1896 Beach Ave pool deck and stairs 2012 CITY,1 OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000967 Date 8/13/12
Property Address . . . . . . 189� BEACH AVE
Application type description DECK/PATIO
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 36922
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Application desc
pool deck and stairs
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Owner contractor
------------------------ ------------------------
TAYLOR SANDRA J HORN BUILDERS INC
1896 BEACH AVE 12 HOPSON RD
ATLANTIC BEACH FL 322335939 JAX BEACH FL 32250
(904) 673-4860
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Permit . . . . . . ACCESSORY STR�PCTURE NEW RES
Additional desc
Permit Fee . . . . 235 . 00 Plan Check Fee 117 . 50
Issue Date . . . . Valuation . . . . 36922
Expiration Date 2/09/13
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Special Notes and Comments
need noc
2010 FLORIDA BUILDING CODE, 2008 1NATIONAl ELECTRIC CODE
Full right-of-way restoration, inicluding sod, is required.
Roll off container company, if usled, must be on City
approved list and container cannot be placed on City
right-of-way. (Approved: Advanceld Disposal, Realco,
Shappelle ' s and Waste Management)l
--------------------------------------- ----------------------------
Other Fees . . . . . . . . . STT j�TE DCA SURCHARGE 3 . 53
STPITE DBPR SURCHARGE 3 . 53
i
--------------------------------------- -------------------------------------
Fee summary Charged �Paid Credited Due
----------------- ---------- ------- ---------- ----------
Permit Fee Total 235 . 00 235 . 00 . 00 . 00
Plan Check Total 117 . 50 117 . 50 . 00 . 00
Other Fee Total 7 . 06 7 . 06 . 00 . 00
Grand Total 359 . 56 359 . 56 . 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, Atlan;ic Beach, FL 32233 FILE Cop �j. l
Office(904) 247-5826 tax (904) 247-5845
Job Address:
Permit Number: Id
Legal Description �?!26 ag4" - ®r iRL44 1. Parcel# 16 — ev-,,00
Floor Area of _�AqTt.,! Nq t
Valuation of Work j� Prop, heateo/cooled non-hpated/cooled
0 F.0 iz_'14
Wl?lVlr'Jb J340C-
Class of Work(circle one): New <�_Addition`) Alteration Repair Move Demolition pool/spa windo 00
Use of existing/proposed structureQ) (circle one): Commercial esidenti
on
If an existing structure,is a fire sprinkler system installed? (Circb� e): N/A
Florida Product Approval# Ao�14
For multiple products use product approval form
Describe in detail the type of work to be performed: Aj,;j__p
2�i 14;6,H i3gc4,_ A-gzgwa W&.VA4.1-sa-
Property owner Information:
Name:_-:T6H,dj A44!�61jl Address:—4:?'961 6"g—.44 Aud-
City -&rk�Aw:21,-,- AdAjc� State_f;1-ZiD 33a'A 3 Phone -nrol— qS 1— %7 A :7
E-Mail or Fax 4 (Optional)
Contractor Information:
/"�
Company Name: Q ifying Agent:
Address: Ci State Zip_j;2�
Office Phone_�2qa_.Uee
Job Site/Contact Number Fax 4
State Certification/Registration# 0
Architect Name&Phone#
Engineer's Narne & Phone 4
Fee Simple Title Holder Name and Address
Bonding Company Name and Address A11,4
Mortgage Lender Name and Address
made' n a ermit to do'he work and installations as'pdcaied Icernity- hat no work or installation has commencedpriorto the
"c ,be pe armed to m Z t the stan�a ds a 1, s regulating construction in thisjurisdiction. This permit becomes mill
,re'y d th '0 o'ta' pi
is he
n a k
suspended or abandonedfor a period ofsix�6)months at anv time after
0 k i, si
s 0 r 0� tsau Work,Plumbing,Sikhs, Wells, Pools, Furnaces, Boileis, Heaiers,
r c _,tru,
h to or
f
'P ca' 7-p --i a"-or w r
P" 0
issua e 0 t, t n, Ot
.,d ,'d f-o k no '_m""d' h 6 r
is m_,
o � ;h I t t sep" I P"'i s t secure f
T. k 0 ed nderst, d a a e be d or Elect"
lo
k a d 4". t ne's,'t,
WARNING TO OWNER: YOUR FAILU E TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUi NOTICE OF
COMMENCE ENT.
I
I hereby ceritfv that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governin!z this
ope p�work';Pill be complied with whether specified herein or not. The granting qra permit does not presume to give authority to violate or cancwl the
provisions ofanyotherfederal,st le, or local law regulating construction or the eFformanceofconstruction.
]� J,st p
Signature of Owner Signature of Contractor X/�r-�_
Print Narne ...........-&)17W /f Pr i Int Name
..................... .................................................. ............ ..................
Sworn to and subscrib&d before me S or t and subscribed before roe
1hjscLL Day of 6
th Da of
t. OL 1 20 t,7
gjEu
ic JANN GARNER F(ykkbsion#EE 071ZUU
Commission#EE
ExOres
Expires March 24 2015 BMW n"Tfw Fain Wourwo BONS-7019
"4-o
Revised 0 1.26.10
077299 Mwch 24,2015
�2, d
,,ae B=W7twTmyran"W0-3&5-7019
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assWied by the Oullft DepadniW.)
SW Seminole Road
Atlantic Beach, Florkla 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@wab.us Date routed: Z127
Cityvmb-site: hftp:/A~eoab.u*
APPLICATION REVIEW ANO TRACKING FORM
Prop"Address: lit &Aell '104�
D-apaFftnentreviewrequired Yes No
Ul
Ian ing&Zo"
Applicant: 4-;�? z e--V�Oop
Project: fic
u fic
A
blic Safety
Fire Services
7-
Other Agency Review or Permit Required Rolew or Receipt Date
. Of�!rrnft Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Managment District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: 014"proved. f-lDenied.
(Circle one.) Comments:
BUILDING
::P!L�AN!NING&ZONING Reviewed b,f: Date:
tREE ADMIN. Second Review: ElApproved as revised. r-lDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed bl,: Date:
FIRE SERVICES Third Review: E14proved as revisel. E]Denied.
Comments:
Reviewed byi: Date:
ReYWW 07127110
xg-Qu&t, City of Atlantic Beach
APPLICATION NUMBER
F! Building Department
(ro be assigned by the Building Depaftw.)
8W Seminole Road
Atlantic Beach,Florida 32233-5445 J U L 2), 772 01z [D
Phom M4)247-W26 - Fax(WQ,�47-W45
E-mail: building-dept@wab.us Date routed:
City web-sife.- hffp:/A~.coab.us
APPLICATION REVIEW AN`� TRACKING FORM
Property Address: 491-a '&d-eA AJ�' pairtme
review ryguired Yes No
1� e'-;�71—anning&Zont
Applicant: x72' z 0�z,1� A
-Tr-de AdminisMor
Project:
Ad- e ksQ
7pupyl—ic UtiIftkJ-:')
Tublic Safety
Fire Services
Other Agency Review or Permit Required R view or Receipt Daft
Of Plermilt Verified By
Florida Dept.of Environmental Protection
Florida DepL of Transportaffion
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION S!�Tus
Reviewing Department Fimt Review: pproved. FIDenied.
(Circle one.)
Comments:
BUILDING
PLANNING&ZONING Reviewed 4: Date:
1'
4TREE A MIN. rond Review: E]Approved as revised. [:]Denied.
oln
P I ORK mments:
TILI
Z Z
P C S
LI SA4F Reviewed bl: Date:
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed bY6 Dc-ft:
Revisw!07127110
City of Atlantic Beach APPLICATION NUMBER
Building Department
(To be assigned by the Building Departrnerd.)
800 Seminole Road
Atlantic Beach,Florida 32233-544
Phone(904)247-5826 - Fax(904 247-
1 2012
E-mail: building-dept@coab-us Date routed: LZ?7
83
City web-site.- http:/Aww.coab.us
APPLICATION REVIEW ANO CKING FORM
d'!1
Property Address review required Yes No
uil
Applicant: ]a,/ 0�z. 41anning&Zon
r=
C
�drninistrator
Project: C4 To 0 'P610�Wro,!Lk�
T�ublic Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of ELermit Veriffed 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 b Date:pj-
TREE ADMIN. Second Review: OApproved as revisoid. E]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed 4�": eg� Date:
FIRE SERVICES Third Review: E]4proved as revised. [:]Denied V
Comments:
Reviewed bi: Date:
Revised 07WI10
AffikCity of Atlantic Beach A�PPLICATIO" NUMBER
Building Department
800 Seminole Road (To be assigned by the Buikfing DqmftW.)
Atlantic Beach,Fbrkla 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: buikfing-dept@wab.us EDate routed:
City web-cife.- 1ft:/Avww.coab-us
APPLICATION REVIEW AN'o TRACKING FORM
Property Address: lit 1&d-m lk� paiftent review required Yes, No
Applicant: A6'e-2' la'ze--V�Z�e' lanning&Zoq!i*
ninisbWor
Ail
Project: Ift ic&Rft�
7pu-blic utilftkz-��
-Public Safety
Fire Services
-A
Rliew or Receipt
Other Agency Review or Permit Required P Daft
Of P ffnk Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION S us
Reviewing Department First Review: 93�pproved. nDenied.
(Circle one.) Comments:
PLANNING&ZONING
Reviewed b�: 177LI Date:
TREE ADMIN.
Second Review: E]Approved as revised. nD4/nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed b�: Date:
FIRE SERVICES Third Review: []Approved as revised. RDenied.
Comments:
Reviewed b�,"- Date:
Revised 07)27110
NOTICE OF COMMENCEMENT
Tax Folio No.
State of
County of D4 9L�A-1
To Whom It May Concern:
3 of
The undersigned hereby informs you that improvements will be made to c irtain real property, and in accordance with Section 71
the Florida Statutes,the following information is stated in this NOTICE OflCOMMENCEMENT.
Legal Description of property being improved: Zqd 41
�2 53
Address of property being improved: .,4 Ij j; RAk-14jr—k 3`2
General description of improvements: a'-,;L,ja i A �A-k A—)Jc�d�, .
10 A-60 N64-LI A2, '61.L 4GOPA,� 1z
Owner: Address:
�2 3 3 3
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): 44e�Al
Name:
Contractor: k7t4- 02 A)--41)3 Lo g&-< -zw
Address: 2 J
Telephone No.: No: .266
—Z2,/,O 42 Fax
Surety(if any) A/
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Fax No:
Phone No:
Name of person within the State of Florida, other than himself, designateO by owner upon whom notices or other documents may be
served: Name:
Address:
Fax No:
Telephone No:
In addition to himself, owner designates the following person to recel,ve a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statue5. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
TMS SPACE FOR RECORDER'S USE ONLY OWNER
S Date:
Signed:
fore s r,J, day of 1�. 1) in the County of Duval,State
Doc#2012170460,OR 116030 Page 1215, Flor;i has p'er�so'r Lally appeared
Number Pages�1 04ER--
Recorded 08/10,-2012 at 02:10 Pi taryPublicatLarg�, tateofF C #EE 07729S
M FULLER CLERK CIRCUIT COURT DUVAL (conunission e�pjjes:
COUNTY rsonally Known:
RECORDING$10.00 :)duced Identificati m: L OIL