Permit Stairs Decks 193 Beach Ave 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001131 Date 9/13/12
Property Address . . . . . . 193 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 200000
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Application desc
REPAIRS TO DECKS AND STAIR ON BLDGS 1, 2 , 4
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Owner Contractor
------------------------ ------------------------
SHORECREST CONDOMINIUMS DEAN RUSSELL CONSTRUCTION CO.
199 BEACH AVENUE 438 OSCEOLA AVE
C/O 599 ATLANTIC BLVD. JAX BEACH FL 32250
ATLANTIC BEACH FL 32233 (904) 241-3334
Structure Information 000 000 DECK AND STAIR REPAIR
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 780 . 00 Plan Check Fee 390 . 00
Issue Date . . . . Valuation . . . . 200000
Expiration Date . . 3/12/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 11 . 70
STATE DBPR SURCHARGE 11 . 70
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 780 . 00 780 . 00 . 00 . 00
Plan Check Total 390 . 00 390 . 00 . 00 . 00
Other Fee Total 23 . 40 23 . 40 . 00 . 00
Grand Total 1193 .40 1193 .40 . 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 FILE Coorty
800 Seminole Road, Atlantic Beach, Ff. '3223 3
Office (904) 247-5826 Fax (904)'247-5845
Job Address: Permit Number: /,2—
1,egal Description ZS— 2A a 011k 55j�ilip— 013 Parcel 114 - 1001
P loor Area ot -Sq.1-t. qQt
Valuation of Work S 2-00�g 000.' Proposed Work heated/cooled no*n-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Dernolition pool/spa window/door
Use of existinWproposed structure(s)(circle one): Commercial 6�e _e_n 3ti
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes— CLO.) N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the tvpe of work to be performed: Deck 4 s+aar repair anA mplacemevt+
on
Property Qwner Information:
A%kl, Lce...
NameA01tatsi -%j W1� :30 KC Address: PO 60OX 33602-61P
City
. hilantic. lbeaah —State&Zip 3P2,2,7125P Phonc_qqlp ga-91
E-Mail or Fax#(Optional
Contractor Information:
Conipany,Natne:' _C+__A0)�,)ualifvi, Aeent: ID"V% R%j$Seffi
Address: 7D(OLV 4��_vtcx, A
Citv Fl- Zip 3z
PW*"M__Q
Off ice Phone 'AL 4 t —"3 3 39+ Job Site/Contau"" L 2, Eax 4
State Certification/Registrat ion 0 C., 0 10 CD I >nirry 0'*q1f%,ff%1"
Architect Narne & Phot COM
Engineer's Name & Phone 4 P41A U11*y UVAITANTIC BEACH 'Tmncedpriortothe
Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITIONAL
Bonding Company Name and Address IFPM TS AND CONDITIONS.
Mortgage Lender Name and Address
—WEE V FTE
Application is herebj,made to obtain a permit to do the work and RM
issuance ol'a permit and that all work will be performed to meet tile standards ol'all laws regulating't�lon"s"truc�tion in lhisjurisdiclion. 7his permit becomes null
and void ij'work is not commenced within sLy(6)months, or ffconstruction or ti,ork is suspended ar obandonedfor a
Wperiod ofsiv(6)months at ant,time aiter
-mits inust be securedfor Electrical Work Plumbing, Siiqns, �ejjx, Pools, Furnaces, Boileis, Heaters-,
work is commenced. I understand that separate pei
Tanks and Aii Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certi6,that I have read and e.vantined this qj)plication and know theSome 10 be true and correct. .411 provisions oflaws and ordinances got, this
t),pe q�work will he complied-with whether spec�jied herein or riot, The granting of a permit does not presume to give authorio,to violate or the
Provisions(�f an.l.other.IW�ral,_'�ate, or lating consiruclion or the per(bi-mance o constrUctl.011.
Signature of Own
SignaftireofContractor_?Mn
Print Name PrintNanie 16
........... ........... .
Sworn to and subscribed before me Sworn tq,and subscrl'bed before me
thisaa Day of --A-
. 20 1 t ��ay of' 201-2—
Nota Public- ov A
Notary Public State ol Florida
T A Millikin R
My Comm's
9880
'on DD 8 03
MY Commission EE098526 xpr..0510 01 1
0%,r, Notary Public State of Florida Ity P Notary Public State Florida
Sharon P Smith
Expires 05/31/2015 My Commission DD9 8003 R ised 0 1.26.10
oi �,y'101 Exp�res 0510312014
eoCity of Atlantic Beach APPLICATION NUMBER
Building Deparbnent (ro be SWWW by the Builft Daparknat)
SIX Senftge Road
A§wO--Beach,Fimkb 32233-s445
Phorw(904)247-59W8 - Fax(W4)247-5845
E-nmA. bu1c*q-dept@coab.us Date muled.-
cilywa"ils!
APPLICATION REVIEW AND TRACKING FORM
Property Addrms: AIX---e� nt review required Yesd ft
el 13�uilld:'
Applicant i�� Ing&Zoning
T Tree
fee Adrninisbmw
Project- Je1v I Public Works
L�z
Public Utilities
2 Public Safety
Fire Services
Review or
00m Agency Review or Permit Required of Permit Verified DW9
Fbrida Dept of Protechon
FWft Dept Of Traropwintim
SL Johns Rnmer WaW Management District 4u
1 AmW Ccrps of En*mm
Divisim of Holeft arid Restaurants
Division of Abd"c Beverages and Tobacm
APPLICATION STATUS
Rw*wft D"astinent Flint Review: B"ved. ElDenied.
(Cirde one.) Comrnenft:
PLANNING&ZONING Reviewed by: Date. k-31-(-Z-
TREE ADMIN.
Second Review: DApproved as revised. El".
PUBLIC WORKS Conments:
PUBLIC UTILITIES
PUBUC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Apprc)ved as revised. [:]Denied.
Conwrients:
Reviewed by: Date:
Roviod 07WMO
10-11-12;04: 52PM; ;904-241-2028 # 2/ 2
NOTICE OF COMMENCEMENT
Tax Folio No.
State of
County ofl:��V_A_
To Whom It May Concern: roperty,and in accordance with Section 713 of
The undersigned hereby informs you that improvements will be made to certain real p
the Floeida Statutes,the following information isstated i�this NOTICE OF COMMEN EM
nroved: Se4c:hon - I -rowyls
Legal Description of property being im.
S A#,A 63-K
2A A 1AW k IS54—DO-1 0
Address of property being improved:
4 W,
General description of improvements: CL I—. 6ut r&PQ
CAP T,t v T6,r
owner. LZ ddress,
Owner's interest in site of the improvement: fiWMIC, -j
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Deav\ 943ss-e-LL C "Omes 1KC,
22.0r, S \j(tja r V-t q
Address: Lso
qoq L!i I
TelephoneNo., Fax No-
0
Surety(it any) 0.0
'Address: Amount of Bond$
Telephone No- Fax No.
0 �4
.�4 Q
Name and address of any person making a loan for the construction of the improvements
L4
Name: (D
Z
ui —
Address: -�Jj i aix
Phone No: Fax No- % 0
Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents AZI
served: Name: 5ap* L-aVA�Orwsov—�
Address: 13 13 ki'", &�- -kA- -Toickso k-.
Telephone No: (koq SOL '90LALA F ax No:
In addi)tion 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:
Expiration date of Notice of Commencement(the evpiration date is one(1)year from the date of recording unless a diFferent date is
specified)-
THIS$PACE FOR RECORDER'S USE ONLY OW14
Signed�: I a/ W1Ay-- Date:
Before nit this���of \36 4 il luval,State
Of Florid4 hits personally appemd
Notary Public at Large,State ofFlo ida, oun ofDuval,
My commission expirm;
A
P Ov Wary PWic SWIt of Florkip
Shamn P Smith Personally Known: or
I pig
My CWWd-lon EED98526 Prodtiecd Identification:
VITIV L
E*M
05131M015