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74 (78) W 4th St 2013 4x8 shed t \�t�-11�J fluff ,C,� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002362 Date 5/01/13 Property Address . . . . . . 74 W 4TH ST Tenant nbr, name . . . . . . 78 W 4TH ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc REPLACE 4X8 SHED ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- COX, RUSSELL AARON JONSSON CONSTRUCTION 14003 TOMAKA RD 333 SAN PABLO RD N JACKSONVILLE FL 32225 JACKSONVILLE FL 32225 (904) 591-0599 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 10/28/13 ---------------------------------------------------------------------------- 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 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 e(904)247-5826 Fax(904)247-5845 Job Address: _ � !?� �7 /� �0 Permit Number: �- Legal Description Zk-34/ -4arcel# Fl oor Are,a ot Sq.rt. . t Valuation of Work$ 71�� Proposed Work heated/cooled nqon-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/propoinstalled? structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system (Circle one): Yes No N/A Florida Product Approval# �-- /d For multiple products use product approvalform // Describe in detail the type of work to be performed: �rr S&_"1zzfr Property Owner Information: Name:&C r&A�� /� Address: City State7ZZip Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Qualifying Agent: e--- D�Ss'oi, Address: City X, State 2�-Z—Zip,3 zz z.�— Office Phone .,: Z– 33 Ye Job Si State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# LANTIC BEACH I Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITIONAL Bonding Company Name and Address REQUIREMENTS AND CONDITIONS. Mortgage Lender Name and Address Application is hereby made to obtain a permit to do thew on has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all law regulating construction in this jurisdiction. This permit becomes null and void ff work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,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. 1 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speci fed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or loc law regulating construction or the performance of construction. Signature of Owner Signature of Contractor O C Print Name P Print Name Sworn to and subscribed before me Sworn to and subs i ed befo a me this aLSt Day of A/ G rch 2013 Os c1S Day of LORI��8Y :I`"" "•�� MARILYN M.DA]3016 Notary Public • MY COMMISSION 0 EE222094 Pu lc .o`` My Comm.Expires JaEXPIRE8 AupuM 00.201E ' F of,�d�' Co i s' E ''kevise�'�1�%.J aei rus neaaw ena.Dorn VIE SAP SHo"NG SURVEY T 'K. D 'ON A 1 ANTIC B� AS PliBuiC RFC0KD1-j REVIEWED FOR CODE COMPLIANCE OCT 41005 aj MY-OF ATLANTIC BEACH Building and Zoning REVIEWED F OM 14t6 A,M PERMM FOR ADDMONAL 4 4* W 11�UMEMENnAND CONDMONS. S ��S 69- CO 5Q 'NQTF' 00 C) ASM ON '!it VW, t�' Q) .INF OF 1.()T -',. 81 OCK 18. AS Q PIAT N� RLjiLOING RSTN CrION I INFS +R F'L A T- S ps iI If 0 City of Atlantic Beach pianninq and Zoning z mos ,,_Repartment 11 .) This app verifies compliance with aPP11 d subdivision 8nd Other local. -s not GO to 'g, Corpli, able ;6 zoning, regulations, but doe Q� development re gi,suance of permits approval for the �er able Jing Code and all other with Florida Buil( deral permitting ents local, State,,-and Fe 0 tlantic by signature of the C oe of a must be vqt��d Beach Build,Ing Official prior to the 1 Building Permit. Approved BY:— JI- 0 Date, /)v 69.4,6 00 50 - - on 4) I<Z3 A / A -^,4p lociv ft)JZ4 HF PR PE.RI'Y SHC^ Hf;*'ON APPLAR"t TO ', It- iN F'�-000 ZONE X" (ARtA ;OU "SCC500 YEAR --1)0L', �j-AIW AS Wf'i-,,, AS CAN ,i - LY* 1R%Nit-D iROM. TW' "I-1.000 RATE MAP" FOR THC ' TROZIF.V? 1'�AT HAVE PANt--, No. 12 �� 00/ 5 1 IiEqLBY CLRFJy `0 SHERMAN 1,� APRIL. 19199, 000i )," 'Et)-i--Vi I) SuRVEYED THE LANDS AS SHOWN IN I'HE ABOVE CAP TION AND THAT THIS MAP ;S A TRUE AND CORRECT REFFIRESEN- ATJ()N OF `HAI' SURVEY AND -1'HA7 SURVEY REPRE- SWIt'D JI[RFON MEETS, THF, MftfOUM TECHNICAL S'ANL)- ARDS OF THE Fl-ORItlA-'-A-Dk4l-NISTF1ATIVE CODE CHAPTER 61 G17--6 AND 'o� 11--LQ9i0A-�ND--T1TLF ASSOCIATION.' DONF-4 *.-BOATAWGHT, P.SIrl. -""- THIS SURVLY NOT VALID UNLESS, FLA. WIG. SURVEYOR AND MAPPER No. 3295 SEALED WOH AN EMBOSSED SEAL OF THE SURVEYOR SIGNED HEREON SCALE: _f_� 2C' BOAr*MGHT LAND SURVEYORS. INC, DATE: 22 DRAWN BY 1711 5th STREET SOUTH � FILE IP. JACKSONVILLE ENEACH. FLORIDA 241-8650 SHEET OF I — Nurrri„ FILE COPY s� vr, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r t 800 Seminole Road ; Atlantic Beach, Florida 32233-5445 - Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 77 1111-71ST- Department review required Yes No Applicant: Planning &Zoning Q ;1 Tree Administrator Project; Public Works Public Utilities--F; Public Safety Fire Services Review fee $ G Dept Signat0 :;: 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 y: Date: TREE ADMIN. ' Second Review: ❑Approved as revised. ❑Denied. 4PLIC Comments: TILITI t AFE Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. @Denied. Comments: Reviewed by: Date: Revised 07/27/10 —IVI City of Atlantic Beach APPLICATION NUMBER Building Department (Tc be assigned by the Building Department.) 800 Seminole Road 7 Atlantic Beach, Florida 32233-5445 -� Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: ' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7� ��'� � /1/�� Department review required Ye No ;Building..... Applicant: Jrs Planning &Zoning Q 1 Tree Administrator Project: U _->,/,7 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 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: C7Approved. ❑Denied. (Circle one.) Comments: c�s/7c/7 J)ie, CDbrcv;)n � ��., PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127/10 Sy �_ City of Atlantic Beach APPLICATION NUMBER ji r S, Building Department (To be assigned by the Building Department.) f 800 Seminole Road /2 , a3 Atlantic Beach, Florida 32233-5445 J Phone(904) 247-5826 • Fax(904)247-5845 Z� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 Department review required Yes No uild Applicant: ing &Zonin pL Tree Administrator Project: 8 �!��Q ublic Works u lic Utilities Public Safety Fire Services Review fee $ Dept Signature C 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 LANNING &�ZO_ Reviewed by: &'0_e_ 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 rsylf��, City of Atlantic Beach APPLICATION NUMBER JSP Building Department (To be assigned by the Building Department.) 800 Seminole Road MAR Atlantic Beach, Florida 32233-5445 J'J ' C_ Phone(904)247-5826 • Fax(904)24 -,UFE-mail: building-dept@coab.us - Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: A-, �� /I/T�(J Department review required Yes No y uilding Applicant: Jr��7� J =Planning &Zoning �1 Tree Administrator Project: g /��,A ,y Public Works Public Utilities"-, Public Safety Fire Services Review fee $ J5Dept 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: *Pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 3 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