2233 Seminole Rd # 6 (vault) CITY OF ATLANTIC BEACH .
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033025 Date 6/26/06
Property Address . . . . . . 2233 SEMINOLE RD UNIT 006
Tenant nbr, name . . . . . . REPLACE DECK
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
Owner Contractor
------ --- - -- -- -- -------- ------- -- ---------------
PETWAY, BRETTE OWNER
2233 SEMINOLE #006
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
------------- -------- ----------- --------- -- - -------- ------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . -
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 5000
Fee summary Charged Paid Credited Due
----- ------- ----- ---------- ---- ------ ------- --- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Grand Total 82 . 50 82 . 50 . 00 . 00
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Page I of 1
Zd�
Print Date:
6/26/2006 2:45:11 PM
Transaction 855895
Receipt#: 814675
Cashier Date: 6/26/2006 Jim Fuller
2:45:43 PM Clerk Circuit Court
(KPEARSON) Duval County
330 E. Bay Street Rm 103
Jacksonville, FL 32202
(904) 630-2044
Customer Information Transaction Information Payment Summary
DateReceived: 06/26/2006
Source Code: BEACH
PETWAY BRETTE Q Code: BEACH
2233 SEMINOLE RD #6 Return Code: Over the Total Fees $10.00
ATLANTIC BCH, FL 32233 Counter Total Payments $10.00
Trans Type: Recording
Agent Ref
Num:
I Payments
Fm—th.'
90- C A S H $10.00
1 Recorded Items
BKIPG: 1335311504 CFN.-2006222595 Date:612612006
AN (N/C)NOTICE 2:45:34 PM
COMMENCEMENT From: PETWAYBRETTE To:-COMMENCEMENT
INDEXING 2 $0.00
RECORDING $10.00
10 Search Items
10 Miscellaneous Items
file:HC:\Prograrn Files\RecordingModule\default.htm 6/26/2006
Doc#2006222595,OR BK 13353 Page 1504,
Number Pages:I
Filed&Recorded 06/2612006 at 02:45 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10.00
-NO-flCE OF C OMYf ENCEMENT
State of ttvl-L 01A Tax Folio No.
County,of
To Whom It M21Y COwerm with Section 713 of
The undermgned h=by yo",�tlt P..'ements Will be made to certam real property,and M accordancr
the Flonda S=tw,the f0llOwmg in�ionis =led m tbLis NOTICE OF COMMENCEIVENT-
Legal Dc=tAim of property being improved-
Address of Property being knPrOved-- Z,
General description of bnpro�� �A)
Owner Axldress: Si
owme 5 htEmlest in ESite 0E. j
Fee S inple T-iflehOkICT(if 01hw thm owner)--
C-A
Name.
conl[ractor.
Ador�-
ax
.e Noq.:
Surety may) Amount of Bond S
Address:
Telephone No:
Naine and address c&any perwn majdag;a low foF tbC C0nsWx:ti0U Of the*=V=='�s
Name:
Phone No: Fax No:
Name of person within the State offlorida,otha than hm-seff, designated by owner upau whom notices or other documents may be
3crve& N�
Addm=
Telephone No. Fax No: in Seedon
In adftion to himsel� ow.,= d=pates the fuflowmg pason, to receive a copy of the I" I as Pr"ded
-713.06(2)ft Florida Statae& (FBI in at OVIMe S Wtim)
Name-
Address:
Telephone NO: FaxNo:
F=wzaion dam of Notice of commex==mt(the eVu-jdw date is one (1)yew from the dam of recording unless a different date is
specified);
,-TRnACE FOR REC ER'S USE ONLY OWNER
RIO Datr-- 0(
Signed: &DavaL StOc
M
BC:fi3=Me this day of
DONNA G,rYWBY - OfFbixida,has per-MaRY Comm y
MY COMMISSION#DD 314806 Ntotary Public at S
MY COMMISSI
-gi EXPIRES:August 29,2W8 -Ay or
A
Bonded PIRES.AUgUSt 2
Thru Notary PUblic UMOONfitsfs Personady
At ars
Produced
'�l I I Cc:
CITY OF ATLANTIC BEACH
L. Higgins
BUILDING / ZONING DEPARTMENT
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address: A opt
Applicant: iz I
Project: de&,?;�
T-
T7ermit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified:
-NOTE: This application may be subject to covenants and restrictions for the permitted property. The
enforcement of the covenants and restrictions are the responsibility of the homeowner's association.
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
(Alterations&Additions)
p at ei
Job Address: -Z 3 ZL 12, 33
z -3 3 ZZ
Owner of Property:
Telephone: Z OV3 7-
Address:
Legal Description: Block Number: Lot Number: Zoning District:
State License Number: bolv_-,
Contractor: 1 :111
Contractor Address:
2-
Telephone: Fax:
Describe propose pse work to be done:
ct UWAI "(4
Present use of land or building(s): fo�,' 4
.r& d-P_4
Valuation of-proposed construction: I
-,-�6,0 0
Dimensions of the added space: feet x feet
Will this project involve:
-Heating&Air- Plumbing Electrical Fireplace
Conditioning
Is approval of Homeowner's Association or other private entity required? If yes, please submit with
this application.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904) 247-5845 - http://www.ci.atlantic-beach.fl.us
Revised 9104
Page 2
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees9
NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a
Building
Permit.
NO. Applicant certifies that no trees will be removed for this project. PERMIT IS REQUIRED. Tree
YES. Removal of Trees will be required for this project. TREE REMOVAL
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as gVX194Ldakt .
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please
have Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (if not requirecl, written verification- must-be provided with this
application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Be�ch,FL 32233 Telephone:
(904) 247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP4. Please submit Building Permit Application, Energy Code Forms,Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor, and four(4) complete sets of construction plans to the Building Department,which is located at the
Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach, FL 32233 Telephone: (904)247-5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures, temporary and permanent, including setbacks, building height,number of stories and square footage.
Identify any existing structures and uses.
3. If required by the Department of Public Works, a pre-construction topographical survey.
4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies.
5. Impervious Surface area calculations: include driveways,sidewalks,patios and other impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
Address and con)vrt informatio f person to receive all correspondence regarding this application(please print).
NE �%,(q f) " d
Mailing Address:
Fax: E-Mail: 606c
6 e_— TeleDhone:f2,4! -?_- 8 3. !!no 4,
t40-1 CCho,,�
I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct All
provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not The granting
of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations,
ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property.
understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and
supporting data have been or shall be provided as reared. Date:
Of Owner.
Signature
AS TO OWNEK-
800 Seminole Road - Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904) 247-5845 - http://www.ci.atiantic-beach.fl.us
Revised 8/04
Page 3
ore me this day of 20
Sworn to and subscribed bef - . _4*/�
State of Florida,County of Duval Notary's Signature:
monica Lym DW
!,V fta% My CowitsWn W235500 Personally known
Produced identification
E*M july 29,2107 Type of identification produced
-Date:
Signature of Contractor:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20
-State of Florida,County of Duval
Notary's Signature:
Personally known
Produced identification
Type of identification produced
..........
800 Seminole Road Atlantic Reach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904) 247-5845 - http://www.ci.atlantic-beach.fl.us
Revised 8/04
Page 4
CITY OF ATLANTIC BEACH Cc:
D. Ford
BUILDING / ZONING DEPARTMENT
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
viww.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address:
Applicant:
Project: r 49
This permit plication has been: oaf
A rov
pp :ed
POO
�ced�351111111111111i�11111- H I n
'foo�uo
+ V)C—Pr
Please re-submit yo p cation when these items have been completed.
Reviewed By: Date:
Date Contractor Notified: a-Soo,
VUL
L,,�MCIALRCGORDS
TLi Al VC
IL 4*d*Lmr tAw
'Apt.
14 6
El
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4p
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and restrictions for the permitted property. The
-NOTE: This application may be subject to covenants
enforcement of the covenants and restrictions are the responsibility of the homeowner's association.
CITY OF ATLANTIC BEACH
R E C E I V E 1)
CITY OF ATLANTIC BEACH
BUILDING & ZON'1NG BUILDING PERMIT APPLICATION
(Alterations & Additions)
MAY 18 2006 1
Date:
BY:
Job Addr Ss:
,z-Z 3 _5 fL 3-22-33
Owner of Property:
PI-19 fi C.
Address: 5AU� Telephone: c/ 7—
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: State License Number:
Contractor Address:
Telephone: Fax:
Describe proposed juse and work to be done- C(A
Present use of land or building(s): 051,de17
Valuation of proposed construction:
Dimensions of the added space: feet x feet
Will this project involve:
-Heating&Air- Plumbing Electrical Fireplace
Conditioning
Is approval of Homeowner's Association or other private entity required? If yes, please submit with
this application. 800 Seminole Road - Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904) 247-5845 - http://Www.ci.atlantic-beach.fl.us
Rcvised 8/04
Page 2
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a
Building
Permit.
NO. Applicant certifies that no trees will be removed for this project. PERMIT IS REQUIRED. Tree
YES. Removal of Trees will be required for this project. TREE REMOVAL
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits,please follow all steps and provide all-information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please
have Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this
application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:
(904) 247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms,Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor, and four(4) complete sets of construction plans to the Building Department,which is located at the
Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach, FL 32233 Telephone: (904)247-5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
1. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage.
Identify any existing structures and uses.
3. If required by the Department of Public Works, a pre-construction topographical survey.
4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
Address and conpetVt Nimtformrn4atiorf person to,receive all correspondence regarding this application(please print).
Nai
Mailing Address:
Teleohone:?, 3 Fax: E-Mail: ��f
1
I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All
provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting
of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations,
ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I
understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and
supporting data have been or shall be provided as re red. I Date:
Signature of Owner: F
AS TO OWNER:
800 Seminole Road - Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904) 247-5845 - http://www.ci-atiantic-beach.fl.us
Revised 8/04
Page 3
e
-day of 20 LIZ
Sworn to and subscribed before me this
State of Florida,County of Duval
Notary's Signature:
mon"Lym DW Personally known
m ornn-Assim W23M
yr Produced identification
Expkes july 29,2007 Type of identification produced
Date:
Signature Of Contractor:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20_.
State of Florida, County of Duval
Notary's Signature:
Personally known
Produced identification
Type of identification produced
800 Seminole Road - Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904) 247-5845 - http://www.ei.atiantic-beach.fl.us
Revised 8/04
Page 4