1505 E PARK TER DECK PATIO 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003126 Date 7/25/13
Property Address . . . . . . 1505 E PARK TER
Application type description DECK/PATIO
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5426
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Application desc
REMOVE EXISTING CONCRETE PATIO REPLACE CONC PAVERS
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Owner Contractor
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ANDREWS DAVID & HOPE FIRST COAST PAVERS CORP
1505 E. PARK TERRACE P 0 BOX 8090
ATLANTIC BEACH FL 32233 FLEMING ISLAND FL 32006
(904) 349-2218 (904) 588-8066
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Permit ACCESSORY STRUCTURE NEW RES
Additional desc . -
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 5426
Expiration Date . . 1/21/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 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
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number: . 13—317AO
Legal Description i_o-r. f., Bl-aCy- �5v_-i_vA M(N210A L/Nlr '2- Parcelg
Floor Area of Sq.Ft. Sq Ft -
Valuation of Work$ 5 4 Z,42 _Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Re;sid Intia
�siden_�
:e
s
If an existing structure,is a fire sprinlder system installed? (Circle one): es 0 N/A
Florida Product Approval#
For multiple products use produ&_app-ro-v-a-1T6—rm
Describe in detail the type of work to be performed: AOE-MOVC E)(1'5T1r46 6r,,�jCP_C-rE_ PjkTfo 4-
W(4 1-A 5 6 A C& W/ F 7 f 761/�J!
Property Owner Information:
Name: f)PrViQ+ KOM AND gr_ays Address: 1-5-6-5 kCC- F4�S- 7_
city 7-t- StaterLZip 3;���3Phone_26 cl- 0 a/
E-Mail or Fax#(Optional
Contractor Information:
Company Name: 03&S� PAVC r-K Qualifyin�,Agent:
Address: 2 (jisby Vt?o City
State F1 Zip-Z2,00/o
Office Phone Fax
State Certification/Registration 4 REMOWn FOR GO Xi%.
Architect Name&Phone# A" V in
Engineer's Name&Phone# Cinff Of AT UUN,11C BEACH
ress
Fee Simple Title Holder Name and A SEE PrKMFI-S FUK ADDITIONAL
Bonding Company Name and Ad4dres REQUIREMENTS MM CONDITIONS, P1
Mortgage Lender Name and Address REVIEWE
1)BY- /W 1 1 r r n I
1 9 MA LW WWI I
4pplication is hereby made to obtain a permit vork an insta a 7 si ar 0 r-Lb e
issuance ofa permit and that all work will be per i tu " e n 11
formed to meet the standar of all laws regulating constructio
and void if work is not commenced within six(6)months, orift-onstr7fPtioll is suspended or abandoned r a peri o a six mon s a an ime r
work is commenced. I understand that separate permits must be secured for Flectricar Work. mbing, ' s, Wells, ols, urnaces,Boi ers,Heaters,
Tanks andAir 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.
Ihere certify that I have read and examined this application and know the same to be true and correct. Allprovisions oflaws and ordinances governing this
'Pwork will be co�nplied-with whether s eci The granting of a permit does not presu to gi e authority to violate or cancel the
I p fLed herein or not. 0 v
Drovisions ofany otherfederal,state, or loca aw regulating construction or the peFformance of constru t 'o,
.5 1-)_-1 2-, c
Signature of Owner Signature of Contractor i 'r&
Print Name
Print Name
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7 O�2S Day of
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FER ALKER
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2017
EXPIRES: 6124, Revised 10.24.12
pubcunlenwrlers
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AGREEMENT [F:1:L E COPY ';
VJ (HOMEOWNER) wishing to com let improvements for
the home locatdd at —1et- rPc-1&n?–s t,[�a eement with AARON
THOMPSON, representkMe of FIRST COAST PAVERS as follows:
FIRST COAST PAVERS will provide vendors, contractors and management necessary
to complete the procurement and installation of the project as agreed upon in the
accompanying Estimate, in a professional and orderly manner.
HOMEOWNER will provide access and cooperation for completion of the work
scheduled and will provide payment in ftill for product and services as described,
immediately upon completion of work.
While we assume no responsibility for homeowner's dog fence, wires, cables, sprinklers'
waterlines lawns and shrubs, we do work with extreme caution to protect your property.
Please help us by marking the locations of such items, as it helps our people avoid
damage.
Aaron Thompson, U Hor4 Owners
FIRST COAST PAVERS CORP
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LOT I 8LOCK 4 ACCORDING1 TO THE PLAT OF
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AS RECORDED IN PLAT BOOK 27 , PA05(S) 0 AND 6A OF THE CURRENT
PUBLIC RECORDS OF DUYAl- COUNTY, FLORIDA.
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 12-&
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us I - --17/— 3 113
APPLICATION REVIEW AND TRACKING FORM
Property Address: x, A�e 7 ftDeartment review required rYesNo
uildin
Zo
Applicant: A17-r6r ea6r _Pq,1,w_,; nnin &i ,
ree inistrator
Public Works
Project:
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 E Fist-rict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: aApproved. ElDenied.
(Circle one.) Comments:
BUIL
PLANZ G
Reviewed by: Date:-
TREE ADMIN.
Second Review: ElApproved as revised. F]Denied�.-/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F�Approved as revised. F-lDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
APPLICATION NUMBER
City of Atlantic Beach
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 3 12-&-
Phone(904)247-5826 - Fax(904)247-5845 -712 3 L1.3
ifit E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: DepArtment review required Yes No
uildin
n in zo
Applicant: )�7r.6 7— eot 6 r -Pq v,4 e 1m2 q &
T—re—e-MImInistrator
Project: Public Works
:PAI A r 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:
APPLI(;ATION STATUS
Reviewing Department First Review: [TApproved. FlDenied.
(Circle one.) Comments:
BUILDING
--�LAN�NING &ZONING1 Reviewed by: EAk4j—� Date,
Q T R E E—A D�Ml N.� Second Review: ElApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by-, Date:
FIRE SERVICES Third Review: []Approved as revised. [-']Denied.
Comments:
Reviewed by: Date:
Revised 05/14109