Permit 2129 Seminole Rd. (vault) CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
jilt
Application Number . . . . . 09-00000267 Date 3/09/09
Property Address . . . . . . 2129 SEMINOLE RD
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 750
----------------------------------------------------------------------------
Application desc
extension of exterior wall to separte duplexs
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OWNER
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit ' . . . . . BUILDING PERMIT
Additional desc . . EXTENSION OF EXTERIOR WALL
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 750
Expiration Date . . 9/05/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS.
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY
CONSTRUCTED.
*SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED.
PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL
INSPECTION.
*FMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US
Approved as revised.
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Roll off container company must be on City approved list
and cannot be placed on City right-of-way.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check
PERMIT IS APPROVED ONLY &RWRI)ANCE WITH ALOLOCITY OF ATLAN&%EACH ORDINANU2PAND THE FLORMOV
BUILDING CODES.
ss CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Page 2
Application Number . . . . . 09-00000267 Date 3/09/09
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
SS
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed:
City web-site: hftp://www.coab.us 4
APPLICATION REVIEW AND TRACKING FORM
Depoment review required Yes-/"No
("Buil - V
Property Address: anning &Z-OND4
-7-re-4 Administrator
Applicant: "Public Wor
VON
�P-Mc utiliti§P
Project: Public-T-af-ety
Fire Services
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
APPLICATION STATUS
Reviewing Department First Review: 2A/pproved. E]Denied.
(Circle one.) Comments:
UILDI`�\
PLANNI &ZONING Reviewed by: Date: c)LA 6L6
TREE ADMIN. 11L
V
PUBLIC WORKS Second Review: ElApproved as revised. ElDenied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: CApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
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Boyd, Nancy
From: Showman, Lisa
Sent: Friday, March 06, 2009 4:23 PM
To: Boyd, Nancy
Subject: 2129 Seminole Permit Application
FYI --Application 09-0267 is approved in the AS400 by PW. Sam Cockrel may be contacting you about this.
1
City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assigned by the Building Department.)
6 nu
800 Seminole Road
Atlantic Beach, Florida 32233-5445
-5826 - Fax(904)
Phone(904)247
IV.,139 E-mail: building-dept@coab.us Date routed:
City web-site, hftp://www.coab.us L
APPLICATION REVIEW AND TRACKING FORM
DqpA_rtment review required Yes No
Uil ,
Property Address: --Ma—nning &2
TTR Administrator
Applicant: P_ub I i c W6rls
P.0
Project: Fuffi-c-Tai—fety
Fire Services
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 ar�d Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:-- -Date:
TREE ADMIN.
PUBLIC WORKS Second Review: DApproved as revised. ODenied.
PUBLIAUTILITIES Comments:
PUB IC F
'i Wry
FIRE)GARVICES Reviewed by: Date:
Third Review: FApproved as revised. F�Denied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-
OFFICE:(904 247-5826 0 FAX NO.:(904)247-5845
BU)ILDING-DEPTCCOAB.US
BUILDING PERMIT APPLICATION DLIVALC OUNTY
Z VALUATION OF,WOR 13.,SQ�FT;UNDER ROOF
I'JOB ADDRESS:
7 5-0
4.LEGAL DESCRIPTION.;.�_
6.USE OF STRUCTUR
5.cLAssOFWORK.�",.� :�J- E:
0 NEW BUILDING G DEMOLITION RESIDENTIAL
LOT-BLOCK-SUB DIVISION )gf-ADDITION 11 CONVERTING USE El COMMERCIAL
7.DESCRIPTION OF WORK. 11 ALTERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLERi
0 REPAIR 0 POOLISPA 11 YES NIA
7-9-R P- 0 MOVE 11 OTHER 11 NO
PROPERTY OWNER: ARCHITECT/ENGINEER:-,
PONTRACTOR*'_.,�
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
16.NAME: 24.LICENSEE NAME:
St4114 L-61.1
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
60 18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
.270 -';Z IgIl 1 1
13.CELL PHONJE: dl. 21.CELL PHONE: 29.CELL PHONE:
(0/,v- ,'w5
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30 EMAIL ADDRESS:
FEE SIMPLE 11TW IHOLDER:'L��'�'I-�'�.."'
MORTGA E
LIEND'Ek
BONDWG�OMP
(IF OTHER THAN OMER).�
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I 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,Sign!,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEITS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 WITH YOUR
LENDER O"N ATTORNEY RUORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OVER' AGE
CONTRACTOR"
I ttome rAg4ri er Required) (Qualliller Only)
Signed: 'Air,M- L"A_r Date: Signed: Date:-
6 2009 in the county of Before me this 2009 in the county of
Before me this_62.6j�day of_/�j - _day of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Lar Z)p L/aL Notary Public at Large,State of
geState of County of County of
•Persona"'y Ke!�� n 13 Personally Known
•Produced ldentl't * I El Produced Identification-
Notary Si ature: Notary Signature:
SHIRLEY L.�GMHAM
Notary Public-State of Florida
Wy Commission Expires Feb 14,2010
BLDG01 Idg:Rftmmissi�n� 518533
sn
Bonded By National Notary As
CITY OF ATLANTIC BEACH
'7777
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
Telephone: (904)247-5800
Fax: (904)247-5845
hftp://ci.atlantic-beach.fl.us
FAX
To: Prof) rr+-o K611 Fax #: V-�)O
From: Jennifer Date:
I t
Pages: Re: CP(t0j(-- tt S -5
E-1 Urgent For Review >(P-lease Reply
Notes: Thi --7 CkJct rcs--s (1"fas (P-)6(0qirC( k�) q
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2129 Seminole Road
Atlantic Beach, FL 32233
March 10, 2004
Jim Overton
Property Appraiser
231 East Forsyth Street
Jacksonville,FL 32202
Re: Notice of Intent to Deny Exemption
Dear Jim,
In 2002 the City of Atlantic Beach changed the street address of my house from 213 1-1
to 2129 Seminole Road.
I notified the City of Jacksonville, but apparently the notification was not sent to the
Property Appraiser's Office,
I have not moved. I have lived in this house since 200 1.
If you have any question, you can contact me at this address or at telephone 270-2199; or
you can contact Mr. Don Ford at the City of Atlantic Beach.
I hope this will clear the matter.
Yours truly,
Sam W. Cockrel
44
?5�
CITY OFATLANTTC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
MEMORANDUM
May 24,, 2002
To: Jacksonville Electric Authority
Property Appraisers Office
Atlantic Beach Water Department
United States Postal Service
From: Don C. Ford, Building Official Q, (K,
Re: Address Changes
Please be advised that the following addresses have been changed:
OLD ADDRESS NEWADDRESS
2131-1 Seminole Road 2129 Seminole Road
2131-2 Seminole Road 2131 Seminole Road
DCF/pah
cc: Sam W. Cockrel
Thomas S. Bethmann
City Manager
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
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-------------
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-----------
T- --------------------------
7
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000034 Date 1/13/09
Property Address . . . . . . 2129 SEMINOLE RD
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
----------------------------------------------------------------------------
Application desc
REPLACE SOME SIDING
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OWNER
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 1000
Expiration Date . . 7/12/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total 17 . 50 17 . 50 . 00 . 00
Grand Total 52 . 50 52 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPTGCOAB.US
Z--r-aw) BUILDING PERMIT APPLICATION DUVAL C;OUNTY
3.SQ. UNDER ROOF
,�A�JOBA
IWO B.USE,OF STRUCTURE.-�-'
77'�LE ESCRIPTIOW 6,CLASS OF WORK
0 NEW BUILDING 0 DEMOLITION 0 RESIDENTIAL
LOT BLOCK—SUB DIVISION 0 ADDITION [3 CONVERTING USE 13 COMMERCIAL
0 ACCESSORY BLDG. 8.FIRE SPRINKLER:
WORK:- ALTERATION -
0 REPAIR 13 POOL/SPA 0 YES 13 NiA
7gol'oe';-nq Q MOVE 13 OTHER, L,' IONO K
rrE
CT I ENGINEE
777-7 777,- 77,PROPE)tTY OWREK: CONTRACTQM-`�� :ARCH
9.NAME, 4111 15.COMPANY NAME: 23.COMPANY NAME*
16.NAME: ko 1)'V f
C
24,LICENSEE NAME: Z
IT STATE OF FLORIDA LICENSE NO/ 25.STATE OF FLORIDA LICENSE NO.:
10.ADDRESS:
A 7j2j 18.ADDRESS: 26.ADDRESS:
FICE PHPNE: 12'FAX No 19.OFFICE PHONE: Z 120.FAX No.: 27.OFFICE PHONE: X 8.FAX NO.:
13.CELL PHONE:&/'� 9V 21.CELL PHONE:/ 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL AD7SS: 30.EMAIL ADDR
FEE.SIMPLE
:j 7
�,HQ�DER;
T
-([��'THA!40VVNER)'�;'i�'' 35.NAMV
31.NAME: 33.NAMY
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a pennit 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,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEITS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMIENT.
E
'CONTRACTOR"',"'
Ik o, E T
I'I ney.jr ualiliqroyyl� --
g.nq�7�
ttomey 0 gency ,Requireq) (Q
Signed: Date:
Signed: Date:
Before me 4this f day of 2009 in the county of Before me this day of 2009 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. 7L, , — true and accurate.
Notary Public at Large,State Of County of Notary Public at Large,State of_,County of
13�vftnally Kn [3 Personally Known
El Produred Identification-
V'roduced Identifi Notary ignature-
Notary Signature: "Tt;
4=— 1.2m,a � —1 X
IRLEY L. GRAHAM 10VAT�El) FOR IGOI)E G
EPublic-State ot Florida CITY OF ATIANTIC BEACH
mMiSSion Expires Feb 14,2010 SEE PERMITS FOR ADI)ITIONAL
Commission#DD 518533 REOUIREMENTS AND CONDITIONS.
S
Pe Od By National Notary AsSn,
REVIEWEDBY DATE:
FILI
City of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
1j1T E-mail: building-dept@coab.us
Uty web-site: hftp:/ANww.coab.us Date routed: z Z214 5p
APPLICATION REVIEW AND TRACKING FORM
Dgpmtment review required Yes No
Property Address: d1,P� =:5�k_;//d le, Building __�) _ —
F�ning�&Zoning
Applicant: 1,A) A124 Tree Administrator
Public Works
Public Utilities
Project: (SM 'F
Public Safety
Fire Services
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: MA'pproved. FIDenied.
(Circle one.) Comments:
(2�F)
PLANNING &ZONING
TREE ADMIN. Reviewed by: Date: 1-12-15y
PUBLIC WORKS Second Review: FlApproved as revised. RDenied.
PUBLIC UTILITIES Comments:
PUBLIC SAFETY
FIRE SERVICES
Reviewed by: Date:
Third Review: F-]Approved as revised. F�Denied.
Comments:
Reviewed by: Date: