Permit ResAlt 700 Amberjack Ln 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001742 Date 12/05/12
Property Address . . . . . . 700 AMBERJACK LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
REMOVE FLAT ROOF & CHNG PITCH TO 4/12 GABLE END
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Owner Contractor
------------------------ ------------------------
FORE, FRANCIS HOMEOWNER BLDG SVCS, INC (RC)
700 AMBERJACK LANE 739 BROOKMONT AVE E
ATLANTIC BEACH FL 322334202 JACKSONVILLE FL 32211
(904) 322-1054
--- Structure Information 000 000 CHG FLT ROOF TO 4/12 GABLE END
Occupancy Type . . . . . . RESIDENTIAL
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Permit ' * ' * ' * RESIDENTIAL ALT/OTHER
Additional desc . . CHG ROOF TO 4/12 GABLE END
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . valuation . . . . 5000
Expiration Date . . 6/03/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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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
Grand Total 112 . 50 112 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road -7
Atlantic Beach, Flodda 32233-5"5
Phone(904)247-5826 - Fax(904)247-5845
E-mail: builcr1ng-dept@?coab_us Date routed:
City web-site. http:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
I
Property Address: ?OaPthet�t C4L)—Al Department review required -Yes No
Building INC
Applicant: /_V' 0W'_P)UWw Planning&Zoning A�
Tree Administrator
Project: R)W Public Works
Public Utilities
Public Safety
Fire Services
AuAl
Review fee Dept Signature �/Q
_K�
Other Agency Review or Permit Required Review or Receipt Date
I of Pe:zit 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
proved. ElDenied.
(Circle one.) Comments:
Reviewing Department First Review:
BUILDING
PLANNING&ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: E]APproved as revised. n
P KS Cprpments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. nDenied.
Comments:
Reviewed by: Date:
E?evised OW27110
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: Initials:
. �, �.7
Project Name Address: Afi&-)wl....... ZAIE Application ermit#:
Check Box Check
!0,
Application Tracking Comments to Add Box to
I Comment "Print"
UWSU Avoid damage to underground water/sewer utilities. Verify vertical and horizon:::
tal
MBSC location of utilities. Hand dig if necessary. if field coordination is needed, call 247-5834. 13 0
Ensure all meter boxes, sewer cleanouts;and valve covers are set to grade and visible. 0 0
RTIC A sewer cleanout must be installed at the property line. Cleanout must be covered with 13 [3
an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
RPZB A reduced pressure zone backflow pre-ventermust be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested 0
by a certified tester and a copy of the results sent to Public Utilities.
must be
STRM Plans note the building will be unsprinkled. If plans change,any fire line installed:I
metered with a Sensus touch-read meter in a properly sized vault and an appropriate
1 0 0
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
FSBR If fire sprinkler system is provided,contact Malcolm Clemons at 247-5839 for backflow 11 13
requirements. At a minimum, will require a double check backflow preventer.
FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must
be installed in a vault as noted in JEA specifications. 0 0
0 13
0
0 0
0
0 0
0 0
[3
0
0
0 R
City of Atlantic Beach APPLICATION NUM13ER
Building Deparbnent (To be assigned by the Building Demrtment)
800 Seminole Road -71
Atlantic Beach, Florida 32233-5445
Phone(9(A)247-5&6 - Fax(W4)247-6M5
E-mail: builcring-deptacoab-us DaterotAed. llL,-',F
City web-sitw. http:/Aovww.coab.us
APPLICATION REVIEW AND TRACKING FORM
I
Property Address: Department review required I Yes No
Building
Applicant: W'��"UrAA) 6airle ��/Ca Planning&Zoning
U Tree Administrator
Project: Public Works
Public Utilities
Public Safety
U Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
[,F, lorida 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 AJcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: EApproved. DDenied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date: (f-1 I—
TREE ADMIN. V
Second Review: FlApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SER\ACES Third Review: E]Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07127/10
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Deparhent)
800 Seminole Road -74
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(W4)247-5845
E-mail: builcring-dept(gcoab-us Date routed: AIO?9
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building 7�
Applicant: 11—�kmouwlu 6aliw Planning&Zoning
U Tree Administrator
Project: RO- , Public Works N—
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
I of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps f Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department I First Review: P(Approved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
TREE ADMIN. Reviewed by: D ate,;: /2—
Second Review: E]APproved as revised. DDenied.'
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FRRE SER\ACES Third Review: E]Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27110
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road h2 - / -7//�z
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed.
E-mail: building-deptP-coab-us F
City web-site� http:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 70 !��tck,)-Al Department review required Yes 1 No
I I -Building
Applicant: Akwouwlt) 1��elwlc_a Planning&Zoning
Tree Administrator
Project: Public Works
Public 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
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: PApproved. FIDenied.
(Circle one.) Comments: �0 (n&f4e�-
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: E]APProved as revised. ElDenled.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ElDenied.
Comments:
Revievied by: Date:
fzeylsed D7127/1 D
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
JobAJJrrss: ;�20 Permit Number:
Parcel#
Legal Description '2-40-
11oor Area of Sq.Ftt. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled 130 cp non-heated/cooled
Class of Work(circle one): New Addition lterati��) Repair Move Demolition pool/spa window/door
Use of existing/proposed structureQ) circle one): Commercial <-6-s i d_��ent:ia I�_
If an existing structure,is a fire spr7nCr system installe4? (Circle one): N/A
Florida Product Approval#-_ /5444' -rz- /41 F A 16 44
For multiple products use proddct approval Form
Describe in de�&the type of work to be perfonned:
t -z�_�
1ko-0-t-C 'Ag')_0 r- co t
Property Owner Information:
Name: t5qLli Address:
City
EA-C-pl State rt-Zip���hone
r I r a nn. ut i
E-Mail or Fax#(Optional) L tour i
Contractor Information:
Company Name: P)ME (Xj/ue/L 8utLDt-)b �5E�_(Lji c-F -Qualifying Agent:6e_,Z/VA1
Address: Citv State
Office Phond��?/--5 z-z -/o yX Job Site/I
State Certification/Registration# CF_eCi!5_C'5 --vinEDFOReODE COMPUCANUE
Architect Name& Phone# CITY OF STLANTIC BEACH
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address Shh PERMITS FOR ADDITIONAL
Bonding Company Name and Address REOUIREMENTSANDCONDI-MONS.
Mortgage Lender Name and Address. RE11JEJUEp By. /27 6 - F2 zP
A -ca jisheeb made ob al'n a erinit to do the work
11 f
pph c tio _p"'it Y d th to 11 t 'k pi be e,ored to
J a a, a a t
6 'on or,
wo, not c _c p
and'0id k 0" ed within s
.0, 's .,c, I , "t" t t,p t,Per
k com d de d ha e ara
T . C, .i, -s'eta
anks and A". n ne,
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 hereb certify that I have read and examined th' application and know the same to be true and correct. Allprovisions of laws and ordinances governing this
type o7work will be complied with whether 'ecifLed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or localsfaw regulating construction or the pe�fo�mance of construction.
Aignature of Owner Signature of Contract Z R,�
PrintName PrintName z"Kle
S d subscri�q Sworn toand subscribed before me
d be ore me
y of r,V V12� V 201 this���_4�--r",1� 20
this Wa
&otary Public Notary P--'-';-
D STEPHENTeypWo 26.10
it"ff 0_% CIN IE HERNANDEZ
My COMMISSION#EE148600 Notary Public,State of Florida
ENPI RES:Novanber 27,2015 COMMissionOD998148
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MAP SHOWING SURVEY OF
LOT 1, BLOCK 2, ROYAL PALMS UNIT ONE AS RECORDED IN PLAT BOOK 30, PAGES
60 and 60A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
00,
S8548108 i4�
"E 31-47' FIELD �9A
FOUND 1/2- IRON 31'.'54'
�IPE. NO CAP 85'20'02"E FOUND 1/4" IRON 0115e, o"
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LOT 15 B T W8�;j-6'&`W—j f�il 99.8 0.3' FOUND 1/2' IRON
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LOT 16 2
NOTES
1. THIS IS A BOUNDARY SURVEY.
2. BEARINGS ARE BASED ON THE WEST LINE
OF LOT 1, BLOCK 2 BEING NORTH 04-39'58-
EAST, AS PER PLAT.
3. BUILDING RESTRIC11ON LINE SHOWN AS
PER PLAT.
4. EASEMENT SHOWN AS PER PLAT.
1p 20 40
THIS PROPERTY SHOWN HEREON APPEARS SCALE: 1" 20'
TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE
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OONSULTAMM INC.
SINGLE HUNG WINDOW gwL��230 VoWk�FL 33595
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_BUILDING CONSULTANM INC.
P.O. Box 230 VaIrloo FL. 33525
SINGLE HUNG WINDOW Ph�Na.:613.659.9197
OR ASMOLY'
w iz Florida Board of Protwalwal Engl�
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0) =A DETAJL & COMPONENTS '43409
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