Permit Pool Screen 1647 Park Ter W 2012 'o
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001184 Date 9/14/12
Property Address . . . . . . 1647 W PARK TER
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4800
----------------------------------------------------------------------------
Application desc
screen over pool
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MARTIN WILLIAM & MELISSA PREFERRED ALUMINUM OF FLORIDA
1647 PARK TER W 855-14 ST.JOHNS BLUFF ROAD
ATLANTIC BEACH FL 322335609 JACKSONVILLE FL 3222S
(904) 998-1938
--- Structure Information 000 000 SCREEN OVER POOL
Construction Type . . . . . TYPE S-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ADDITION
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4800
Expiration Date . . 3/13/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible .
------------ ----------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
ENG REV PRE APP > 3 HRS 25 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV PRE APP >3 HRS 25 . 00
-------------------------------------------------------------------------
j Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
. 00
Permit Fee Total 75 . 00 75 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Other Fee Total S4 . 00 54 . 00 . 00 . 00
PERMIT ISQrMC&EIT0AWVbN ACCORDANCE WhrX6M5,Q1TY OF ATAAI�T-15%EACH ORDINANGAQAND THE FLORIDkO
BUILDING CODES.
BUILDING PERMIT APPLICATION
Aft
CITY OF ATLANTIC BEACH i P y
800 Seminole Road, Atlantic Beach,FL 32233 FILE UO
Office (904) 247-5826 Fax(904) 247-5845
Job Address: A.
k) Permit Number:
AX
Legal Description arcel#
Floor Area ot Sq.Ft.- lj!�-4;& Sq*Ft
Valuation'of Work$ Proposed Work heated/coole-3 non-heated/cooled
Class of Work(circle one): New (9��)Alteration Repair Move Demolition pool/spa wMidow/door
Use of existing/proposed structure(s) (�ircle one): Commercial Residential
If an existiAg structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Screen over Pool
Property Owner Information:
Name: �Zerbq fx4g-zu Address: A/,L/7 Mg,�- --rz7czfcr 4)
City e- 725 of Ctf State U Zip Phone
E-Mail or Fax#(Optional)
Contractor
,Information:
Company Name: Preferred Aluminum of Fl Inc
Address: 1308 St Johns Bluff Rd N City Jacksonville
Office Phooe 904.998.1938 Job Site/Contact Number 904.219.2701 Fax#
State Certitication/Registration# SCC051711
Architect Name& Phone#
Engineer's Name&Phone# Robert Wood
Fee SimpleTitle Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A ' a �,s he e made b a n apermil to� e work andinsta"ations as'ntdca or installation has commencedprior to the
h � s
d rd a' aws this jurisdiction. Ihis permit becomes null
ork is s a eriod ofsixo)months at any time after
p 'c t'o r,by t, to 0 t 'r t' to m t t us
issp ance aperm'and a'a' k be erf rmed e tan a 0
1 ) s or, c s ct 0 r
u'01 0 1'r s otc m 'wo I w p 6 nth n n
and d k en ed thin s
'i cur 0 1"ri, Uells, uj
7 0' "c w mo Ob a e Pools urnaces,Boileis,Heaters,
f d d tand t at separate per, s mu t e ed rE
wor 's co wnce un e h
Tanks andAjt Cn�honers,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.
lhereb cerofy that I have read and examined th' licati and know the same to be true and correct. All provisions oflaws and ordinances governing this
type o7owork will be coMplied with whether s e ',h re?inn or not. Ae granting of a permit does not presume to give authority to violate or cancel the
provisions ofan therfederal,st t loc I fa u a ng construction or the p&formance ofconstruction.
Signatur Signature
AE B
Print Nauic; Print N
Swom to od subs Sm(orntrdsu .49
this Day of 20/-Z- D 20/-Z-
this Day of
NoWPub#c
Notary PijWc L-�
Revised 0 1.26.10
HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT - Y
F ILE 0 P
0
The purpose of this document is to make you aware of any limitations in the enclosure that, Qqj;w--�-
nw= ftow��
residence. The table below, Sunroorn and Screen Enclosure Requirements provides a Sri escription of the various
sunroom category requirements, There may be restrictions on the use of your present home depending on the category
of sunroom you are installing. The property owner is hereby not1fied that should they make changes to the sunroom
which could include, but not be limited to, addition of any form of temperature control system or removal of the
doorstwindows separating the sunroorn from the host structure, the room may become non-compliant with the
re ulreMentS as mandated by the Florida Building Code, the Florida Model Energy Code and State Statutes.
OWNER
I have re-ad this complete form and understand Ion receiving a Categary Sunroorn.(I-V�
llrinte6 Nurn
Signed
Belbre fac'As 0 c2z::�Ilo,Stik,,cd Flm-ida,
-rls ic
Stai Amrn �a/rid decinratio'S, in are true
Notary Pubtia at Large,State of A
Personally Known 016 Produced Identification
11)Type_
Sunroorn and Screen Enclosure Remilrements.
Category .- 1 11 111 IV V
Habitable Space No No No Yes' Yes
Foundation Walls--200pif Walls <200plf Walls<200pif can Walls<200plf Walls<200plf can
can have 8"W can have 8"W have 8"W x12"D can have have 8'Wx12"D
x12"D ftg or 3- x12"D ftg or 3- ftg or 3-1/2"slab if 8"Wxl 2"D ftg ftg OR have site
1/2"slab if no 1/2"slab if no no concentrated OR have site specific
concentrated concentrated load>7501b OR specific engineering
load>7501b OR load>7501b OR have site specific engineering
have site specific have site specific engineering
engineering I engineering
ExItting exterior
G-FCI outlet Relocate or add additional outlet to exterior if enclosed
Exit jJghting Not Required Required Required Required Required
Interior Electric Not Required Not Required Required Required Required
Outlets
Emergency " Egress from Egress and Exit Egress and Exit Egress and Egress an t
I Escape exist.structure must meet code must meet code. Exit must meet must meet code.
Openings allowed if open to code.
atmosphere and
has screen door
leading away
from residence.
Mbc.Window Host structure Windows must Windows may be Host structure Host structure
�and Door windows/doors be removable fixed or removable. windows& windows.&doors
Requirements shall not be Host structure Host structure doors shall not may be removed.
removed. windows/doors windows and be removed. Forced entry, air
shall not be doors shall not be Forced entry, leakage and water
removed, removed. Forced air leakage penetration
entry, air leakage and water requirements
and water penetration apply.
penetration requirements
requirements
apply.
apply.
Ind Borne Required, can be on host structure, if built under existing
Do ris Opening Not Required Not Required roof
)Irotection
I E6 Not Required Not Required Not Required Required
Orgy Sheets Required
FILE COPY
AFFEDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
M Build�n2 tns ection Division, Cit-y oc.-lacksomTilie. 2 14 North H. 0gap- Street
,ome Owner:
IT
F/7
'it
'tor
Permit Number
As the Contractor for the proposed new structure located at the above address, I have personally -,,,ie\ved
with the above named home owner those portions of the existing structure on which portions of the
proposed new structure are to be attached for structural support. I am confident that the drawings and details
included with this permit application depict the existing conditions of the host structure, and the members of
the existing structure upon which the new structure are to be attached are sound with no rot or deterioration
The home owner has been advised by me that, in my best judgment based on experience and knowledge of
structural adequacy,the members of the existing structure upon which the new structure are to be attached
are sound with no rot or deterioration and will support all structural loads and forces imposed on them. By
signing below,I hereby declare that I will hold the City of Jacksonville harmless and release it from any
responsibility and-liability for any adverse consequences or failures resulting from this work, and further
that 1,will not initiate, execute or enjoin any legal action against the City of Jacksonville for such
consequences or failures.
A copy of this document will be recorded as an official record with the Building Inspection Division
permit history so that any and all future buyers/owners of this property may be made aware of the
status of work performed on this structure.
Signed _Date
Before me this 20
__,��_day of
In�theCo�un of Duval, State of Florida,has persrnally-appeared
e2 herein by himself/herself and
Affirms aTations herein ar,
MCHIAlt C).s�OKAW
Mo OM�l
NotatyTublic g1ailge te.of
nN QWW;4�!P;�W gdatwft
Personally KdoWn_j/ or Produced Identifi_iw9w�
ID Type
Doc # 2012110161 , OR BK 15949 Page 2290, Number Pages: 1 , Recorded
05/18/2012 at 10:01 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10 . 0:0
FILE COPY
NOTICE OF C0M2'vENCEXMNT
State of Tax Foliol-;o-
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements wi�ll be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMNIENCEMENT.
Legal Description OfprDperty being improved:
Address of property being improved: a,4 rl �—?r vi
General description of irnprovements'. n tl�v\l 0-1 1� yfly h1l,
r V,—k-Lac Uj
Owner: Address:
Owner's interest in site of the improvement: pt
Fee Simple Titleholder(if other than owner):
Name: -------
Coiltractor: r C- V-1&Q
Address:960 1?;, PZ-0 LG
TelDphoneNo.: Fax No:
Sui,pty(if any)
Address: Amoimt of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the,co
. If oft 0% ^
Name:
Address: )0 77r"
Phone No: Fax N�
h
Name of person within the State of Florich thT, 94 .a e byo' upo�w orn noli es or other documents may be
Served: Name: lo Bar,
V
Address:
Telephone No: Ic t,k;
In�additioa to himseL� owner designates th ecelW-EC-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:
Zipiration date of Notice of Comm cacement (the expiration date is one (1)year from the date of recording unless a different date is
specified):
TFIIS SPACE FOR R-ECORDER'S USE ONLY 0 W. N-ER
Signed: 9,
Beforcraethis 1(,� dayof!2M>
in the CouWt�of-Duval,State
Of Florida,has personally appearrd A 114- -
Notary Public at L 'go,
My commissi..
Persona.1,ly Known: or
Al-�:�- 470MJJ-- 5
Produced Ideat�ifcatico:
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
Ap 800 Seminole Road ay
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 -
all E-mail: building-dept@coab.us Date routed: ��7 12-
Cityweb-site: http://vmm.coab.us ;r
APPLICATION REVIEW AND TRACKING FORM
Property Address: k A.41 7M W Departtpent review required Yes No
"'Build-
Applicant: _ .Prfi�ttiA (I—Ianning &40_Di4�9
T41 6 Tree Administrator
Project: V 4 _�r
<:�ubic Utilities'.-)
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 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: MApproved. DIDenied.
(Circle one.) Comments:
P�LB LDING
A rG &ZONING Reviewed by: Date:
TREEADMIN. Second Review: FlApproved as revised. n[�/enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revlse�07/27ilO
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed: 917 2-
E-mail: building-dept@coab.us
Cityweb-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
ss: 16V7 A, 44' 7-4
je�e D%padMen.t review required Yes No
Property Addre Buildi
Applicant: r j,6 la'7b/'77 PL—79- Planning &Z-0-DiRg
A4,_t - I ree Administrator
Project: '5et�v'n 6 v� Te 6 rE
Utilifies�$
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 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:
APPLJCATION STATUS
Reviewing Departm-ent First Review: dApproved. ElDenied.
(Circle one.) Comments:
BUIL
C'PLAN!NING &ZONIN Reviewed by: ga�' �ate:
_I�NNING &ZONIN I
TREE ADMIN. Second Review: nApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revise�07J27/10
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road -54450'3'k,'
'J Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5W�
I Date routed: 917 12-
E-mail: building-dept@coab.us
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Prope I rt Address: ent review required Yes No
y
('Planning &Lop!�g
Applic!ant: _Rf- h,trg�A Z4 lit�7b -'77 Ix Tree Administrator
Project:
<]�ubic Utilitie_s�)
Public Safety
Fire Services
Review fee $ �25 -Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Of Permit Verified 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:
APPLIC&TION STATUS
RevIeWing Department First Review: Approved. [-]Denied.
(Circle one.) Comments:
BUILDING
PLAN NING&ZONING Y: D a t e:
Reviewed b
TREE ADMIN Second Review: FlApproved as revised. nDenied.
ORK Con)ments:
P LI U ILIT
-OW4 Date:
PUB IC 9A_F�T7 Reviewed by:
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised OV27110
APPLICATION NUMBER
City of Atlantic Beach
(To be assigned by the Building Department
Building Department
9" IS
800 Seminole Road az/
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845'
E-mail: building-dept@coab.us 71 Date routed: 12-
Cityweb-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: I�JV7 A�C4' DgpadMent review required Yes No
Appli ant: /a�7b 72 tc ( —Planning&D��g
Tree Administrator
Te 6 u lic
Project: F,;Ful Wo,
Efub ic Utilities
Public Safety
Fire Services
Review fee Dept Signature Ac_
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 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. EJ Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: E]Approved as revised. RIDenied.
PUBLIC WORKS Comments:
PURLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revlse4 071271lO