Permit Patio Cover 805 Plaza 2012 i f CITY OF ATLANTIC BEACH
sp)
r) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000183 Date 2/28/12
Property Address 805 PLAZA
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 9500
Application desc
patio cover
Owner Contractor
AUGUSTINE, JAMES LIFETIME ENCLOSURES, INC.
805 PLAZA 5521 CHRONICLE COURT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 731 -5580
- -- Structure Information 000 000 PATIO COVER
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit W /W /O BUILDING PERMIT
Additional desc .
Permit Fee . . . 200.00 Plan Check Fee . . 100.00
Issue Date . . . Valuation . . . . 9500
Expiration Date . 8/26/12
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 3.00
STATE DBPR SURCHARGE 3.00
Fee summary Charged Paid Credited Due
Permit Fee Total 200.00 200.00 .00 .00
Plan Check Total 100.00 100.00 .00 .00
Other Fee Total 6.00 6.00 .00 .00
Grand Total 306.00 306.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2012042018, OR BK 15862 Page 987.
Number Pages: 1
Recorded 02/28.'2012 at 02:37 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
STATE OF C
COUNTY OF G
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Descripfon ofproperty: (tezal descFiptiolt ofKoperty, and str et address -a ailable) , i / of,c._
2. General description of improvement: ? i - ;
3. Owner information: . /
a. Name and address: � � (s_ -, t t; i ."- ( ` ` C (1 I` " r•' , 3- (�_Z_r.,. (Dtr .
I -i -if dt,l / ( 11 t... 4--- b. Interest i ) `x
n property :_ UC /o
c. Name and address of fee simple titleholder (if other than owner):
Lifetime Encj surer, Inc.
7=1. Contractor: (name and address) 5521 C�ironicle Ct.
,t� 9ac(5onvi&, FL 32256
a. Phone number: !J I. S53
5. Surety: a. Name and address:
b. Phone number: c. Amount of bond $
6. Lender: (name and address):
a. Phone number:
7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7, Florida Statutes:
(name and address):
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes: (name and address)
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)
This Space for Clerk's Use Only
1
' +`µ AM u�rDbJi'J
1, 3 / B
L �., l �� , P bIi - 5t.,. of Florida
si ,attr.' 4 tl e L , ..
.r .olom., „Ion ft r 5i
„ 5ci 2d i'iutagh Air 1 ta.yr, 1 :
Sworn to and subscribedl't ,, .,- L ,„ ., „- 4 , ,?
this / day of
/ Ai A Z. 4
NOTARY PUBLIC
1
•
HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT
The purpose of this document is to make you aware of any limitations 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 any form of temperature control system be added to a Category I, II, or
III Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur, the
room shall become non - compliant and must comply fully with all of the requirements for habitable /conditioned spaces as
mandated by the Florida Building Code, The Florida Nlode, Code and State Statutes.
}INNER
1 have read this complete form and understand • receiving a Category J Sunroom. (I -V)
PrintedNa, + - AN i bI 41, • /rJlh� . .1 / Address Q/I1 UIJ� 3 ( Q z -6✓ l r
. t 1 ..
Signed: - j � j _ Date: 1 / /
______,_:,
-- _ ' !s _
Before me this day of in the County of Duval, State of Florida, has rsonall a
Pe Y appeared
statements and declarations herein are true and accurate. " "- " f and affirms all
" " " AMY GOODWIN
Notary Public at Large, State of County of (J.. 1 l ? -. `��'. Notary Public - State of Florida Personally Known ❑ or Produced Identification ❑ f = + - o e "' fires Jun 6, 2.013
4.
ID Type c 1 n r, .
Commission # DD 89728E r
d TII :otful, N,& on Notary Assn.
Sunroom and Screen Enclosure Requirements
Category , I
Habitable v II 111 IV V
Space No No No Yes Yes
Foundation Walls <200plf can Walls <200plf can Walls <200plf can Walls <200plf can Walls <200plf can
have 8 "Wx12 "D have 8 "Wx12 "D have 8 "Wx12" D have 8 "Wx12 "D have 8 "Wx12 "D
ftg or 3 -1/2" slab ftg or 3 -1/2" slab ftg or 3 -1/2" slab ftg ft
if no concentrated if no concentrated if no concentrated ftg
load >750Ib Toad >750Ib load >7501b
Exit Lighting Not Required Required Required Required Re uired
Interior Electric q
Outlets Not Required Not Required Not Required Required Required,
Emergency Egress from exist. Egress and Exit Egress and Exit Egress and Exit Egress and Exit
Escape structure allowed must meet code must meet code. must meet code. must meet code.
Openings if open to Other resistance Other resistance Other resistance
atmosphere or requirements for requirernents for requirements for
considered forced entry, air forced entry, air forced entry, air
screen enclosure leakage and leakage and leakage and
and has screen water penetration water penetration water penetration
door leading also apply. also apply. also apply.
away from pp y'
residence.
Misc. Window Host structure Removable Removable Host structure Host structure
and Door windows/doors windows allowed windows allowed windows & doors windows & doors
Requirements shall not be in sunroom. Host in sunroom. Host shall not be may be removed.
removed. structure structure removed.
windows /doors windows /doors
shall not be shall not be
removed. removed.
Wind Borne
Debris Opening Not Required Not Required Not Required Required Required
uired
q
Energy Sheets Not Required Not Required Not Required Required Required
/
•
AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Division , City of Jacksonville, 21q North Hogan Street
Horne Owner: J a t 'ii e `c cAc1 (4 s= jr.k..-
;'Fame ) 1.___a g yp " ia ez- 794/61-4 C. >%,
S'Ir te
t:_3 a, 3
5521 Chronic& Ct.
Contractor: 5ac/jsonvifle, 5Z 32256
Permit Number Ii - /2- 0/ 673
As the Contractor for the proposed new structure located at the above address, 1 have personally viewed
l\iih the above named home owner those portions of the existing structure on which portions of the
proposed new str uctn are to be attached for structural support. I am confident that the drawings and details
included with this permit application depict the existing conditions of the host structure, and the members of
the existing structure upon which the neW structure are to be attached are sound with no rot or deterioration
The home owner has been advised by me that, in my best judgment based on experience and knowledge of •
structural adequacy, the members of the existing structure Upon which the new structure are to be attached
are sound \Vith no rot or deterioration and will support all structural loads and forces imposed on them. By
signing below, 1 hereby declare that 1 will hold the Cily of Jacksonville harmless and release it from any
• responsibility and liability for any adverse consequences or failures resulting from this work, and further
that l will not initiate, execute or enjoin any legal action against the City of Jacksonville for such
consequences or failures.
. A copy of this document will he recorded as an official record with the Building Inspection Division
permit history so that any and all future buyers /owners of this property may be made Mare o f th e
status of Work performed on this structure.
Signed -- C —"�— Date c..5 / 16 / / 1
Before meet- 1 fir' day of ! i (m C= �6 a
In the County of Duval, State of Flor da, has =. I a xea_ -n , , .
t .!::; Y ;_fi ; ,, Notar Pulic - S AM'/ G00DWIN
�^ 1 s's. ,. pole r of Flory 1
� l f' u Q�- oi 1.�i � �s Jt / 1 1 3
r � al 1 _ , i • ;�U�;n e 1 l ..' 1 "S' a. d
Affirm. ) slatemen d de rations here 1 1 ;I< 'g ruel aGH>Ilgon t2 DD 897288 j' .
°''` '" Bonded Through Nat Notary Assn.
`� G } �
Nolan Public at arge, Z to of � , County of �e..va
Personally Known t/ , or Produced Identification -
ID Type _