30 17th St 2013 screen porch 2013 .I% , I
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003174 Date 8/09/13
Property Address . . . . . . 30 17TH ST
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2950
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Application desc
screen in existing rear porch
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Owner Contractor
------------------------ ------------------------
DOWLIN DIANE M & WILLIAM A PERMALAR INC. OF FL. , INC.
30 17TH STREET 8841 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 721-2227
--- Structure Information 000 000 SCREEN PORCH
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 29SO
Expiration Date . . 2/05/14
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Special Notes and Comments
No additional impervious surface allowed.
PER SECTION 24-83 (B) , REAR YARD PORCHES THAT ARE COVERED
AND PROJECT NO MORE THAN 4811 INTO REQUIRED REAR YARDS MAY
BE ENCLOSED WITH SCREEN ONLY. ACCORDING TO SURVEY, FROM
EDGE OF EXISTING PATIO TO REAR PROPERTY LINE IS 18 . 31 .
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 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 JU 2013
Office (904) 247-5926 Fax (904) 247-5845
Job Address: 30 Z-A s-r- #724wm, .6 r5--tn�-�oexl— 3-2-23 PermitNumb997
I Lordj ey
Legal Description W &A&Ve_ dNj7r1v I Veo4i-4ar 7.WY.1 reel # /&ff
F loor Area 6f Sq.Ft' Sq*llt
9-6-0, oo Proposed Work heated/cooled non-h gc#�lfo-a nn
Valuation of Work ol FA LL:�-7j [Y
Class of Work(circle one): New Addition Alteration Repair Move Demolition po, a Adlne-flj"
Use of existing/proposed structure(s)(�ircie one): Commercial �eside�nt
If an existing structure,is a fire sprinkler system installed9 (Circle one)----Ye—s No N
Florida Product Approval# - ,;� &)0//a —
For multiple products use product approval form
Describe in detail the type of work to be performed: 5CKC-� Id -4
VkffA �JOIIV6 !�,,A(
oze,44 100AC011
Property 0-mer Information:
Name: WILwAm !kVtAH&- QoLat-11`4 Address: 3o 11til 57-- "L*,-eve, 2,233
Citv re, 6.0-�AAC# Statd.,;J,Zip '3;Z;t 31 Phone (o 0 -
E-�4ail or Fax 4 (optional)
Contractor Information:
Company Name: - Qualifying Agent: WileCIA4 ,1" A-44LI.f e
Address: PRAY1 city—JWX. State I /-- Zip 3 .29/1
Office Phone qj2�L- 7 11-2AR 7 Job S. � --j:,jjL-71 Fax#!%2 Y-72 1- 76,R-7,
State Certification/Registration# .5C C 6)5t,4'*ftKWFD"R COD (70 11111
Architect Name&Phone
Engineer's Name& Phone 4 A,
SE R FOR ADDITIO
Fee Simple Title Holder Name and Address NAI
Bonding Company Name and Address EMENMA D CONDITIONS,
Mortgage Lender Name and Address
commenced prior to the
t becomes null
any time after
aces, B,,Iers,Heaters,
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herelb 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
r The granting of a permit does not presume to give authority to violate or cancel the
work will be complied with whethe s ecified herein or not.
provisions of any otherfederal,state, or local, regulating construction or the performance of construction.
L
Signature of Owner Signature of Contractor
V\ Print Name
............
Print Name .......................... T.
-�t .. ..................................... ............. ..............T
Sworn to and subscribed before me Sworn to and subscribed before me
this 3 hrr Day of 'rkiL.-Y 20111 this '��'rDay of -TL)L Y 20tj
C�LYKH���
NoW.P%blic C.LYNM
Not"aryPublic
FON&D C.LYKH MY COMMISSION#EE 8570
Revised 01.26.10
MY COMMISSION#EE 857628 EXPIRES:February 15,2017
""'OF IV
EXPIRES:February 15,2017 8w*TM UO 140j"SWAM
44MO TNv 9Wq0 W&y SWVM
7EC 0 P Y NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Tax Folio No.
Permit No.
State of Fiorida County of 0A
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.
Legal description of property being improved: 0 6,qfkq_ 61k W
U/ f,
Address of property being improved: 3o 17 h sj�
*w ry c
3 9-7
General description of improvements: SC ZA" LHA C,01y1140,'y1_"0HA4,1(111 A00651-0 le /WM4W
j6oACd'0'jg3 �_L t/j/VyL
owner WILL] LM
Address t9 -93
Owner's interest in site of the improvement &6_s 1'0 q
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Permalar Industries of Florida, Inc.
Address 8841 Atlantic Boulevard Jacksonville, Florida 32211
PhoneNo. 904-721-22-)7 FaxNo. 904-721-7682
Surety(if any) Amount of bond$
Address
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Fax No.
Phone 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 Lienor's Notice as provided in
Section 713.06(2) (b), Florida Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
OVWVNE'
THIS SPACE FOR RECORDEWS USE ONLY Signed. DATE7/'3///3
i -Y iWl�e
Before me—this��.Id�ayof �ji_ 25)-3
County of Duval,State of Rorida,has personally appeared
t) JAMr, QQWLL&( herein bV
himselff herself and affirms that ail statements and aeclarauu,is 1 le,ein
Doc#2013198353,OR BK 16474 Page 1113, are true and accurate
Number Pages: 1
Recorded 07!31!2013 at 08:48 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10,00 —Not"aryPublic at Large,,S te-of �._,�County of VA L
rg
My commissloon expire
71 '. " _��p or
Personally Known
Produced Identifica_tionjjRjtk�4 cif At f
PONALD C.I.Y.WH
MY OVIJOiSiON 0 EE 857628
EXPIkH;Fobfuary 15,2017
MAP SHOWING BOUNDARY SURVEY OF
C.
7 ";7 � T-3, D' ':: .4^'- - ' - .
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CERTIFIED TO:
;7 F::� J:
7 7 7 7-
17th STREET COPY
FILE
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Li 17 -�!Cjty 0 lantic Beach
�i7
pliMitig and Zoning Department
6.3 "pj�val verifies compliance with applicable
land
z&-ni—ng—,-%-u-W1
vision and other local
-developTnent regulations, but does not constitute
S 79*27'22" W
approval for the issuance of permits. Compliance
24.98' (MEASURED) with Florida Building Code and all other applicable
0c, D. loce .4tate and Federal permitting requirements
ity of Atlantic
mU&jkpUqLv�,rlfied by signature of the
&ilding Official prior to the Issuance of a
Be
-)T
Building Permill.
Approved
E'G E N I Date-
F;Zay Thompsc)n
SURVEYING, Inc.
FG01ng the DISTANCE for You IPONTE VEDR4-TITLE, L.L.C.
4613 Philips Highway,Suite 210
Jacksonville.Florida 32207
L (Phone)904-448-5125
(Fax) 904-448-5178
7- 'R
D.- S
7 -.07471�
-312RI,
2: Ely
7.
LAND SURVEYS 0 CQN!STRUCTION SURVEYS 0 SUBDIVISiONS
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
Date routed: Al
E-mail: building-dept@coab.us
City web-site: http:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: e�z 17rw XT 7 Departrpent review require 'i�es
( Buildina_.-',-
Applicant: —P6 rl-n 0- ZA lt7 dA6 7-�el:� _ ning &zoning
-Tree Administrator
-PGblic Works
Project: _27 LC12 .-
Public Utilities
Public Safety
Fire Services
Review fee Dept Signature �F4�
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 Restaura its
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS eulard 9
(ri VV�OK
Reviewing Department First Review: [O'A-pproved. ODenied.
(Circle one.) Comments: re' Ar t(* .
bc
2CC'493(J9) '
BUILDING 21
,,n A�NN I N�G&ZO�Nl N G� Reviewed by: Date: 7 &V 1211
Second Review: FlApproved as revised. F-lDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
", s , - City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
d:
E-mail: building-dept@coab.us Date route
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
ment review required Y No
7 J-7- :Z: �
Property Address: , — ( uildin
Applicant: rt'--7 0- Z4 '4� Pan niii n g &Zoning
TFe—e Administrator
�ru_b c Works
Project: /ir-f-ce; Ja7'1�e'b
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: [gA/pproved. []Denied.
(Circle one.) Comments:
(:B:UI L:D I�N
PLANNING &ZONING Reviewed by: Date-._F_7�/ /_�3
V
TREE ADMIN. Second Review: EJApproved as revised. FlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
City of Atlantic Beach APPLICATION NUMBER
o be assigned by the Building Department.)
Building Department
%Y
800 Seminole Road
-5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845 Date routed: s
E-mail: building-dept@coab.us
City web-site: http:/Avww.coab.us
APPLICATION REVIEW AN /TRACKING FORM
J-7 DepartMent review re4uired es No
Property Address: 7�7 J,Buildin�L_
_��anning &Zo ning
Applicant: —P ZA 6-
Tree Adrn inistrator
P-ublic Works
Project:
PublicItilities
Public Safety
Fire Services
C9
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: $Pproved. ElDenied.
(Circle one.) Comments:
BUILDING
Date:_
PLANNING &ZONING Reviewed by:
TREE ADMIN. Second Review: nApproved as revised. F]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: -Date:
FIRE SERVICES Third Review: RApproved as revised. ElDenied.
Comments:
Reviewed by: -Date:
Revised 05/14/09