Permit RA 370 10th St 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001196 Date 9/20/12
Property Address . . . . . . 370 10TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
----------------------------------------------------------------------------
Application desc
ADD SQUARE FGT AND ENSLODE GARAGE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LAMBERT DAVID M SONSHINE CONSTRUCTION, INC.
370 10TH ST 910A 3RD STREET
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 838-7563
--- Structure Information 000 000 ENCLOSE GARAGE ADD SQ FGT
Construction Type . . . . . TYPE S-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ADDITION
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 3/19/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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
DEV REVIEW-SINGLE & 2-FAM 50 . 00
ENG REV PRE APP > 3 HRS 25 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV PRE APP >3 HRS 25 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
PERM1TfS-"PRO1VE&OiNL-Y-IN-*CCORDANeL�-WHH-Att-CITI-(YrA-rLANTIC 13EACH70RDMNCES-AND-ME TEGR113X
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number 12-00001196 Date 9/20/12
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total 50 . 00 50 . 00 . 00 . 00
Other Fee Total 104 . 00 104 . 00 . 00 . 00
Grand Total 254 . 00 254 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
4 1
a
City of Atlantic Beach APPLICATION NUMBER
SEP 12 201Z
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 12
Phone(904) 247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://vAw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1-7V Y DSjaart_ment review required Yes No
Applicant: ��Zrlk C)��r ��Tlanninq &zonin—g�
—!r-AUm—TnTMV6r
eL
Project: 5ZA 06 TU6_1_iCWoR
_-4-iffu ic Utilit@!�
<��CI65�6 94 lea P u b�l i c�e y
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
Flodda 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: J$Approved. ElDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: DApproved as revised. OlDenied.
'_tPlWO KS C nts:
P
UBLI UTILIT
PUBLI SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised OV27/1 0
UN
City of Atlantic Beach APPLICATION NUMBER
Building Department SEP 12 Z02 (To be assigned by the Building Department.)
V.
V 800 Seminole Road 12 X/ 92("'O'
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247.5845
Date routed:
E-mail: building-dept@coab.us
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 26 A 0 D ent review required Yes No
Applicant: 'S-h I rPlanning &ZoZnii�ng�_
or
I re min or
Project: -ra 4-4
TiFu_blic Utilif-ie'g-)
165�6 9q e61 Pu—bl—FS75re�y
Fire Services
Review fee $ Dept Signature /*t
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: [gApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ElApproved as revised. F-]Deniedv
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 0MV10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road - 7(.o
Atlantic Beach, Florida 32233-5445 12 11 `3
Phone(904)247-5826 - Fax(904)247-5845 Date�routed-
E-mail: building-dept@coab.us
Cityweb-site: http:l/www.coab.us
APPLICATION REVIEW AND TRACKING FORM
D
gpallment review required Yes^o
Property Address:
Applicant: "Planning&Zoning----)
-T Tre-'i!r-A U m-Ti-n-1 W AT65_r
(13-ublic Work
Project: Ab -S 4: i7-q V-4 6
�7 �) ' /
_�-Public Utilifie.-�-
Pu—blic-S�ey
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
li�'_t'her:
APPLICATION STATUS
Reviewing Department First Review: [_�Approved. E]Denied.
(Circle one.) Comments:
BU_11_6`&�G
4Nv4v 1 7/7-
PLANNING &ZONING Reviewed by: Date:
V
I
TREE ADMIN. Second Review: FlApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. FjDenied.
Comments:
Reviewed by: Date:
Revised 07127/10
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road 12 // 7
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us I Date routed: hZI
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: DeDadment review required Yes No
Applicant: L �&X 57r& CA�?O 'Planning &Z
e�m i H�o�r
Project: Ab J7-a 4-A 06 �5ublic WoEtp
c7 0 ' / ;�rubl—ic Utilifle-�-)
9q P u—b I-ic Mleffy—
Fire Services
1%
Review fee '). 00 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: [:]Approved. X Denied.
(Circle one.) repor�--
BUILDING
_G�&
(��NNIN ZONIN
f / eviewed by: gda-_ �D a t e:
oe
TREE ADMIN.
Second Review: U;?OAopproved as revised. DDenied.
PUBLIC WORKS Comments: �3161'c se�- �� dve
PUBLIC UTILITIES Reviewed by: 9' ate: ell
PUBLIC SAFETY 1 14. !Z1
FIRE SERVICES Third Review: ElApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 07127/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY
Office (904) 247-5826 Fax(904)247-5845
Job Address: 0 d-j-3 3 Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel �'q '
Valuation of Work$ 10t COO _Proposed Work heated/cooled no�n-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial Residential
If an existing structure,is a fire spriWer system installed? (Circle one): Yes No N /A
Florida Product A proval #
For multiple prosucts use product approval ro"Fin
Describe in detail the type of work to be performed: 4W -/)10 &�a
Property Owner Information:
Name: ^t,1jTEi, L4-yn1-3e1zT Address: 370 ftl-t' 'S--t
city ky I 0�1-T1 c Stati�Zip -1 .�; Phone -?,3 Ci -
E-Mail or Fax 4(Optional) 75 7K, I
Contractor Information:
Company Name: 6)WF ZI.I.L -Qualifying Agent:
Address: '?Id 1W ldl If— city -State K--1 Z i P 7-z,::;
Office Phone Job Site/Contact Number r3k 7Sz,-3 Fax# 2:79,�� Z��
State Certification/Registratibn# 42,64C (2-y VIle
Architect Name& Phone#
Engineer's Name & Phone 4
Fee Simple Title Holder Name and Address
Bonding Company Narne and Address
Mortgage Lender Name and Address
A h b ad obain a ermit to do he work and installations as indic or installation has commencedprior to the
s " n orm a �t the s � s 0
'io e y m e a, p b d d fo law
is r it a d h 0 rk w e e in tan ar thisjurisdiction. This permit becomes nul/
i, f, ths or, c _,tructo rwo k 1.ss f sLxj6)
r
6)no, "cur, r aWeriod o months at any time qfter
f s,
not c P( Ob d or r1ectrIc ells a)
,Pplica P�k i 0 e"ed i hi
sua ce o
d 'd f
'or c
T"k is'o Z e"ced . I"derst d that Separate Per_ sm. t Pdols, arnaces, Boilehvffeatet
ksa dA"Co. ti"ers,'t�,
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 ceriffy that I have read and examined this a 11 know the same to be true and correct. Allprovisions q
_pp ication and flaws and ordinances governin�7 this
ope p�work';Nill be coTplied with whether s ecifi, d h rein or not. The granting of a permit does not presume to give authority to violate or cancWl the
provisions ofany otherfederal.state, or lo al aw regulating construction or the peFformance ofconstruction.
Signature of Owner Signature of Contractor
Print Narne ..T)MV Av Or,— Print Narne
......................... ..... ................................... �.................................................
Swor subser ed b ore i Swo an Crif ReYore ift
this Da of 0 is 20
W
Notary Public
ES.mal 21,2016
February 2 4
�ti o f1hr Nutary Public riters Revised 0 1.26.10
pet n? 96/--12 -Itf(,
NOTICE OF COMMENCEMENT
FILE cur
State of County of Ouva Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs 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:
Address of property being improved:
General description of improvements:
3-70 P
Owner: Address:
wner)s interest in site of the improvement:
tee Simple Titleholder(if other than owner):
Name:
Contractor:
Address: 116
Telephone No.:1�2,/Z&,A /7-;! Fax No: "7-go
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 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 fi-om the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER Date:
Signed:
Before me tVi day of in the County of Duval,State
Of Florida,has personally appeared 1—f r-,, h,--V-
Personally Known: or
Droduced Identification: A-t-V-e 'c-r-- (Ij,<',
Doc#2012195404,OR BK 16064 Page 2-184, �otary Public:
Number Pages: 1 Ay commission expires:
Recorded 09/11/2012 at 1Z01 PM, At" ACENEETT W-A-9
JIM FULLER CLERK CIRCUIT COURT DUVAL My COMMISSION#EE123334
COUNTY EXPUWS:STt=ber 09,2015
1�*o
OF 70LIF
RECORDING$10.00 14W3-NMARY Fl.No-y DWODW A..C.
pet M 14 1.2 -/06
NOTICE OF COMMENCEMENT
State of County of Dv va Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
--'y -7
Address of property being improved: /09,(( 57 144� 3-3 —
General description of improvements:
L 4-)qk Address: 5 7 A--—1L �33
Owner: lhvn�
wrier's interest in site of the improvement:
tee Simple Titleholder(if other than owner):
Name:
Contractor:
Address: IM
Telephone NO-:1al Z�,ef FaxNo: -7 4?0
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
—F
Phone No: ax JR
low
Name of person within the State of Florida, other than himself, desig job ri�s r ot1hYdocu ents may be
Won
%TprWffi
�V� dT
Ir n
served: Name: LAN MURT r2r-
Address: ON InF1 Q. �-ftv I L.0" I
W'%ff4,ff ,%jjVM 0.0%
I C r-UR
Telephone No: Fax o:r. A *J'Zr&ovi
In addition to himself, owner designates the following person Lg�e qac 1AWrr:0Tfjftovi ed 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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER A Date: 4
Signed:- - V I ' day of in the county of Duval,State
Before me tiVi
Of Florida,has personally appeared n, he-k-�,
Personally Known: or
Iroduced Identification: V-e Ljf (I f-',
Doc#2012,195404,OR BK 16064 Page 2184, 4otary Public:
Number Pages: 1 Ay commission expires: Rok"A
Recorded 09/11/'2012 at 12:01 PM, 4P--' ACENVENT WAS
E D12f34
5
JIM FULLER CLERK CIRCUIT COURT DUVAL My COMMISSION#BE123334
COUNTY
C EXIPWM:SVbm*w 09,2015
RECORDING$10.00 w AL
Fl.N-q MowW A..-Co,
9/12/12 PLAN REVIEW CCFRECTICNS REPOPC PACE
=OF ATIINTIC BEACH
800 SEM= FOAD
ATLANTIC BEACH FL 32233
ApPLICATICN NBR 12-00001196
ADEPESS . . . . . . 370 1M ST
APPLICAFICN = 9/11/12
APPLICATICN = RESI=IAL ADD=CN
GWER . . . . . . . LAM= DAVID M
370 1M ST
ATLANTIC BEACH FL 32233
saqsHINE CliSTRUCTICN,RE.
910A 3RD Sl=
W-FIU,E BEACH EL 32266
AGE�UY M4VE: PLMQ\r� & ZOqING
DATE ACITCN ACTICN BY
9/12/12 DISSAPPRMED 1ST RE� K:'-M IIALL
CUEMU SU�V?EY SFEWS THE EXIS= SIDE )�ARD SEETBACEZ ARE
8.3' (EAST) AND 8.9' (=), FOR A T= OF 171, MEMDE
TBAT THE sIEE yARD -cFIRACJ�S �PZ BE REDUCED 13Y 21 FCR
EXPANSICN OF THE GWIE. ADDITIMATLY, AN ADMINISTRATIVE
VARIANCE OF 5% OF THE STANDARD, CR IN ADDITIa%ZL NDE (9)
INCHES, MAY BE GRFNTED. THE PESMUNF = SIDE YARD
TjFRn-opE SBA� BE ND LESS TfPN 6.15'. HaOJER, THE
SLUTTIED PLANS %ICW THE WST SIEE YARD RE=TO 515".
PLEASE EI=APPLY KR A VARIANCE TO PEa)CE THE RE2JJIPED
SIDE )9RD To LESS TF]AN 6.151 CR REVISE PLANS SO TEAT THE
REQ�= SIDE )9pD IS MkUqT2=AT 6.151. THnNKS.
BUILDING PERMIT APPLICATION
CITY OF ATLANTic BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address: 0 S T V 6 , -3 3 Permit Number:
Legal Description Floor Are�aq S—q.Ft. Parcel#--Sq.11t
Valuation of Work$ 101voo I Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple proaucts use�_roduct approva7Ffor—m
Describe in detail the type of work to be performed:
Property Owner Information:
Name: 41(n, - L4-Y'113e-g-T Address: 370 1 V_t�' '5_1
city Vn, 41-—n C (3 6 Stat -L,.Zip _?22�n Phone 0 -_2
E-Mail or Fax 4(Optional I- S-C.)S-(7 (0 f,K v- � C v n"',
Contractor Information:
Company Nanne: e_ —Qualifying Agent:
Address:,J�/'d 'W, city -State X-,_1 Zip
Office Phone Job Site/Contact Number 9'321' ax 9 7-3,;�' Z�f I--9V,0
State Certification/Registrati6n 4 C-6c Vile
Architect Name & Phone 4
Engineer's Name& Phone 4
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
e b made b 0'n a er I I do'he work and installations as indic or installation has commencedprior to the
30
t �ard fa law thisjurisdiction. ThisperInit becomes mill
h e 1 t i fsbcp�)months at any thne qfter
m
r
f
y 1 p lb orn ed 0 m t the s a.
e t 0 ,
Z i d a k
p cat 0
'ua c ape an t w wil
1 6) oth, or _,trct, or work i ss aWer od o
f -s.
,'d 0 _ 'k i not co at t p d' or Electric ells, Pools, urnaces, Boileis, Healet
and o o d wi h- L7' 0
'or'is c f", c d I d, d that epar't,p"'i s M, t b,"cur
k 0' s
T"k,"d.4j,C'.ditioem,et,
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 herelb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governiniz this
r speci'ed herein or not. The granting o -cajic�l the
0 work'will be complied with whethe fi f a permit does not presume to give authority to violate oi
provi.st.ons ofany otherfederal,state, or lolal aw regulating construction or the peTformance ofconstruction.
Signature of Owner Signature of Contractor
v
Print Narne Print Name ..............................
.......................... ..... .........................
Swor subser ed b ore iA Sworn an cri d be ore
this -Day of (ffiis Da 20
RE 5
T�Jotary Public my COMMIbOM,:;j�,2015 5 L,;o
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Revised 0 1.26.10
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MAP SHOWING BOUNDARY SURVEY OF
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PA01- 69, or, -rj-IE PUBLIC FIEGORDS OF' DUVAL COUNlY, FLORIDA,
CERTIFIED TO:
DAVID I.,AMf3[--R T
i- T I i DFIRAL BANK OF' Fl,-0,l-',JDA
F-101\11E VEDRA 111C,"HA-111AWAY PA
Cl IICAGO 11-P F iNSURANCI COMPAN','
10th STREET
(4tY RI(4fl O� WA,)
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STAMPtl) KM#6146
PT P02Y."T OF TANGENCY
FOUND E141r,IRON PIPE 101' 32
NO 10 CATION PRC POMT OF REVERSE
(UNLESS OILIJERWISE NOTED) CkIRVAFURE 1-34-OCK '12
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