1861 Beachside Ct 2013 screen enclsre �y�11 r✓ �
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002245 Date 3/21/13
Property Address . . . . . . 1861 BEACHSIDE CT
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 11000
-------------------------------------------------
Application desc
REMOVE/REPLACE EXISTING SCREEN ENCLOSURE
-------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
WHITTINGTON WILLIAM R & NANCY OWNER
1861 BEACHSIDE CT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
-----------------------------------------------
Permit RESIDENTIAL ALT/OTHER
Additional desc .
Permit Fee . . . . 105 . 00 Plan Check Fee 52 . 50
Issue Date . . . . Valuation . . . . 11000
Expiration Date . . 9/17/13
-------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*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
---------------------
Other Fees . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------- ---------- -
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total 52 . 50 52 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 161 . 50 161 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
pL� 9L� uu [�
BUILDING PERMIT APPLICATION FEB 2 8 2013
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 IBY
Job Address: BmchSiVe- CDC(` Permit Number: 3
Legal Description 42 -14 0 ?r-2S Z TE' /3 Parcel# Lot /0
Floor Area of sq. t. q t
Valuation of Work$ //,t700 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): NewAddition Alteration Repair Move Demolit
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
FILE COPY
Florida Product Approval #
For multiple products use product approval orm �
Describe in detail the type of work to be performed:-re-MOPC- and cP, lmt eKt�S�r(L,
X41/7 6suae-,
Property Owner Information:
NamVoax
/�• N/s�t A;t Address: ��� B�ffiU1S/dam CDu�'7�
City � -� State ft_Zip 32233 Phone -
E-MOptional) O - g'
Contractor Information: --------------
Company Name: Qualifying Agent:
Address:Xeand
City State Zip
Office PJob Site/Contact Number Fax#
State Ceistratio
Architecho e
EngineerP #Fee Simder Na e and AddressBondingName an AddressMortgagame and Address
Application is hereby made to obtain a perrnit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sixP6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing, Signs, Wells,Pools, urnaces,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 i i
certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinan governing this
type o7work will be complied with whether speced herein or not. The granting of a permit does not presume to give authority to v' ate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contr for
Print Name �,J►..L-L'!!.�:,?.: ......._i...`.:.... v..� �...`.T.:.......CI.TOJ� Print Name .................................. . .................................................................................................
Befo-e Before me /
i of 1 �5, 6?%A.A��/ 2017 this Day of 20
i
f V
a Public ='�' p`d'' c otaty Public/
r°, ,`�: Notary Public-State of Florida
•=My Comm.Expires May 26,2015 Revised 10.24.12
i Commission#EE 97846
......J `, Bonded Through National Notary Assn.
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2070 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of-Stories----------
Zoning
tories-- --Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
r"
MAP SHOWING BOUNDARY SUR 1 E Y OF
L 0 10 BLOCK -J--A,5 SHOWN ON MAP OF
AS RECORDED IN ILATBOOK qa_ PACES 1U•!NG OF THE
C.OUuL tL DIM
CERTIFIED TO. r_l�5 „�
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FILE COPY
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� � T
D � �
NoncE of Co zjxC MEET FEB 2 8 2013
(PREPARE IN DUPLICATE) _
Permit No. Tax Folio No.
State of /_si l 64County of /T1—
T
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. �i
13
Legal description of property being improved: -442 �� �7 -2 9F c
Address of property being improved:
General description of improvements:
�
Owner - .a,.yw+aras P
i t �/c�tZI A-/[��1CG
J
Address 916X 'kS%d �dtlf-�
Owner's interest in site of the improvement ft-,,- S! !t )��, COPY
Fee Simple Titleholder(if other than owner)
Name
+a.nae r. :a++�ut..ro.no+.i:cxaea .,c+tw�c
Address
Contractor
Address
Phone No. Fax No.
Surety(If any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the cons"duction 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
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
r y
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a :2 o
different date Is specified): -
i ro m o
THIS SPACE FOR RECORDER'S USE ONLY ` ( OWNER
Signed: 1 F� v1 ll' 7 r lli LGV(. DATE
Before me this; day ofu''F vi f$'.f IC�i in the 5 e
County of Duval.State gf Florida,Las peirsona �p�arod o_ o
Lfd 14 PVr PYV',TL bin herein by w a u y
DOC#2013052512,OR BIC 16271 Page 131f5, himself/hersoland affirms that all statements end declarations herein m a c E c
Number Pages:1 are hue and accurate ¢ o Eo 9
Recorded 02128/2013 at 01:17 PM, = C) "
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY ILAa��; �¢%f' ✓"�>r^Gni
RECORDING$10.00 n t o y'
Notary Public at Large,State of Ld , County of -wV •I i-.
My commission expires: [> fs C i =°
Personally Known or
Produced Identification
rano rt`
- L5
J.
�s
CITY OF ATLANTIC BEACH FEB 2 8 201
By
1. FLOIR6DA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION F
CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: _
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED i
ow
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT t x
LAW. THE EXEMPTION ALLOWS YOU,AS TI-,OWNER OF YOUR PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR C
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. TIS BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR + `
AFTER TIS CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT ---- - -
IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION, YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR USPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
699. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
/?6/ 3e,4cL6-<"01e_ Cr, ,4 904 212o o/7U
ADDRESS PHONE NUMBER
�6/�//� lie,
PRI T NAME
k'
a s � of dt" lc� .
SIGNATURE T
,rt4 .."'.. ALBERT MORENO
Before me this�v day of F�00-114 1' 20 (3in the county of Notary Public-State of Florida
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that # .;My Comm.Expires May 26,2015
all statements and declarations are true and accurate. Commission#EE 97846
'. E. °P
Notary Public at Large,State of r�j2 t PA,County of 1� �- OF Bonded Through National Notary Assn.
❑Personally Known
RCProduced Identf tion- F .2 t VA
Notary Signature:
F:/ELDG/Owner-E 1J�.4Hadavi�P.r.\riSED: 44/16/2009
AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCT4 FEB 2 8 2013
TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole Road By
Home Owner: 1411//air, ", AAd'
Name
/g6/ 56 fC le Ce tcp-f
Street Address -3,2
,22 s 3 —s�51l
a'u
City. State and Zip Code
Contractor: finpy
VU
Permit Number'/3� -
As the Contractor for the proposed new structure located at the above address,I have personally viewed
with the above named home owner those portions of the existing structure on which portions of the
proposed new structure are to be attached for structural support. I am confident that the drawings and
details included with this permit application depict the existing conditions of the host structure,and the
members of the existing structure upon which the new structure are to be attached are sound with no rot
or deterioration. The home owner has been advised by me that, in my best judgment based on experience
and knowledge of structural adequacy,the members of the existing structure upon which the new
structure are to be attached are sound with no rot or deterioration and will support all structural loads and
forces imposed on them.By signing below, I hereby declare that I will hold the City of Atlantic Beach
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from this work, and further that I will not initiate,execute or enjoin any legal action against the
City of Atlantic Beach for such consequences or failures.
A copy of this document will be recorded as an official record with the Building Inspection
Department permit history so that any and all future buyers/owners of this property may be made
aware of the status of work performed on this structure.
4 1�Signed � Date CO-/,3k?
Before me this day of F�V to tqtl� �i A G H
9 G 6
In the County of Duval, State of Florida,has personally appearedt6 CO
o N Q T
O CN o
Z O T 2
W p, N W
W c
r t-t-t r4 vK Q • !�N i TT i N G-W� herein by himself/herself and �' a o Z
ffirms all statements and declarations herein are true and accurate. CU W .y o
CL
E E
Q T O EO
d U V v
Notary Public at Large, State of 'r-LC�i•rA County of 'D�.V Vit. °.:;°%a-
P rsonally Known or Produced Identification_
DType svy2f /# iV)5it C_iL';-,V.5F ;,� ••s�P-`
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F:building/affidavit for attaching a new structure to an existing structure.docx 7/21/09
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City of Atlantic Beach APPLICATION NUMBER
S Building Department (To be assigned by the Building Department.)
800 Seminole Road 3
�r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
F31s)� E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 0( Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: 1 v►rl Ci(,Q5 VT,�q Public Works
Public Utilities
�( ublic 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: proved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: �7 3
TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni .
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
aa< ,w:.s.ti,..,a.rn.�y,•.-rsr.�-s•�'Ken�awN!'W
CITY OF ATLANTIC BEACH
Building DepartmentF I
800 Seminole Road a LFILE
1 r Atlantic Beach,Florida 32233 ----
(904)247-5800 '""
PLAN REVIEW COMMENTS
Permit Application # /3 -2 Z 9 S-
Property Address: If 6J I-S?a`► Sr d y
Applicant: Gfl, f to m g'
Project: kf-ei?76 U C 4)wn /r7v -Y► Sc, -Pt r' h r /o ��/+"'�
GIoS_z irl .
This permit application has been:
0 Approved
Reviewed and the following items need attention:
�/a Y ��•� ��c fo s�,� s/Q!/ �� s; A-e'l SPa lea/
Ian s ;o z5A ,nom{r o r -c'A;ler � L i [Pxs'ec>1
/ m qac, to-c Lt �10/ O✓ Cc er a n Phtr
ej
( -rt -eyP� S of -K
V.&O -0Sd C
v� r
Please re-submit your application when these items have been completed.
Reviewed By: Date: 3- -�
339 � 3>9
., , CITY OF ATLANTIC BEACH
titJ 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
0)tit
13-00002245 Date 4/18/13
Application Number � � 1861 BEACHSIDE CT
Property Address . . • •
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . 11000
--------------------------
Application desc
REMOVE/REPLACE EXISTING SCREENENCLOSURE------------------------------
--------------------------
- Contractor
Owner
WHITTINGTON WILLIAM R & NANCY OWNER
1861 BEACHSIDE CT ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233
----- ----
Permit • ELECTRICAL PERMIT
Additional desc 1 OUTLET
Sub Contractor ISLAND ELECTRIC OF THE FIRST C . 00
Permit Fee . . . . 55 . 60 Plan Check Fee 0
Valuation
Issue Date • • ' ' 10/15/13
Expiration Date . --------------------------------
------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*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 -----------------
-----
-------------
-----------
_____ 2 . 00
Other Fees _ STATE ELEC DCA SURCHARGE 2 , 00
STATE ELEC DBPR SURCHARGE -
---
--------------------------------------- ----
--Credited Due
Fee summary g -----
Paid
Charged -- ---
55 . 60 55 . 60 . 00
. 00
Permit Fee Total 00 00 . 00
Plan Check Total 4 . 00 . 00 . 00
Other Fee Total 4 . 00 00 . 00
Grand Total
59 . 60 59 . 60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: j'�b 1 L3lG �i4 LI PERMIT# 2
JEA INFORMATION REQUIRED ON ALL PERMITS Z�'O AMPS ��'' Z 10-VOLTS / PHASE
VALUE OF WORKS .7-00' c7o
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
_;Residential(Main) Service
_'0-100 amps ❑101-150amps 11151-200amps a amps # of Meters
Commercial(Main) Service
0-100 amps Ci 101-150amps I ;151-200amps C amps ICT Service amps
Conductor Type Size
Multi-Family(Main) Service
-;0-100 amps E!101-150amps I51-200amps amps #of Unit Meters
`Temporary Pole !J amps
SERVICE UPGRADE Fl-amps 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: I
OTHER ELECTRICAL PROJECTS
Swimming Pool ❑ Sign C7Smoke Detectors_Qty ❑Transformers KVA DMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S
Qty volts/amps
REPAIRS/MISCELLANEOUS OH to UG
Replace Burnt/Damaged Meter Can 1 Safety Inspection I Panel Change
,Other: EXT7D�b I✓X15T 1 N v 544' re-W l� G M NU,
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name W' T""i(floN Phone Number
Electrical Company (SLAiA k1:,,ft79i.& or- rGjr`
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License Holder(Print): 'lobi^I S5� State Certification/Registration#
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