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Permit Shed 1560 Main St 2013 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002141 Date 2/25/13 Property Address . . . . . . 1560 MAIN ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 ---------------------------------------------------------------------------- Application desc 8 x 8 shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAFFELS, RODNEY E & R ENTERPRISES OF NORTH FL 1560 MAIN ST 2628 WEST END ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 270-2185 --- Structure Information 000 000 SHED ---------------------------------------------------------------------------- Permit . . . . . . W/W/O BUILDING PERMIT Additional desc . . SHED 81X8 ' Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00 Issue Date . . . . Valuation . . . . 1000 Expiration Date . . 8/24/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV BLDG MOD OR ROW 25 . 00 STATE DBPR SURCHARGE 2 . 00 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total 55 . 00 55 . 00 . 00 . 00 Other Fee Total 54 . 00 54 . 00 . 00 . 00 Grand Total 219 . 00 219 . 00 . 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 S r lJ � Building Department (To be assigned by the Building Department.) r ' 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904) 247-5845 Z �� 3 101,11 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 /��ai SE Degagiment review required Yes No Applicant: ° �n TEr-i-_-)y- 1 5 Slanning &Zon Tree Administrator Project: a - (� X (� ublic Works ii Cn , bo r tE Public Safety q 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 ✓' v 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: �pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: IZIP Date:':; TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 rSy�vf,J�• City of Atlantic Beach APPLICATION NUMBER Building Department FEB 12 2013 (To be assigned by the Building Department.) 800 Seminole Road / - 21q. 1 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5841 2 fo) E-mail: building-dept@coab.us Date routed: Z // l J City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � Abri "n Department review required Yes No GG C Applicant: L C nT�r r i 5 lanning &Zon Tree Administrator Project: ublic Works ii Cn-L)E 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 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ]Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 5 TREE ADMIN. Second Review: [—]Approved as revised. [—]Denied. P ORKS omments: P IC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 C TVF7]D City of Atlantic Beach APPLICATION NUMBER jS r t� Building DepartmentFEB 12 2013 (To be assigned by the Building Department.) 800 Seminole Road / 9 �� Atlantic Beach, Florida 32233-544 BY: 2 Phone (904)247-5826 • Fax(904)247-584_6 v� E-mail: building-dept@coab.us Date routed: Z �� 3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /) Aal-__4 sr— De ment review required Yes No Applicant: �nT�r�r i 5 S tanning &Zon Tree Administrator Project: / tea - (� ublic Works CCii Public Safety Fire Services SQA �5 �X 'S� n� 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 Other: APPLICATION STATUS Reviewing Department First Review: Vpproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Z Reviewed by: Date: X TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER e3s r � Building Department (To be assigned by the Building Department.) 800 Seminole Road f3 Z Atlantic Beach, Florida 32233-5445 / Phone (904)247-5826 • Fax(904)247-5845 Date routed: Z E-mail: building-dept@coab.us City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /vcai SE Qqpadment review required Yes No Applicant: ° _C15fanning &AZon Tree Administrator Project: � �a - � �( � ublic Works i Public Safety Fire Services �X Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: APPLI ATION STATUS Reviewing Department First Review: E5Approved. ❑Denied. (Circle one.) Comments: BUILDING ANNING &ZONING Reviewed by: 24z�'d' Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1 Q M A14 _ [ Permit Number: /3 Legal Description 06- 2 S - A9 1=' ' 17 Parcel# Floor Area of Sq.Ft. q t Valuation of Work$ 1CCd" Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): _ Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No /A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: �� V�i..i" �I+I=J� w ��11^ - '`�'� Property Owner Information: j Name: R• ONE �,�1rr � Address: S7-7S7-7Dor`-'[ City V 304 State. /dip "2t�`ii Phone �i E-Mail or Fax# (Optional) Contractor Information: Company Name: 15#12 eK-n_-_ae1z(SL_�S Qualifying Agent: 6DL'Vr Address: 2-4p"? L k-aNJO S f City A7t_.9,i? L C" State E= Zip -22 13 Office Phone '210-2 125— Jo tact Number 4i 2-0-.5-r 15 Fax# State Certification/Registration# G Architect Name&Phone# Engineer's Name&Phone# BE C Fee Simple Title Holder Name and Address SFOR AC if Bonding Company Name and Address RE ZONAL Mortgage Lender Name and Address IONS. ► BY: Application is hereby made to obtain a permit to do aca d. k or in Hation has commenced prior tot issuance of a permit and that all work will be performed to meet the stan or s z uz i j risdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or wor is suspended or a an d of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical work,Plumbing,Signs, ells, Pools, Nrnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. 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 this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whetherspeci ied herein or not. The granting of a permit does not presume to gave authority to violate or cancel the provisions of any other federal state, or local law regulating construction or the performance of construction. Signature of Own Signature of Contractor Print Name , �- Print Name Lp1°1�i.h1�.......�.�g...... ..... `► ....................... � � f �` ," Swoi w . . � c ibscribe', Sworl¢ subscrib ��`''"9ie"�' •, ` this Y f 20 this ay of Notal ublic Notary Public Revised 01.26.1 Page 1 of 1 v 1 T x 1 i M7dk (3 721830000 IN lsro y 1 �r L Sr.__.._ !l 0( 1S1S 1SS0 C W t } 130 cov..wn ci mescn.w sm�.+c r, .. f 0 95f� of Atlantic Beacartment G'tY Zoning Dep Planning and lianee with apPlfc'and royal verifiesle °mp other local This app and does not constitute subd' ermits. zoning ulations, but compliant nt reg. all other applicents developm{or the �ssu Code a d . uirem aper Florida Building ermit' of Atlantic re with State and Fede nature of the City of a loca be verified by s1g rior to the issuance Beach Building.Off%cial p Building permit. _ Approved BY' pate: http://maps.coj.net/output/DuvalMapsSQL__itdgism6302426005720.png 2/9/2013