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
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Application desc
12 x 16 screen room
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Owner Contractor
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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
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Permit . . . . . . RESIDENTIAL ADDITION
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4500
Expiration Date . . 3/23/13
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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)
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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
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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
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-2- )4 R.0c #A,
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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