Permit Res Alt 1640 Sea Oats 2012 ` z CITY OF ATLANTIC BEACH
"-IS . '"e"'''''' , A , 800 SEMINOLE ROAD
j . ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
401119
Application Number 12- 00000067 Date 1/18/12
Property Address 1640 SEA OATS DR
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
remove a wall
Owner Contractor
PATTERSON JARED BOSCO CUSTOM HOMES
1640 SEA OATS DRIVE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -0320
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee . . 37.50
Issue Date . . . Valuation . . . . 5000
Expiration Date . 7/16/12
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
*STRUCTUAL ENGINEERING WILL BE PRODUCED BY CONTRACTOR IF
THE INSTALLATION OF 143IN.X79IN. SLIDER IS INSTALLED,
PROVIDING INFO FOR HEADER.*
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total 37.50 37.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 116.50 116.50 .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 p M
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 _ JAN 17 2012 lij
Job Address: / 6 `f.) 5"-.L. ail Orin -e A-4- A _ iik9(..ck Permit Numb& / — Oa g 1 2
Legal Description — 57 0 9.2 3 ,296 5, '' - ti (LA //- No ‘ Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 5 60D Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition ter Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial feral
installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes diblei N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: rP,>roviY.) G wFc; , /1 . / ") 5 - (
Property Owner Information: ��
Name: (i.r,, Nt Gc t./Son /.5 Address: . `/(S ' . a___ fart- .........,.. ..., ..,,,
,
4
City y� l (o I�Z / O�cl State F(Zip 39...3'5 Phone 7d y '70 /' 6 SSa -
E - Mail or Fax # (Optional) (�
� � 6 Contractor Informatin: i \`, ( FILE I {
Company Name: 6o5c10 66 1c% a) Ci, Air - Geri-tar plc Qualifying Arent: - 704/1 _`
Address: (S$r M wAs Zo d Ci IA. ... 0- State GC Zip 3 (9. 33
Office Phone %c) Y ,2 (7/ 63-2 c Job Site/ Cont � ter: rtiTSr msiz C±i -WW! . .
State Certification/Registration # i C / 2.732/2 i ; 3 I VIM 0) C(ES)1) 3(EI ■I ' P Mail al
Architect Name & Phone # �n1 Ir lI'Oil 9LV II WIN 11 fill t MTY : ME
Engineer's Name & Phone # r _ r • a s s • .
Fee Simple Title Holder Name and Address : • ; u pub . 0 II ND TIONS.
Bonding Company Name and Address
Mortgage Lender Name and Address REVIEWED BY: It r_ DATE: 1 - 1 X" C 2-
U'
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
and void if 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
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters,
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.
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 give authority to violate or cancel the
provisions of any other federal, state, or local law regul ting .• , struction or the performance of construction.
Signature of Owner , ,\ t c '^ Signature of Contracto d ---------
Print Name : ,, a_ s4.R ��..s:.`2;� . `' c ..;l^0 Print Name 13 { G
Sworn to and subscribed before me i Sworn to and subscribed before me
this Jf, Day of _szz,..c.--y , 20/z— this Day of 5 , -y , 20%
Notary l�� .. Notary p �/ILLIAM L POPE
WILLIAM L. POPE Notary Public, State of Florida
Notary Public, State of Florida My Comm. Expires ORte22tr 1.26.10
My Comm. Expires Oct. 19, 2015 Commission No. EE 1
Commission No. EE 128745
NOTICE OF COMMENCEMENT Doc # 2012009526, OR BK 15823 Page 1852,
Number Pages 1
Recorded 01/17 201 2 at 09 32 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Permit No. /a "0 0 ' 7 COUNTY
Tax Folio No. RECORDING $10.00
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description): / 02 )
`i�a !7�
a) Street (lob) Address: �--- _____ --
/� 5 C .s Q n;� 4' AZ # « 3:7.24,
2.General description of improvements:
3.Owner Information /� /
a) Name and address: JGtEDL,! /Je„,Ac. v _716-0 / 6 / aa 5, ,0„.. 3 -
Elf % __.
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property ow r , e , -
4.Contractor information
a) Name and address: 6 C
b) Telephone No.: ��� 2(1/ _0_3;k0 Fax No. (Opt.) 3� (42
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: O Fax No. t.
6.I,ender — — — — — (Opt.)
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.:
Fax No. (Opt.) ..... '°F1 i.wner,ny.s,o,{, •
S.In addition t4' himself, owner designates the following person to receive a copy of the Lieno - • ' Y ° F "" ' w. 4
713.13(1)(b), Florida Statutes: ' r'
F:-
a) Name and address: Fax
b) Telephone No.: N- ILE copy
No. (Opt.)
9.Expiration date of Notice of Commencernent (the expiration date is one year from the dat <, • -
13 s c. - i,`< W....o
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 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN 'YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MI IST DI; RECORDED AND POSTF,D ON'111E.IOF1 SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING. WORK OR RFY''0RI)1NG Yt)IIR NO`I'ICI Ole COMMENCEMENT.
SI A'I'E OF Ft4NIIA
COUNTY OFYINFLI.AS 10 f,
Signature ,' Owner or Owner's Author r 1 iu 1 'wr /Partner /Manager
ot Nan �>
n
The foregoing instrument was acknowledged before me this day of x ,.,_,.. 20 , by
as (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on behalf of whom instrument was executed).
Personally Known OR Pr Notary Signature WILLIAM L. POPE
Notary Public, State of Florida
Typo of Identification Pro(luced ft' /JL Name (print) !!J(6( -• My Comm. Expires Oct 19, 2015
OR I ld er/6z— Commission No. EE 128745
Verification pursuant to Section 92.525, Florida Statutes. l)ndcr penalties ofperjuly, 1 declare that I have read the foregoing and that
the facts stated in it are truee to the best of my knowledge and belief.
I0IRMti/N0( ■)s,12nlli
SnymIlln. q( Nat ural !W .:on n Sirninn (In lint; 11 11) ) Alx)cc
3Ad00 NOV 4100 S31V1OIA ONV 031I81HOMd SI 3Sf1 1:13H1O ANY ONV )10018311113H1 NI 031SI1 1N3110 3H1 ):10J 103fO2Jd 0IdI03dS 3N0 21Od 0321Vd32Id 3213M SNVId 3S3H1
.. :
AJO3 3111
..:
I •.II X JI
MI
►S 3il Vd
.. ............
1
i
i
A • .11/1 - Ja x .M
d•.rn-All x OS WWI"
1110011 ONUS =
3ON3OIS321 N0Stl311Vd
.as .....t 1
__ �....� ---ice- ,� �r,
1 .. .114 eg 1 4 °
AND
f *I`
1 ! ; a!
x 4
.0 y
WELT
i .14,.1r w e
tr
T %
I 1.-----73---4 i
I
��/ if 'SWUM
LIM 'sJopeJ;uop 6uip!ing o;sog --
IIIIIIIM, AS
ice!
33N3QISal N(
IP ll ....taili.. .ii . • . in L. . . . . . „ . . z i on in . of , - .. . „ . „ , .. i . , .. , . _ ......
. i
Ili 21
I ti
gla iiii
T
D
I.
ii 4 r
i _
1 4 in
m
z
m
* 1 i RI
t
�
r
7 ii
m
if
_ _
to
C` Cn w N ►- °'s LA A w C � . � . t x N .-+
ot7 o O o c ; • y o y i i ,
c, O d — 0 -. .0 v,
5 a cr N � as . O g° � a �. t� o ° a Z
cro c o cu o o �, a cs. a,
cm . °° °°Bz n 5 0 0 .' y
g O o0o ~ •a -
CA " 0cro E ° CA 74
0 5 ° 0
I (�cw O Z
g
r 4 O . N 4 b
5
.. o c o ci/ 0 r t O
yo �� M n
a 'zS ... Gd O
a. OJ Cl 0 00 rt0~ p 0 n t A 4
5. o .. • o . 0 ooCD ° 0� a w r* c to
'13 c CI "0 0 0 ° cn eD o r"
°1-Nm za,�. v ° i m Coa N 011
r
0 fp � j t ii z 01 cn a.
4 E W -. 0 03 U/
Wtocn 1. a 'A r x
o cD
9 , m o Z. 0' < y
_ 3 n. o o 't� n ot
°' .0 o 0
>c 0 C an • CD
eeD O p ti. E'
N 1- o-y
fD Ib O o
J D
C /1 o cD .-
ON N ■ CD 0
00 po 05
13. ts
O O
- a' o
•
O •y
n `
C
F 1L E COPS'
i
d � �
�1 O rn v , W ,.d o
o0
00 v a\ cn :I' W N ►-+ � N �-+ O � 00 �1
o o o o > O O an C' t o o
$ ? � ° o arc p. y o a. 'A '�7 c� w �, o •� ° Q trJ d o w
OV trc 'L3 � be n 0 ., �' o o v, (TO o
Fr 0
cs' o b CA C (� c C ci) ' A �p a o
ara :h vOi O o CD (D v' 4 0 3 7 p i j O
o ~ fg O
CA d o arc •,
(D
o �
•
K
eD
O
eD
r �
ni.
O
eD
►-
eD
tml
O �p oo �1 O� C/i p w N.- n y v to w N A ~
•
O �l O, vl 4 W N
0' r''. C A D n o dr • y o o el G o o O- n y `C o o .fl o
o � n �° pi o C 0 '� �' o ° , � � p, F• a o 1 0 Fr, aci
N
0-t ~�+ o co c, o
0
o y ac
a
A
O
a
0
r•P
d
fD
2.
Cf
r
5
y
fD
e
iht
A
0
D. 4 O O C n ti o" O '' O
n O O
to P
P- t y r O n Sza og ° O O r p' N• CP2 N • C/� • • j ' j •
O. . 0 + 0. z 0'! a 0 " ` J `' P .0 l 0 CD P
Ca
0 ..• *00H Cr x 0 el CA
o O A 5 C� A
0 0- 0 �q O A O C n O 20 0 O • Cg 00
ecJ 4 o A , g va
d
►ti O O 1 5 *
o �. - w 0 a.9 ,- •a o
CA
n n O o ▪ .
t Q- 0 • O Z . 0 O A N a
° y 5 ' a < a a
O 5 0 b O CD O O r 0 A
O sw (D O el y 5 eo
a Cr ° 1�
0.
W zo " 6 p
La o O is o 0 ... b
w .. ,..•• C CD v' O O
0 - - 0 a
y o a m. o a 5 CD
`� (7) d
A
CD C 0 'O.s" a.
0
o Cr a 0
o \� a' b £' ' (
C) �. CD
O P CD _ O ti7 CD " 0
N (D k "" n O p
O+ 0) 0
W '" 2 P
N q a A
a 0 '
sw cD c D cr
� 0
z �~� 4
O a, g ° 0 e AD
cr
n 5. — � c CD • a
N '•' '.,. C ., . 0 g 64 0
- g D c, a A
w r• $ • O
r + w City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233 -5445 � " (p - 7
Phone (904) 247 -5826 • Fax (904) 247 -5845 /
E -mail: building- dept @coab.us Date routed: / / 7 / 2.
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /(e h De artment review required Yes o
u ildingD
Applicant: • 6 1 - Planning & Zoning
Tree Administrator
Project: , j) 1 JU a It) ll Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Rew Receipt Date
of Permit vie or 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: roved. [Denied.
(Circle one.) Comments:
BUILDI
PLANNING & ZONING / t
Reviewed by: Date: —/ Z
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 07/27/10