Permit Deck 270 5th St 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002785 Date 10/26/11
Property Address . . . . . . 270 5TH ST
Application type description DECK/PATIO
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3321
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Application desc
REMOVE AND REPLACE DECK
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Owner Contractor
------------------------ ------------------------
FLYNN LOWES HOME CENTERS INC
4948 TELSON PLACE
ATLANTIC BEACH FL 32233 ORLANDO FL 32812
( 90) 730-2053 (904) 486-4701
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Permit ACCESSORY STRUCTURE NEW RES
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3321
Expiration Date . . 4/23/12
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Special Notes and Comments
NEED NOC
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONAl ELECTRIC CODE
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUIELDENG PERNIff-APPLicA,yION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904) 247-5845
Job Address: 0? 76) Permit Number:
Legal Description
Valuation of Work S 6), .91(1
Class of Work(circle one): New Addition Alteration Re
,pair MoxR_j2emolition pool/spa window/door
Use of existing/proposed structureQ)(�ircle one): Commercia
If an existing structure,is 1 fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:
Name: 0-1,4y 4—y1i Address: "70 J-16k, F ILE CO
City
Stat;LT_Zip
_;�L_70,�23 Phone ?a�1- —d
E-Mail or Fax# (optional)
Contractor Information;
ompany Name:
Qualify' A ent:
Address: city
ent State
Dffice Phone
4 7 3 1/';3 Job Site/Contact
�tateCertification/Registration#.. , -7,
Architect Name&Phone# D XFOR
Engineer's Name&Phone# .1
F SEE CB
.ce Simple Title Holder Name and Address ONAL
3onding Company Name and Address -- IAO tuNIJ UUNDMONS.
\1ortgage Lender Name and Address RE Wpp
1pplication is hereby made to obtain a permit to do the work and installationwas as indicate certi; cedprior to the
ssuance ofapermit and that all work will beperformed to meet the standards of all laws re ulating-constructioninthisjurisdictio?z. ispe itbecomesnull
v7d void ffwork is not commenced within six(6)months, or ifconstruction or work is suspended or abandonedfor aWeriod ofsix(6)months at a timeafter
vork is commenced. I understand that separate permits must be securedfor
f�znks andAir conifitioners,etc. ElectricarWork,Plumbing,Slkns, i?lls,Pools,Fzirnaces,Bo"ers,Heaters,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEM[ENT MAY RESULT W YOUR PAYING TWICE FOR IMPROVEME NTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certify that I have read and exambwd this qpplication and know the same to be true and correct. Allprovisions of laws and or i' es ov this
it
)j work will be co�nplled with whether speci)Ted herein or not The granting of a permit does not presume ta-gzye author y 1,iolate r or,", th,
fo�mance ofconstruction.
rovisions ofany otherfederal,state, or local law regulating construction or the per 112191
;igg-nature of Owner Signature of Contrac, r
ruit Name .................... Prhit Name
F............................ ... . ............ ....I....................... ............................................................
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of ] 10/14/2011 01:40 PM
2,011-10-14 09:59
human res 1699 9044864705 >> 3524733167 P 2/6
LOWE'S COMPANIES, INC. PAGE. 1
NEF 1699
PROJECT ESTIMATE PSE EST. GAY FLYNN
CONTACT: FLYNN, GAY SALESMAN: CLAYTON TODD
CUST #: 94080763 SALESMAN It: 1600308
PROJECT NUMBER: 87163 DATE ESTIMATED: 10/06/11
QTY ITEM It ITEM DESCRIPTION VEND PART #
5 201524 2X10X12 ACQ TOP CHOICE TREATED TC210127225N
19 92781 2X8XI2 ACQ TOP CHOICE TREATED 208120201
35 84981 2X6X12 ACQ TOP CHOICE TREATED 206120tOO
0 22422 MC 4" ZN LT T HNGE 2PK (+315669) SPB2$4
5 201596 4X4X8 ACO .40 TOP CHOICE TREATED NA
10 10385 CONCRETE MIX 80# QUIKRETZ 14104
1 65191 BASIC LABOR DECK BASIC LABOR DECK
1 326714 LABOR FOR REMOVAL LABOR FOR REMOVAL
9 77671 2X4X12 ACO TOP CHOICE TREATED NA
9 61962 CARRIAGE BOLT GALV 5�8-11 X 8 008236349566
110 7951 2"X 2"X 42"BALUSTER MITRD 22422
18 67418 GALV FLAT WASHER 3/8,, 811074
10 67419 GALV HEX NUT 5/8 008236347289
20 108806 LUS28Z ZMAX 2X8 JOIST HANGER LUS28Z
1 326703 CUSTOM RAIL LABOR CUSTOM RAIL LABOR
2 62636 PT LATTICE PRIVACY-PLUS 4X8
1 326711 LABOR FOR LATTICE LABOR FOR LATTICE
TOTAL FOR ITEMS 3,027.92
FREIGHT CHARGES 0.00
DELIVERY CHARGES 79.00
TAX AMOUNT 0.00
TOTAL ESTIMATE $3,106.92
T141S ESTIMATE IS VALln UNTIL 10/13/11
MANAGER SIGNATURE DATE
THIS ESTIMATE IS NOT VALID WITHOUT MANAGER"S SIGNATURE.
THIS IS AN ESTIMATE ONLY. DELIVERY OF ALL MATERIALS CONTAINED IN THIS
ESTIMATE ARE SIUS,7ECT TO AVAILABILITY FROM THE MANUFACTURER OR SUPPLIER.
QUANTITY, EXTENSION, OR ADDITION ERROR$ SUBJECT TO CORRECTION. CREDIT
TERMS SUBJECT TO APPROVAL BY LOWE$ CREDIT DEPARTMENT.
LOWE$ IS A SUPPLIER OF MATERIALS ONLY. LOWES DOES NOT ENGAGE IN THE
PRACTICE OF ENGINEERING, ARCHITECTURE, OR GENERAL CONTRACTING, LOWES
DOES NOT ASSUME ANY RESPONSIBILITY FOR DESIGN, ENGINEERING, OR
CONSTRUCTION; FOR THE SELECTION OR CHOICE OF MATERIALS FOR A GENERAL OR
SPECIFIC USE; FOR QUANTITIES OR SIZING OF MATERIALS; FOR THE USE OR
INSTALLATION OF MATERIALS; OR FOR COMPLIANCE WITH ANY BUILDING CODE OR
STANDARD OF WORKMANSHIP.
CRY of Atlantic Beach
APPLICATLION NU�MBE:Rj
8 ]
Building Department
800 Seminole Road (To be assigned by the Building Department.])
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
"W)' E-mail: building-dept@coab.us
I Date routed: A2
City web-site: http://Www.coab.us i —
APPLICATION REVIEW AND TRACKING FORM
7W
Property Address, reviewrequired Yes No
Plt_�Ment
J Planning &ZonTN�
Applicant: Z t a)�. T�g��nistrator
iihlir.Wr)rkq
Project:
Public Utilities
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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
""I
Reviewing Department First Review: RApproved. F�Denied.
(Circle one.)
Comments: 17c?
PLANNING &ZONING Reviewed by: -/-0" Date:—/C)—/
TREE ADMIN.
Second Review: FlApproved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. DDenied.
Comments:
Reviewed by: Datei
Revised 05/14/09
City of Atlantic Beach
Building Department RECEIVED APPLICATION NUMBER
I
s
800 Seminole Road (To be assigned by the Building Department.)
OCT 19 2011
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(90,e Ll 7,,f.5-
11) E-mail: building-dept@coab.us t ro
City web-site: http://www.coab.us FFDate rousted:
APPLICATION REVIEW AND TRACKING FORM
7-N
Property Address.
ment review required Yes No
Applicant: 67 ow Pla n
zio ing &Zonin
Project: hm 4 V 6 Tre inistrator
u b rks
Public Utilities
Fire Services
Review fee, $ Dept Si I gnature
EOther Agency Review or Permit Required Review or Receipt Date
F or pt. 0 P of Permit Verified By
loridaDept. of Environmental Protection
I or t of Tr spo tio
Florida Dept. of Transportation
St.Johns River Water Management 617s—trict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: proved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:—ZO
TREE ADMIN.
Second Review: [:]Approved as revised. DDenied.
P 0 ments:
P 0
IL E
PAU B L I tA fET Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach
APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Ll —
Phone (904)247-5826 - Fax(904)247-5845
L) E-mail: building-dept@coab.us Date routed:
City web-site: http://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
7 N
S,
Property Address: r D ment review required Yes No
B B
P Z
Applicant: Z 67o Planning & Zonin
T T,
rq_e�iniqtrator
Project: 6" V rk5
d'Public Utilities
Fire Services
Review fee $ Dept Signature Qk
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date �J
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: rApproved. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 9,A",dDate:
'_�R�EEA5"MIN. � Second Review: DApproved as revised. ODenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 05/14/05
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
C
800 Seminole Road
Atlantic Beach, Florida 32233-5445
KT 19
Phone(904)247-5826 - Fax(904)F47-58�
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
7 11
gppgLment review required Yes- No
Property Address
Applicant: Ze 1'�_) Planning &Zonin�
Tre.g-Administrator
dLbllj-,�rks
Project pla e 6
Public Utilities__�
Fire Services
Review fee Dept Signature /X�
Review or Receipt
Other Agency Review or Permit Required Date
of Permit Verified By U
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: kApproved. E]Denied.
(Circle, o7ne.) Comments:
BUILDING AJ
PLANNING &ZONING Reviewed by:��A' D a t e: 16h
TREE ADMIN. Second Review: DApproved as revised. F�Denievd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [_�Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Doc # 2011225600, OR BK 15742 Page 2396, Number Pages: 1, Recorded
10/18/2011 at 09:19 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
2011-10-14 09:59 human res 1699 9044864705 >> 3524733167 P 4/6
Permit Number Tax Folio Number
N077CE OF COMMENCEMENT
SrArEOFFLORIDA
COUNTY OF DUVAL
THE UNDERS IGNSD hereby gives nalles that Improvement will be made to corwn real property,
and In accordance with 0hoplar 713,Florida Statutes,the follovrIng Infomation Is provided In this
Notice of Commencement.
1. Description of proporty(Street addr
Legal
2. General description of Improvement:
3. Omer Information:
a. Name and Addrous. e7AY Oq LL,,tJ
W7.d 1516.5 r A411/-x- 1,V I
b. InterM In property:
c. Name and address of foe simple titleholder(olher than owner):
4-a.Conlactor's name and addre Aq AV-
t). Phone number.A-0&5;41�64-1 Faxnumber:
5. Surety Information:
A. Name and address, A/10-
b. Phone Number; -------Yax Number:
C. Amount of Bond,
6.a.Lender's name and address
b. Phone Number:
7.a.Person within Me State of Floft designated by Owner upon whom notim or other documents
may be served as provIded by 713.12(i).(a)7.Florida Stwy$.
a. Name and address:
b. Phone numbers of designated persons-
S.a.in addition to himsefftherself,Owner design of_to
receive a copy of IN Uenor's Notim as provided in section 713,13(l)(b).Florida$twes.
b. Phone number of parson or entity designated by owner.
9. Expir4on date of notte of commencement(the expiratIon date Is one(1)year from the date of
recording unlow a differant data Is speciflod)
WARNIING TO OWNER;ANY PAYMENTS MADE BY THE OWNERAFTER THE EXPIRATION OF
THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER
CHAPY9R713,PART 1,SECTION 713.13,]FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
COMMENCEMENT MUST BE RECORDSO AND POSTED ON TME JOB SITE BEFORE THE
FIRST INSPECTION.IF YOU INTED To OBTAIN FINANCING,CONSULT WITH YOUR LMDER
OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
Signatuta9f Owner LO;pner'sAuth IzedOffIcQ Irector/PartnedManagar:
The foregoing instrument was aftowle4ed before me this (0 cy of 20_�
by as CHMNAMUNS
WC0110861131#11NOM
NO 4 MWIES:NOV48,2014
- t
tar. , ww'� (a
Pe ruo na I I y Known—0 r P m du cad I nd 9 n 0 katio-_J:ryP-e'of Id-6 mff I c-atl-0M-P r-od-uc e-d
My commWgIon oxplms: -- 1.\- 'S- VA
Undler pen2ftlas of perjury,I dedaro that I hwe read the foregic9rig and not the tmig stated In
It are true to the best of my knowledge and belief,