Permit Door 333 11th St 2011 ' r CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
___)
" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002571 Date 9/01/11
Property Address 333 11TH ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1200
Application desc
REPLACE FRONT DOOR
Owner Contractor
MENGES JAMES T. GREEN POND CONSTRUCTION LLC
333 11TH STREET P 0 BOX 1047
ATLANTIC BEACH FL 32233 MELROSE FL 32666
(352) 481 -5545
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/28/12
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 60.00 60.00 .00 .00
Plan Check Total 30.00 30.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .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 3 3 Aft, II Lh S4 P ermit Number: �/ 2 S 7�
,egal Description Parcel # - _ ----
V aluation of Work I / 7 d Floor Area of Sq..Ft. S rt W
�� Pr oposed Work heated cooled on- heated/co , i e► ',
' M 'lass of Work (circle one): New Addition Alteration Repair Move Demolition pct spa , ' ill r: ; . r i
se of existing /proposed structure(s) (circle one): Commercial Residential .�i�+� -
an existing structure, is a fire sprinlder system installed? (Circle one): Yes No N /A r gO - A p
lorida Product Approval # t 2, O 1 ( CJ U o o
or multiple products use product approva orm � 1 A W o A v A
!escribe in detail the type of work to be performed: @PI�(�2 F a e o z
I V w�
H
roperty Owner Information: ' I Lam.. Cr. w
.-; a.--- , __ t 0
ame: a tnn e ,s - r, IAA �„` e s Address: 3 3 3 E rev e,,. +1- 3 ....,,;. w CO
ity At I a.v.+'�` c R ead.. State FL Zip ?L? 33 Phone ( 5
3 2 ) 3 Co Ca 7.-RR ( � A
-Mail or Fax # (Optional) V
ontractor Information: /�
pmpany Name: Gr'c -tar P li 6 C Oki Sr ✓W, in'v1 .A, 1 '
Qg en d: OA"' ., �.-
3dress:. Pref6ell 1047 City fol1 cAp State Ft Zip 5.2 a
f fi c e Phone 3 ' 2 - l - - ' - Job Site/ Contact Number 5 L - Z 56 - Zy 5 S Fax # 3 5 y V/ 5-5-11 —
ate Certification/Registration #. CAC O 1 2 - 6 S g
-chitect Name & Phone # hl f,9.
lgineer's Name & Phone # /41/4-
e Simple Title Holder Name and Address JV e,r h o r•-. C- MT 6 C v ,
)nding Company Name and Address f, 0_ S ox 5 3 v S 7 9 AT T1 , GA 3 c.)153 - 0S 7 9
ortgage Lender Name and Address
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
i void f 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
rk is commenced I understand that separate permits must be secured for ElectricafWork; Plumbing, Signs, Dells, Pools, Furnaces, Bo Hea
nks and Air Conditioners, etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMIV ENCEMENT 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
COMIVLENCEMENT.
3reb c ertify that I have read and examined this placation 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 gave authority to violate or cancel the
visions of any other federal, state, or local law regulating construction or the performance of construction.
N ......
mature of Owne �►
ignature of Contractor / ` • '
nt Name e. s T. tNA e...- 5 e j Print Name �H la w hir
'orn o and subscribed befnr , e Sworn to and subscribe before
2 Day of � f/ , 20 1 / this .2k Day of , 20 t
qlow.,_,91.10'0^0•1 CJI-er)102_-
tary Pula/Cc- Notary P lic
"ry�", JOSE MARIA CORONA .■.
* n ;. MY COMMISSION II EE 021818 A � , c
°, •- ��- EXPIRES: August 30, 2014 1 4 0 �s'26'.
0 p :I' Bonded rnru Notary Public underwriters i
t PIrl A
A J ',, • • ., . root.. were
` i . 800 Seminole Road
fir Atlantic Beach, Florida 32233
Telephone (904) 247 -5800
FAX (904) 247 -5845
1119
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
City of Atlantic Beach
APPLICATION NUMBER
r; 401414.1 Building Department (To be assigned by the Buildiag partment .)
. •
800 Seminole Road
s
15 4,4 -r Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
r t)*:%" E-mail: building-dept@coab.us Date routed: fA„
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
3 P (;,T
Property Addr ss: ent review required No
a ) Building
Applicant: -- (Ci - 7) rOA/) 4,16/ rekc-ri o , arming & Zoning
Project: vi ae61 Tree Administrator
-rn T 66 g
Public Works
Public Utilities
Public Safety
Fire Services
)1 hiltiltagtef taktt
Review or Receipt
Other Agency Review or Permit Required 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: Et ODenied.
(Circle one.) Comments:
BUIL
PLANNING & ZONING
Reviewed by: rh).— Date: P"
TREE ADMIN.
Second Review: EtApproved as revised. ODenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10