Permit Window Repairs 1772 Ocean Grove 2012 �' CITY OF ATLANTIC BEACH
„or „ ) 800 SEMINOLE ROAD
j : . ATLANTIC BEACH, FL 32233
vikw,f- ' �` ” INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000046 Date 1/13/12
Property Address 1772 OCEAN GROVE DR
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 24650
Application desc
window repair install EIFS
Owner Contractor
TOBIN DANIEL R. & KERRY CABRILLO CONSTRUCTION AND
1772 OCEAN GROVE DRIVE DEVELOPMENT
ATLANTIC BEACH FL 32233 3025 SOUTH PONTE VEDRA BLVD
PONTE VEDRA BCH FL 32082
(904) 318 -7871
Permit . . . . . . RESIDENTIAL ALT /OTHER
Additional desc . .
Permit Fee . . . . 175.00 Plan Check Fee . . 87.50
Issue Date . . . . Valuation . . . . 24650
Expiration Date . . 7/11/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.63
STATE DBPR SURCHARGE 2.63
Fee summary Charged Paid Credited Due
Permit Fee Total 175.00 175.00 .00 .00
Plan Check Total 87.50 87.50 .00 .00
Other Fee Total 5.26 5.26 .00 .00
Grand Total 267.76 267.76 .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 1 U u
Office (904) 247 -5826 Fax (904) 247 -5845 I
•
•, Y
Job Address: L7 7a 9.A.•. G r oo t , I'. t F( &ck. FLPermit '! ber: j — 00
Legal Description Lo t 26 32233 Parcel # B y
b Sd , vD Floor Area of Sq.Ft. Sq.Ft
Valuation of Work 4 1 i Proposed Work heated /cooled 3632 non - heated /cooled
Class of Work (circle one): New Addition Alteration Rep. ' • Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Residential
installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): es No N /A
Florida Product Approvaj #
For multiple products use product approval form
Describe in detail the type of work to be performed: LviAeut, ('w5ket ti-ova fro, wtn,t.,..,/ ,,...c.
reu -m3, - 1 -ri,FS E(P5 p. HA°s.t, eve,45• Xc filiest. e 4-rny.. sfzt -fie
Property Owner Information:
Name: 0, 6:A Address: 1 -7 (..1 4 - 41 ` &ret,e, 0r
City L :_ State Zip 522-51_,. Phone
E -Mail or Fax # (Optional) /VI 1 101 - / 7 "79 i(o i✓>,a( 2 1 c� 't• eo-,tn
J
Contractor Information:
Company Name: KQ�i� £ � 4r • Quali ing Agent: . _ 1 ' L /
e! �r�� CC City -4 State G Zip �3
15 � ty���y
Address: F p �aBZ
Office Phone 90543R-7e71 Job Site/ Contact Nu =--- _- • - : ••• _ • ;
State Certification/Registration # I - I -- /
Architect Name & Phone # 11 , ►(� � 1.
Engineer's Name & Phone # ��� jU a ' Y 1/. \►Y Y : 1 ''
Fee Simple Title Holder Name an Address _ u ' 't ITS FOR ADDITIONAL !'. ow..
Company Name and Address / AN CONDITIONS. � �
g p Y Ai Al ' • - 4;1 7 1P` � .� '
Bonding x
Mortgage Lender Name and Address ! . _ , o L . • te v v ,t, i
Application is hereby made to obtain a permit to do the work and installations as in. ica . - "'"" - - - • ------ - - - - -- ------ . ----- • ; � 'rior to e
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction is permr 'co ll ;
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 i r
work is commenced 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bot f. , tars,
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 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 auths '• , iolate or cancel the
provisions of any other federal. state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contrac ` . 1L
Print Name VA " i /A1 Print Name i: 5- , , "�
Swor to and sub gibed before me Sw e rn to an • u • cri , -d befo - - e
this i , Day of -,!/, ; ■., , 20! 2-. thi _ [ D:y of ,4t_ 20/2-
A _ I ota Public L . � � II
Nota'�; "" ""
s REBECCA E XPIR ES: ebruary 1 14
s . 'i Notary Public, State of Florida F Bond edthru ryPublic tiers . d 01.26.10
E' ' : My Comm . Expires June 28, 2014
P ;;a Commission No. DO 984109
DO NOT WRITE BELOW - OFFICE USE ONLY
able Codes: 2007 Florida Building Code w / 2009 Revisions
.,view 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:
,r S r� 800 Seminole Road
Atlantic Beach, Florida 32233
Telephone (904) 247 -5800
j FAX (904) 247 -5805
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
S..all,r : City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building De
9 Y 9 p artment.
)
s; 800 Seminole Road q`
a : : ' Atlantic Beach, Florida 32233 -5445 / 2' _ 7
Phone (904) 247 -5826 • Fax (904) 247 -5845
- "'L 0;;)>% E -mail: building- dept @coab.us Date routed: ///2///
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addres : ) 71i- emil 4,-, vt , -' _ Department review required Yes No
Bu ild'n
Applicant: Ag, / //e ( s% a e-h Planning & Zoning
Tree Administrator -
Project: Ill Q V 72 / ii-4/r) Public Works
/1/ /C,-/ S // $t7 11 � / F3 Public Utilities
af Safety
Public Safety
Fire Services
Review fee $ Dept Signature
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: proved. ❑Denied.
(Circle one.) Comments:
UIL
PLANNING & ZONING
Reviewed by: /47 Date: 7 l2
TREE ADMIN. Second Review: A roved as revised.
❑ pp nDenied.
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
,
NOTICE OF COMMENCEMENT
Permit No. /a - 00 S!( Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
] 6 77_ 0 ,_ , C9re, Dn:ut. Afle viiiL , - PL 233
2. General Description of im r ovements:
444;r w rn.,t,1 1Y door ,s I le n .1 a S f'nu- 'L
3. Owner Information:
a) Name and Address: J o T 1a, - 2 D _ G 1. dr. 4. a. , FZ, 92231
b) Interest in property:
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
1) -94) a) Name and Address: CA 1/0 62454,„4a..., i 4'iiiJo f w.twf 1 I'(5 k 7 L br: , ,PIJ. eta i4
bk( /b ) Phone Number: 00e0 318' - 7 b 7 ( 32662-
5. Surety Information:
a) Name and Address: $.J
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address: 1 J /A
b) Phone Number:
7. Person within the State of Florida designated by owner upon whc :�a,�,w ,u �4irt s
provided by 713.13 (1)(a) 7, Florida Statutes: K " y '� - ..,
i COPY ' I
a) Name and Address: p
b) Phone Numbers of Designated Person: coP ILE
8. In addition to himself /herself, Owner designates
a copy of the Lienor's Notice as provided in Section 713.13 (1) (1 ,�„ eive
a) Name and Address:
b) Phone Number of person or entity designated by owner: _
9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The\foregoing instrument was acknowledged before me this ii day of / /,A / , 20 `D._._
' /I VIEWED E FOR CODE COMPLIANCE :' c_ .. 't--
CITY OF ATLANTIC BEAT N r dt RY PU LI.c STATE OF FLORID