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Permit Bldg Alt to Roof System 650 Jasmine 2011 (x!,.±1,`1• R' 3 `f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } , `. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002298 Property Address 650 JASMINE ST Date 7/13/11 Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 3000 Application desc roof joist system Owner Contractor KARISH ALL WEATHER CONTRACTORS INC 650 JASMINE STREET 5151 SUNBEAM RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 838 -6954 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 65.00 Plan Check Fee . Issue Date 32.50 Expiration Date . . 1/09/12 Valuation 3000 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 65.00 65.00 .00 Plan Check Total 32.50 .00 32.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 101.50 101.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION D f 0 J I + - ' CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 JUL 0 b? J ; i 1 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: & $O T SM 1"e_. 1°e. Permit Number: ---- htiie Legal Description '2:kt:0.. (3 4, - f-f{ i c ; h St-A4., - If Parcel # co Floor Area of Sq.Ft. Sq.Ft p Valuation of Work $ t Proposed Work heated /cooled '" non - heated /cooled , 1 Class of Work (circle one): New Addition Iterati:on Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial ' - ' : - 1 If an existing structure, is a fire sprinkler system installed? (Circle one): Yes 9, N /A Florida Product Approval # FL 3/0 l For multiple products use product approval form Pr, -e c• . • , 5- 01p StoJY1 e o/ lo L t d bYtPs' Describe in detail the type of work to be performed: vib ; >t:?aimistai'_,...1 .: ::., .. • - - fil .. j i .� - -� +- �.�. �j�[�'Y�E� i f ifl�f'1� L 3_ A ... ,: _____ ~ / Property Owner Information: AO r � `Name: .!.all '. t, • „ asp ! , Address: $° 4 042... e. City u.. - State % Zip ;3 33 Phone ?Oil- 32 - -Z.V73 E -Mail or Fax # (Optional) Contractor Information: Company Name: IA l. .. i 4i►■ , tif ,;L- . Qualifying Agent: L ' a�....t�,k_ - Ma& Address: --771-4`? 0 � �� 1‘As 8( b Job Sit '9 T-a (�( --3`f 7 City �, r GaScvv is 3 State -CI . Zip 9? Office Phone gbh ? © (©e/ Contact Number q sz8 < - Fax # ,/. -70$ State Certification/Registration # S.C.. • 3U Architect Name & Phone # SQe4 -tfi U,►r.AIre 'best`r ' ( 9j)q - , r-- ( - {(9 1 {, , )... Engineer's Name & Phone # — Fee Simple Title Holder Name and Address Bonding Company Name and Address - Mortgage Lender Name and 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 f (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters, 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. 1 hereby certify that 1 have read and examined this a plication and know the sane to be true and correct. All provisions of laws and ordinances g g this type of work will be complied with whether specified herein or not. The granting of a pernut does not presume to give authority to violate o cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. . - \ Signature of Owner '4 .-r�.a L •. # ILLb f 0 t i Signature ntrac orif/1j� i- '#0" Print Name Q 14 C 1 - e., , C i n YY\ U 5 la. Print Name M, , eiato V Sworn to and subscribed before me Sworn to and subscribed before me this a a Day of 31.t,J , 201( this .3- Day of Sl,taJE , 20 t l Notary Public Ia tary Public - ,.,. - - ' - ' - ' ,Aa: HEATHER LYNN STAGG' «. Commission # EE 043708 "' Lid Expires November 21, 2014 FILERCia ' . '' 'I; u: lft:i.' Bonded Pau Troy fain Insurance 800385-7019 2011 -07 -07 09:21 Building Dept. 247 5845 >> 9047817051 P 1/2 4 w AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole Road Home Owner: C ► 4 �e�' ( vim, O [ t H i Name.. Stre e0 Cit State and zip Code Contractor: 'f ( Gt/z'),..1 --- j✓• mot, S' 4--01 Permit Number j.— 229F As the Contractor for the proposed new structure located at the above addross, I have personally viewed with the above named home owner those portions of the• existing structure on which portions-of -• 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 bascd 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 inu re buyers /owners of this property may be rnade aware of the status of work , . ii cd on this structure. Signed Date 7 / // / 624,7i Before me this It day of _ S — In the County of Duval, State of Florida, has personally appeared �''t "' i' ' 4. 'I "� herein by himself/herself and Affirms all statements and declarations herein are true and accurate. r _ A r / � --�- - Notary Public at La o, of • '1... , County of b.-.,r I Personally Known -cfr Prod 4 .i • ID ,Tyne I a My Commission EE103009 'poi ,I. Expires 06/13/2015 F: building/affidavit for attat film o new crru .. . . . 7/21/09 2011 -07 -07 09:21 Building Dept. 247 5845 » 9047817051 P 2/2 , ', w . - SUNROOM, SCREEN ENCLOSURE, AND /OR SCREEN ROOM AFFIDAVIT CITY OF ATLANTIC BEACH JOB ADDRESS: 656 — < PERMIT # 1/ 9 INSrECTrON REQUEST PHONE Lii'n (904)247 -5826 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, II, 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 �� 11 III Iv v Habitable Space No No No Yes Yes Foundation Walls <200plf can Walls 000pl f can Walls 000plf can Walls 000pif can have Walls <200plf can have have 8 "Wx12 "D fig have 8 "Wx12 "D fig have 8 "Wx12 "D fig 3 "Wx12 "D ftg 8 "Wx12 "D ftg or 3 -1/2" slab if no or 3 -12" 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 InteOut E ets lectric Not Required Not Required Not Required Required Required 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 7esistance requirements resistance requirements considered screen requirements for For forced entry, air for forced envy, air enclosure and has forced entry, air leakage and water leakage and water screen door leading leakage and water ) enetration also apply. penetration also apply. away from residence. penetration also apply, Misc. Window And Host structure Removable windows Removable windows 'Jost structure windows Host structure windows Door Requirements windows/doors shall allowed in sunroom. allowed in sunroom. 34 doors shall not be & doors may be cot 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 Protection q q q qd Required 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 )Pc,-. , e Cam . u -rf; U J Home Owner's Signature Pmt Name STATE OF FLORIDA, COUNTY OF DUVAL: The foregoing instrument was acknowledged before me this /Q2..- day of uu_ -1 _ _ , 20 11 , by C- " Q" r i y'Q— herein by himself/herself and affirms all statements and declarations hereine true and accurate. r __ i_z ? i7L 0 0 NOTARY PUBLIC, STAT: a ' ,110 aij ", 18sion E 143009 Print Name: ` �ci-� w Expires 06/13/2015 L 7) l.- ❑ Personally Known// Identification: PAtoa.y -13'� -lea -5-S:(-0 f."-' ir�/JfJ;, City of Atlantic Beach APPLICATION NUMBER ,A Building Department (To be assigned by the Building De artment.) r y 800 Ph Seminole (904) Road 247 -5826 % / _ Z 7 � ,� - r -x:: - ter Atlantic Beach, Florida 32233 - 5445 Fax (904) 247 - 5845 7 � .: orti> E - mail: building dept @coab.us Date routed: ___7� l`P ' City web - site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM --- Property Address: Ci c 1 / .7-7 De ent review required Yes / No uildin i/ Applicant: 41/ la/9#iie (01 ren-e,T es Planning & Zoning Tree Administrator Project: - 1 )- 7" Z61 Jp.sr yITT -.� Public Works I Public Utilities Public Safety Fire Services ReyieW few ,, I ft ,t i 1X a i r 1 µ(t E*0019 atute ft ,; , Nig — .7 - -- Th Other Agency Review or Permit Required Review or Receipt Date A A L) of Permit Verified By Florida Dept. of Environmental Protection Florida f Dept. of Transportation /1111/ St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco -' Other: APPL CATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILD! G PLANNING & ZONING Reviewed by: /// Date: 9 TREE ADMIN. Second Review: approved as revised. ❑Dena d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07 /27/10 JUL-14-2011 09:21 FROM: CLERK OF COURTS 904 270 1512 TO: 92475845 _ P:1/1 Vettet - 11 - 2?) ) ii Doc # 2 011153441. SK 16656 Page Number P OR 398, ages: 1 Recorded 07/1412011 et 0933 AM, NOTICE OF CO1414ENCEMBNT CLEK CfRcUIT COURT DUVAL cOUNTY 1 I RECOROIN $1 0.00 State of TiCitiehif 1 ; Tax Folio IN..... County of -. ....h.P.4-4 • To Mora It May Concern: • i Tho 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 NO#CE OP COMMENCEMENT. Legal Description of property being improved: &d .c ,, el esj-A__.0 • oo oP -... "Jg?..Deiz-,116 i , _7 In Se44z. H- 1417.605 1)17_ Address of property being improved: GP-DO Libea rt.:. "N - 3 ( General description of improvements: -- T W c i . .11,1:1&-id . .. . .. .. ... _ ir-ownor: _e_vi.swye..ir &p Address: 6 1 < cr: pl-H. 4_10$9A P 3a0.33 Omer's interest in site of the improvement: _ ,. . — Foe Simple Titleholder (if other than owner): . . . . Name: , I• : •• ontractor: /I _ — ' - . N. wail - - • .. ISul... a—. ''' ....-41"C. _________ Address: _27 RhA91. '5 347 ------ 41*---. - .___z:3g1______________ feieplione No.: *1 -- L - °CO Fax* 7 b: 9Y-f-1— 705 i spray (if an:5) _4k_ Address: Amount of. Bond $ -. Telephone No: Fax*: i• Name and address °fairly person. malting a loan for the ormstruction Of the improvements Nemo! Ai* ,. . - !; ! Address: Phone No: Fax No: • Namo of parson within the State of Florida, other than himself, designated by oven.cr upon whom notices or other documents may be served: Name: flif - q , Address: . . Telephone No: Fax: , In addition to himself, owner designates the following person to J'eccive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: ,.. fily____ !: • — i• Address: l' • Telepb.one No: Expiration date of Notice of Commencement (the expiration date is ;'pn.e (1) year from the date of recording unless a different date is specified): _ ... .. . • . MILTS SPACE FOR RECORD)R'S USE ONLY OWNER !:. .. -4-SigneclQa:SOCANCLAL Dato: gotaall__ Boforo me this ;P.0 _ day cf in the 6Uli ' of Duval, State ,... _ , _ , . ?Pig HEATHER 1.711■0 7 1%i , Of Florida, has personally appeared o)_Cr-r_____:i4i Atv tvi Stria of Florida, County of Duval, 1 Expirs :ember 21 2014 My commis' sion Caoires: Personally Known: or (1 • Produccd Identitication; v 1 '