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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 SCY .4 CO�W, IDRIVE A* q Z. LL_ 03 r Bch -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