Permit Window Repairs 1774 Ocean Grove 2012 I . `' CITY OF ATLANTIC BEACH
;;.3 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
` � INSPECTION PHONE LINE 247 -5814
Application Number
12- 00000047 Date 1/13/12
Property Address 1774 OCEAN GROVE DR
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . • 24650
Application desc
repair windows install EIFS
Owner Contractor
GORMAN CABRILLO CONSTRUCTION AND
1772 OCEAN GROVE DRIVE DEVELOPMENT
ATLANTIC BEACH FL 32233 3025 SOUTH
A L
PONTE PONTE VEDRA BLVD
3 082
(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 trUIFTRI
Office (904) 247 -5826 Fax (904) 247 -5845
e ,
11
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Job Address: 111' ( O j &r, Or, kf'(a. t ' A.,,t„ ..c Permit Nu at 1 er: 4 — O o ( 1 •
32233 By
Legal Description L®+ Al Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ A4, 6 SO'° Proposed Work heated /cooled 3632. non - heated /cooled
Class of Work (circle one): New Addition Alteration ' - • • Move Demolition pool /spa window /door
Use of existing /pro osed structures) (circle one): Commercial 6' esidenti.
If an existing structure, is a fire sprinkler system installed? (Circle one): ` es No N /A
Florida Product Approval #
For multiple products use product approval form n
Describe in detail the type of work to be performed: fe 4, rove, �'(AcSfi J ' rl.� Ara F"'' 6
rc� wn S . ,�►S G EI�FS e
& � area*. , et-�te�l
n. .e +e. sl fX
Property Owner Information: i
£1 4 0 6 2 - 44 ^- E re --ti
Name: ��� ( Varv�a4n r- Address: „
City tz &- StaterL. Zip 32233 Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: 14 er44,60. Agent
Address: /y.5 • ., _44 ,fie._ City /6,47,441, State FG
Office Phone/evil-a/8-7V/ Job Site/ Contact Numb- Fax # -, _ ; 25— 2 c5 . �.a
State Certification/Registration # G /2G —A72,214,3.
- 5 r ; - 41 1 ■
Architect Name & Phone # 4. . 1 1 E .OMPLIANf 11
Engineer's Name & Phone # , I <!TY OF AT
Fee Simple Title Holder Name a d Address / J SEE PE • k) M S e . , ! r , . . _ 11
Bonding Company Name and Address _ Imo: gli dJt:immomitional 0 1 r r 1'• .
Mortgage Lender Name and Address , 1 '12- 1 • 4
ff t • • �! � . • /L�! DATE:
Application is hereby made to obtain a permit to do the work and installations - ° ° • - - - -- - -•• = - " " • �! ioa
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this . /uras• ac • . .0112 i
and void of 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 • in ter
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo IffATIA
Tanks and Air Conditioners, etc. " a
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.
I 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 gave aut • `• • olate or cancel the
provisions of any other federal. state, or local law regulating construction or the performance of construction.
Signature of Owner ..AA '71^zt-Z X !. �b�IYN�.w Signature of Contract • —
Print Name 1 O11 ft H.,,......G'og! 1 Print Name e , ,/// , 706„ scit /
Sworn • and subscr' . -d before me Swor • • scrib - d . e ore e
this i Day of i,A.. . , 20 i '2- this fi t. %l ''.� , 202-
II" 1 011MT, ESIM
y t _. NE V. sr►Nros i
No
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My Comm. Expires Sp 14, ♦ A' Bonde•Ml� •tary P i s Undenvnt rs• ., Commission s 00 925269 _-1 . _ .26.10
'. `; loaded Through National Notety
DO NOT WRITE BELOW OFFICE USE ONLY
Applicable Codes: 2007 Florida Building Code w/ 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:
,11,V -1: ft 800 Seminole Road
.r, ""' Atlantic Beach, 32233
J ` -'�
_ Ise Telephone Beach, Florida lorida 2
e'`r' "= ,r 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
NOTICE OF COMMENCEMENT
Permit No. /.)— OD 47 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):
Lof e Al 1 171 vccw,.A Gr'ek..e. 6r. Af(44-..a L& , FL- .?22S3
2. General Description of improvements: p
I ej».s'r �'.✓r 100+7✓ v 'rn.lf , I�.e�la•iti e thrc, ,MA w'L
3. Owner Information: 3223?
a) Name and Address: 1 yr &�lw�
oa .. , (17' j l t.� v r '<, & Qr. t A4t. t -�
b) Interest in property:
c) Name and address of simple titleholder (if other than owner):
. Contractor Information:
a) Name and Address: (AO.* &bid'. dey�cloP (' ! Mr NS , e (44 Or. , PV do , a..
Nov b) Phone Number: TM. Irf' . 78'7 32og2
5. Surety Information:
a) Name and Address: 01 .,»
b) Phone Number:
c) Amount of Bond: $ COPY FILE 6. Lender Information:
a) Name and Address: PIA' ---�-
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
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: LTIA
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 ! 1 of _ & U6 ,( , 20 1 2-
t Z L UL- 1 (4/a,t4
JOANNE V. SANTOS N 07 ARY PUA.IC, STA I T F
City of Atlantic Beach APPLICATION NUMBER
i r' Building Department (To be assigned by the Building Department.)
is 800 Seminole Road /2. — GU 7 7
v ) Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 L J
•< Ji3 j;- E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l 3 74 Oeff a.r No Q. ' ent review required Yep/ No
�/
/ � / o (ri 4 Buildin• n Applicant: ; I I 6 Planning & Zoning Tree Administrator
Project: ) C UJ i&) i i r 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: [V�Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: /7'I Date: (Z I �-
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
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