419 Whiting Ln 12-00000105 Screen Enclosure � J
I CITY OF ATLANTIC BEACH
r A
0 800 SEMINOLE ROAD
0 7.7 = ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4013 •r-)a
Application Number 12- 00000105 Date 2/01/12
Property Address 419 WHITING LN
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
screen enclosure
Owner Contractor
LEDFORD REX E. MASTER SCREENS
419 WHITING LANE 4411 KELNAPA DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 993 -2256
- -- Structure Information 000 000 SCREEN ENCLOSURE
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee . . 37.50
Issue Date . . . Valuation . . . . 4200
Expiration Date . 7/30/12
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 2.00
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.
i
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 4/9 W hi. 6 n �-4' r. Permit Number: /a Do10c
Legal Description 467 29 �1 c 4 /1 //aid yc /��t15 Parcel #
0... Floor Area of �Iq.rt. Sq.Ft
Valuation of Work $t6 Proposed Work heated /cooled non- heated /cooled 3
Class of Work (circle one): New '--- ition ' Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Residential
i
If an existing structure, is a 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 performedZ'oree 61 `'ryL 5 t -A
Property Owner Informaation :: j ' / ,,,
ad ) Address: j //9 �9 1d4, ' L
Name: /t' X �-� ? C "�'
City d ?I �!e - State .Zip . ...3.13__Phone -' - :: i'L7
E -Mail or Fax # (Optional) • ,zpicc✓O,.i( oScu'eS yma
Contractor Information: / J ,(
Company Name: cu 41Se.YI-Pns 7/c . Agent: SC'o7�` � r J �'� 44
Address:
1- 7 /1 7/// g nepa. / City , f-X .. State Zip 3,9
Office Phone9b t/- 716/ - 3s`6 Job Site/ Contact Number /Cetii • -) Fax # -3W oils'
State Certification/Registration # / 3/ 13
Architect Name & Phone #
Engineer's Name & Phone # °-
Fee Simple Title Holder Name and Address NM I' N 1
Bonding Company Name and Address }` 11 1' 011 . E ja) — MI.
Mortgage Lender Name and Address
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 apertod of six _(6) months at any time after
work is commenced. 1 understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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 / have read and examined this a placation 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 c... o Signature of Contract
g � ��
Print Name / )C )..-e-c/A j Print Name T clL 1 / LOir i/t
Sworn t and subscr'.ed before me Sworngo and subscred before me 20 JZ
�� .
this / IP Da of sr'C._ , 20l this /� D. of
—i
` , r T N- � ' u .ht � ' iy�.'• KEVIN WAYNE n Ir
Notary Pus )c *: ' : *_ MY COMMISSION # EE108253 =�;_
��'' I* s I)Of EE108253
" , „o EXPIRES June 30, 2015 I ��11 2015
or u 30,
(407) 398.015r FloridallotaryServke.wm 4 )
(407) 398"0153 FloridalloteryServke.wm
HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT
The purpose of this document is to make you aware of any lirnitations in the enclosure that is being permitted at your
residence. The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various
sunroom category requirements. There may be restrictions on the use of your present home depending on the category
of sunroom you are installing. The property owner is hereby notified that should they make changes to the sunroom
which could include, but not be limited to, addition of any form of temperature control system or removal of the
doors /windows separating the sunroom from the host structure, the room may become non - compliant with the
requirements as mandated by the Florida Building Code, the Florida Model Energy Code and State Statutes. . _
OWNER ,
r
I have read this complete forth and understand 1 am receiving a Category 4 Sunrootn. (1 -V)
Prnted Name �� Address / ? -- t..�°/ i.t -_k` " / 66 `~
C Q!
Signed �> Dat e : __._.__ a! 1 1 d l /01
Before hi this .. _ -___ -- day of — Jet - -� , �/Z the Co of . Mfrs, State of Florida, has personally appeared
.1 g L- - herein by himself /herself and affirms all
statements and declarations herein are true and accurate.
Notary Public at large, State 01 r:// , County of A a. v4491vv : - ,c KEVIN WAYNE NEWSOME
Personally Known g- i'1'roduced Identification : MY EXPIRES June 30. 5 COMMIS510N # EE108253
ID "rypc
I — — — " j
Sunroom and Screen Enclosure Re iii.: �. FlondallotaryServlce.com �—
Category a II III IV V
Habitable Space 1 0 No No Yes Yes
Foundation Site specific Site specific Site specific Site specific Site specific
engineering or engineering or engineering or engineering or engineering or
approved design approved design approved design approved approved design
manual manual manual design manual manual
Existing exterior
GFCI outlet Relocate or add additional outlet to exterior if enclosed
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Required Required Required
Outlets
Emergency Egress from Egress and Exit Egress and Exit Egress and Egress and Exit
Escape existing structure must meet code must meet code. Exit must meet must meet code.
Openings allowed with code.
screen walls arid .
door
Misc. Window Host structure Windows rnust Windows may be Host structure Host structure
and Door windows /doors be removable fixed or removable. windows & windows & doors
Requirements shall not be and identified by Host structure doors shall not may be removed.
removed. decal. windows and be removed. Forced entry, air
Host structure doors shall not be Forced entry, leakage and water
windows /doors removed. Forced air leakage penetration
shall not be entry, air leakage and water requirements
removed. and water penetration apply.
penetration requirements
requirements apply.
- apply . — ............... --
Wind ..... Borne Required, can be on host structure, if built under existing
Debris Opening Not Required Not Required roof
Protection
Energy Sheets Not Required Not Required Not Required Required Required
•
— -- J
:0_ r City of Atlantic Beach
APPLICATION NUMBER
t-i AV Building Department
(To be assigned by the Building Department.)
-- v 800 Seminole Road
t li r Atlantic Beach, Florida 32233 -5445 Av? — a /0 .c
Phone (904) 247 -5826 • Fax (904) 247 -5845
•- rJ1i1 > � E -mail: building- dept @coab.us Date routed: /4(' �4
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /! 9 IcA. r/7"77 2-71 ent review required Ye No
Building
Applicant: Q.7 -/'� d�: f 1.1e. Manning & Zoning
Tree Administrator
Project: -- 1) / & Public Works
_
Public Utilities
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: R pproved. ❑Denied.
(Circle one.) Comments:
BUILDI
PLANNING & ZONING Reviewed by: in Date: / — ;;N6 — (2._-
TREE ADMIN. Second Review: Approved as revised. ❑D nied.
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
N ()TICE OF CO.M.MEN U. m..LN't'
(PREPARE IN DUPLICATE)
Pera:,t No. Tax Folio No.
S:ata of - - - - - -- __ _ .
County of
To whom it may concern: .
The undorsignud horuby informs you that Improveinunts will bu macu to curtain real prupurty, .t,:d
accordance with Soction 713 of the Florida Statutes, tho following Information Is statod In this t,01 ICE c,
COMMENCEMENT. ' )) / /1
._e� eescri / pion f pr perty being impr vod: ii--C'/ 1� / (32 ii /¢• / O/
Key :.:;cress of property being improved: Vi W Ao /1n /1_12. QG �
M
General description of improvements: `.c56 €moo Q2/5(4/?_ T —
Jwner / 2Y /Q G
,address V/ 17;4./ IM ■ ,4 '( c.--4- lam/, 30)--'33 - -_.
' +mer's interest in site of the irnprovomont 6 4.4--/ I -1 - 52-1
:=ee Simple Titleholder (if other than owner)
Narr e _ I-- 1
Address
_ 6n:ractor .S e.a CI 't A-Do
Address q W / i✓'� ,`/tQ, -- &2 - -.7, }. I ao?o�Q�
none No. / — 7A/ ,3 Fax No. / 8 341 —631-- - —
a k _�rety (if any)
Address Amount of bond $
Pnono No. Fax No.
Name and N' addre A-- ) 1/ 1—
f any person making a loan for the construction of the improvements. .
a!Eti
Address •
Phone No. Fax No.
Name of person within We State of Florida, other than himself, designated by owner upon whom not c-.•.; a .'.:.,
do urnents may be se / ood:
Addross
Phone No. Fax No.
in :edition to hirnself, owner. designates the following.porson to receive a copy of Wu Lienor's Notice .is ;ro:
Section 713.06 (2) ( Florida Statutes, (Fill in at Owner's option).
Name 1,Q4"
Address
Phone No _ Fax No.
L date of Notice of Commencement (the expiration date is one (1,) ',oar Irom thu ..;;Et.) ..f le" .1,r,(; , ..-.
cit;erent date is specified): _
THIS * SPACE FOR RECORDER'S USE ONLY I OWNER
Signed: ___,/iVii, ,"' / .../ .L / /0
Before mu this .2 ,'? day of 24
Doc # 2012021779, OR BK 15838 Page 310, County of Duval, State cf Florida, has pons; -.,1 :,,
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