Permits 211 Magnolia St (vault) 14057
0900AflTMENToF.suiL0,lN0
CITY OF ATLANTIC BEACH
77-:'
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NOTICE—ALL CO%C.�j%ETE-FORMS AND FOOTINGS
PERMIT VOID SIX MONTHS AFTER DATE OF tSSUE
IS FROM THIS WORK,MUST NOT BE PLAOED IN PUBLIC,SPACE,AND MUST BE,
BUILDING MATERIAL,AuBOISK AND DEBR
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BUILDING AND ZONING WSPECTIO,
CITY OF ATLANTIC BEACH
ATLAW1#9 OILAC". FUN"A 992*0
APPLICATION FOR MECHANICAL PERMIT —ZAL�,—,N4—um i E w'
IMPORTANT — Applicant to complete all item s ;n sect;ons 1, 11, 111, and IV,
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LOCATION
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11. IDENTIFICATION To be completed by *0 applicants.
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00027479 Date 1/16/04
Property Address . . . . . . 211 MAGNOLIA ST
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6235
Owner Contractor
------------- --- --- --- -- - --- ------------ - - ------
DESOUZA, JUSCELINO CHAMPION ROOFING SERVICE INC .
3734 SPRING PARK ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-4642
-------------------------------------------- --- -----------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6235
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 100 . 00 100 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIRS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
Cc:
CITY OF ATLANTIC BEACH
I H�i'g g it n�s *
BUILDING / ZONING DEPARTMENT
S. oerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application 4 c) Z.2 d-7
Property Address: z I HAC� Icup'
Applicant:
Project: T-Ziv--—(-Zoo T-7
This permit application has been:
2( Approved -
El Reviewed and the following items need attention:
Cc
C 'T
Please re-submit your application when these items have been completed.
Reviewed By: Date:
City of Atlantic Beach 800 Seminole Road 9 Atlantic Beach, Flo'rida 32233-5445
Phone: (904)247-5800 *FAX(904)247-5805 *http-://www/ci.atlantic-beach.fl.us
PERMIT APPLICATION FOR ROOFING
JOB LOCATION o.2)1 . j9joD
&4
OWNER OF PROPERTY d0,4,� PHONE# / 7 05'
CONTRACTOR I r,;-v
v
CONTRACTOR ADDRESS \��Gq ^J A
ZIP
G1
CONTRACTORS LICENSE NO. —PHONE 49200'M–Z/&#
SCOPE OF WORK AQ&A 9
Id BULAL4�
DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL
VALUATION OF WORK $ �ot935 .-66
PRODUCT NAME&MATERIAL
TO BE USED Ain. —ryngkgLtn�p 30(�X) .-ASTM DESIGNATION(S
REQUIRED INSPECTIONS SHEATHING FINAL
LIBILITY INSURANCE POLICY SUPPLIED YES NO
WORKERS COMP.POLICY SUPPLIED YES NO
CONTRACTOR LICENSE SUPPLIED YES NO
OCCUPATIONAL LICENSE SUPPLIED YES NO
SIGNATURE OF OWNER 67
SIGNATURE OF CONTRACI� Q�5�f
SWORN TO& SUBSCRIBED BEFORE ME THIS DAY OF lomb2� - 200,3
Donne MwLwd
My Cwmrju�OMM27
AS TO OWN*p NOTARYPUB (�aa QL.,--m
,,j Lj*ft J"06.zw LIC C/w u
,owfti, DMM ModWd
f CawA"nn"n V
AS TO CONT14 NOTARY PUBLIC
4d
SOCAM06,2=
Book 11566 PagO 924
ETU
-00tice, of Commencement
(PREPARE IN DUPLICATE)
To whoin it r1MV concert)
The undersigned hereby informs you ',.hat improvements will be rnade to certain
real property, and in accordance with section 713.13 of the Florida Statutes, tile
following information is stated in this NOTICE OF COMMENCEMENT
DescripLion of property 11-MqQWiiA &AAlf
U
G eneral description of improvements RE—ROOF
Owner IL&XmAt��--
Address L &Ark, 3:,1,; 3 3.
Owner's interest in site of the improvement
Fee Simple Title holder(if other than owner)
Name
Address
ontractor CHAMPION ROOFING SERVICES, INC.
Address— 3734 SPRING PARK ROAD, JACKSONVILLE, FL 32207
urety(if any)
Address Amount of bond$
Name and a�dress Qf any person making.a loan for the cofts truction of the improvements.
do
Name
Address
Nan ie of person within the State of Florida,othe,-than himself,de�;ignated by owner upon whu;n
notices or other documents may be served:
Name
Address
In addition to himself,owner designates tile following person to receive a copy of the Lienor's Notice
as provided in Section 7 13.06[2)(b),Florida SWuLes.(Fill in at Owner's option),
Name
Address
THIS SPACE FOR RECORDER'S USE ONLY
X
F10105260 0 5 73 2 v Uner 1��
Page: 924 Sworn to and subs�rihed befoic in(-this --
Filed & Recorded day of
01/07/2004 01:01:56 FIN
JIM FULLER
CLERK CIRCUIT COURT PatAC Wison
DUVAL COUNTY
RECORDING $ 5.00 DD2502so
TRUST FUND $ 1.00 Expires SePtomber 16,2007
q " & 2
CITY OF '?� -a
.4&4m,l� 13 e=4-d9&u*da
Office 0! Building Official
REQUEST FOR INSPECTION
Date Permit No.
TIM" A.M.
Received
Job Address Locality
Owner's
Namp
Contractor C::�
�Z'
BUILDING CONCRETE ELECTRICAL PL MBING �I�AL
Framing Footing Rough Winng Rough Air Cond.
F'e
I R&ofinq Slab Tcmp Pole Top Out Heating
ln�,,uatioln Linrei Fina; i Sewer Fire Place
READY FOR INSPECTION Pre Fab
A.V.
vlop, Tues Wed, Friday
Mladc
ficatc of Occupancy
limp
City of Atlawtic km*
*" asTow FEMIR *"
Opm OM Typt M Drmri I
Met 1116/04 it Akeipt "t M13
Dosmiatift guatity Ammt
M V479
IP IUILDM PEWU
1.0 flftu
T"der lktail
CK OM 94M SIOLS
TOW tndwW Ifto
7#W P"mt SIOLN
Trm dat*s 1/" Tim 14#0106
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
19
Application Number . . . . . 08-00000837 Date 6/19/08
Property Address . . . . . . 211 MAGNOLIA ST
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 11000
----------------------------------------------------------------------------
Application desc
windows doors siding
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DESOUZA, JUSCELINO OWNER
ATLANTIC BEACH FL 32233
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50
Issue Date . . . . Valuation . . . . 11000
Expiration Date . . 12/16/08
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL 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
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total 42 . 50 42 . 50 . 00 . 00
Grand Total 127 . 50 127 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-
T) OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
2.VALUATWIF W01" ATI., low
211 11-4GA101-1A 5-T 000.- c)3&3
-77 -.7 77'
s.cLAW UP WoRK
LOT Em BLOCK SUB DIVISION 13 NEW BUILDING 0 DEMOLITION_ XRESIDENTIAL
11 ADDITION 13 CONVERTING USE 0 COM ERCIAL
4"CROCIl",W-K ALTERATION 0 ACCESSORY BI D 3
)?IPA he IRCPJACC W?1Jb0LJS, D00AS ANb �1,D11oQ EPAIR 13POOL/SPA 13YES XN/A
MOVE 130THER 0 NO
Col
1,NAME�- 15.COMPANY NAME: 23.COMPANY NAME:
G,qRCIA Desouz4 16.NAME: 24.LICENSEE NAME:
10.ADDRESS:211 MA6MOLIA ST 17.STATE OF FLORIDA LICENSE 25.STATE OF FLORIDA LICENSE NO.:/
AnAA)-nc &rAcn FZ- 18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: 112.FAX NO.: 19.OFFICE PHON/ 120.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
16q-?,70-14q01f P09-270- 736 3
13.CELL PHONE: fo# - 493- 6875, 21:CELL P��, 29.CELL PH.��
14.EMAIL ADDR�SS: oce4m ru fm4i Cap&22.EM DDRESS: 30.E70DRESS:
useeh'r4>.deSoou 614 07A
Jk�
31.NAME: 33.NAME: 35.NAME:
90,k-r GA 4 1!
32.ADDRESS: 34.ADDRESS: 36.ADDRESS: f.'O. 5()�- 0
:726 LAk65 F 88,161-601
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 (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all 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 finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A 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.
00
W
Signed. 6---Date: 0 6 Signed: Date,
Before r�6t a-/4- of 2007 in the county of Before me this day of 2007 in the county of
Du 1,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
I.0
�'v e_
�e-nn b`y-17im-s-.W-herseIi and affi?;w �ments and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of County of 2�l!it 0, Notary Public at Large,State of_,County of
[3 Personally Known 0 Personally Known
22 t) q2
�(Produced Identification- 0 Produced Identification-
Notary Signature: lNotary Signature:
EY L. G RAM REVIEWED FOR CODE COMPLIANCE
NO Public-s LRE D:F
0 ok:D
FAT
RMIT
MENT
By
We of Florida VI::
-fMYCOM ssion Expires Feb 14,2010 CnT OF ATLANTIC BEACH
8
I A r.1 F Commission#DID 518533 SEE PERMITS FOR ADDITIONAL
r
Bonded BY Nationa Assn, REQUIREMENTS AND CONDrf1ONS.
FILE COP V
REVIE:wED]By DATE:
V CITY OF ATLANTIC BEACH
OWNER BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. TEE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
INTROVE A COMNIERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS CONTLETE,THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEM[PTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE ENTLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES,
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON'THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(l). AN "OCCUPATIONAL LICENSE- IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
2// A 1A(,-VOI��A S%7- 1904 - ef 6-5 . 6 6 7-5,
ADDRESS PHONE NUMBER
TNAME LIA10 LqARCIA IDESOUZA
08
SIGNA�y DATE
Beforemethis A dayof IL 2007 in the county of
Duval,State of Florida,has Personally aDpeared herin by himself herself an a irms that
a((statements and declarations are true and accurate.
Notary Public at Large,State of County of
P ally Known SHIRLEY L.GRAHAM
Notary Public-State of Florida
'��.ducd Identification- )mmisslon Expires Feb 14,2010
Commission#DD 518533
Bonded By National Note%Assn.
Notary Signature;
COABFORMBLDG VISED: 8/14/2007
JUNE 18, 2008
Juscelino Garcia Desouza
211 Magnolia Street
Atlantic Beach FL 32233-4007
Ph: 904-483-6875
Re: Building Permit
Dear City of Atlantic Beach:
I the homeowner wish to do badly needed repairs and replacement of 8 windows, I
sliding glass door, I exterior door and install a new deck in the rear of my home.
Please refer to copy of home survey for location clarification.
Attached are all installation and other applicable documentation.
Please note that 7 of 8 windows are identical w/ exception of RH or LH opening and will
be installed w/Proline DP Upgrade kit OB4H0002 making them DP 50.
The sliding glass door will be installed w/Proline DP Upgrade kit OCMS7281 making it
DP 50 as well. 13 C V,j,?.-%'t-016)
Accompanying the above I intend to re-panel th ome w/4x8 Select Sierra Hardie
Paneling. In the front and part of the rear tihisill involve replacing the 80's vintage
T
single wall construction w/ double wall: 0 Tyvek+Hardie panels.
The rest of the home has T-1 11 which will be weatherproofed in the window areas with
Tyvek and/or replaced if T-1 11 is decayed, then covered with Hardie paneling.
Concluding, I intend to replace the garage door under separate permit upon completion of
this work.
Sincerely,
Juscelino Garcia Desouza
A
MAP SHO#7NG BOUNDARY SURVEY OF
LOT 5-le BLOCK — AS SHOWN ON MAP OF
i�5_ZE41,C 6,CCr1QAJ 3
AS RECORDED tAl.-PLAT BOOK PAGES OF THE PUBLIC RECORDS OF DUVAL COUNT)� FLORIDA
CER RFIED FOR.
4u49,qAl'fY
N
woav
Vxg IVA 1U0 Z 1.4 6 TA-74fE T
WA00005 0)
_bF,ck
e,F_R f.
PROf2rRrYSHOlW HEREON APPEARS TO UE Kf7HIN FLOOD HAZARD ZONE >( AS SCALED FROUFLOOO
INSURANCI:RAX MAP C'001 FOR THE CITY OF4,WlriC FLORIDA, DATED q-/-1-&c� . AND
IS SHOAN AS A COUR TEWY QNL Y AND DOCS No r CONS n TU TE A CER 77FCA 71ON OF SAME
TRI—STATE LAND SURVEYORS, INC
8411 BAYMEADOWS WAY SUITE J2, JACKSONVILLE, FLORIDA J2256 (904) 731-72,35
LEGEND / HEREBY CER77FY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY
RESPONS761LE SUPER WSION AND DIRECTION, THAT THERE ARE NO
Cl CONC. MON ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN
HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY
]RON COR. THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SEC71ON
(SET KI TH CAP 472.027, FLORIDA STATUTES.
jf LS 4144)
—X— FENCE LARRY G. EDDY, P.L.S. No. 4144
0 IRON COR. SCALE: / 2fQ
(FOUND) RtGlS7R�y_leRVfYOR, Z)TE' OF FLORIDA
DA TE. 6 T
(8) CROSS CUT
F.B. Z-0 PC, !T ORDER NO,
Duval County Property Apprdiser- Parcel Information Page I of I
Eowner's Name: DESOLIZA JUSCELINO GARCIA lReal Estate Number: 170547 0000
Property Address: 211 MAGNOLIA ST 14ailing Address:1174 SANDPIPER LN E
City: ATLANTIC BEACH ATLANTIC BEACH , FL
Zip: 32233 Zip:
Unit Number: 32233
2008 Exempt Value: $50,000.00
PARCEL DESCRIPTION
jProperty Use: 0100 SINGLE FAMILY ion Date: 9/10/2007
Transaction price displayed is
based on the actual amount of
Legal Description: 10-16 16-2S-29E .11 SALTAIR Transaction Price: $71,500.00 documentary stamps paid at the
SEC 3 LOT 512 - time of recording.The current
rate is 70 cents per$100.
Ikeighborhood: 3115 SALTAIR SEC 03
iSection/Township/Range: -[R-4�7iuildlngs: I
10fficial Record 13ook and Page: 141960518 IFH—eated Area: 1363
IMap Tile: 9416 IFE—xterior Wall: Vert Sheet Siding
VALUES FROM 2007 TAX ROLL
lAgriculture Land value: $O.LO FT-a;i7ng Authority: USD3
ILand Value: $11 1—
IBuilding Value: $13 F—
lExtra Features value $1 F—
ITotal improvement value $13 F--
IMarket Value: $250 F—_ -
lAssessed value $11 F— -7:1
lExemptions Total $2 -- I
ITaxable value $
ISenior Exemption $0.001[—
IlSenior Taxable $0.0:011
http://apps.coj.net/pao/Printver.asp?ReNum=170547+0000 6/18/2008
Honda Bull(biw, Codc OnIll)(I
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LOM JACKSONVILLE FL#1699
JACKSONVILLE, FL 32M
pa-m1g: 51IL6§5LI-101 pc.4aR,03W148-7
Reliabilt 112 Lite Mini
Blinds 2 PaW Steel Entry
32" x 80" x 1—314"
Jamb: BrIcloold:
4-9116 Primed None
Bore: Threshold:
Dovide Adlusbble
ute:
Entrj Ph 1/2 ute Mini Blinds
FLORIDA
STATEWIDE
PRODUCT
APPROVAL
0 NUMBER
FL18
DP RATING 50.5
COP—WL—CA4141-02 MID—WL—MAODOI-02
WIDTH HEIGHT
3 if 8011
2
HANDING INSWING
L EL
H
1 0151 11184 3
'Y
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------------------------------I
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1I)://m.2()S1.V.0998,l()wcs.co 111/11 Id�46...
.Rack to Ouote
I_0WF,'S'H()ME (..'ENTERS, IN(-'.
ill 1691)
12145 AT[-.ANTI(' BLVD.
JA(_'KSONVILLE, FL 32225
i 110 i.W*i USA
....... (904) 40-4701
a t e� / )
Pro,ject IV: 221160011 Description: PELLA 450
Customer Name: JLjS('ELINO(JOE)
DESOUZA
C'UStOnlel- Phone: (904)4S3-6875
LIStOlner Address: 211 MAGNOLIA ST
ATLANTIC' B EAC'H,
FL 32233
USA
Line Itein Product Code Unit Price Quantity Total Price
Fraine Size Description
000 1 ManufactUrer: Pella Windows & Patio Doors
Frame Size = 5' 11 1/4" W Division: Millwork
x 61 X 1/8" H Product: Doors
RO Size 6' 0" W x 6' 8 Type: Patio
71/8" 11 - Manufacturer Pella Windows & Patio Doors
PI-OdUct Line: Pella Products
Product Style: Sliding Uontemporary Door
Product('011figUration: 2-Panel
Extci-ioi- Finish: Hassle-Free AII-11ninum Exterjoi,
Frame Size Width: 5' 11 1/4"
Frame Size Height: 6' � I/X"
Rough Opening Width: 6' 0"
Rough Opening Height: 6' (� 7/8"
Exterior C'olor: White
Interior Finish: Unfinished-ready for site finishing
Hinging Direction: Fixed/ Sliding
----------------- -------------
Glazing: Energy Saving Low F Glass
(Recorn in ended)
Gas Filled: Argon
Fenipered Glass: Yes
Interior Handle: Champagne
i r Exterior Handle: White
Exterior Keyed Lock: No
72 R I Foot Bolt: No
Aluminum Sill SLIpport: None
Grid Type: None
Fiberglass Insect Screen: Yes
Screen Vylic: White ('ladding xvitli Wood Veneer
111terioF
W:i 11 Dcpth: 4 9/10"
Senes ,' Profile: Pella 450 Series
Lead 'fimc: 17 Days
Pill-t NUInbers:
RISWEI-S72N I OX
PCS W 7 2�I OXS('R ( I)
Project Leadtline: 17 Days
M/I X/200709:04 P\1
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 -7
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us 11 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: kApartWent review required Yes No
Building )
Applicant: U2 a---, -PTa—hnft &Zoning
Public Works
Public Utilities
Projic't'i' Public Safety
Fire Services
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: E�A' Pproved. F�Denied.
(Circle one.) Comments:
(��p
PLANNING &ZONING
PUBLIC WORKS Reviewed by: /71 Q::Knj� Date:
V
PUBLIC UTILITIES Second Review: RApproved as revised. RDenjed.
PUBLIC SAFETY Comments:
FIRE SERVICES
Reviewed by: Date:
Third Review: RApproved as revised. RDenied.
Comments:
Reviewed by: Date:
I)OC WW6,OR I A 14546 P8P 246,
NuMbOr FaW:I
Non aE OF COMM Filed&RWWOW 06111 V.We at 03:151 PM.
JIM FULLER CLERK C1 MUIT COURT DUVAL
COUNTY
Sulud of FL09-i r>A RECC)rtl)ING$10.00
_____YUVAL
County of
To Whom It May Concern:
The undersigned hereby infmms you dw improv,-ments will be made to certain mat property,and in accordance with Section 713 of
the Flocida Statutes,the f6flowing informanon is i tated,in this NOTICE OF COIV�CIMENT.
Legal Description of property being improved:_ jo-ge - , I/ Sat, :dZ& sgre, _q LOT
&[1&d6QCh100b : 31/.5" AOWMIA SCIC- 03 —
A(40
VAI
_0//.
_ 4 &,I A)7,/r
A 33
Address of property being improved: - 2/ _4 IF
General description of i � X,s_:
improvements.._ 9
wbek VEP AMIT).
Owner: TWSC-1!LlQ0. 6.' bEfOUZA Address: 4M,E
Owner's interest in she of the improvement:
fee Simple Titleholder(if other than owner): o J A
Name:
Contractor. IVA
Address:
Telephone No. Fax No:
Surety(if any) 64
Address: Amount of 8on I S
Telephone No: Fax No: i pl—
Name&W address of any person making a loan fn r the canctmetinn of the improvements
Name: AIA
Addrow:
Phone No- Fax No:
Name of person witbin the State of Flonda,othei than himself,designated by owner upon whom nottes,or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himsel� owner des4nates the fa lowing persw to receive a copy of the Lienor's Notice as provided in Section
713.06(2Xb),Florida Statues. (Fill in at Owner's Vdon)
Nam: Rov M50UZA -VIC,44U6
Address: 117Y C4M)PIPEC9 14AJJE r4T I- dA&dgr4re
TelephoneNo: Fax No:
Expiration date of Notice of Commencement(dw expiration date is one(1)year from the date of re unless a different due is
specified):
MS SPACE FOR RECORDRROS USE ONV( OWNED Y
Sig
16"_Me this day of Alhe i W Lhe cuu1ity Uf DUVK4 State
Of Fjori4a,haA nal y appeared MK=&"4L_
SW IMAa,C65nty of DL V&l.
A
or
IFL- yL
70/7M 73MI-1 OSAVNSnWOO E9ELOLZ LZ:91 80eZ/61/90
CITY OF MLANTIC BEACH
APPLICATION FOR WATER CUT-IN
APPLICATICN is HEREBY MADE FOR VgATER CUT-IN AT
THE FOLLOWING ADDRESS FOR UNIT (S)
CUT-IN CHARGE OF-
sTREETN0.
IOT 131JDCK SUBDIVISION
ACCOUNT NO.
MASTER PLUMBER
MAILING ADDRESS
DATE
F=R NO. DATE INSTALLED
Date...........
CITY OF ATLANTIC BEACH pwmft c-IM'.4--res
Valuation .. ...............
FLORIDA Nousis *,;;;?/z/
. ...........
APPLICATION FOR BUILDING PERMIT
Application is hemby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building Or other structure d8wribG& Thin application Is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions Of the Laws of the State of Florida, all ordinaum of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied, with, whether
herein specified or not
The Contractor or Ownor-Builder who has been Issued a Building Permit is automatically responsible to swortain that all su]b�-
contractors engaged by him an duly licensed in the City of Atlaniic Beach,Florida. To prevent delay or embarrasment regard-
ing Intermediate or final Inspections It Is suggested that a list of sub-contractors be submitted to this ottles so that licensee can
be ver(f Ied.
IL—
Owner.....1�' .61(4e, IOLA -,,e4.kjt Date,.........19�4.......4...........................
? 19.. .1 Telephone
.......... .........a.. .... ...Address...A!�(....
Architect................................
................................................................Address,............ Voleybone No............................
Contractor Builder....1& ...Address......................... ...............................Telephone N44........1(.................
Lot No........S-1-'�:.......... .......Block Noldld.3-----------------Sub ............................................Zone.................
�f....*...
.................street..........................Side Between.....................................................and-.....................................................Sto.
Valuatll;n III..............................Yor what purpose will building be used-91:0.4.4.'-w...........Type of construction... ..r-toih'.e-
Dimensions of Bunding.1j.-Ily,..................Dimensions of Lot........ a&* of tings...k.Z .................
......................... Foo
Size of Piers......._..........................Size of SMI................................Greatest SM Span ill ft..........................Type Boat.....................................
e.4
How will Building be Heated?.....
........................Will Building be an Solid or Filled Ground ..................
Size of Ceiling Joists k --, -7 It It
....... ...-................ st�ce on Centers.......�9-r........................... Greatest Span-.........I.Y........................
Size of Floor Joists.—...JU�n.,.A-
.... ....................Distance on Centers....... Y............................ Groatest Bpan..Z.X ........ ............. 1P
Size of Rafters...... ..................................Distance on Centers......
Greatest Bps&....... ------------------
This rectangle is to represent the lot.
Locate the buDdIng or biii1dings In the
ht position. Give distance In feet from
lot-linas and existing building&
REAR LOT LINZ
Two copies of plans and specifications shall AP-PROVED
be submitted with application. CITY OF ATLANTIC BEACH
Inspections require& BUILDING OFFICE
1. When steel is In place and ready to pour footing. A4 19M
2. When steel Is In place and ready to pour columns AnVor
S. When steel is in place and ready to pour beam.
4. When framing b complete&
S. When rough plumbing Is completed,and ready to cover
6. When septic tank drain field or sewer is laid but before it is covered. 04 04
7. Electrical Inspection by City of Jacksonville.
S. Final Inspection.
Note: In can of any rejection,ro-inspection MUST be called for after
corrections are undo.
FRONT OF LOT
In consideration of permit given for doing the work " described in the above statement, we hereby agree to perform said
work In accordance with the attached plans &M specifications, which are a part hor*of, and In accordance with the building
of
regulations of the City ��tlantic Beach-
Signature of Builder--......
Address....
..... ...........
Slanature of owner..............................................................................
Address...................................................................................................
CITY OF ATLANTIC BLACH
WKfER CONNECTION CHARCiE
DATE
LOCATION_a22
OWNER_
PLUMBING
MASTER PLIMBER
BUILDER OR CONTRACTOR
ei 5
TYPE OF SUILDiKi.
Q2jATHROOM GROUP CONSISTING OF SHOWEIII. '17TALL, DomEs.-il"ll- '�2 tinin)
WATER GLOSPET LAVATO- RY A BATH-nlb 19t -
BATMO (WITH OR Wl)'WCOT OVER GRnUP `,FER HEAD ttrlts)
HEAR SHDiER) (2unitsi' SUR�'XillqS DXAV
(3 units) FLUSN."'RG klm C�TNK (Switsl
COMBINATION SINK AND TRAY (3 wait:-) —JERVICE S11"llvP TRIPip STkNi4 0� )o0i'-st)
CONSINATJON SINN AND TfaY 0`100 T;iS� _-201f, SCALLFIVv' SiNK V, un4t'S'll
(4 units)
URINAL, PEDESIrAIL, SYPHON )ET
DENTAL UNIT OR CUSPIWR mit, 7PILOWOUT (8 units)
DENTAL LAVATORY 2.1 unit) URINAL, WALL LIP (4 ur0t.g)
--DRINKING FOU.'(DAIN (h un 10 _214AL STALL, WIA.SHOIE'
DISHWISHER (2 units) '510, URItW. TR03H EACH, ?�FT� SEC(ION
2 onits
_2LOOR DRAINS (I 4hit) _/WASHING P%CHINE RES.
SINK (2 units) WASH SINK EACH SE'f or Fj%
/_-"ITCHEN SINK W/FOOD WASTE GRINDER units A UCE"T
(3 (An- its) -30 V'o WATER CLOSETS, TANK '4 wil�,gO
.___J.AVAT0R`f (I unit)
LAVATORY 1, BARBER, BEAUTY PARLOR .—WATER CLV:;',-TS.i� VALVE l? (8 kinitas'!
(2 ullits) .—JAUNDRY TRAY (Z unitr.)
—1-AVATORY, SURGEONDS Q units)
DEPARTMENT OF BUILDING 4464
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D Septgpber 1jQ 80
valuation$ 46,563.00 127-91
Fee
This partnit not valid until above fee has been paid to City Treasurer, and Is
subJect to revocation for violation of applicable provisions of law.
This is to certify that— Grenville and Meuse Const. Co.
has permission to build— single family dwelling according to plans
submitted.
Classification ReS:Ld=tial ZO
Owned by Greuville & Meuse Cmist. Co.
Lot 512 Salt Air Sect.
B10 q/D—
House No- 211 Magnolia Street
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and haifled. away by either contractor
or owner. 1?7*)l TL
Bill X.. ,Pavi5 i"7 I IA T 0
Building 0%I!%LA4CG'
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
t_7
140W
IDEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 4502
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D 1012
Valuation$ 12VWiM— Fee S 10.00
This partnit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that_____1a_eobs & Vaughn Plumbing Inc-_-
ink.2 lavatoires.1 bath tub,2 closets
has permission to AM install I s
I shower, I water heater,1 dishwasher,l washing machine.
Classificati Teoidential _Zon
Owned b -------G& M Const. Co.
Lot Block .....S/
House No— 211 Magnolia Street
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
A-10o 0 Buildinx material, rubbish and debris
from this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
T
�,K T 0,
Bill iD 1 2/0 1
Building OfflOuLiCACGI
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
Date_j L- 6
T 060————L
Location
Pluqbing FirM Co t3 60640 PtJ11;Wj,`�111v6 /V
Master Plumber
City/County Occupational License No.
State Certificate No.
Builder or Contractor 4m WSIRUCt/ 04) C-,d
Type of Bui
SINKS, SHOWErS
IAVAT01W WATER HEATERS
_LBATH TUBS DISMAMSHERS
URINAIES DISPOSAILS
J. CLOSETS WASHING MAC1M,1E
FLOOR DRAINS
OTHER
TOTAL,FDaURE COUNT
INSMIZ-ATION OF PLUMING AND FIXTUFES MUST BE IN ACCORDANCE WITH TBE MOST
PE= EDITION OF THE SOUTHEIV STANDARD PLUMING CODE.
DEPARTMENT OF BUILDING 9067
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 00CAM
5 7 4, 1 A 9/%. /n
Date Sept. 2 19 87 1 on
Valuation$ Fee$ no fee
This pertnit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that Mattlo Tree Service
has permission to 9=X remove 2 trees due to crowding the drive
and home.
Classificatio Residenttal —Zone
Owned by Steve Smith
Lot Block— S/D
House No 211 Magwlia Street
According to approved plans which ate part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
;U
0 Building material,rubbish and debris
34 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tmxtorl or owner.,
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
___!tATER
Air
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 26
ATLANnC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
APPLICATION FOR TREE REMOVAL PERMIT
DATE
Applicant
NAME— r�,A
ADDRESS
Owner
NAME—
ADDRESS 2R
Location of tree if different from owner' s address :
Reason for Removal:
�0 eore
Rear Lot Line - APPROVED
CITY O�F ULANTIC BEACH
BUILDING OFFICE
indicate
possition of 187
1
tree on
0 0
lot F-1 I , 14 By,.-L -77'
Q) ------- W
10 a
.r4 H
10 . i,111 I Front Lot Line
Puilding and Zoninrl Building Official