650 Selva Lakes Cir 2013 screen room CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ell
Application Number . . . . . 13-00003S35 Date 10/24/13
Property Address . . . . . . 650 SELVA LAKES CIR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5093
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Application desc
19 X 8 SCREEN ROOM OVER EXISTING SLAB
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Owner Contractor
------------------------ ------------------------
SWARTZ, TERRY M ALL FLORIDA EXTERIORS INC
650 SELVA LAKES CIR 3815 N US 1 STE 62
ATLANTIC BEACH FL 322334377 COCOA FL 32926
(321) 795-8700
--- Structure Information 000 000 SCREEN ROOM OVER EXISTING SLAB
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . S093
Expiration Date . . 4/22/14
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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 OCT,�6 201
FILE COPY i Office (904) 247-5826 Fax (904) 247-5845 13
JobAddress: 6Y-0 ' 32-133 Permit Number:
Legal Description YA/ 60- JE 5�/1,60Z4<6',S Parcel
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New CA_dditi6 fi_��Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structureQ) one): Commercial �No N/A
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to beperformed:—/l XSr
Propertv Owner Information:
Name: r
,z Address:
4_dt State r-L.Zip 3 12-33 P-hone Fj9-1
o
E-Mail or Fax#(Optional
Contractor Information: CONTRACTOR EMAIL ADDRIESS:
Company Name: Qualif -44 S 0 N 4'6 V
ving Agent:.
Address: 3k1 5__A4 U4/ �5 vWy city-Cdcp —State'T�-t zip I nA;L(o
Office Phone,_19 I-&3 1�-9��0a Job Site/Contact Number 3,2 1-V,, - 7t)�2- Fax#_90�- 4�06 I
State Certification/Registration z!AC-, 13 P-9-1-139
Architect Name&Phone#
Engineer's Name&Phone 4
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address 410
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that now ork 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 thisjurisdiction. This permit becomes null
and void ifwork is not commenced within six(6)months, or if construction or work i's suspended or abandonedfor a period ofsix�6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,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.
I herelb certify that I have read and examined thi's application and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be complied ith whether s ciffe herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal, tate, or local egulating construction or the performance of construction.
Signature of Ow Signature of Contractor L"
Print Name I
Print Name
............. ............... ..............
............
Before e Before in
this Day of 20 t of L 20 1"l3
Env�q,
__
N'otdry Pubtre ?Ad-N-A L BELOOM PAW
MY COMMISSION 0 EEft949 A L SELCIOTTI
My COMMISSION#EE855249�evised 0 1.26.10
EXPIRES November 29,2018 EXPIRES November 29,2016
F-Wiftl4aftryservWn.corm
407)39"153 FWWallojsr/$wv wm
NOTICE OF COMMENCEMENT'
(PREPARE IN DUPLICATE) FILE COPY
Permit No. Tax Folio No.
State of r-72- County of Lt
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 N0110E OF
COMMENCEMENT.
Legal description of proper'vy being Improved:
Address of property bein impro d: ("qs-z
/2-Z.
,733'ec,C 7,
General description of improvements: 41a mIAIWIn 9(--,12&,�7/V
Owner / C12 AZ:z 9" R ZT
Address 611�—&. 9EIVA 1-41(—E
Owners interest�n site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor 411 -F/V-/je, -6,Z7-4�'h 6),41!S
Al. US
Address SIEZ,5
Phone No. 3;�t 1— (p:3 ot Fax No.
Surety of any)
Address Amoun!of bond
Phone 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 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 daAis one(1)M from the date of recording unless a
different date Is specified):
THIS SPACE FOR RECORDER'S USE ONLY WNER
NAOV Y.
Signed'_ k A.� DATF
Before met Is d in the
a thl
Co?of D.uval, te hEl nalty appe!ared
YZ Ila TA herein by
hims'eff/herself aVd affim%jat an statements and c12rqtWp,1ieretn
Doc#2013266212, OR 8K 16564 Page 570, are true and accurate MONA L BELDOM
Number Pages: i
Recorded 10/1612013 at 02:35 PM, MY COMMISSION 0 EES55249
Ronnie Fussell CLERK CIRCUIT COURT DUVAL EXPIRES November 29,2016
COUNTY
RECORDING$10,0o -No ry Public at Larde,State of 1(4071393-0153 -',FIorx%NotaryServoe.com
Emmissron expires:
nally Known or
Produced Ideriffication
SM81; SCREEN ENCLOSURE, AND/OR SCREEN Room AFFIDAVIT
1 "'
FILE CITY OF ATLANTIC BEACH
T6 1 M M Tf MM. PERMIT# 13-,?S-3s-
INSPECTION REQUEST PHONE LINE(904)247-5826
rhe purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence.
rhe table below, Sunroorn and Screen Enclosure Requirements provides a brief description of the various sunroom category
.-equirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing.
rhe property owner is hereby notified that should any form of temperature control system be added to a Category 1, 11, or HI
3unroom or the removal of the doors separating any Category I thru IV Sunroorn from the host structure occur, the roorn shall
)ecome non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces as mandated by the
-lorida Building Code,The Florida Model Energy Code and State Statutes.
Scree Room,Sunroom and Screen Enclosure Requirements
Category 11 in IV V
Habitable Space No No No Yes Yes
Foundation Walls<200plf can Walls<200plf can Walls<200plf can Walls<200plf can have Walls<200plf can have
have 8"Wxl2"D ftg have 8"Wxl2"D ftg have 8"Wxl2"D ftg 3"Wxl2"D ftg 8"Wxl2"D ftg
or 3-1/2" slab if no or 3-1/2" slab if no or 3-1/2" slab if no
ooncentrated load concentrated load concentrated load
>7501b >7501b >7501b
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency EscapeEgress from exist. Egress and Exit must Egress and Exit must Egress and Exit must Egress and Exit must
Openings structure allowed if meet code meet code. Other meet code. Other meet code. Other
open to atmosphere or -esistance esistance requirements resistance requirements
considered screen -equirements for �br forced entry, air for forced entry,air
enclosure and has forced entry,air eakage and water leakage and water
screen door leading leakage and water )enetration also apply. penetration also apply.
away from residence. penetration also apply.
Misc.Window and Host structure Removable windows Removable windows Flost structure windows Host structure windows
Door Requirements windows/doors shall allowed in sunroom. allowed in sunroom. S�_doors shall not be &doors may be
not be removed. Host structure Host structure -emoved. removed.
windows/doors shall windows/doors shall
not be removed. not be removed.
Wind Borne Debris Not Required Not Required Not Required Required Required
Opening Protection
Energy Sheets Not Required Not Required Not Required �equired Required
hereby cknowled at I have read and understand all the above on this Day of
forne 0 er's 'gnature Print NAAe
TATE 8F FA�DA, COUNTY OF DUVAL:
'he foregoing instrument was acknowledged before me this_LW�day of 20 by
/2 rl (./ K-0 d n-1 —2 herein by himself/herself and affirms all
�atements and decfarations herein are true and accurate.
MONA L SELDOTTI
M,ly c-o—M.NISS-10-N 0 EES55249 N
_V(JBEM,&rTE J�PLMW�
OTAIZY *F/ RIDA
EXPIRES November
PrintName:
29,2018
Com
L(407 Lij�-0113 F1-ftNM11S-"
0 Personally Kriown//WIdentification:
)0 SEMrNOLE ROAD,ATLANTIC BEACH,FL 32233 PHONE(904)247-5826 FAx(904)247-5845 REVISED 1-20-10
FILE COPYI,
%
AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTPI
TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole Road
Home Owner: —;GAA
Name 1-i
&5-6) <�E_['I',4 /-0
Street Address
7"WA'z_-
City. State and Zip Code
Contractor: 7 T_"
Permit Number
As the Contractor for the 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
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from 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 performed on this structure.
Signed Date/V /s
Beforemethi t_l��of 01_--rV4V
In the County of Duval, State of Florida,has personally appeared
d(IS1/I herein by himsel rself and
Affirms all statemc�ihfs -and 3e�lar *ons herein are true and accurate.
AiA
Notar�P#lic at LarK, StaJe 6T'F7:� County of D,�4 u,4
Personally Known Is Or Produced Identification
L
ID Type ?r C,
F:building/affidavit for attaching a new structure to an existing structure.docx 7/21/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Deparftwnt)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(9N)247-5845
E-mail: building-dept@coab.us Pate routed:
City web-sde: hffpJAwAY.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: nt review required Yes" No
P�a &Zo
��Iannlng&Zoning
Applic 112 p __�) I
ant: U4
Project: JP Tree Adnfl-nistrator
Vg Public Works
Public Utilities
Public Saftty
Fire Services
Review fed $ Dept Signature
Other Agency Review or Permit Required --lie--view or Receipt Date
I of Permit Verified By J
Florida Dept of Environmental Protection
Florida Dept of Transportation
St.Johns Riv r Water Management District
Army Corps of Engineers
Divigio--nfl-I Is and Restaurants
Mviginn of A holic Beverages and Tobacco
Other E�
APPLICATION STATUS
Reviewing Department First Review: B�pproved. ElDenied.
(Circle one.) Comments:
BUILDING I
PLANNING &ZONING Reviewed by: Date: tozadLOL-L
TREE ADMIN. Second Review: E]Approved as revised. E]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Gomments:
Reviewed by. Date:
evised 05/14109
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assigned by the Building Departrr*d)
800 Seminole Road
Atlantic Beach,Florida 32233-6445 3.
Phone(904)247-W26 - Fax(904)247-W45 Date routed:
Ojai E-mail: bulkling-dept@coab.us 1. . . -----
City web-site: hffp:/Mw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4Q�Lstlyz DepaMnent review required Yes No
-Planning&Zoning
Applicant: 411 nead,
IJAS J Tree AdmInIsMator
Project: &4a VJ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signaftire
Other Agency Review or Permit Required Review or Receipt Date
I of Permit Verified By
Florida Dept of Environmental Protection
Florida Dept.of Transportatlon
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: ElApproved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: DApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. Date:
FIRE SERVICES Third Review: ElApproved as revised. [-]Denied.
Comments:
ReViewed by: Date:
Revised 05/14109