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Permit 387-389 (unit 389) Deck-Patio 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001063 Date 9/18/12 Property Address . . . . . . 387 4TH ST Application type description DECK/PATIO Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6750 ---------------------------------------------------------------------------- Application desc deck addition w/ glass ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ IVERSEN IVER HANS & CHUNGJI IMPACT ENCLOSURES INC 387-389 4TH ST 1242 NANTUCKET AVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 346-1112 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . . Valuation . . . . 6750 Expiration Date 3/17/13 ----------------------------------------------- ---------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right-of-way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management) ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due i ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 50 131 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION 6 -7 CITY OF ATLANTIC BEACH FILE COPY7 800 Seminole Road,Atlantic Beach, FL 32233 !I "I'-, c, 1. Office(904)247-5826 Fax(904) 247-5845 U JobAddress: '389 Lf-tj, A+[ De_o_c� -32-233 Permit y Legal Description Parcel# Floor Area of Sq.Ft. Sq.,r L Valuation of Work$ & 75oof Proposed Work heated/cooled non-heated/coole�d Class of Work(circle one): New i9n,") Alteration Repair Move Demolition pool/spa (y Use of existing/proposed structure(s) circle one): Commercial -R-e-s-id—enfidl If an existing structure,is a fire Is system installed?(Circle Florida Product Approval =Az TL Z r)1 3 3 1)Q0 FL I t�i - I For multiple products use product api-ffi—oval form--- Describe in detail the type of work to beperf6rmed:_h-d;11' Q/L OE -21-d deCk !PA,4-1-AA(:_.jR t4 tk rej2bV_P_1V^L&_A4_ Of '5e-ir-&-an Ajz I I C ProyeEbLQwner Information: Name: -Tver -,TVec-50/1, Address: 3 8.9 1 A P/ city State r-/Zip - 3-2 L.:13yhone E-Mail or Fax# (Optional Contractor Information: Company Name: T Qualifying Agent: Address: 13 9 15,, c City P e&J, C State 1-i- Zip Office Phone 5po'4- -3 q 4 1 1 r'l 2- Job Site/Contact Number_ 9 o q- -f 2 oj7ax# 34 o -C9 a zy State Certification/Registration# C B c j* 5%7�7 4 1 Architect Name& Phone# Engineer's Name& Phone# gober-�- oQ 9 o,4 - �L Ll t - 2 0 g_I Fee Simple Title Holder Narne and Address Bonding Company Name and Address Mortgage Lender Name and Address A s h re nade al'n a ermil 10 do he workand installations as indi ca or installation has commenced prior to the b e 0 ed to m� t, an�ards law thisjurisdiction. This permit becomes null p ji p e in'y d h 00 k 'PP'.ca io 'ssua ce a e an w w rm es 0 s s or c c or e U h t" , 0 's s r ), 't 0 a a' or e P(6 0 tru n r�rk ' aWeriod ofsixj6)months at any aine after d 0-d k not com- -'ed'thin, is c 'n'ec, t t,P p rmi s M. t 'r, f 0 ctric Is ul T,rk d diersta d a e arte e b sec d r Ele a e Pools, urnaces, Boileis, Heaters, ,ks"dA"Co. ti"".s,'I, 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 YOVIi NOTICE OF COMMENCEMENT. I hereby ceriffy that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing thi's 07pe qfworkifill be complied with whether eciryled herein or not. The granting ofa permit does not presume to give authority to violate or canc�l the provisions ofany olherfederal.state, or local"gaw,regulating construction or the performance ofconst'ruction. .7,Signature of Owner Signature of Contractor Print Narne I V Print Name )? -1 /A ....................................................................................................................................... ....... ..." a-M.I.n.Q.-ir Swo 0 su ribed 'I r m Sworn to and subscribed before me thi ay 0 this 8 Day:pf A,.JA 2012 46, LISTIN McCULLtfkSj - AL (z J Notary Pubic NOTARY PUBLIC COMMISSION#DO 957760 No u STATE OF FLORIDA Z EXPIRES:February 14,2014 Bonded Thru Notary Public Underwriters �EM322 V%%12/12P2814 DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLOMIM BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: Development Size Habitable Space Non-Habitable Impervious area Miscellaneous Information Occupancy Group Type of Construction Number of Stories Zoning District Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions/Comments: J*j 1, 800 Seminole Road Atlantic Beach,Florida 32233 'o� Telephone(904)247-5800 FAX(904)247-5805 Construction Site Management Plan� Compliance A construction site management plan conforming to Atlantic Beach City Code See 6-18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan-parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. Location of construction trailers, loading/unloading area and material storage area. 3. Location of chemical toilet area-chemical toilets must be kept out of City right-of-way and not further than 15 feet from structure under construction. 4. Location of dumpster-dumpster must be from approved waste company(in accordance with Chapter 16 City Code). As of 20�09, approved dumpster companies for Atl.Beach are Advanced Disposal,Realco Recycling,and Shappells. Dumpsters are to have tarp covers or rigid covers on windy days. Dumpsters must b6 removed prior to issuance of Certificate of Occupancy or Completion. 5. Traffic control plan, showing access with dimensions, area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 6. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber, concrete remnants and other such construction debris including cans, metal,plastic and paper. 7. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion& Sediment Control Plan(silt fence, catch basin filters, etc.) until sod or other stabilization has been placed and approved by Public Works. 8. Other activities,where special conditions are identified by the Building Official. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code See. 6-17 (3) Revised 6/2009 Ile-f FILE COPY TICE OF COMMENCEMENT State of Tax Folio No. County of JX1 VOL To Whom It May Concern: The undersigned hereby hiforms you that improvements will 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 COMMENCEMENT. Legal Description of property being improved: = hr-G)(,4 ) Address of'property being improved: 33�9 10:�- s+� A Hm/i J3e-cc-k,, EL -32a3l General description of improvements: AdaLLion oF 4/e.,den en47-i2,A-ce OA115!� &10.Alt e— Owner: :ry g r!sn n Address: -3 ,3,9 41 t:13- s+ A.,. a. EL '3223 Owner's interest in site of the improvement: ;,)o-1, Fee Simple Titleholder(if other than owner): Name: Contractor: Zo., &,Jo4-r-e-� Address: 119 exi-(7a B e, r L 3 lod Telephone No.: 904- 3q6 - i i I z Fax No: 10- Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person maldn g a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated 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: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): Doe#2012173581,OR 6K 16034 Page 1426, Number Pages: 1 OWNER Recorded 08)15/2012 at 09:27 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL 'Signed:_ Date: , OUNTY Before me this day of in the County of Duval,State �ECORDING$10.00 Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires- N Kno or SHIRLEY L GRA#4�jduced e ificatio SSION#DO 957760 EXPIRES:February 14,2014 bondej Thri Notary Public 210, FILE UrW z.4, 40-/ 7' rA49 570' ,CY zo7, 34 exlek" eome jrzoee rrw"�- Q� Al.? 367 L CK 0-9 E 75.00' -f o"ClAv -RacZrA4 :2Lo 4016; 9-17--93 NOT VAUD UNLESS EWBOSSED WTH SEAL OF THE UNDER-SlGNED. THE PROPERTY SHOW HEREON APPEARS TO LIE MTHIN FLOOD HA�ANO ZOJVC AS SCALED FROM i)vsuRA,vcr RA TE wp-ap-o—1 FOR 4-rLaAl 7-1 c .5e.4 e-Ao� FL oRioA. DA TED 4- 7-0,9 TRI-STATE lu4ND SURVEYORS, INC. 8411 BA YMEADO WS WA Y SUI TE #2, JA CKSON WLLE, FL ORIDA 32256 (904) 731-72i LEGEND I HEREBY CER77FY THAT 7HE ABOVE LANDS WERE SURVEYED IYNDER MY RESPONSIBILE SUPER VISION AND DIREC770N, THAT MERE ARE NO n CoNa MON ADICROACHMENn EXCEPT AS SHOW AND THAT THE SURVEY SHOW I LJC*ZAVn^? AIL-L-7*0 7ILrC' AdlAlltJlldJ Tr'/IJJA/h'lAt CrAAMAPrM ICF-r F-n#?T;4 RY 49=! 0.4 0 Y rA10 57024Y o 7' jo zo7, 34 eome. x-lanir C,'f,4".F Q� XI.F 167 C 0 V y of Atlantic Beach Plann r and Zoning Department 40t) Th:s approval erifies compliance%*Ath applicable to g, subivision and other local land d opment c gulations, but does not constitute 'a val for ti( issuance of permits. Compliance wi lorida B I ding Code and all other applicable CK rements Wfin State a i I Federal permitting requi 61 1�r at, rhi e verifli i by signature of the City of Atlantic 'Bj?ABuildin I Official prior to the Issuance of a 0 Jill lidiWerl 'I p om 0 actor �ID te. '10 75.00' 4ro"CIAV 4,016,; g-1 -.93 NOT VAUD UNLESS EWBOSSED WTH SEAL OF THE UNDERSIGNED. THC PROPERTY SHOW HEREON APPEARS TO LIE MTHIN FLOOD HA4ASD ZONE AS SCALED FROU INSURA JVCE RA TE MAP-9-aQ L FOR 4 7e-,I.Al r/C t3e,4 e Ad� Fl-ORIDA, DA TED 4-17-09 TRI—STA ML-7 LAND SURVEy0jr?S I.C1 J X1 j INC. 8411 BAMEADOWS WAY SUITE #2, JACKSONWLLE, fIORIDA 32256 (904) 7,31-72i LEGEND I HEREBY CER77FY THAT THE ABOVE LANDS WERE SURVEYED 19NDER MY RESPONSIBILE SUPERWSION AND DIREC770N, THAT THERE ARE NO 0 CONC MON OVOROACHMENn EXCEPT AS SHOW AND MAT 7HE SURVEY SHOW LJC'MC'~ 1,fCC-P%- 72-fC' A,01J%11Ad11JJ 7=-/'JJA/h-A1 CTAA/nAP/-)1C CrT AtIRT;4 RY City of Atlantic Beach Building Department APPLICATION NUMBER 800 SerrifrWe Road Ffr-o be assWiad by to INMOW Dqwbat) Adaribe Beach.Florida 32233-5445 12 4�3 Rwne(904)247-SM - Fax(904)247-5845 E-mail. buffdkq;-dept@coab.us Daft rouW: 17- cilywah-a"! APPLICATION REVIEW AND TRACKING FORM Property Address: 7— 1.09pampont review required Yes No &Zon' Applicant I Vni Project: ?dbT1c_W Public Safety Fire Servkms Odw A4pncy Review or Permit Required Review or Receipt I of Permit Vwftd Ift nxIda Del* Protecum Floricla DepL of TranWoftWn SL Johm Rwer Wafer Marogment MUM AM Cmps of ErVirm" DWisim of HoIels and ResWurarft Divisim of Alcoholic Beverages and Tobacco APPLICATION STATUS Reviowing Departmerit First Review: *Wroved. ElDenied. (Circle orie.) Comments: BUILDING -ZONI Reviewed by: Date: (P NNING TREE ADMIN. Second Revm*---W--: DApproved as revised. E]Denied. PUBLIC WORKS Comments: PUBUC UTIUTIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E14proved as revised. ODenled- Comments: Reviewed by: Date: Revind 07MR0 City of Atlantic Beach Building Departinent APPLICATION NUMBER (ro be=sWWd by ffm BuMM DqwkwnL) SW Semkxft Road A*#Wm Btmch,Florida 32233-5445 AUG Phom MQ 247-SM - Fax(W4)247-MM.5 12- 3 to E-mialf. bu6d1ffQ-dept@coab.us '/fTy. Daft routed: 17 W-JA~wah.u* APPLICATION REVIEW AND TRACKING FORM I.-1 0-- ,//7W j-q Property Address: beriprign-ant review required Yes No Applicant 0511 Ring&"Zon Project: 2):e e,k' V-0-44— Fi re Sen(xm Review or Receipt Date Odw Agency Review or Permit Required Of Peralit Verified Ift Flmrift DeM&EnWrorrnerrtai Prot;�1 Florida Dq*of Trareportnum SL Johns Rhw Water Management Disbict Army Corps of E Divisiort of Hotels and Restaurants Dwmw of Alcoh�Beverages and Tobacco APPLICATION STATUS Remming Depaitirant First Review: R*roved. E]Denied. (Cirde one.) Comments: BUILDING PLANNING&ZONING I Reviewed by: Date-- TREE ADMIN. Second Review: E]4proved as revised. []Denied. PU I RKS� Comments: --7-/Z- 7 /Z_ PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. ODenIed- Comments: Reviewed by: Date: Reviuw 07WM0 City of Atlantic Beach Building Department APPLICATION NUMBER aw Semkiole Road (ro be SNOW by the Buftv Depwkwt) AfiarWc Beach,Florkla=33-5445 Phorie(904)247-5M - Fax(W4)247-W45 E-rrtail. bdkNng-dept@coab.us Date routed: ZZI 5-117. Cifyvm"ifa! ft!/AAAAw.aoab.u* --- APPLICATION REVIEW AND TRACKING FORM #7-# S-7- Property Address: Rg?!!"nt review required Yet o0oNo Applicant IMAA09/yr nning�&Zqa-Rb AnS Project: ubl Public Safety Fire Services Odw Agency Review or Permit Required Review or Receipt Daft Florida DePL of Enviroromftl Profecbon of Permit Verif!led By Florida DepL of Traraportatim St Johns Rivw Water Management District Ammy Corps of En&wms Division of Hoteft and Reslaurants Divisim of Alcoholic Beverages and Tobacco APPLICATION STATUS Revio*lng Mpfbv*M First Review: S�P-roved. ElDenied. (Circle one.) Comments: PLANNING&ZONING Reviewed by: -Date:-F-022- TREE ADMIN. 4 Second Review: 0APProved as revised. E]DeWed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [34proved as revised. nDeni,ed. Comments: Reviewed by: Date: Revised 07=0 City of AtIanfic Beach APPUCA71ON NUMBER Building Department SW Seffdnole Road Aftnk I%mch,Fimide=33-5445 12 PfmwM4)247-5M - Fax(W4)247-5�415-, .,, E-mall. bW1d1rQ-dept@coab.us Deft rotftd: cilywob-aile! APPLICATION REVIEW AND T"CKING FORM Property Address: leg I Do -aa[Wwnt review required Yes No Applicant IMPAt"L Allanning&&0j&# -Tto Administrator Proiect.- Pubic Sa"- LFire Servkms Other Agency Review or Permit Required Review or Receipt of Permit YerMed By Florkla DepL of Protection Florida Dept Of Thumportsfion SL Johns Rhw Water Management Disbict Amrjf Corps of Engirwors Division of Hotels and Restaurants Division of Alco�Beverages and Tobacoo 0"Ier APPLICATION STATUS Reviewing Deparbvwivt First Review.' *Wroved. E]Denied. (Cirde one.) Comments: BUILDING PLANNING&ZONING Reviewed by:— Jog TREE ADMIN. Second Review: DApproved as revmed. E]Denierd. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review []Approved as revised. ODenied. Comments: Reviewed by: Date: RevisodOB27MI)