yl// PUBLIC SAFETY y ' FIRE SERVICES Third Review: [Approved as revised. (Denied. Comments: Reviewed by: Date: ievised 05/14/09 ±.Ll City of Atlantic Beach r APLCTION NUMBER 1 (ro be assigned�6y the Bujldi g Department ) Building Department ' ��t + �y ; v 800 Seminole Road 'i +€ t Atlantic Beach, Florida 32233 -5445 F�� i Phone (904) 247 -5826 • Fax (904) 247 -5845 �f4 4 4 �.-�-z a a s ' - q 9 `� e` Date E -mail: building- dept @coab.us '? r .... Dater route City web -site: http: / /www.coab.us /f t PLICATION REVIEW AND TRACKIN " ORNb2 AP e Z o> > ddress: -6S J ;l cam (,/e.e_d r Department review req • • Yes o Property A Building \• Applicant: Planning & Zor :::itrat�r Project: 607 ��L � � s u lic Utilitie- • •c Safety Fire Services N � i�7 Review ee p D ). atr 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 i1/ Reviewing Department First Review: EI pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: /, ' Date: 5 '0 1/ TREE ADMIN. Second Review: Approved as revised. ❑ ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14109 s= 1 p,-, City of Atlantic Beach mL,G TION, NUMB ER & Building Department -.1(To be asigned s Bui lds g Department _, ,, ,. 2v J 800 Seminole Road ^<. � t r , * c Atlantic Beach, Florida 32233 -5445 R Phone (904) 247 -5826 • Fax (904) 247 -5845 g - ffi '' �b` Ji ` 3 9P' E -mail: building- dept @coab.us Date , ����� rout • 1 .;--' . "' T 4 - 1 , - City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKIN9/1F R M; , �� ,; Property Address: -) d-- CI A.-- ( 4 d t--2 Department review req 1 • Yes J flo Budding -v - , Applicant: % ,, � " e` E Planning & Zoning 7 , Tree Administrator Project: :9t7 / / ' > Public Works Public Utilities Public Safety Fire Services RevleV:e0<1 ___..� a � .... . C, Si 1 Al r TTE N.Z 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: ,yy k` _., APPLICATION STATUS �U ) Reviewing Department First Review: Approved. DDenied. (Circle one.) Comments: BUILDING ii 'LANNING & ZONIN trd 7 — Rev b y: �Q�1 D ate: TREE ADMIN. 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 - A . ; L70C 4 LU "i i "I ULU (J. V! tiK ' V.:)4 rage . . �0 , Number Pages 1 Recorded 05)09,2011 at 02:21 PM JIM FULLER CLERK CIRCUIT COURT DUVAL NOTICE OF CONINIENC] RECORDING $10.00 State of Ovv,(j,C. Tax Folio No. County of 1/0..1 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stateii in this NOTI E OF COMMENCEM NT. Legal Description of property being improved: C.D CO o � ✓VA. ke (Jr ' ' T W D P W - . / L . 4 11 HA 4 116 , Dvi ✓ek( a . gI. Address of ro property being improved: r . S :V ' 4, » si J:'.1 " ' ` ' i P P ► ') General description of improvements: �yQZVI� 44.x..1, a, 9 i ► ✓) (,4d '�' ' � '� � '� Owner: - 12.,0/ CI � ©yj Address: ! _a _...: A ‘,..F�' /.' cA 1 . . Owner's interest in site of the improvement: (X,Jv' / Fee Simple Titleholder (if other than owner): Name: °�� /� n- .�_, J� ontractor: 0 J! ! ll (/$ 4 k,..�,l . !.facie Ail c / ( C V Address: /c`) j ` ot �� -✓.� f L4L 1 � •-t ✓i II", Imo.. -J'. �. 3Z2 ' o ' Telephone No.: 4t ' 7,26-630 Fax No: a0 (, - 7 3 3 Surety (if any) Address: Amount of Bond $ 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 F'IR REC ®`E ': ®t Y ®VV1�TE1t L / � j �/ �I _ jj (/� c� Date: l/l f l ei / Signed: fi� (1 1 in the County of Duval, State �, '�� �! Before me this Z � j day of ALLYSONDRA V. CREEL Of Florida, has personally appeared . cx.or.Q 6 C k7 t-r , , 1,— ,,- = �t. Notary Public, State of Florida " Notary Public at Large, State of Florida, County of Duval. a , .' Commission# DD900221 My commission expires: IVl 2 ��/t ` I or ►► My comm. expires Mar. 4, 2012 % Personally Known: Produced Identification: L2 FN tp a CITY OF ATLANTIC BEACH '° -2 800 SEMINOLE ROAD j : w ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002016 Date 5/18/11 Property Address 555 SELVA LAKES CIR Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 5800 Application desc porch addition Owner Contractor CLAYTON THEODORE ET AL FISETTE CONSTRUCTION & REMODEL 555 SEVLA LAKES CIR. 2336 PINE ISLAND COURT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 992 -4782 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . ADD OUTLET ON PORCH Sub Contractor . LIMBAUGH ELECTRICAL CONTRAC Permit Fee . . . 55.60 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/14/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 55.60 55.60 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 59.60 59.60 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 rm Ph (904) 247 -5826 Fax (904) 247 -5845 '.0 f (� JOB ADDRESS: . " i \/ c\ Lc-KL'`, Cr rd. c_ J PERNIIT # JEA INFORMATION REQUIRED ON ALL PERMITS I AMPS ZOO VOLTS , r PHASE VALUE OF WORK $ 5611) w NEW SERVICE ❑ Overhead ❑ Underground ( Underground up Pole :Residential (Main) Service 00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters ❑Commercial (Main) Service 00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps Conductor Type Size ❑ Multi- Family (Main) Service 00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters :Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps tit ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: 0- 30amps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS CSwimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS . — :Replace Burnt/Damaged Meter Can :Safety Inspection ❑Panel Change ❑OH to UG CaOther: Add CIF cca. �' oil ire.LD ppd-ch. Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name LJ e CO __,__ Phone Number Electrical Company r� it3L . E. C.,4 ■ CG Q) 1{rOCA i rr fle Phone 24b5 Fax Co. Address: 42 l i in < - t City State Zip License Holder (Print): 44' l.{ * i,r 1 State Certification/Re_:. cof10 (02,296 Notariz. , re o . f�g gf •R.1er I � � 1 �! g ' 1' ? o , 'u k Nota Pu i _ Baroara K Kennelly 4 41 M y commission DD86878-SW0 and sub. crib - d befe . -- this ■ ay of _ _ 20 1 1 4, F „e Expo es 03/11/2013 n ''`-, '�'�` '"'" - is . tore of Notary Public JC., LUC�A G._) K. I . t--