Permit Ext Doors 320 1st St 2011 ; �" 9 ' ', ` CITY OF ATLANTIC BEACH
- ` =� 800 SEMINOLE ROAD
J ��'��" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
''
Application Number 11- 00002407 Date 8/02/11
Property Address 320 1ST ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 6500
Application desc
replace 2 exterior doors
Owner Contractor
JOHNSON EDWARD STEPHEN & LAURA SNS GENERAL CONTRACTORS
320 1ST STREET 10489
ATLANTIC BEACH FL 32233 FLORA SPRINGS RD S
JACKSONVILLE FL 32219
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee . . 42.50
Issue Date . . . Valuation . . . . 6500
Expiration Date . 1/29/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC 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 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 0 1E 2 (1 E I
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 01 JUL 2t 201i
Job Address: '2 / -�/ � / C 6 11 R_ Permit Nut M I L L ' l'- � 7
Legal Description ' � D d . 0 d Parcel # i y � 'r //r
oor A ea o q. t. q. t
Valuation of Work $ 11,27)_/), Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration epair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # rt.. R,l a 8.,
For multiple products use product approva orm
t
Describe in detail the type of work to be perfo , ed: i ' 4/.' 7 AC -e 2 el` , v. / f/'-: j
A i 1.1,-..t..-,. / I �j.7�AWAr∎ ems A ` i r AV/�fAl & , . /
Property Owner Information:
Name: .n ' � i/2 � pt LAVA , ,, , t/ •*` A ddress:.= * '
City i i/' ^ �Ia State -Zip Phone a 1/iari 1. NI 1 I Li k 11.
E -Mail or Fax # (Optional)
Contractor Information: /' — / r : ,, ;'.,.� a... •a�..
Company Name: N 6 44 / Al - A (. Qualifyin • Agent: 'C h / ' 1
Address: : o e" �/`/ , ✓ _% _ ' City i , State i Zip 3 /9
Office Phone � -7��a r e e Site/ Contact Number " dJ�� . Fa # t�, f
I I
State Certification/Registration # l, 12 25Z � �
Architect Name & Phone # t� • • • ti ; M� 9C1 ► 1 DE 1 kl ' : k !I
Engineer's Name & Phone # ! tr>I. . _ • . I _
Fee Simple Title Holder Name and Address ��y mow • • , . , .
Bonding Company Name and Address I11:��1►�It:I1KY: r . r r •
Mortgage Lender Name and Address ' 1 _
. l DATE: 9 — /
Application is hereby made to obtain a permit to do the work and installations as indicated L1 I WE BY: 7 9 /'
- >: • ,./. • '
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in t is jurasdictaon. as perms ,e . - •
and void if 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
work is commenced. I understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, Pools, F urnaces, Boilers, 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 thisplication and know the sane to be true and correct. All provision • o .ws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume t' give authority to violate or cancel the
provisions of any other federal, s , te, or local law regulating construction or the performance of construction.
k
1 /410
Signature of Own /� L fi i Signature of Contractor � ; ,,
Print Name 0, ' f Print Name /►, ' . ie4
MIRIA.M GRIFFIN
Swo and subscr d before me Sworn to and sus. •!-. �sefo ,
this /Day of (.l. , 20 y : _ � - ' ublic . State of Florin . I l
this Da o ' ., .,., .,- ... . ..,! `
` _ A - /, O — ' � `�� / ,
Ai .. 1 i �� _ JACKSON 1 i ✓r nission k EE 34559 II. h National Notary Assn
ota Public ,i ty P • " ► e . '' 7 e ubl ' ' t ' �� " � ' —
*• ' *: t
MY C # DD7593
�` February 1 2012
EXPIRES F Revised 01.26.10
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FlorkleNotery
(407 -
A ,�� LAN -f`i , 800 Seminole Road
Atlantic Beach, Florida 32233
rxr Telephone (904) 247 -5800
�1 FAX (904) 247 -5845
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan - parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading /unloading area and material storage
area.
3. Location of chemical toilet area - chemical toilets must be kept out of City
right -of -way and not further than 15 feet from structure under construction.
4. Location of dumpster - dumpster must be from approved waste company (in
accordance with Chapter 16 City Code). As of 2009, approved dumpster
companies for Atl. Beach are Advanced Disposal, Realco Recycling, and
Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6 -17 (3)
Revised 6/2009
r i1 ri, Building Department City of Atlantic Beach APPLICATION NUMBER
(To be assigned by Department.)
800 Seminole Road / / _the Building � /
` Phone (904) 247-5826 - Fax (904) 247-5845
j Atlantic Beach, Florida 32233 -5445 /
. E -mail: building- dept@coab_us Date routed: i A gh/
City web - site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: i 2 d /5r c -7 partment review required Ye No
Buildit i i
Applicant: ... / v j f� f ,P, L ( ,r,('r� Planning & Zoning
Tree Administrator
JAI L r EX 7 j iOZ � C'e
Project:
� L S Public Works
Public Utilities
Public Safety
Fire Services
..3 .µi "G{ " ' _ y' i�t � y 49 .�
ilevie�nt fe$ tg�4 ffik8 _ :_`r� u -•_
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: Elvproved. ❑Denied.
(Circle one.) Comments:
ILDIN
PLANNING &ZONING Reviewed by: /7� �Y Date: "v1 / ��
TREE ADMIN. Second Review: QApproved 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 07/27/10
NOTICE OF COMMENCEMENT
State of 7 0/00I,) Tax Folio No.
County of /74A / 4 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 stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
Address of property being improved: ,
`� 4 4
General description of improvements: „gag ° i ', ' r — . / " / " )01
/ � L
Owner: e ) LAi�1- "e%Y!,W t) Address: 3217 f r $ /i ?1 -7✓T
Owner's interest in site of the improvement: —
Fee Simple Titleholder (if other than owner):
Name:
Contractor: '/"� S _/ /� 4 �
� h it- 711 4 /fe - 0 7 r if_
!/ �j ivy' a
t s k k
Address: ��`/���"/ ��� ��/'i
‘ 0
Telephone No.: 9 4" >,4 Fax No: � .9 — 9/ 4 J
Surety (if any)
Address: N 41 Amount of Bond $
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address: /V //4
Phone No: Fax No:
Name of person within the State of Florida, ther than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address: li
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: ill / 11—
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):
0 TBIIS SPACE FOR RECORDER'S USE ONLY » OWNER
Sign . • i /( e.V _ _--..` Date: .)>
Doc # 2011164926, OR BK 15669 Page 1042, :e • .. this •e` of •. the County of Duval, State
Number Pages: 1 Of Florida, has person. • appeared . : DD
Recorded 07 .28 %2011 at 02:32 PM, Notary Public at Large, State of Florida, County of Duval.
COUNTY M FULLER CLERK CIRCUIT COURT DUVAL My commission expires: .2 ^ •. 6 / -
RECORDING $10.00 Personally Known: ✓ _ s•'F '_ Ii1CH '693
Produced Identification: saimi• •• "1. • u miSS1 01 ' "
�/J . 2
`��' / . 1 /
kid..., EXPIRES February ,,,,m
/ ' No teryserrice .