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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: b — 74.1 cla. 0114,cv 7y ",I t 40,01M A a --io 6i a rq C4 t4 :94 4 114 W.11 ovze i9cox; cv! al.-aq-i;T pan 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 oc) ILI �-j S aS <f 0 elw-�'t lft- LA OVL KI VT- V9 ILA nq t A-AA A�AA.,&j IN 7�W 3) IS 1 jq (6� 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 7 V-11-1 ZUU-!��Vwa� unanz Dare..-- ------------- ---)Vaxl ----------- 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: