345 5th St screend porch 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
19
Application Number . . . . . 13-00003219 Date 8/14/13
Property Address . . . . . . 345 STH ST
Application type description SCREENED ENCLOSURE
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 12578
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Application desc
ENCLOSURE FOR POOL
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Owner Contractor
------------------------ ------------------------
GOODLING DONALD L & HEATHER J A CERTIFIED SCREEN SERVICE
328 STH STREET 560 S YONGE ST
ATLANTIC BEACH FL 32233 TODD@ACERTIFIEDSCREEN.COM
ORMOND BEACH FL 32174
(386) 767-3161
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50
Issue Date . . . . Valuation . . . . 12578
Expiration Date . . 2/10/14
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Special Notes and Comments
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
DEV REVIEW-SINGLE & 2-FAM 50 . 00
ENG REV PRE APP > 3 HRS 25 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV PRE APP >3 HRS 25 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total 57 . 50 57 . 50 . 00 . 00
Other Fee Total 104 . 00 104 . 00 . 00 . 00
Grand Total 276 . 50 276 . 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
FILE COP y 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 AUG 0 7 2013
Job Address: Permit Numb ts — a
Legal Description Parcel# 11�q
9�,A��7Q FloorAreaof - Sq.Ft. Sq*Ft
Valuation of Work$L— Proposed Work heated/cooled non-heated/cooled /--26-3
Class of Work(circle one): (:N:�e� Addition Alteration Repair Move Demolition pool/spa window/door
Use of e,�i�ting/pro osed structure(s) ircle one): Commercial 1���
If an existing structure,is a fire sprinMr system installed? (Circle one): Yes No C�JA__
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: 6CKLfr) 11,�)
Property Owner Information:
NameA604 t 1!AeA _hC't1aL44 14M��r Address:_�54�E 511- 1�t
City_t�h 16t kA4T`t -ilea ch StateVZip-32Q�� Phone c2V �4- 1?�9_7_
E-Mail or Fax#(Optional)
Contractor Information: d,4&it euo6jifd s crtm ew iq
C
CompanyNameA 06r4w�a-c-r-leLe�:)r) Qual if�ing Agent: /OC18 (y) - C
Address:_"�C) ��- Vkyl�Le_A-1 - City , Y-10A.CrO -be--k State PC- _Zip321 :W
Off-ice Phone 75&o-td73-CADE2�1 Job Site/Contact Number _i�>4&-7$37 Fax#z-50&-(p-7-3 -8
State Certification/Registration# C_03tp,4 i I
. �j
Architect Name& Phone# f
Engineer's Name& Phone# (Y-Y 0!4 etA. 0 5-13[LS I'I Z T�Lt-e r L& YN:Vra
Fee Simple Title Holder Name and AYdress 9 0 44-,vo I a--,7y,
Bonding Company Name and Address I-VIR
Mortgage Lender Name and Address
.:Ipplication is hereby made to obtain a permit to do the work and installations as indicated I 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 abandonedfor aWeriod of six�6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing,Si s, ells,Peois, A rna es, oile . Heaters,
Tanks and Air Conifitioners,etc. in " c 8 rs
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.
hereby certifv thar I have read and examined this a
_pplication and know the same to be true and correct. A I provisions of laws and ordinances governing this
type of work ivill 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 ofany otherfederal.state, or local law regulating construction or the per(brinance of construction.
Signature of Owner Signature of Contractor
Print e a+k e r— 6-0 o
ql� Print Name
H,409;�s�. �
0
g"
SO,Kt�and subsc before me SworWo and s bscy�bed before me
u
n 20 this 2017-3
Day
1110t"P (-Z- 2!a Notary PUblfc ol
r
SyLViA ILONA DRISCOLL
COMMISSION#DD 947388 Revised 0 1.26.10
C., MY
04f
SE CP EXPIRES:December 17,2013
OF F, B=W Thru Budget Notary Sriims
From:A Gertified �Screen 386 673 8045 08/08/2013 07:07 #945 P.002/002
Doc # 2013205139, OR BK 16484 Page 1688, Number Pages: 1 , Recorded
08/07/2013 at 12:08 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 00
FILE COPY
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real properl).and in accordance with Section 713 of
the Florida Statutes.the following information is stated in th ICE OF ENCEMENf.
Legal Descriplici n of property being improved:_hQi2
Address of property being improved:--6y--6--15—Y]�
General description of improvements:
Owner:
Address:
Owner's interest in site orthe improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contraclor: — cz
Adclress� P-7t t9e J�- Conog d. &qolk 11--e 0..-21
Telephone No.:�5& Fax No: ;6 e&-
Surety(if any)_ I ,-YA
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person ithin the State of Florida,other than himself.designated by owner upon whom notices or other documents may be
served:
Address:
Telephone No: Fax No:
In addition to himself. owner designates the following person to receive a copy of the Licnor's Notice as provided in Section
713.06(2)(b).Flor da Statues. (Fill ing Owner's option)
Name:
Address:
Telephon�-No: Fax No-
Expiration date of Notice of Commencement(the expiration date is one I year from the date of recording unless a different date is
specified): -------
THIS SPACE FOR RECORDER'S USE ONLY OWNER
I
CN
Signed- ate: R121/S
BetbremctNs_�7-d daV�r in ihe(�otwty of4)wmi-
F- has personall)appeard- V r-
A, --V11-
ak�i
TAR�, Notar,% Public at large.Siate oF Fie it
zS M)commission expires: -2 '�l - "C'-51—
Personally Kno%n. or
Produced I -ntifica' I
A.
SUNROOM9 SCREEN ENCLOsuRE, AND/OR SCREEN Room AFFIDAVIT
CITY OF ATLANTIC BEACH
JOB ADDRESS: st, PERMIT# I-2->`3 24-9
INSPECTION REQUEST PHONE LINE(904)247-5826
The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence.
The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category
requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing.
The property owner is hereby notified that should any form of temperature control system be added to a Category 1, 11, or III
Sunroom or the removal of the doors separating any CategQr-y I thru IV Sunroom from the host structnre. occur, the room ,,hall
become non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces as mandated by the
Florida Building Code,The Florida Model Energy Code and State Statutes.
Screen Room,Sunroom and Screen Enclosure Reauirements
Category 1 11 111 IV V
Habitable Space No No No Yes Yes
Foundation Walls<200plf can Walls<200plf can Walls<200plf can Walls<200plf cat�u�, Wa, - b"
have 8"Wx12"D ftg have 8"Wxl2"D ftg have 8"Wxl2"D ftg 9"WxIT'D ftg 9184MV 1141 W-1
or 3-1/2" slab if no or 3-1/2" slab if no or 3-1/2" slab if no FI -i 7
concentrated load concentrated load concentrated load FILE COPY t.
>7501b >7501b >7501b
Exit Lighting Not Required Required Required Required'
=__ "',_7
IZ 'vupw
.zw7rT'r
wz'
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency EscapeEgress from exist. Egress and Exit must ---gress and Exit must 7-gress and Exit must Egress and Exit must
Openings structure allowed if meet code neet code. Other neet code. Other neet code. Other
open to atmosphere or -esistance -esistance requirements esistance requirements
considered screen -equirements for 'or forced entry,air for forced entry,air
enclosure and has 76rced entry,air eakage and water leakage and water
screen door leading eakage and water )enetration also apply. penetration also apply.
away from residence. penetration also apply-
Misc.Window and Host structure Removable windows Removable windows 4ost structure windows Host structure windows
Door Requirements windows/doors shall allowed in sunroom. allowed in sunroom. k doors shall not be doors may be
not be removed. Host structure Host structure emoved. emoved.
windows/doors shall windows/doors shall
not be removed. iot be removed.
Wind Borne Debris Not Required Not Required Not Required Required Required
Opening Protection
Energy Sheets Not Required Not Required Not Required Required Required
I hereby acknowleke that I have read d understand all the above on this Day of
'Pon P0,4 j) L a 6vo4
Home Owner's Signature Print Name
STATE OF FLORIDA, COUNTY OF DUVAL:
The foregoing instrument was acknowledged before me this TI-Nday of 20 by
L I c—, herein bylimself/herself and affirms all
statements and declarations herein aro,-�e��d -accurate.
LA
JENMFER WAMA �71 NOTAV PUBLIQW, TAT FLORIDA
MY COMMISSION#FF 0 11480
EXPIRES:A01 24,2017
t�N;t P;;-114", Print Name:
B=W TWu Nam Pu*UiwamtUm
[I Personally Known/Al-fderitification:
800 SEmINOLE ROAD,ATLANTIC BEACH,FL 32233 PHONE(904)247-5826 FAX(904)247-5845 REVISED 1-20-10
From:A Certified Screen 386 673 8045 08/08/2013 07:01 #944 P.002/002
AFFDDAVIT FOP,ATTACIENG A NIEW STRUMME TO AN EXISTING S
TO: Building Ins n Department,City of Atlantic Beach,800 Seminole Roa F-ILE COPY :
Home Owner: lr6000z) I i—nl
Ramat 'f "f M Crr
.34
eet Address
City.State and Zip Code
Contractor: 174,h -�Arfkn J-f'eVI*6e-
Permit Numbeii-6-
As the Contractor for ft 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
barmless and release it from any responsibility and liability for any adverse consequences or failures
resulting frorn 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 p rmed on this structure.
Signed Date 15
of t4
Before me this Z5 day
In the County of Duval,Stato of Flogda,has personally appeared
11) - ("'r, e— herein by bimself/herself and
Affirnis all statements and declarations herein are true and accurate.
N;?a—ry—Kbfic at Large,State of F& County of
Personally Known X or Produced Identif icatioil_
ID Type SYLVIA ILONA DRISOOLL
00 94739?
EXPIRES:OPLeV.1'1?.201,J
structure cl cX 6cn&-J N�SuJ90 NOtal��";Cps 7/21/09
r:bull ding/iffidav It for ottaehlmg a new mucture to an existing o
212 d 5109 U9 99f << Ms ZIZ *4doo Butpl!nq f1: 1,L LO-90-ELOE
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 IS - 32- 11
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us LDate routed: /7 h 3
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
C� Dq�artment review required YeV No
Property Address: 3#.S- -
.3&tJfd Te'(V1e C"R�i � -.:-
Applicant: nning &Zonin�g
-rye-e Administrator
Project: Xo r- -Pad Z' (�;fu'bric Works
4'a�cl I�[
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: Drpproved. E]Denied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: D ate:
TREE ADMIN. i V
Second Review: FlApproved as revised. Den ed.
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
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road J-2-
-5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845
LDate routed: /7 1J .3
E-mail: building-dept@coab.us
Giry web-site: hffp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
- -.—rai
i ri P-r- De
Property Address C� C-4-1 _partment review requ�ired Yes No
ng
Applicant: < F15—nning &Z;ril
-T 1`e_T_AdMLnistrator
Project: r (;;fublic Works
-UtT -
Pub ric I lfla�_
Public Safety
Fire Services
Review fee $ %- 00 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
FDivision of Alcoholic Beverages and Tobacco
ivisi
Other:
APPLkPATION STATUS
Reviewing Department First Review: EfApproved. FIDenied.
(Circle one.) Comments:
"__�BUILD G--___
PLANNING &ZONING Reviewed by:
Ai&�Date:
TREE ADMIN. Second Review: FlApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
,1VED
APPLICATION NUMBER
City of Atlantic Beach AUG 0 8 2013 (To be assigned by the Building Department.)
..V Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
-dept@coab.us Date routed:
E-mail: building
City web-site: hffp://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
I TJ No
ZJZ D@partment review re Yes
Property Address 71:� alga__
Applicant: Al �nnin &Zonih-g---.,,
-Trq-e�nistrator
Rblic Wo[k
Project: k
Pubric-uriffuas->
Public Safety
Fire Services
Review fee - Dept Signature*
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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. FlDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. []Denied.
,"_Apwjba�jComments:
T LI
P C
IC SZ
UB I SA Y Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
77 D
City of Atlantic Beach AUG 0 8 Z013 APPLICATION NUMBER
iV (To be assigned by the Building Department.)
Building Department
800 Seminole Road
2-
Atlantic Beach, Florida 32233-5445
-5826 - Fax(904)247-5845
Phone(904)247 Date routed: _Lkl�J .3
E-mail: building-dept@coab.us
City web-site: hffp://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -Department review required es No
Ri i*ld'
Applicant: _Pffiv�ninq X Zon[n�
istrator
156blic Wo[Ks�
Project: JF8f Ed 72 Xor P-0.1 --ut-
d-utlic I
Public Safety
Fire Services
Dept Signature
Review fee
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
____JCFi0rstMRe
Reviewing Department view: Approved. [—]Denied.
C ir m
ircle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: nApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14109