Permit Patio Roof Cover 2107 Fairway Villas 2012 r ; \\� CITY OF ATLANTIC BEACH
;-' Pa. s) 800 SEMINOLE ROAD
:? ATLANTIC BEACH, FL 32233
''`" INSPECTION PHONE LINE 247 -5814
- ---Oil
Application Number 12- 00000498 Date 5/02/12
Property Address 2107 S FAIRWAY VILLAS LN
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 2900
Application desc
ALUMINUM PATIO COVER
Owner Contractor
DANIEL HUGH G & RITA H GENERAL METALS & PLASTICS, INC
711 CHERRY ST 5 WALLER ST
NEPTUNE BEACH FL 322666601 JACKSONVILLE FL 32205
- -- Structure Information 000 000 INSTALL PATIO COVER
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . 32.50
Issue Date . . . Valuation . . . . 2900
Expiration Date . 10/29/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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 65.00 65.00 .00 .00
Plan Check Total 32.50 32.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 101.50 101.50 .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
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 `
PP 9e t
'�' ' kb'', = ' 1 / i t
/ f
Job Address: f A S .IC n►✓L.. Permit Number:
Legal Description (. ;f l �j' /i.i f a ill/ 1 , 4s. Parcel #
Valuation of Work $ a`le�? € F Area of Sq.l''t. Sq Ft
Proposed Work heated /cooled non- heated /cooled i
r_
Class of Work (circle one): New Addition ,,;Alteration Repair Move Demolition pool/spa window /door
Use of existing /pro sed structures (ci one
If an existing structure, is a fire sprinkler system insta ed (Circe one): Resi e N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: ,a- u slat ■ q a
d ez.:1- i c de) L-'1 i2.._
Property Owner Information:
Name: j l a �t�
S Addr ess: , / 1 C L,ulJ
City /V tZ StateCi Zip 3? I Phone
E -Mail or lax # (Optional)
Contractor Information: q �' d /
Company Name: ca ti i e e41 a t . S1 / 4 t o f C S ht j 1 1J -
Address: x,2 7 � � ; � �� - ° ���� Qualifying Age 1 /
Office Phone 3 l &'a. if Job Site/ Contact Number City
` - '. u State ► Zip 3 c'�
State Certification/Registration # 5 C e e; 5" 74 9
y ''� y � �°� Fax # 3S ',� S
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address : <1 � 11 �'
Bonding Company Name and Address
Mortgage Lender Name and Address LI : ''��
i ' r
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 eriod 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, Furnaces, 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 ertify that I have read and examined this rplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be co . ' . whether specd rein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, • • 'cal law ating construction or the performance of construction.
i
Signature of Owner ,,.� Signature of Contr. c . - 1 ; /'
Print N, .
s Prin. P y ()
� . °4,, wary tebe of Florida
or N9Qlt rl�
Sworn to . '
_ .yc iii a. ' i. � - 3925 My Cammisalon EE085925 •
this ) 4 4, . . . . 11 , 201''� Swo �b ' st fhlld re .
this - ; • , 203
Notary Public Notary Public
Revised 01.26.10
Doc # 2012092605, OR BK 15926 Page 1060,
Number Pages: 1
Recorded 04127,2012 at 09:43 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
•
Permit number f Q ' 7 S - Tax Folio number
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIDED hereby gives notice that improvement will be made to ce tain real prop irty,
and in accordance with Chapter 713, Florida Statutes, the following infommtior. is provided ix.
this Notice of Commencement.
1. Description of propey:
2. General description of improvements:
add 9 5( /7 .///go e.94./e7e - -
3. Owner information: •
• a. Name and Address: r
,f1/4 94,4/ /e /S' a 07 a �y,
j
b. Interest in prop L /SCI-
1;
c. Name and address of fee simple titleholder (other than. owner):
4, Co actor's name a e ` ) 4,),(///f. !, � •
a. Phone number: % k f b. Fax number: �� /-S
5. Surety information:
• a. Name and address:
b. Phone number. c. Fax berr: d. Amount o 'bond:
6. Lender's name and address:
a. Phone number: b. Fax number:
7. Person within the State of Florida designed by owner upon whom notices rr other documents
maybe served as provided by 713.12(1)(a), Florida Statues.
Name and Address:.
a. Phone number: `' " b. Fax number:
8, In addition to himself/herself, owner designates _
of to receive a copy of the Lienor's Notice provided in
Section 713.12(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the exertion date is one (1) yew from the
date of Recording unles- erent date kspefied). b< '411"
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MAP SHOWING BOUNDARY N C R OF
LOT 18. EMRWAY -LAS. AS RECORDED.. MI • PLAT BOOK , PA(�S 22. AND 22A,
OF THE CURRENT PUBLIC. OWS OF DUVAL TY. FLORIDA.
CERTIFIED TO:
RSTMLI COR21811AIMUDDEN 1
AMMINDIMICIAla
lMIt8't'COik3TT1'i'L8 SIORVICES, IIIC:
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LEGEND:
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AFFIDAVIT FOR AT' 'ACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Irispf ction Division, City of Jacksonville, 214 North Hogan Street
Home Owner 1. it,. i � ^ 'kid
Name ,
-2 X07 ZAi iLt :.hLi �`rMA— •
,Street 4ddress
Ad � -fi=r 6 j ' - t - i ��
City. State and Zip Code
Contractor:
(- �!'� k + 1 /1" -I it l s' `I` , � to S rii�[ Z_ ,,
Permit Number B '' 9 g
As the Contractor for th : proposed new structure located at the above address, I have personally viewed
with the above named hol ne owner those portions of the existing structure on which portions of the
proposed new structure ai e 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 upo 1 which the new structure are to be attached are sound with no rot or deterioration
The home owner has bee advised by me that, in my best judgment based on experience and knowledge of'
structural adequacy, the r iembers of the existing structure upon which the new structure are to be attached
are sound with no rot or c eterioration and will support all structural loads and forces imposed on them. By
signing below, I hereby declare that I will hold the City of Jacksonville harmless and release it from any
responsibility and liabilit r for any adverse consequences or failures resulting from this work, and further
that I will not initiate, ext:cute or enjoin any legal action against the City of Jacksonville for such
consequences or failures.
A copy of this document will be 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 aware of the
status of work perform d on this structure.
Signed �; _ 4.G� � A.:t !,4 Date / / . i )
Before me this v '?ta& da) of A 04 i t-- e t -x...
In the County of Duval, ; itate of Florida, has personally appeared
r 4 a .6 4 1 , 04 D ck.4 4.0 cam'- herein by himself/herself and
Affirms all statements at . d declarations herein are true and accurate.
Notary Public at Large, t;tate of 1— , '7 �-�-�
`I
Personally Known 1---Or Produced Identification
ID Type
F ,..,,
KY' Notary Publ R ic State of Florida
Samuel Storey
_ Z My commtset f 6LO 1 5
0,,,,a Expire! 04'13/20ib
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MAP SHOWING BOUNDARY RVE.Y OF
LOT ia. FAIRWAY VILLAS, AS RECORDED-1K PLAT BOOK , PAGES 21 AND 22A,
OF THE CURRENT PUBLIC. RECORDS OF DUVAL TY, FLORIDA,
MIMED 1D..
ROM CORNIMAKEBLDDIN
AAMBITIROIOTIOAVES
ANIIIKICAtlif 11 1r1111 nestamics n►ANY
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taJ > T" a '�fairMI
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us ° 0 '141,-,1 ro1MIQ c a rvf N t rteoo E 68.50 (' - 11 1 mum tir mow
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This a I able
i s di i n and other i al land
i* developm@nt ! s b t �t constitute
C. 6wa1 fb1 fh cebf fm'Fts. Compliance
with Florida Building Code an all other applicable 1 ox . 70 14
local, State and Federal permitting requirements
must be verified by signature of the City of Atlantic
Beach Building Official prior to the issuance of a
Building Permit. imp
/
Approved Ely:
AT1741 111innoi Director
Date:, / '1ON/ /.47L
L !; 4 2" 'fy�
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SU,,et'SEbO6 <. t'OZELRE H0I IH
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s� i» City of Atlantic Beach APPLICATION )NU BER
js �� Building Department (To be assigned by the BuDepartment.)
s • 800 Seminole Road /� _
,j7 Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
x r, >tr E -mail: building- dept @coab.us Date routed: 2
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
S
Property Address: (.9) 7 67IWT K/// S /7) Department review required Yes No
uil•
Applicant: Q177 A_ i /1,- /J x /6, 3 P anni & Zoning
Tree A ministrator
Project: /74 9X / Xitcrni on-r-, Public Works
fi / 0 vi e_ 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: �pproved. ❑Denied.
(Circle one.) Comments:
C UILDING
PLANNING & ZONING Reviewed by: /7? Date: 7 1-2 --
TREE ADMIN. Second Review: DApproved as revised. ❑D ied.
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
r f � City of Atlantic Beach APPLICATION NUMBER
e: Y � � Building Department (To be assigned by the Building Department.)
r ' f � 800 Seminole Road /� _ ; /
Atlantic Beach, Florida 32233 -5445 `�
Phone (904) 247 -5826 • Fax (904) 247 -5845
9'e E -mail: building- dept @coab.us Date routed: 7 �A
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /1 ? / 7 ij,�y frJ/ S t Department review required Yes No
J uil •
P annin & Zonin
Applicant: �WA1 ��� -/s 4 � /�S1`� � 3 _ g
G� ! � 1 Tree Administrator
Project: /77 / X /1 ,' 2c`7'm' 0--e Public Works
0 V 6e-- Public Utilities
Public Safety
Fire Services
I ' OV$W * i, 4
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: Epproved. ❑Denied.
(Circle one.) Comments:
BUILDING
ANNING & ZONIN Reviewed by: Date: 01 (7` ,
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. nDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09