Permit Porch Roof Addition 1980 Mipaula Ct 2012 :I. r ' f CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000379 Date 4/10/12
Property Address 1980 MIPAULA CT
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 5875
Application desc
ADD GABLE ROOF OVER ENTRY (EXISTING CONCRETE)
Owner Contractor
ROWLAND MILLS E & REBECCA D POAG BROTHERS GENERAL (GC)
1980 MIPAULA CT CONTRACTING
ATLANTIC BEACH FL 322334555 5991 CHESTER AVE STE 111
JACKSONVILLE FL 32217
(904) 651 -4844
- -- Structure Information 000 000 ADD GABLE ROOF OVER ENTRY PORCH
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 80.00 Plan Check Fee . . 40.00
Issue Date . . . Valuation . . . . 5875
Expiration Date . 10/07/12
Special Notes and Comments
NEED RECORDED NOC PRIOR TO FIRST
INSPECTION
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*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 80.00 80.00 .00 .00
Plan Check Total 40.00 40.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 124.00 124.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
APR -10 -2012 15:35 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1'1
Doc # 2012078375, OR 8K 115.908 Page 1584,
• Number Pages: 1
N OTICE OF COMMENCE Recorded 04/10/2012 at n3:56 Pm,
JIM FULLER CLERK. CIRCUIT COURT DUVAL
COUNTY
Permit No. 2- .--� cocoa 3
RECORDING 810.00
Tax Folio No._ . --
THE UNDE.R.SIGNED hereby gives notice that improvements wil! be made to certain real property, and in accordance with Section
71.3.13 of the Florida Statutes, the Following information is provided in this NOTICE OF COMMENCEMENT.
t.Doscription of property (legal description): 16* ft �. F ��tlC,lC . I1.JP L.p 1 l t.•
a) Street (job) Address: 1C %C 1 & L _ ULNA �, , .. l��tl►3 G J
2.Gcncral description of improvements: (tj�aiS q G.Ab1g,. •+ -f & P 4 UTi
3.0wncr Information �
a) Name and address: %'%1S 1 fM \ u . Zat o1 __398C3 , } w` CJ
h) Namc and address of fee simple titleholder (if other than owner) _.
c) interest in property _
4,Contrractor Information.
a) Name and addressTopea . ttn ke ,1 e 1i 1i56 919 CAusicktig,,LAIrtfiffle f' 1
b) Telephone No.: N .Lier' r j — ' _ Fax No. (Opt.) dt 4 Co % . -+ +lam
S.Su.rcty Information
a) Name and address:
h) Amothit of Bond:
c) Telephone No.: # J f- Fax No. (Opt-)
6.Lcndcr •
a) Namc and address: t] _ ... _
I?hone No. 7. identity of person within the State of Florida designated by owner upon wb.om notices or other documents may be served:
a) Name and address:
b) Telephone No.: t„) 1p _ _ Fax No. (Opt.) _
$,In addition. to himself, owncr•design s the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(h), Florida Statutes:
a) Name and address: t.._)01 --
h) Telephone No,: L) /1 Fax No, (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one 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 CAAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AN1) 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
COUNTY OF 17NLLJ.AS 1 0 [ ZA4,,,i
i tr ue of Owner or Owner's titian-Z=1 Offieerilhirectrrr crfMan r
YYI� Ids . i? lrk
Prim Name
Tlic foregoing in.sttument was acknowledged before me this C :tp clay of _ jpC, tr , 20 IQ., by
__ as (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on belta.lf of whom instrument was executed).
Personally Known ,Ulx Produced Identification Notary Signature i r . p�
Type of lde.nti. iication Produced Name (print) _ ( _ •
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
VOKMgNC rvse12oto — AIWA H EDENPIELD
• ;AV ° Signature ,ature of Natural P ci on Signing 10.) ter COMMISSION � DD4 4791�! P+ g ' g (in Zinc # 10. Above
EXPIRES MAR 17 2014
STOW OF J ONPIDTROUGN
•1* 1:IIJNSURANC COMPANY
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH M T
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 i APR 0 4 2012 1 0
Job Address: t at aa,,.�, 00 'i p a V1,1 Co ...4A- /2-3 Ql� 1 ' \ �► Permit Numbe
Legal Description L. r - 1 8 1001' S£IV j4} f Oott '%. (AA : qlw � Parcel #
e Floor Area of Sq. t. Sq.Ft
Valuation of Work $ S ?$ Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial c'Resider ia
If an existing structure, is a fire spr system installed? (Circle one): Yes �_N,q> N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Fkf R 1i,5 Ltie„) 6 A ID tE otsarg,, 6irt'i w AM
'Da, R.,
Property Owner Information: n t
Name:? \�,S ar DAM *Z 2.. R Otti7\ k .Sd Address: ick im i L` viva C o t�R.T
City QCCVrkwAtC itp State Zip 39aas Phone ( 4) 3o'7 - c86(0
E -Mail or Fax # (Optional)
Contractor Information:
a� httS 6 t�� Cc>~1 r' �r yi • g Agent: _ < 5 �'�
Company Name � �L ualif in A ent: +�nti��� ��
Address:mg l extsitg. Suu}E. \\\ Cit AG I. State PL.., dip 3 as F7
Office Phone(904) t$ I $44 Job Site/ Contact Numbe ) t - 4$ Fax # . . j i 47$&
State Certification/Registration # GM. S t : :•
Architect Name & Phone # . . 1 . CM) 02 " - - 0 .....>N...b , ,..F, , - . -4 ' f ,,8 , S:
Engineer's Name & Phone # ''.
Fee Simple Title Holder Name and Address ill y 1 I + i7i s
Bonding Company Name and Address t .,,_ �
Mortgage Lender Name and Address 1.1 • ;.
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 aperiod of six 6) months at any time after
work is commenced. I 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.
1 hereby certify that I have read and examined this . application 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 _ �. , � 1 » ' GI�UI Signature of Contract•z� �� _ _ _ _ �
Print Name 011Ils f.. 2ehrCtA Q. } w, la Print Name 6 P,rokuu, vz::1 r'+;s
Ili
Sworn to and subscribed before me Sworn to and subscribed before me
thiscP(P' Day of 'ti1Jefa.Ck\ , 20 ta► thisol.lotk. Day of tApciaa.th. , 20 VD.
r Q. 2QLT( li - .?9.-��
Notary Public Notary Public
A H EDENFIELD 'wised 01.26.10
i ar COMMISSION # DD947914
' "" EXPIRES MAR 17 2014
0 I .1 Lin hr l am,. ALMA H EDENFIEID
01/27/2003 09:02 9042731462 PEOPLES PVB PAGE 09
MAP SHOWING BOUNDARY SURVEY 5 - 1 ----- 7 ---- 1
' LOT 9 BLOCK - AS SHOWN ON MAP OF
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03.M:1% City of Atlantic Beach APPLICATION NUMBER
? Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 /2-3 79
Phone (904) 247 -5826 Fax (904) 247 -5845
E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /,:&) / De. - • . ent review required Yes No
= uildin•
Applicant: 44f el
- a 5 6 C p�r � j - j - g :marling ,�
I ree A. ministrator
Project: Cie O �T Public Works
l Public Utilities
Cesht C�OJ Public Safety
�/ Fire Services
t 4 � y fi r #' 'r"4 .14";' z 4 x e
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 Alb
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APP CATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
B
'CANNING & ZONG ,
Reviewed by: • - Date:
• DMIN. I�
Second Review: QApproved as revised. ❑Denie..
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [1]Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
!sV - City of Atlantic Beach APPLICATION NUMBER
s Building Department (To be assigned by the Building Department.)
` 800 Seminole Road
T w r r Atlantic Beach, Florida 32233 -5445 (I'
Phone (904) 247 -5826 Fax (904) 247 -5845 ///1//-2_
;.011 t > E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 7O o e T Department review required Yes No
tug=
Applicant: ?Q»t o--/7 q
l Tree Administrator
Project: )in 94 � o jt / 6m Public Works
Public Utilities
6 ( Te y Public Safety
J Fire Services
l`�'7r
_.ak!
Other Agency Review or Permit Required Review or Receipt Date &Eel
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation G
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:
C B UILDING
PLANNING & ZONING Reviewed by: 4? Date: C
TREE ADMIN. (
Second Review: Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. EDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10