28 17th St new roof for deck new stairs 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
/oil
Application Number . . . . . 12-00001084 Date 9/04/12
Property Address . . . . . . 28 17TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2SO00
----------------------------------------------------------------------------
Application desc
ROOF OVER EXISTING DECK, NEW STAIFS TO DECK
---------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
GAY CATHY DUSTIN MATHIEU BROWN INC
28 17TH ST 15899 SHELLCRACKER RD
ATLANTIC BEACH FL 322335810 JACKSONVILLE FL 32226
(904) 813-3661
--- Structure Information 000 000 NEW ,STRAIRS TO DECK/ROOF OVER DECK
Construction Type . . . . . TYPE E -A
Occupancy Type . . . . . . RESIDINTIAL
Flood Zone . . . . . . . . ZONE
---------------------------------------- ------------------------------------
Permit . . . . . . RESIDENTIAL AE�DITION
Additional desc . . I
Permit Fee . . . . 17S . 00 Plan Check Fee 87 . 50
Issue Date . . . . Valuation . . . . 25000
Expiration Date 3/03/13
---------------------------------------- ------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 ��ATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL I�AMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
-----Other-Fees STA'�E-DCA-SURCHARGE------------2 . 63-----
S=�'E DBPR SURCHARGE 2 . 63
---------------------------------------- ------------------------------------
Fee summary Charged 1�aid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 175 . 00 175 . 00 . 00 . 00
Plan Check Total 87 . SO 87 . SO . 00 . 00
Other Fee Total 5 . 26 5 . 26 . 00 . 00
Grand Total 267 . 76 267 . 76 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES. T
BUILDING PERMIT APPLICATION
CITY OF ATLANTW BEACH
800 Seminole Road,Atlantic:Beach, FL 32233
FILE COPY
Office (904) 247-5826 Fax (904)247-5845
Job Address: 28 17th Street Atlantic Beach Florida 32233 Permit Number:
Legal Description Ocean Grove Unit No I S/D Pt Lot 7 Pa�cel# 169590-0010
Floor Area of SO.K. Sq.Ft
Valuation of Work$ 25,000 Proposed Work h' ted/cooled 0
ea non-heated/cooled 240
Class of Work(circle one): New <� Alteration Repa ir Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial Residentia
If an existing structure,is a fire spriler system installed?(Circle n5e):14�� N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be perfonned:Build roof over existing rear deck, build new stairs to deck,repair
soffit,
Property Owner Information:
Name: Cathy Ggy Address: 28 17'hStrett
City Atlantic Beach State FL Ziv 32233 Phone,,703-850-3927
E-Mail or Fax# (Optional
Contractor Information:
Company Name:Mathieu Builders Qualil�ing Agent: Dustin Brown
Address: 1778 Ocean Grove City Atlantic Beach State FL Zip 32233
Office Phone 904-813-3661 Job Site/Contact Number_9�4-813-3661 —Fax
State Certification/Registration# CBC1257586 1
Architect Name&Phone#Harelson Parkes 904-962-6368
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indic, ted. I certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards ofall la"w regulating construction in thisjurisdiction. This permit becomes null
and void ffwork is not commenced within six(6)months, or ifconstruction or work is s spended or abandonedfor a period ofsix months at any time after
work is commenced I understand that separate permits must be securedfor Electric Work,Plumbing,Mins, Wells, Pools, A�
Tanks andAir Conifitioners,e1c, urnaces,Boilers, Heaters,
WARNING TO OWNER: YOUR FAILUIM-Wd 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 BEFOR RECORDING YOUR NOTICE OF
COMMENCE ENT.
I here certify that I have read and examined this application and know the same t
o bqtrue and correct. All provisions of laws and ordinances governing this
1�work will be coTplied with whether.specitied herein or not. The granting o?ji a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local I regulating construction or the pe�fo�i�ahce ofconstruction.
Signature of Owner si�I�nature of Contract6i���_
Print Name co Print Name
...............G. ........... ...................................................................
................................ 0...................................................................................
Sworn to and subsclibed�or me SWom to and subscribed before me
this-14"'Dav of f I i,,n Lt-f\ '20 th4 V41-Day of— akALU-t- 2017
Nolairy Public C Public
pN[)RFA L IWCYIM
My COMMrSo I DD 963189 d 01.26.10
NICOLE L.EVERT
FXpMES..August 17,2014
Notary Public-state of Florida
40
My COMM. Expires Sep 14.2013
01 f,('
Commiss'On # DD924955 &
12
NOTICE OF COMM�NCEMENT
State of—Florida Tax Folio N
County of Duval LFILE COPY
To Whom It May Concern: am
The undersigned hereby informs you that improvements will be made to cil rtain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF1 COMMENCEMENT.
Legal Description of property being improved: Ocean Grove Unit Nd I S/D PT Lot 7
Address of property being improved: 28 17th Street,Atlantic Beacl Florida 32233
General description of improvements:–Repair rear roof deck and add roof, ver deck,replace existing stairs. Repair interior water
damage i
Owner: Cathy Gay Ad I�lress: 28 17th Street,Atlantic Beach,Florida 32233
Owner's interest in site of the improvement: Homeowner
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Mathieu Builders
/Address: 1778 Ocean Grove Drive,Atlantic Beach,Florida 32233
Telephone No.: 904-813-3661 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the inprovements
Name:
Address:
Phone No: Fax Nix
Name of person within the State of Florida, other than himself, designate(Il by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, 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:A
Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNEk�,__�,'L/�
Signed:
Date:
Before me this–/al III d��of Cs 0.5 in the County of Duval,State
Of Florida,has person,Ily appeared
Notary Public at Large State/pf Florid County of Duval
`I,4y commission expires 611Vt
Doc#2012,177316,OR BK 16040 Page 653, 71 la/4
Number Pages: 'I "ersonally Known: V,-- or
Recorded 0812012012 at 01 A6 PM, 3roduced Identificatiol
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY ANDREA L HIGHTOWER
RECORDING$10.00 MYCOMMMION#DD983189
EXPIRES:August 17,2014
'O.F F"i", Boded ThM BU*Notary SaiviCes
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantiq Beach, FL 32233
Office (904) 247-5826 Fa�(904) 247-5845
Job Address: 28 17th Street Atlantic Beach Florida 32233 Permit Number:
Legal Description Ocean Grove Unit No I S/D Pt Lot 7 Pg�rcel# 169590-0010
Floor Area of Sa Ft ' Sq.Ft
Valuation of Work$25,000 Proposed Work he_lait�d,I�cooled-0 non-beated/cooled 240
Class of Work(circle one): New <� Alteration Rep4�lir Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial 'I Residentia
If an existing structure,is a fire sprin=system installed?(Circle i�n`e): N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:Build roqf ovt1r existing rear deck, build new stairs to deck, repair
soffit,
Property Owner Information:
Name: Cathy Q4y —Address: 28 17th Street I
City Atlantic Beach State FL Zip 32233 PhoO 703-850-3927
E-Mail or Fax#(Optional
Contractor Information:
Company Name:Mathieu Builders Quali ing Agent: Dustin Brown
Address: 1778 Ocean Grove
City Atlantic Beach State FL Zip 32233
Office Phone 904-813-3661 Job S ite/Contact Number_9�4-813-3 66 1 Fax#
State Certification/Registration# CBC1257586
Architect Name&Phone#Harelson Parkes 904-962-6368
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A cal s he y ade 0 ain a e mi, �do he work and nstallai�ns as i ndic ated. I certify that no work or installation has commenced prior to the
r i
2nc be e ormed to mZt tZ a, r a,laws regulating construction in thisjurisdiction. This permit becomes null
i s
f k ,uspehded or abandonedfor a period ofsix(6)months at any time after
t 1 0
ix )mot or c r or
e'
io r it ph to rk pi P(6 �s t ct
pp
ssu e 0 aperm a a'a wo
'o
and'o'd rk is no commenced within s 0 'u I
i rsta, t t �r Per its t s cu f Work,Plumbing,Mins, ells,Pools, Furnaces, Boilers, Heaters,
or I ctri W
work s f c d de d ha se ate be e red E e al
T 0 ;kh rs etc.
anks a Air Con . one ,
WARNING TO OWNER: YOUR FAIL"E T 3 RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P "ING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCE �INT.
I here certify that I have read and examined thisfap ob [rueandcorrect. All provisions of laws and ordinances governing this
,glication and know the same to b
1�work will be coTplied with whether srec'j,;d herein or not. The granting o a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, ?r local 4,re ulating construction or the pe�for ance of construction.
Sil ature of Contract&Z�- jc��
Signature of Owner
Print Name 0e;4,4
Print Name .....................................................................
Sworn to and subsc X�ore me .........................................................
,fibed I Swom to and subscribed before me
this-N"Day of r I t, Lt-r\ .20 12- thi; 1��-Day of 'a e-4,LL�-4- 20
01 f��L�I
.c Notary Public
ANMEA L HOMWER
01.26.10
Y
M W Q -_-S—iU R,:
GROVE PING T TH PI:A
-.6 * , .0.' 1, AGCbR _G E
.E-EAST :25;0 ' �M_,-OF,:LOT-,.%� BLOCK :8., OCEAN N : . . . '. .
i . . — 1. �OU.gm: R�CORDS OF
T�jjE:RtOF RECORDED- IN PLAT :BOOK-.�1:5 - -PAGE' 82 -OF. E. :CukkEl4r
FLOR
DUVAL .COUNTY*
TO; -PAIGE-.
ERTIFM
SOUTHSTAR FUNDING, _ILC..
-FIDELITY NATIONAL. TITi2- INSURM'Ct COMPANY, i6&d
INTEGRITY -T=' .& ESCROW, SERV, CES CORPOPITION.
7th. . -STREET :,
-RIGHT F—WAY
�6_,FOOT
FD,'11:r.411614
25.( :(w,CAP
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IDRIVE
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-city
f Atlantic'B
.77* mino.,and Zoling epa"nt.
vermes compur ce
AubOlvisloh 'and
AX and ( h.en6ak 1,4nd'
ftlopment rejuiati
one, but c es cor5titute
2PPrOVII for the isivancii 6f I - N - (
10, , 0. 1
C�- f P
%4th Fibridi Bullding.Qode an'd,
ap.A�able
Weal ,stati.and Federa n
;s:00 1 perrn Uirements
nuet be vedfied by signature of
of Atl,�nticr
0 0, ach ng,O icial I prior to
V , Buildi (1.0.e 0 a.
j!dlng Permi
C-4.
Eun)
ApPriwed By-,
mmu I
b ay. 5mem6irectbr�_
8w
U)
'PORCH
415 vah SpOwe"
*v0divislon Aind ot or
z h local land
m j/j , - & , '%... . .
developmient regulatloft. W does root Constitute
w 11he IssUme of P.01rinft COMPliapco.
iip00o4f for
6' LMUTY ES 14e,
�Affi Florida Building Code&64 all~applicablo'
local,State and Federal permitting requ"ments
Ity of Atlenlid
pat be md the C
Fb: "djolluilding dw lisuaw of a
—25.00
110011111 PenvIL.
Approved Or.
Lh
v
P
tl
c
Apj
0 T. 1 2 Do ''0 T
214 Q3Lj
Cky of Atlantic Beach APPUCA71ON NUMBER
BuIlOng Dqmdmnt (ro be me4ned by the Bullft Deparkmt)
SW Semkvb Road
Adm*c Beach,Florkle 32233-5445 el
Ahmw(904)247,IW6 - Fax(904)247-5845
E-mvill. bu&*V-dept@coab.us Daft muled: 20
Cilywa""! MfP-JAvmv-emb.ua
APPLICATION REVIEW AND TRACKING FORM
L4 ni review required Yes Nol
Property Addrem: 17 -!7- uild"
Applicant 1OLSA', 4-6 onum& lo�
111"n110U=UA
Project: 266) lw-e7-e- gxl-5iinq 2)�(., Ll -i�� Public Works
Public Utilities
'5T- -R:5 Public Saftty
�t7
Fire Services
Odw Aaency Review or Pennit Required R nf low or RecekWd Dde
of I Pennit Verified By
FbrWa DepL of Em,SAW19=431 Protection
FWde DepL of Transparlation few
SL Johrm Rmw Water Marogernert Disbrid
Affny Cmps of ErVkmm
Dhmm of Hobb arxl Redaunuft
Mvision of Akdwic Beverages and Tobacco
onw.
APPLICATION STJ�TUS
RevbwhV Deparbnent First Review: Bi�mved. E]Denid.
(Circle one.) Conunents:
��NING&ZONI�NG
Reviewed Date.—W? 240 e
TREE ADMIN. Second Review: OApproved as revise 1 0. E]Denied.
PUBLIC WORKS Connnents:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed bj i t Date:
FIRE SERVICES Third Review. DApproved as revise ODenled.
Conunents:
R -V:-;f W-W M.
byi Da*:
RW*W 07WIme
City of Atlantic Beach APPILICATION NUMBER
AH-L Building Deparbnent (To be ass4ried by Ow BuMV 04mtmt)
800 Serrilriole Road
Adarft Beach,Fbdda=33��,
Phone(W4)247-SM - Fax(W4)247-5U5
E-mall. buHdkQ-dept@coab.us Date routed: 20
Cilymm"ile!
APPLICATION REVIEW AN TRACKING FORM
Property Address: 17tt S'T I DON"nt review required Yee No
- *%*IdMg---)
Applicant M 0 onn
rree Adminisbalor
Project., 2'6 0) (1 V�-4 IL?.t) Public Works
Public Utilities
Public Saft-ty
Fire Servims
00w A4Wcy Review or Permit Required Ri wiew or Receipt Dab
of I lermft Vedfled By
Florida DepL of Protection
FlofWa DepL of Trarmportation
SL Johns River Water Management Distrid
Army Corps of En&xwrs
DWolm of Holels arW Regaurards
DWWm of Alcoholic Beverages and Tobacco
APPLICATION STJRUS
Revioming Deprbneo First Review: Bcmroved. ElDenled.
(Circle one.) Comments:
P ZONING Reviewed b�: Zz-7 rt- Date: 0-/z'
TREE ADMIN. i
Second Review: DApproved as reviseo. 0131WIed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed bl�: Date:
1
FIRE SERVICES Third Review: ElApproved as reviseo' . E]Denled.
Comments:
Reviewed b)�: Date:
Ravisod 07)27AD
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-41
' INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001084 Date 9/10/12
Property Address . . . . . . 28 17TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25000
----------------------------------------------------------------------------
Application desc
ROOF OVER EXISTING DECK, NEW smiRLS TO DECK
----------------------------------------T------------------------------------
Owner Contractor
------------------------ ------------------------
GAY CATHY DUSTIN MATHIEU BROWN INC
28 17TH ST 15899 SHELLCRACKER RD
ATLANTIC BEACH FL 322335810 JACKSONVILLE FL 32226
(904) 813-3661
--- Structure Information 000 000 NEWISTRAIRS TO DECK/ROOF OVER DECK
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PE*IT
Additional desc CEILING FAN f
Sub Contractor FERRANTI ' S EL TRIC
Permit Fee . . . . 55 . 60 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
Expiration Date . . 3/09/13
----------------------------------------------------------------------------
Special Notes and Comments 1
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STA�E ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged id Credited Due
----------------- -------------------------------------------------------
Permit Fee Total 55 . 60 55 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 60 59 . 60 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV OF AtLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, AtlanticBeach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: . )-R j '�TIA PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS -AMPS I-(-t 6) VOLTS PHASE
VALUE OF WO�K$
NEW SERVICE 0 Overhead E] Underground Underground up Pole
--:Residential(Main) Service
-0-100 amps -- 101-150amps 11 151-200amps P—amps # of Meters
.--Commercial(Main) Service
0-100 amps 101-150an-ips - 151-200amps
I _________amps E CT Service amps
Conductor Type Size
Multi-Family(Main) Service
-0-100 amps �---10 1-1 50amps El 151-200amps #of Unit Meters
-Temporary Pole --_amps
SERVICE UPGRADE Ll amps 11 CT S 'ice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 100 amps [I 150amps 11 200amps 11 ____amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps , 101-200amps
Appliances: 0-30amps 31-100amps ' 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]Swimming Pool 11 Sign []Smoke Detectors_Qty 0 Tran ormers KVA Ll Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
L1 Replace Bumt/Damaged Meter Can 0 Safety Inspection []Panel Change El OH to UG
0-0-ther: ki��0�j C //LAA Ce i
becomes void if work does not commence within a six month period or work is�uspended or abandoned for six months. I hereby certify that I ha�ve
read this application and know the same to be true and correct. All provisions of laws a id ordinances governing this work will be complied with whether
specified or not. Ile permit does not give authority to violate the provisions of any other state or local law regulation construction or the perfort-nance of
construction.
Property Owners Name C4r)q t4 6A Phone Number
Electrical Company c-L&e 1)-p C LC- c —LOffice Phone 6;-9 Fax c,. �S:f�j-
Co.Address: C-,-/ City 6�1,,c,- Cu C -�A'-,_Jtate (L zip -��-&,L/
License Holder(Print):
State Certification/Registration# Lr c.1,-J01 Z 6
ota 3R*I AMAWA wmn
My COMISSM#EE 067349S
EXPIRES:May 21,2ol 6 Jan 20//-)'
and subscribed before�qe this daydf
8"WTftN0WyPW*Uwwwft6,. ature of Notary Public
/V
HARLESTON PARKES9 R.A. I L
ARCHITECT
ATLANTIC BEACH, FLORIDA
904-962-6368
October 2, 2012
Dustin Brown
Mathieu Construction Co.
Re: Permit No. 12-00001084
Deck Modification
2817 1h St.
Atlantic Beach, Florida
This letter is to inform you and the City of Atlantic Beach Building Department,
that due to the inability of availability for observation of the bolting and lag
screws as specified for the rafter to beam and beam to post connections, the
following shall be used;
Rafter to beam: 1- Simpson H2.5Z with #9-2 1/2" Simpson screws at
each hole, at each rafter.
Beam to Post: 2- Simpson MSTA-1 8 with #9-2 1/2" Simpson screws
at each hole, at each post.
Harleston P�rkes