Permit Repairs 1941 Francis 2011 ' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
art c.*
Application Number 11- 00002985 Date 12/15/11
Property Address 1941 FRANCIS AVE
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 3686
Application desc
bath repairs
Owner Contractor
BOWMAN, MARY HELEN BEACHES HABITAT
1941 FRANCIS AVENUE 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -1222
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . 35.00
Issue Date . . . Valuation . . . . 3686
Expiration Date . 6/12/12
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
*IF BATHROOM REMODELING REQUIRES THE INSTALLATION OF NEW
TILE BACKER BOARD OR DRYWALL, A SCREW OFF INSPECTION SHALL
BE CALLED FOR BEFORE COVERING UP THESE CONSTRUCTION
MATERIALS.
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
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.
BUILDING PERMIT APPLICATION �� (�� i
CITY OF ATLANTIC BEACH ii
800 Seminole Road, Atlantic Beach, FL 32233 ,1 ) i DEC 0 9 2011
Office (904) 247 -5826 Fax (904) 247 -5845 i! U
Job Address:
/ y yI . rksolfcr5 /i iie 41rL44 07c VrncA Permit Num . .—•:!
Legal Description Parcel # •
Floor Area of Sq.Ft. Sq.1~'t
Valuation of Work $ 36 i9Ca 3 4 Proposed Work heated /cooled non - heated /cooled
i
Class of Work (circle one): New Addition Alteration 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 # ) - 93
For multiple products use product approval form
1 �R�f�
Describe in detail the type of work to be performed: 17.- - � o f ;ae / /1 t''/a //S /'y a 7^K g St'�Y' e
Pr i fe w1'0 lac / r /2 ( ,o a L aJ- Ft t3.0 Y g 5a 2f2,:l.4 (ep//+e`e / f"xt - ?0, "2 3 & ^ b c i
Property Owner Information:
Name: -f/12 y 71 644 AN Address: 1 q11( F"o'ectS /}vt'-
City 0,t -r"c (L'azk State ft Zip )223 Phone get, 2`'4 f4(44
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: T3 eACh e s #i i in 1"112 /z / / " 't Qualifying Agent: 6RNt Gus us/ 79 r3 0'
Address: _/ k- Phi iicis 4L e A City , tt R.r ' ' 1 State � Zip 32
Office Phone q'1' „ill/ /22.2_ Job Site/ Cc tact Number ,2 f S" Pax # > ... = -
State Certification/Registration # «�.., 1 1' 11 1 :_ t„
!�1
Architect Name & Phone # II II - k ' - - '
Engineer's Name & Phone # • t LA 11: - , , 1166.1 ?1.I I 11 A} i
Fee Simple Title Holder Name and Address REQUIREMENTS AND CONDITIONS. tip'
Bonding Company Name and Address y a., -.r:., .,...
Mortgage Lender Name and Address REVIEW�DBY: ! / (� DATE f. 1 I
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 construction or work is suspended or abandoned and
work is c omn 1 understand that separate permits must be secured for Electrical Work, Plumbing, Sig a Wells, Po Boilers, time
Hea
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 R ECORDING YOUR NOTICE OF
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner f te+1- S i g nature of Contractor _,tb
g �VWI..�� -
Print Name ,.g . y 11.-.. Print Name fI R/vo L f G uS l A 1 N
Swor,,z l.�QQ and `T subs gibed before me Sworrr,t and sub crib�o�� 20 { 1
this "` Day of e Otr� _ _ „ 20 1 _ _ _ 4) . this Day of
� .••`aY n� ,, ..• Y D •i ALM M� �/ , 0. J OYC E M. FREEMAN ! ) • • JAYCF 11._ FREEMAN 1 + I e Notary Public - State of Florida I • ry P he 4 14P4 s Notary Public - State of Florida ;ta�� Public .�. , s �; My Comm. Expires Jun 10, 2013 ► 1 A a y Comm k J 10, 2013
" off off Commission #E DD 897794 ( I '����.•�gs7794 l
4 F
}
DO NOT WRITE BELOW OFFICE USE ONLY
Applicable Codes: 2007 Florida Building Code wi 2009 Revisions
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials /Date:
Development Size
Habitable Space Non - Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions /Comments:
, . 1 �l j 800 Seminole Road
Atlantic Beach, Florida 32233
J `S Telephone (904) 247 -5800
"` FAX 904 247 -5805
,\.\.) ‘ , y,
-- I9f"
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 51,- =\11f,, City of Atlantic Beach APPLICATION NUMBER
' Building Department (To be assigned by the Building Department.)
\'•: 800 Seminole Road �� —Z90
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: 2 9 N E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: // `// Arne /3 At t Department review required Ye No
uildmg V
Applicant: 12122, f 7 r' Planning & Zoning
1 D Tree Administrator
Project: (. J f Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: ` %', Date: 41 /6 !/
TREE ADMIN. Second Review: QApproved as revised. ❑ De ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
•
Reviewed by: Date:
Revised 05/14/09
DEC -14 -2011 10:29 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1'2
t9dS
NOTICE OF COMMENCEMENT
State of FL- Tax Folio No. -
County of_ L2b va/ •
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: I 'T F0-.4 "ef5 4 40 1 g, A.4 FL.
General description of improvements: Per" lesu" ^ P i d_fk , � E /7 , D Edizi
Owner: ./1.0 1 13 044,414H Address: t 9x11 != r' acis 4 r c ,1 7 , v /%e, e P4.
Owner's interest in site of the improvement: — --.
Fee Simple Titleholder (if other than owner):
Name:
Contractor: g e RcA '5 PQ1i;. '► � T y
Address: / 47/ FraPeel S 6e _9)� r�r � t . erlrk F 32 233 Telephone No.; No.: 9 ( 122 Fax No:
Surety (if any)
Address: _ Amount of Bond $
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: - _ Fax No:
Nam c of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served.: Name:
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: _ . -----
Addres5:
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.):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
• ... • — ,ea: _ �, Date: 1 24 1
UoC # 201126831 OR 9K 15795 Page 17a4, fore me this R _ . day of y7\ec.+�rv►b+e re _ in the County of al, State
Number Pages: 1 .'Florida, has personally appeared rnaa< i.l Ars uar11 •
Recorded 12114120/1 at 09:46 AM, 'try Public at Large. State of Florida, Counfy ., 7M
fy of Duval.
JIM FULLER CLERK CIRCUIT COURT DUVAL i con, ion ex. •ires: �++
COUNTY C5. , Known; ...:.,, N or
RECORDING $10.00 )duce ;d ldeiit1 loatiot►: Ige4bti
06 r4 - Slate ofliof a
5 ►/ MY C umm - E x plres Jun 10. 2913
+�oFSw•° C o mmission # DD 897794