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Permit Screen Room 237 Pine St 2012 t J\J\ F�l IC BEACH F,� CITY OF ATLANT 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001188 Date 9/24/12 Property Address . . . . . . 237 PINE ST Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4500 ---------------------------------------------------------------------------- Application desc 12 x 16 screen room ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SPOFFORD E & R ENTERPRISES OF NORTH FL 237 PINE STREET 2628 WEST END ST. ATLANTIC BEACH FL 322334013 ATLANTIC BEACH FL 32233 (904) 270-2185 --- Structure Information 000 000 12 X 16 CREEN ROOM W/ SLAB Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ADDITION Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 4500 Expiration Date . . 3/23/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. Full right-of-way restoration, including sod, is required. 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 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 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 54 . 00 54 . 00 . 00 . 00 PERMIT ISGrBR1dE1r01t01IN ACCORDANCE W11616,AaQATY OF A*�kgT-16 19EACH ORDINANCI%OAND THE FLORIOV 0 BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ` - FILE COPY 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 Permit Number: OCI- Job Address: ?,-3-7 PlAE 9T, 4 1-705-46 Legal Description 10 (0 -I co �k S -SAI;1"A 'P- Parcel Sq.Ft Floor Area of Ft. Valuation of Work$ 1 100.� Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New )ZL Alteration Repair molition pool/spa window/door Use of existing/proposed structure(�)(circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one):4es o di2s:) Florida Product Approval# For multiple products use pproval form proTu—cta k a1A 40 scaxaV4 a040VA Describe in detail the type of work to be performed: q\k ISSALII Property Owner Information- Name: I .... Address: ;2 3-7 P1 Kl�� S-r city -�4TL,�-ric ge," State L-Zip 14, q:3 t - -Xk Ll t 3��3ftone E-Mail or Fax#(optional Contractor information: Company Name: Ti 4 9 1 QualifyingA nt: Address: WcssT L5yp VT% CityA-rV, &�H. State t"41- Zip *3 Office Phone 1�10-21 J Job Site/Contact Number .._Fax# State Certification/Registration# C-C-4 C,1,5v 415 19 Architect Name&Phone# SD-_:2V9_L L-62:,�2 Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address de bana er �do t e work and in a 'nd�c or installation has commencedprior 0 ca e a i mi t h t s'I I comes 211 al this jurisdiction. Thispermitbe t orm to M7 s " tio 1 k i s aAriod ofsi%)months at any time after 11 be e ed tan to 0 t p nc a a 1 ork w ct n'�0 r Jectric r i ix(6 Mont , 0,, c tZ �brsrwEo eas,Pows, urnaces,Boilers,Heaters, 0 i t �r �y th t 1 w hin s p us be cured m t and k i s not commenced w t c rst t t Separate p r S, A P'i io p " 'a 0 ap a "'d orn ed nde and work is m Tanks a=jr Condidoners,eta 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 YUR NOTICE OF COMMENCEMENT. I here certify that I have read and exami.ned this.application and know the same to be true and correct. All provisions of laws and ordinances governing this " ol�work will be complied with whether speciped herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ofany otherfederal,state, or local law regulating construction or the peFfomance ofconstruction. Signature of Owner(Auy-A�, 'A Signature of Contractor Print Name............ Print Nar=. ........ .6............................... , . .W.,J e.� i;.�.... ...... ......... .... Swo mand s A S orn t and s cribe 0 my 20 this Day suei ru 16;iZ�;LQ t Day MY(,C)W�j ISSIV DD 9W760� I _XP1 : r__1 Q INN No MY ccyk4 No X P Do 9�7y8o Uary I On'Tp;ij 4, s 01.26.10 NOTICE OF COMMENCEMENT Stateof FolioNo. F county of ILE C0?7YA To Whom it May Concern: 4 "A"" 713 of t6A&qdWfeaI property,and in accordance with Section The undersigned hereby informs you that improv the Florida Stauos,the following information is stated in this NOTICE OF Legal Description of property being improve& —09�- ed. j57 r--� Z,3r, pto Address of property being imPrOV � General description of improvements: 51 D 1043 W E tp'�&-o a=OA Address: Owner. LAP&DA . S F, 0-- ownees interest in site of the improvement Fee Simple Titleholder(if other dm Owner): N Name: FL&Q-1t IDA eiTtc- Se-44. PLW2t A4 -S22--A? Address: T Tj elephone No.: Fax No: (if S any) Amount of Bond S Address: Telephone No: Fax No: Name and address of any person making a loan for the construction Of the improvements Name- Address: Phone No: FaxNo: be Name of person witbin the State of Florida,O&W than himself,designated by owner upon whom notices or other documents may served-. Name: Address: Telephone No: Fax No: In addition to hmmlf copy of the Lienoes Notice as provided in Section , owner designates the following person to receive a 713.06(2)(b),Florida Stabm- (Fill in at Ownee s option) Name. Address: Telephone No: FaxNo: Expiration date of Notice of Commencement(the expiration date is one(1)year fmm the date of�recording unless a different date is specified): THIS SPACE FORRECORDEWS USE ONLY 0 VV ff E R,- ign Si ed X OL in tthe Coun� of�Yvabk Stat( Before� ,this day 01 OR SK 16044 page 2072, Of Florida,has personally 1: Doc#2012181300, Notary public at Large,State of 101 County of Duval. Number Pages''I t 12-07 PM. DUVAL My commission expires: Recorded OWYN2()i 2 a IR -UIT COURT Personally Known: jIM FULLER rLF_RKC C Produced Identification: Bem4Wm K Vftm- COUN1,Y My CommwW EE IS= RECORDING E*W aqwwo ol A A MAP SHOWING SURVEY OF LOT 533, SkLTkIR SECTION NO. 3, AS RECORDED IN PLAT BOOK 10, PAGE 16 OF THE, CURRENT PUBLIC RECORDS OF DUVAL COUNTY1' FLORIDA. rF IL opy 04C 8'Z7, -e7.;90 -2- )4 R.0c #A, J"lio. 0 1.1v z=- ,I A-f et-147-"42 -le-4 Y' Oy 1.9 7.9 7�O r-A7,lz�rl 4 1^1-e 6-7" 1960 721 City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road 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". 3 papadM.ent review required Yes No If'_� . Buildifla- Applicant: flanning&Zonin Ti -Adrhibl- ra or Tree Adhiihi Project: -77 -fublic W6rk&) IA-V 'S Fire Services Review fee Dept Signature 94--- 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 APPLICATION STATUS Reviewing Department First Review: [R�Pproved. E]Denied. (Circle one.) Comments: fB liaLNG NNING 8EZ0:N:;1 �> Reviewed by: -Date: 0�110112' TREE ADMIN. Second Review: FlApproved as revised. RDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 07127110 City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road Atlantic Beach, Flodda 32233-5445 Phone(904) 247-5826 - Fax(904)247-5845 Date routed: Z21 OR E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Yev� Property Address: 3 7 Buildin - ent review req�!� Applicant: 71 lanning&Zonin WE - — _r Tree Jffffflarab Project: 1�6 6/Y) 15ublic Work% 5-1��,i_11 e—s- 01Y rfflrm_6� 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 FloddW-D—eptof 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: ffApproved. DDenied. (CirqL1Q_one-) Comments: C!��LDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: nApproved as revised. nDenie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised OV27110 City of Atlantic Beach SEP 10 NIZ APPLICATION NUMBER by the Building Department.) (To be assigned Building Department 800 Seminole Road 1,2 - 11f Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM PRpaAMqnt review req'��Ired -Ye—s— No Property Address: 3 '1 ning&Z 92 T�12-D-f onin Applicant: T r e e Adffi M sTr-alo r Pro'ect: -77 _1�6 6 Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotel-,and Restaurants [—Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: E10proved. []Denied. (Circle one.) Comments BUILDING P, �' , PLANNING &ZONING Reviewed by: —Date: TREE ADMIN. Second Review: MApproved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: EjApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 07127110 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: will E-mail: building-dept(gcoab.us Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 7 apartment review required Yes No Buildin, T�142- lanning&Zoni�_q) Applicant: ;�"f_ree�AdjffiMs-rraTo r Project: -71 - 1�6 6 15-ublic VV­orks� SIA-6 Fire Services Review fee $__2_�_ Dept Signatu42____1_ Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By_ Florida Dept.of Environmental Protection �Iorida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic B /erages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: p rov�ed. E]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. nDenied. OR Comments: P BL UTILITIES Reviewed by: Date: PU LIC SAFETY IFIRE SERVICES Third Review: FjApprovedl as revised. FIDenied. Comments: Reviewed by: Date: Revised 07127/10