Permit Gazebo 1632 W Park Terrace 2012 s m. l CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
t);:47, �� - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
�: oaf ,, ♦ i S J `
Application Number 12- 00000863 Date 7/30/12
Property Address 1632 W PARK TER
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 2400
Application desc
gazebo detached
Owner Contractor
AYCOCK THOMAS J III & MARY ANN DKB ENTERPRISES INC.
491 SATURIBA DR P.O. BOX 331458
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -5885
- -- Structure Information 000 000 GAZEBO
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . 32.50
Issue Date . . . Valuation . . . . 2400
Expiration Date . 1/26/13
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
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 ` a,(tr...:...". �" : ,._.,,
CITY OF ATLANTIC BEACH
" , riLE copv.
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 - 5845,, ;;- > -
'
lob Address: / 32 PqY- 04t°1 600,6 Permit Number: / ? — /
Legal Description Loy fig b4i< 6 Parcel #
c p c) Floor Area of Sq.Ft. 5 rt
Valuation of Work $ -2 VQO Proposed Work heated /cooled non-heated/cooled /Z/
2- a
lass of Work (circle one); New A d 'on Alteration Repair Move Demolition pool/spa window /door
Jse of existing /proposed structure(s) (circle one): Commercial (Residents
f an existing structure, is a fire sprinkler system installed? (Circle one . ~- Yes Nci N /A
?lorida Product Approval #
?or multiple products use product approval orm
)escribe in detail the type of wort- to be performed: 6 - 4 - 2.1 rSCs // X'/ X / 2 -
`roperty Owner Information:
Tame: m 1-,S 74 y (C C le - Address: / 6 3 2- P /lie k• f n-/sec.
:it 4 71.4 e C 14 Stato'Ct Zip . 3L )_13 Phone I
'. -Mail or Fax # (Optional)
ontractor Information:
:ompany /....0 Nan : _ C ► /0 - FK I /t --KS C Qualifying Agent: cr �i!`1
C k 2 E1`LG2itdfV
Lddress: /.C) io ) . 33 / ti . C ityil J 1�d---T(c /c if State (- Zip3a2 . ?3
)ffice Phone ''vim(' -, LI (,-- .S R�rS Job Site/ Contact Number Fax # 7 0 / _ 7S -31/St/
tate Certification/Registration #
schitect Name & Phone #
.ngineer's Name & Phone # / HOOK /lO 40 S
ee Simple Title Holder Name and Address
;onding Company Name and Address
fortgage Lender Name and Address
oplication 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
suance of a permit and that all work will be pe ormed to meet the standards all laws regulating construction in this jurisdiction. Tats permit becomes null
id void if work is not commenced within six (6) months, of months, or if construction or work is suspended or abandoned for aperzod of six 6) 7ionths at any time after
ork is commenced I understand that separate permits must be secured for Electrical�Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters,
inks and Air Conditioners, etc
W4 RN G 'f OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
iereb certify that1 have read and examined this a plication and know the same to be true and correct. All pr. sions .• laws and ordinances governin this
oe of work will be complied with whether specified herein or not. The granti rr
ng of a permit does not pr- e to gi e authority to violate or cancel the
. ovisions of any other federal, state, or local law regulating construction or the performance of construction
gnature of Owner `%
Signature of Contra. e Vii. , / ,�. sr
-int Name •` . .U'bde, = Print Name De 4.6_4 , f/e • /fr/t r7k/
No to and suhscr'he• before me Sworn _to and subs before me
is Day of c ✓ , 20 1 L this '1 Day of V vie( , 20 /2-
L
otary Public ,. ° AMANDA C. GIDEON ot. Pubs '
2 0 • 4,-:. . q •.�" CHAD LEWIS
* A • » • Notary Public - State of Florida ` =� ° A q SION # DO 826493
. uri gr My Comm. Expires Jul 19, 2014
o��� � 0 Commission # EE 10061 , „ qr P ON: gptember 28, 2012
��
ega City of Atlantic Beach
RECEIVED APPLICATION NUMBER
Building Department
' JUL 1 1 (To be assigned by the Building Department.)
l� 80 Seminole Roa j
c. h' Atlantic Beach, Florida 32233 - 5445 = /72 — (� J
Phone (904) 247 -5826 • Fax (904) 5
k_
E -mail: building- dept @coab.us � - - - -- - -
Date routed: 7//c 2 —
City web -site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / � 2z /) Xy---/zi/
/ i /C D pertinent review required Yes No
Buil•'I •
Applicant ) . , , ► 1 1 1 / . ' _ , , .: on i, •
ministrator
Project: C,f) Z. 1 8 c blic Work
-:- Utilities
Pubic afety
Fire Services
1
� � -s
. _: _.. ; --.7, - ,-- , . _ . �_ r. _ . , -; ,,,. ..-..._�xait• .ate a . , ._ f . z _ -
Other Agency Review or Permit Required Review or Receipt Dal
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: E pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by. Date: 7 JI.� /�
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach --"Er-V----8-115 APPLICATION NUMBER
joir, .- Building Department
p, .. = a 800 Seminole Road JUL 1 1 2012 I (To be asses the Building Department.)
�5 • : - , ' Atlantic Beach, Florida 32233 -5445 t i� — f i J
- ' - ' , : Phone (904) 247 -5826 • Fax (904) 247 - 5845 _v
E -mail: building- dept@coab.us 1 Date routed: '0 2..
City web -situ http://www.coab.us 'MEV
APPLICATION REVIEW AND TRACKING FORM
Property Address: b2z /0 �,�TZ4 / Y j
/ D - • - • ent review required Yes No
4 Buil. - 1 •
Applicant: / . . % i / j 111. ' anning & Zon •
/ - . • ministrator
Project: gfr Z J. 6 d • ublic Wor`ic3>
• ublic Utilities>
Pubic afety
Fire Se„- s
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: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: (C Date: 7 /3
-/
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
P "ORKS Com ents:
PU : LIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [(Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27110
City of Atlantic Beach APPLICATION NUMBER
: Building Department Department.) 'if " ..
` '' � 800 Seminole Road (To be aspipr signed by the Building Depa
Fr Atlantic Beach, Florida 32233 -5445 42 - O 3
r Phone (904) 247 -5826 • Fax (904) 247 -5845
T E -mail: building- dept@coab.us Date routed: 7/% 0// Z
�r
City web -sife: http: /lw w.coab. us 1
APPLICATION REVIEW AND TRACKING FORM
Property Address: , � . z 1d XIiz,r Ti e D - • - . ent review required Yes No
Buil•'t •
Applicant: ) _ . ,f ` / / . , 3 - anning & Zonijjg 1_ - ` —
• mirnstrator
Project: /3- Z i 6 c blic Work
CP Utilitie
Pubic a fety
Fire Services
J;!. _
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: [proved. ❑Denied.
(Circle one.) Comments:
BUILDING
---.---m
PLANNING &ZONING Reviewed b : Date: °7 l 6 / 201L
y Date.
TREE-ADMIN. Second Review: A roved as revised.
- ❑ pp ❑Denied.
PUBLIC' WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date: I
Revised 07/27!10
°� � Bu�ding Department APPLICATION NUMBER
, ,,. (To be assigned by the Building Department.
800 Seminole Road Department)
rs ti � Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 Fax (sJ04) 247 -5845
E -mail: building-dept@coab.us Date routed: /7/ 0// 2_
City web -site: http:llwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /3z 1k) / / D- • i ent review required YrNo
Buil. `' •
Applicant: 27 cf 5 ! ' • anning & Zon •
- - • ministrator
Project: /9- Z e o ' ublic Wor
• ublic Utilities
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:
APPL ATION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: /7 Date: 7-1 / 2 --
TREE ADMIN. Second Review: QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27110
-,..
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Prepared By:
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PROPERTY ADDRESS: 1632 PARK TERRACE W. ATLANTIC BEACH Florida 32233 '44
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SURVEY NIJMBEft FL1106.2215
REVISION DATE(S): Rev° 76/2011) I 1
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1 1 FL 111X.2215
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I hereby • ' ..- , ' • %"/ ' ''''' • • hereon desathad
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5E INFORMATION SHOWN ON PLAT. NOT %/MIMED 11
' prqoptylies , '''''7 . • , , lo Ihe best of my react OWNER5111P NOT DETERMAIED
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GRAPHIC SCALE (In Feet) ).,,i''
1 KEITH A. STEPHBISON = ' L 1 1 % IP"
StakpoiRmidaRetaularalawaprapilispaar 1 inch 40 I
Mango Na Mt
the errhis Survey for nemeses ether than Intended, ‘ about Written Verification, aril be at the User's Sole Mak and Without Liability to the Surveyor. i
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. •1
POINTS OF INTEREST: NONE vISABLE
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4 " FLOOD INFORMATION: 1 I
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' I By performing a search at www.tema.gov, the property appears to be located in zone X. This Property was found in THE CITY OF ATLANTIC BEACH community 1 i
; I number 120W5, dated 0017/89.
- . - - '.. ,,,,,,,:] - .. - --•,,,,,--•,,.--, ----•.;.t, ''''',. ,,4 f" "'A' — — ,
1 CUENT NUMBER92110 ,c-",--t.
t : 1 DATE: 7/5/2011 .40 V jf, ,,,:, ', ■ 41.eb ti " SA,40 _4 44 41 11, -1 1
r oll, a,:clu.44„,X,4!%; AFFoLlicrE I
- . . 440.'n'"t•• - ^ , A.. , - - 4
: — — - ' COCK —4- 1 11, 4 - ' 't ie. Association ''.-
t . BUYER: THOMAS J. AYCOCK III AND MARYANNE IVI. AY ,
' 4 '''' RIERABERS ! I
1:i sE R HENS AND Devisees OF THE ESTATE OF RICHARD TAYLOR DOWNES, DECEASED 1
tL
1 1 CERTIFIED To: THOMAS J. AYCOCK III AND MARY ANNE M. AYCOCK. / t - --
. i SIGNATURE LAND TITLE COMPANY '
: . . , , ' . , wwurveys�m
t i i
Land Surveyors, Inc. P 146-73S-1916 - F 866-744-2882
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, LB* 7337 12220 Towne Lake Drive, Suite ss • Ft Myers. FL 33913