237 Pine St 2012 enclose carport CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001106 Date 8/28/12
Property Address . . . . . . 237 PINE ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . To BE UPDATED
Application valuation . . . . 3500 --------------
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Application desc
close in carport/roof rafters --------------
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Owner Contractor
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MEIGS J VALERIE 1 E & R ENTERPRISES OF NORTH FL
237 PINE STREET 2628 WEST END ST. FL 32233
ATLANTIC BEACH FL 322334013 ATLANTIC BEACH
(904) 270-2185
--- Structure Information 000 000 CLOSE IN CARPORT
Construction Type . . . . . TYPE -A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE '(
--------------------------------------- -------------------------------------
Permit RESIDENTIAL ADDITION
Additional desc . - 35 . 00
Permit Fee . . . . 70 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 3500
Expiration Date . . 2/24/13
------------------------------------ ------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY 0 ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
V70 SCO 2-0205)
State of FLoQ-mA Tax Folio No.
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements willbe made to ce tam real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF --OMNIENCEMENT.
Legal Description of property being improved: 10-%(q
Address of property being improved: Z37 PtfA-lrx7 15;-1. �"w,�&T i C- FL-aa OA -361.233
I
General description of improvements: 5 1 D I T%%Q D
owner: L-1 4DA 3?0E-FCkJ> Address: ?t
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
FLOat DA
CoWactor: UnR v?uscS "Ttc- se-+4. PLCV2( DA
Address: 2-(0-249
WL--,%r 6-Wb ST. A t
Telephone No.: Fax No:
S (if any) Amoimt of Bond$
Address:
Telephone No: Fax No:
Name and address of any person malcing a loan for the construction of the mprovements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designate I by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
in addition to himselt owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's Option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
TEE[S SPACE FOR RECORDER'S USE ONLY
Date: 19
0 Wjj
Sign in the C val,State
oun of
ef
B i�:j day of CX j
6044 page 2072, Of Florida,has perso ially ap
Dor,#�20i 2181 3oo,OR BK I Notary Public at Lar e,State of Florida,County of Duval.
Number Paqes�1 07 PW my cornmission
Recorded 138123/2012 at 12: IT COURT DUVAL
jjM FULLER CLERK CIRCU Personally Known:
COUNTY Produced Identificati m: 13aft-Asm K Werm
RECORDING$10-00 My Cwnmi"w EE 182882
op Em*"C&ISM16
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE u"e" Y
800 Seminole Road,Atlantic Beach, FL 32233 il
Office (904)247-5826 Flax (904) 247-5845 C
JobAddress: a3-7 bi"It-Z -ST- _PermitNumber: lg- 110_�>
�.At-TAR. 5r--r- 3 Parcel# /74054o'X -CX)00
Legal Description tc E -' 7(_ Sq.Ft
.7�7540 Floor Area of I-TrE.
Valuation of Work S Proposed Work heatei I/cooled non-heated/cooled
Class of Work(circle one): New Addition Move Demolition pool/spa(window/d,09�
Use of existing/proposed structureQ)(circle one): Commerciali cji��
If an existing structure,is a fire sprinkler system installed? (Circl one): Yes �No N/A
Florida Product Approval 4 S 6E%Z
For multiple products use product approval ro—rm
Describe in detail the type of work to be performed: REM(A. Ggot4�a4 RCOF RA FT
C"Sv 14 CARTv9_T AVD i 1.1,M(-L OAtZAg;F Aio& ITR
Property Owner Information:
Name: LWDA 9%001FFC%QPk Address: 2_37 041Z !ST-
city A-rLAkIT(c AcA4. StatTLU-z_ip_T2-7,,3]3 Phon.- q0tt 179 5,0
E-Mail or Fax# (Optional) nic-KMA
Contractor Information:
Company Name: Qua ifying Agent:
Address: 740*2-6 LAJL-::arUY4b S-17 _C* A -'IC- 130-1. -State F"�- zip
4
Office Phone90'q-*270-2-165 Job Site/Contact Number_t-(,o�;*-536 5(p Fax#
j
State Certification/Registration#
Architect Name&Phone# STL___V1_= L_412 0 3 4-.3 Etz:5 2-40
Engineer's Narne& Phone#
Fee Simple Title Holder Narne and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
a he eb ade b, it a ermit 10 do the work and insita"i"ions as fnaicated I certify that no work or installation has commencedprior to the
f
Ymd h. w k p be er 0 ed to_Z,the san�ards rws regulating construction in thisjurisdiction. This permit becornes null
00 a
in a' ter
k f six months at anv thne qf
f Work,Plumbing,Signs, Wells, Pools, 02irnaces, Boileis, Heaters,
a
'o o t or i c 'trcto or
n 1 6 on h on n 'or suspended or abandonedfor a period o
'c 'i�is it 0 w P(
'�Pp' 0
issuance 0 a e,m an
d"-d, _Ok is 70 c encd within
"'k is c m."c'd. understand that separate per_ s ni. t be secured or E ect ical
T'n s , C', .
ti,.,_S,et,
k a dA d,
WARNING TO OWNER: YOUR FAIL E TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR I AYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO C BTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO14i NOTICE OF
COMMENCEMENT.
lhereb certify that I have read and examined this application and know the same to be true and correct. .411 provisions of laws and ordinances governinqu this
ope o7work will be coTplied with whether specified herein or not. The granting ?f a permit does not presume to give authority to violate or canc�l the
provisions of any otherfederal,state, or local law regulating construction or the peFfc rmance ofconstruction.
Signature of Owner <RLW Signature of Contractor
X
Print Name PrintName ET"14 C- 67'711"CH
. .................... .....I..........................I.................................................................. .............................
Swoul to and subsqfibed before me swom� n ubscribe_d-b*re me
this lk...Day of -,Lot LA r 1 20 t1k, Daypf 20
tq,�n
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NoL'47-Ptrblic 11,otary E GRA
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C rY POW Soft at Flaridipi S1
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SeM-Ann K Werys ISSIONMXrOBed 1.26.10
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'3� XPIRES:February 14,2014
C, MY COMW"ion EE 182882
Bolded Thri,N,t,,y PlIblic Underwriters
�Tmoi ixop,oir"o 3 ta&2 0 16
City of Atlantic Beach APPUCATION NUMBER
Building Department (To be assigned by the Buildirm DaImbort)
800 Sen*xge Road
Atlantic Beach,Florida 32233-5445
Phorte(904)247-5826 - Fax(904)247-5845
19 /'
E-mal: buNdkig-deptQcoab.us Date routed: J la L2-
APPLICATION REVIEW Jkbl� TRACKING FORM
J 7,n� S7-
Property Address: Deparinvent review rewired Yes Mo
B 7:>
uilding
Applicant 119Wi-n–g&Zoning
72A Tree Administralar
Project 64,17-;e go)e T Public Works
t Public Utififies
Public Sa"
Fire Servkms
Odw Agency Review or Permit Required Ri wiew or Receipt Dub
of F lermit Verified By
Flonda Dept of Environments!Protection
Florida Dept.of Tiransporlation
St Johns Rnw Water Managernent Disbict
Arrny Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco 4—
onw.
APPLICATION STATUS
Reviouving Dqmrbv*M IFIMIt Review: E?fAWroved. E]Denied.
(Cirde one.) Comments:
PLANNING&ZONING Reviewed b V: LIP Date:_L-d-7- /Z-
TREE ADMIN. Second Review: DApproved as revise d. []DeVied.
PUBLIC WORKS Comments:
PUBLIC tJTIU*nES
PUBLIC SAFETY Reviewed b1f: Date:
FIRE SERVICES Third Review: E]Approved as revised. ElDenied.
Comments:
R6riewed bl Date:
R9vW67W,M0