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1203 Hibiscus St 2013 shed 'q SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003574 Date 10/31/13 Property Address . . . . . . 1203 HIBISCUS ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3900 ---------------------------------------------------------------------------- Application desc 12 x 10 wood shed ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CONROY PAULA M JOHN M FLACK CONTRACTING 1737 OAKBREEZE DR 1452 FOREST LAND JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32259 (904) 213-9019 ---------------------------------------------------------------------------- Permit ACCESSORY STRUCTURE NEW RES Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 3S . 00 Issue Date . . . . Valuation . . . . 3900 Expiration Date . . 4/29/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 Other Fee Total 29 . 00 29 . 00 . 00 . 00 Grand Total 134 . 00 134 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4 FILE COPY .J -ht*9 __'f I-IT CITY OF ATLAN ItA 8GO SEMINOLE ROAD.ATLANTIC BEACH,FL 3=3 OFFICE:(904 247-5826*FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1..J 0 8 A D 2.VALUA71ON OF WORK 13.SO.FT-UNDER ROOF 10 41'6 C 14, 4+ ce�e4 r-t (I c e, 1 2- 0 r4 -4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: 15 - - 9;44EWBUILDING 11 DEMOLITION Q-0SIDENTIAL LOT I BLOCK-5SUB DIVISION 0 ADDITION EJ CONVERTING USE 0 COMMERCIAL 7.DESCRIPTION OF WORK 0 ALTERATION 11 ACCESSORY BLDG- 8-FIRE SPRINKLER: 0 REPAIR 11 POOL/SPA 0 YES 0 N/A -I ;),y ) 0 �-- C 0-4 0 MOVE 0 OTHER ONO - PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER; 9.NAME 15 COMPANY NAME: 23.COMPANY NAME 'T-CkI, fink QQtke,W+a" 11 + 16.NAME' 24.LICENSEE NAME: o4, m Fk 1-k 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.* C 6c i z 5- 3 q -�l i's C RESS: 26.ADDRESS: 19+kA.4I'L 3-eA1,4 FL 3ZZ33 6 ),IA a- 10FL j 3 z q _f, __TF 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO-- 27,OFFICE PHONE AX NO. 13.CELL PHONE 21. L PHOLEY 29.CELL PHONE - - - Z S 6 9yi- 14.EMAIL ADDRESS: 22. IL ADDUM& 30 EMAIL ADDRESS: fEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS:.. 34.ADDRESS: 36.ADDRESS� Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced priorto.the issuance of apermitand that all work will be performedto meetthe standardsofall lawsregulating construction inthis jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate pennits must be secured for Elecbical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing infon-nation is accurate and that all work will be done in compliance with all applicable laws regulating Construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR -"?(If Agent,Power�4 ttorney r Agency Letter Required) (QualifierOnly) Signed-C -Date: Signe�r` fb Before me thi/ day of -,Wn the county of Be re me day of C)C-4012-%--�_ 20OTin the4ounty of Dul,State of Florida,has personally appeared Duval,State f�on(da,has personally appeared h1rin by himse mpnti ug declaralJons are herin by himself/herself and affirms that all statements and declarabons are true and accu PATRICIA A.FLACK - - - - - - - - - true and accu t Commission Notary Public Notary Public a r�� Of CH 6* Age of I'll"ida 5 0 Personally ru V3�1��, _1�17111e_ C�e9 op nally P0111c-StMe of Fforida ffrProduced Iden- i2 u d Id Faires J'an Notary Signature: Nota i nat mission#1 EE 102894 10 Nallional BLDG01 Permit Application Bldg:REVISED:1211WO08 MAP SHOWMG BOUNDARY SURVEY OF T'i-APT OF LOT B,'O- A PLANTIC BEAC�- AS RECORDED IN PLAT BOOK -8, PAO-- J�� 95, SEC ENT PUBLJC RE-CORDS OF DUVAL COIJNT'�'FLORIDA; BEIAIC MORE PARTiCU-,'ARLY AS FILE COPY "t -F(�R A POiNT OF-RE--G!N..VkVG COMVENCE AT -17jE NORTHWEST CORNER OF SAID LOT 1, BLOCK 95, SA,1D Po;N-, f-0&'G aJ -;,-!E EAST RIGPT�OF-WAY LNE- OF 141BISCUS STREET(A 50 FOOT RfaliT-cF-WAY AS NOW ESTFA8-USHEP), 774EVCE EAST ALONG rHE NORTH LfivE OF SAID LOT 1 FOR A DISTANCE OF 102.00 FrET To ,.,YE EAST LINE OF SA IC 0 7; 714ENCE SOU-1H 0078,'0' VOEST ALONG SAID EAST i -INE ii.50 FEET , ,jEqCE WEST FOR A DIS TANCE OF 58-45J FEET- 77HEA'CE SOUTH 0078100' Rf ST FOR A DISTANCE OF -85 -EET; THV,�CE EAST FOR A DISTANCE OF J.50 F T 7-EN 774 -1 FE, H_ CE SOU 00 8'00- WEST -OR A DISTAN�� OF 5 85 FEET r4F,'VCE AEST FOR A DISTANCE OF 46-97 FEET TO THE WrEST LfjvE OF SA-D LOT I AND 7RE EAST ;?,'45HT-C J . IF-WA Y L/,V.,:- Or-SAID HIBISCUS S TREET' THENCE NOR TH 0078-00' EAS7-ALONG SAID bVEST LINE Fop, A 0-lISTANCE OF 4J.20 -�CET 7-0 POINT OF BEGI,;VNING. LOT BLOCK 194 IS00016'00V 31.50' DPP-,D LOT 5 BLOCK 232 S0M3724W,3".-','ACF)AL LOT 2 BLOCK 194 �0 ;P "Y2 :i�"- Typ) 2.1 5 A /C 5500-18'00-F5.85' DEED 11 zq, Soo-joJ6,E 6.09'ACTUAL 21 7' 3.50' DEED CZ x j 1,2 2 JIV90*00 I 0 N5,q-,7,24T 3.51TACTUAL 3 ,500-113`00"W 5.85" DEED .500-214-36-E 5.79'ACTUA-1 STORY WNrL co S101MG C% F-7 .203 I'D 7 2fE vES A IOT 2 LOT 5 BLOCK 1795 BLOCK 2-37 4 D DEVO,-r 5 LNE A UWSFR 24-7' POPVT OF Ls,—cojc ' "ic S g, 3EGINAUNG C c ON 0/w j FD FD NJ� 0.69, *f's, ,320.00' 0018100W 43.20' DFM NaD-1.3'00-W AJ.24'ACTUAL HIBISCUS STRTYET �_-o I&OT REWSED CALLS IN DESCRIPPa" 9- C ER Ti R ED FOR. CR YS TA L BOOTH, V'STAR CREDIT UNION': OLD REPLIBLIC NAPONA! TTLE hAiSURANCE CO.; REALTY SOLULD2NS INS v 000 N ON ,4E PROPEERTY SH04N ��-VPEON APPEARS TO LIE FL -AZARD Z E AS SCALED FROM FLOOD INSUR-NCE RATE A4AP 08 F-0,1? TPE C,TY OF JACKSO(VWLLI�, rLORIDA, DA 7EO 6-03-207.3 AND I iS 5�-,'OW AS A COURTESY GYVLI'r AND DOES NOT Ca'VSTrTUTE A CERTFCATTON OF SAME. I TP11-STATE LAND SURVEYORS, INC. 53 75 MINING TERRACE #209, JACKSONVILLE, F7-ORIDA 32257 (904) 350-25,35 BEARINGS BASED O,-J LINE AS SHOk.^J- PIPE pa FEEAR T,4JS SURVEY DOES NOT PEFILECT OR DET,-10"NE OWNERSHIP. zz,-:-,�T�OF-WAY NOT VALID M7'fOUT THE 53MGMA771WE AA(D 7HE ORIGINAL PAISED SEAL Sl�,' STDE-em� I 9/'W- D,-;W-WA Y OF A FL0?JDA LICENSED' SURIVE'OR AND MAPPER. CO V. COVERD APEA 1774;S SUP�,-Ev BASED UPON DESCR.,PrIaN' AS FURNiSLiEE-9, AND W77HOUT 0 11 - NDIOR DEED RESEARCH. - -PENEPIT OF A 7777-F LNDi'51? ABSTRACT 6F: PILE A AIC AIR PAD PAD!-'L DSTANCE GGL�E41N.P.V. BROAAV�ft--1 ER.L SULWX RES,;-050N FELO WORK DATE. -9-1-5-207Jr--,Aa� REGISTERED SUP�-EYGR AND YAPP�---,�, PC pomT-F CURVE 9-1 J STA7E OF FLORIDA (Lig &-921) PT CNT OF TANCENCY SfGA,A 77-WE D A 7E. 201 C,a 7159 Po. As cDr, 2073�7;19 ORDEq A10. 7nnl7nnA uip.t2c,in vin7 n7 MIQ QVC7-nQQ*XP..j OAMM rIM141 :11PIQ-1mi 0 0 CD �O c� 0 tn W 13 W CD H I 0. m 1-3 co N U2 �-3 c 0 rj Z I H -0 v. 0 10 M > t� w co q 0 r2 0 a H a 6) En !4 00 01 z 0 U M En T 00 LO c q in 10 0 0 a (A Lp En td H a) Ef) 13-C 10 z ft] :4 �D 8 0 OD c R 0. K) t:j Q t-4 0 N !n En m Lo z m a t0j m to C) > 0 th G) to M V4 > rn Fi Z N 0 t' m t4 (n ij M C) 03 , I I H ! n M CO M C SIDEWALL Z DRAWN: JW InATZ: 01-07-05 THE BA101 Robert Theodore Haug P.E JaUTLT OR SITE SHMS CHXCKLM suite 10 5 977 BLANDING BLVD FLOOR F?JU4ING 1820 E.Edgewood ORANGE PARK LIL 32065 APFROVED Lakeland,Fl.33803 904-213-9019 SCAJZ:-NTS D FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. rm" By. /71/1' --n r-- 0 Pjavarww DATE: 0 7Y C"D r7l C-) :3 C:) 2 CD c/; > CD N c:- I-A CD 9 IR 91 1� to K3 F 0 0 0 11�1 c? SEE FLOOR FRAblING DETAIL m 0 w V 4 411 41 41 414 H n H tr 0 C� r k,0 0 to 0% Q U 11 H 11 11 11 H w f� Ll �3 W Lo m w G) 0 t-4 ED R) x P. z o tv "4 0 H In w w K) D. to 10 K) 10 z m w z 0 U 0 0 a 0 Z -0 z 0 > P I 0 0 to 0 tq 10 C) , Vd H q C: (n 'A ' - " 0 'U M w 1. 2 N a 8 G) > m C: 0 tn t� K) r') X Z TA Va m 0 J� J. En 9 H (n m H I to t, n Fo-j .0, H I � a � to En z W pq m G) ��4 w H En W � H 81) U E X EQ o co . EG K) w W < o m > cl M co CD bd -n M 0 ow, W. m lo a) m 0 �j 0 Z 0 DRAW: Jblr DA!n: 01-07-05 BAFIN BUILT ON SIW SHEDS THE Robert neodore Haug P.E. 977 BLAMING BLVD FLOOR FR)WING 1820 E.Edgewood suite 105 ORANGE PARK FL 32065 o Lakeland,Fl. 33803 904-213-9019 rri (D Z) r-rl j 171 T c� C'0 I-A C/) C/) VW F� I(NI < JL S ;F—;, rri rTi (h K) to' CD 0 C? 0 C? La ai En 000 La OD (A hd X :9 C4 0 .9� 0 Ch H H z Ln W m H 0 x C? I I � p I_--_-I_- @ tl 0 (A G) 0 K) to td 0 H 810 (h to Ht, 0 a �O W C4 W 0 0 N L, N 11 H(D 0 ED H �3 'C-O Q. 8 W R, V LO 0 tj ?,U En 0� 0 10 40 0 fl) r i; L2 C: z -n C/) 00 C� m m W, '0 N ou 0 R, to ;a .13 Cl) 0 )Do H w z (a c� 0 t74 t� x co 0 C/) :44 11 C: 4. at, Ln H w 0 U) H En 'v 3 (n MO En �po M Ch Ln w K) 0 Z A �D, W C: t� Lo W Eoll L.- ED jo lqQ p p 0 C3 q 0 -0-� N m ):o Ea N .- EA tq 0 EO 0 ha x U: 0 8 OR 0 'U M 0 "1 t. t. 9 0 C: m W, M 13 H w t� 0 t� in c3 U 10 Ln w �0. La z E 0 ti A > m 6 1 H z Z z 0 1 ,. I ft 0 0 hd N)- -0 " @ Ea En 8 8 0 E I D m ha hd z .0 �0 g 0 Q to In 1K) V w H t d 0 hd 'I --I z �4 � , H .4 F'4 ED F1 th t7f to 0 NW ! tG) Z w 0 z in WH C: 0 En t,4 -4 M > H En Id , m co c) M E0 w to La 10 0 UD . s -- �0 N - 0 0 -n M CD M !n Z !n MLXW: iw DATZ: 01-07-05 THF EARN Robert T'heodore Haug P.E.' BUILT ON SITE SHMS CMXCXXD 977 BLANDING BLVD FLOORING DETAIL 1820 E.Fdgewood suite 105 ORANGE PARK FL 32065 LAkeland.Fl.-33803 904-213-9019 FE E CD �E; 4 4 CD I 6-) �'K cn C", -a > C— rn C:) r X n, rri Ch to 0 OD tj ED E 'o E tj Z6 OD o," No ow 0 hd w 0) 0 m I— Lo Z8 H ? 01 (o 0 EQ En 8 t, (-Z, HM 0 K) 0 40 '60 Lo 0 Eo c j ta U 0 tj w 1-3 m 0 w (Q 101 1 �3 Lo En O=D w i !0 t, 23 , co C�l �01 w V4 w tu A Y w 0 0 v En P. po oD Lo V L? 1� z C�D (n m 0 Lon ;mo Z to 0 00 m w 8 80 G -1 8 0 0 td tc, �d 0 0 z t, (01 2 EA W z En W 0 0 to w I w 0 > 2 - j H- 0 to 0 . "S - m bd 0 -4 z 0 Z6 3 :c 0 "D M P to hl Lo C? m > . .. .. IW4 Lo Z mo —wo 0 0 to 0 m F3 to V - z t4 0 V Q -3 N oz 0 I z 0 F-1 x C) W H (n z W rA w I h, (A K) tj H z M > H H to C) 0 r') < "W Em a M H 0 H Eo Co C� CD w H -n M CO M Z ilo DRAM: JHF DATE: 01-07-05 THS BAIM I BUILT ON SITE SHEDS CUE Roberi'neodore Haug P.E. 977 RIMMING BLVD F00TKR DETA= 1820 E Edgewood suite 105 ORANGE PARK FL 32065 APPROVED d,Fl.33803 904-213-9019 SCALZ: bTT9 cm -T3 (D :3 M 03 rr, �D C:D Cl cn CD 'V PTI. ;z JA rm co ;T, w rm 0) - tj V B z 2' 2x4 STLMS @16"oc (TYP) 2' m m >4 W K3 w 03 �d m ;K 0 0 - t, Ch 4 rd to 9 . t�7 R, En t'd M 0 En �d § to En bd K) tv 17' 0 bd t4 L7'— or, H M E03 tj z co Lo P t7� 0 m 0 w 10, m V) tr.), U w J� 0 Id C? 0 C� C� x t� z ED >z tj 0 N EA Ch to H K3 to H J% 11 m V r) 0 10 10 K) OM Z W r 0 En tj 0 0 0 m hi M 0 M Z m Z 0 N > En F1 z td " ft 0 > Ch Lo w 0 En C� 91 t" W m M W -. "-- V > m M z 0 - 8 - ': n 0 "03 m 11 w 0 Vd W cn m Q w Eo z hd to to z:i -T C) tj Lo ED W M P�j < Im c' M In CL to 0 a) M4 m W w H m t� Z DRAW: DATE: 01-07-05 THE RAM Robert Theodore Haug P.E. BU= oil SITE SRKDS (mm cp3m 1 977 RLANDING BLVD WALL DETAIL 1820 E.Edgewood suite 105 ORANGE PARK EL 32065 0 APPROWD Lakeland,Ft.33803 904-213-9019 SCAU: NTS CD (D JL CD CD CD CD X :;m CD 00 CD -c— CD 0 z 0 0 0 RAFTERS 024"oc 0 Ch 2' SEE SCHEDULE BELOW In U OD OD f� 11 It LO r N to w z fA P CD Fj 8 0 z (a 0 0) E. i n Al t. En N m 11� ra 0 E03 K) (P. Ch 0 cn -m t� hj bd 13 tp 0 W )4 0 W 0 V4 W >4 N >4 m 0 z fl) N) R Q m 0 0 9 0 [a (a m 0 m (n m W H 'n ]z U 0 0 Z Od bd m to 0 0 0 - P4 ' M tzj go co m 0 zo Z m 0 :Z :� w M > io 0 (31 m M CD <D a) 71 M M Z 'q DRAW: mw nATE: 01-07-05 THE BARN BUILT ON S= SHMS Robert Theodore Haug P.E. 977 BLAMING BLVD CHECKZD POOr rRAN[ING 1820 E.Edgewood suite 105 OPANGE PARK FL 32065 Lakeland, Fl. 33803 904-213-9019 SCALE: NTS C=) -TJ r- m F). x rri (D rr, (D P2 FF, m CD F,I rcrn, Cn =3 1 ;2 cn X rTj JAI ff.;V4%,d H3 -:Pl rT1 ac' CD n ------------- rri Id �" �0 1010 101,3 O�' 1.0 SHIARMALL DESIGN VAIL 9VACIMr -0� La 0 ww 0 �to ' t- . . . . . . . . . . . HZ H" 0 z 0 0 t 0 0 -3 to in t-f 0 to fn w In 41 4' 0 w w 0 �tj w x2 2 8 z — — — — -- — — — — C) tD 00 -3 m L� A- Lo �j w � I I I I . . . . . . . . z q tj 9 W -3 N 3 R w 2 m -W' F� L. c: P 03 (a EO -d z to 'v P I bd W" 0 r) Z' U." �w -too 13 0 0 0 FA 0 En w Z \RIDGE1 NJ 10 80 En 0 2 -3 C' Z 2 WO v 5. bd La .. " x 0 Z 0 Q x N @ 0 La 0 04 �03 - '- 1� 2 @ N W 0 M 0 0 30 w 0 00 = 13 '4 Id 10 w bc M t' c: t4 .4 fd In En . 0 0 x Z G) H t'j to Go — — — — -- — — — — td 13 U) M 01, 'a 0 0, C: F< ED N t' 0 Lh 0 H td z t� ".3 0 2 z q w 4 4' z N w m -W q U, Z (n n 0 (n Ln to'Lon �O w H F3 In ftj 0 < > P w m 0 1h 14 > r- w to c: Im z 0 Z 00 w 0 0;0 m H- 8 ,- x 0 0 ::E ( 0 0 .4 La tq H 40 Ln 0 0 0 G) o m z M, m ... (') z z 3 w 10 0 z 0 0 z ow w :c z 0 'd t� - 0 0 z 1-i (n 13 0 mg U (n 7-1 > tj c: 0 -4 wm E0 r10 �11 H "01 .0 Z'O Q 1, .1 1H, I _R 0 0 0 �3 �1 :0 ZM tv rA 0 0 0 0 E. ;V -. M, MO -4 0 z M ;c I H Ln --I 0 x -U cz) (M) m �0' w 0 m 0 x 13 > 0 0 0 0 Jj z 0 �d Ln w 2 c) 06 'd W F3 DRAWN: JW DATE: 01-07-05 THE EARN Robert Theodore Haug P.E. BUILT ON SITE SHEDS CHECKED 977 BLAHDING BLVD NOTES & DETAILS 1820 E. Edgewood suite 105 ORANGE PABX FL 32065 APPROVED Lakeland, Fl. 33803 904-213-9019 SCALE: S r- m C=) Fi. x (D 3 T FTJ c; 7! rij C) J) TIP �2 CD p Fn Q )�j ---------- cD n t7l rn Z :z RR ,) — P a 3Z X r. 6 w a c Aa 0 0 o CA a a 40 >CA X to X co iA LA CD :3 3 A i�- CD s-M , C) i z rm �:� �'� Ln (D CD C-) ryl c3, Fri CD CD g: --A C/i C-:) JAI WH iii H9 w rTl City of Atlantic Beach APPUCATION NUMBER L(robe wZ9ned by the Bu&&V DVatma) Building Department 800 semi Road J�,<7 Atlanft Beach,Florida 32233-6W -W26 Fax(904)247-SW gate MUM Phone(904)247 Date muled. E-mait buikung-c��-us City web-site' W:/Mw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4r Calmrtment review required Yes A0 Applicant je //,v 11ti rl-Aor— <;ming &Zoning x 16 A�o,0,6 —e-3,111M ePub6c Wor—ks---- Project: Fire Services re 'Review fee Deptsignatui Review or Receipt Date Other Agency Review or Permit Required of Permit Voifled By Florida Dept of EnWronmental Protedion --�iiorida Dept of Transportafflon St.Johns River Wetter 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: 03�;Proved. [-]Denied. (Circle one.) Comments: PLANNING&ZONING Reviewed Date: "tY 3' TREE ADMIN. Second Review: OApproved as revised. F]Daled. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SER\ACES Third Review: E]Approved as revised. E]Denied. comments: Reviewed b Date: Revised OSM4M9 'rw 0 (;Ky OF AtIaMFUG CHMUH' Depatnent) 'All Cro be assigned by ft BL"V Building Deparbi t 77"." �J 8W sernwe PAW h 3 Mande Beach,Florida Phone M=4)247-6M 247,5846 DOM rotde& zd/0? E-MAL Citywebsw two:IM".Mab us 7' 1 APPLICATION REVIEW AND TRACKING FORM Property Address: //7*.611 f:S eks nt review ireiquired Yes No I Planning &Zoning Applicant TOW ator Project x 400 16 Public WbM--, PW&UtMoMes Fire Services 'Revi:ew fee s iw.t signawre Mer AgenCY R8v10w or!!�It Required Review or Receipt Date of Permit Verified By Florida DepL of EnvkmrloenW Pr&ecSon Florida DepL of St.Johns Rhw' Affny Corps of Enginms D!vWon of Hotels and Redaurants Division of Alcoholic d Tobacco Other APPLICATION STATUS Reviewing Department Fimt Review: []Appmved. (Circle one.) Comments: BUILDING "O�A2 PLANNING&ZONING Rwkmed DaW. S 12 Mw- TREE ADMIN. S"econd Review: roved as revised. E]Denied. PUBLIC WORKS Comments: PUBLIC UTIL171ES Reviewed by._ 6�� PUBLIC SAFETY FIRE SERMCES Third Review. [:JApproved as revised. [r:I]Den' comments: Reviewed b DOW. t;lty oT AviaiTav CHMU" (To be assigned by ft Bu&&V.DePa*ftnt) Building Department 8W semkxge 1103d Aflande Besch,Flo (g04)247-sM45 Phone(91 34)247-6:: Dage rouied: d E-mait -US APPLICATION EVIEW AND TRACKING FORM s eks _Yes —No-] property Address 11W C Jr- Planning&Zoning Applicant Tm-e Kcifflnish-ator X Publftc I -A Project IhNn(Itimies- u -P -Saf bk etV -Fire Services Review fee Dept SignaWrie Revi9w or Receipt Date Other Agency�ROVIOW Or'P�eft Required of permit Verilled BY i P Rorida )t of Envi of r Florida DePt Of Tr=OPM~ d Mw Johns River VVWB"f _Merner Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and T0ba0C0 Othe APPLICATION STATUS First Review: [3%�proved. [:]Denied. I Reviewing Department (Circle one.) Comments: I k4,d CC9,11 +a 1)�Ia6 BUILDING PLANNING&ZONING RevW*-ed Date: lold bl I TREE ADMIN. second Revkr*v: []Approved as revised. [:]Denied. PUBLIC WORKS comments: PUBLIC UTILITIES Reviewed by. Date: PUBLIC SAFETY revoised. []Denied. FIRE SERMCES Third Rev'ew: [34proved as comments: ReViewed DaW: Revised 05MM9 (;"M OT^1aaHUG MaIM (To be.9signed by the&aft Depatned) t Mpartnien Building 80o Seminole Road RYA Athnft 13each,FkbxrWa (904)247-W46 D11 IMISt phone(904)247-6M 2 4 2013 E-rnait CiWveb4W- us APPLICATION EVIEW AND KING FORM property Address,;: -Yes No MOM_ J4 //At Ix < Plann &Zoning Applicant: TOM AQ x 14 A.)66 A Pub1cWbrk§­) h Project: _!SMQUbfi.tIes ,1 ttp:1 ANWW L) 113J C C t ftnn T �ub Pu go 111 1 Public if Me services 'Review fee Dop�Signatilrie low r per�nit Required Review 0 Receipt Date other Agency Rev of pernlit VerMed Florida DSPL Of ErM pr6tectioll Florida DePL Of MtMon � _� St.Johns River Water Managen`Wft Didrict Anny Corps of Engineers VMsion of HaWls and Redaurd= Division of Alooholic Beverages and TObaccO APPLICATION STATUS First Revie1w: proved. [:]Denied. Reviewing Department (Circle one.) Comments: BUILDING Date: PLANNING &ZONING RevW*-ed �a nDenled. TREE ADMIN. second Review: []�pproved as Wised P Comments: I TILITIES Reviewed by. Date: p i mi ir ft, pUBLIC SAF Third Review: DAPProved as revLaed. nDenied. FIRE SERVICES comments: ReWwwed b- Date: Reifted 004M9 ol/01/2010 23:17 FAX NOTICF 4MENT OF COMMENCF IPREPARE IN DUPLICATE) 0o o 35"H Tax 50110 No- Permit NO cownty 01 State of .81 Proporty, and In To whorn 11 rnay r_oncarm ements will bO m8d0 to ortaln T-he undersigned her9by Intonm YOU t-"t "Prov 0 following lnforM&tlon is sm,ed In thW NOTICE OF acCordance With section 713 of the Flodda St3%UtGGP th .3le-cf ;P. COMMENCEMENT JtvbL11PtI0fi Ql II)provea Aaares'$ p,,)p,,,,Iy Doing i (J(:$QrIPu00 Ol 1111provernem ()WT r Ime impfovt�n"o(it -4,41terest jr, site Z �Dwf lL Titleriolder (0 otnef tMan ovqrneol Fet SIMPle Aaciess ALAI No A00WS$ Fax Prione No Amow"I 01 UQ1 ld U(y (I t 3 11 Y) ;'(Jorubb __.� Fax No prjQf)e NO consfirucbon 01 Me IrnprovefTiel its ".j(jofu5s 01 Ony person a loan Jor I )e ------- No �)tlooe NO — me State 0, Flonda' otl)er trian oesignaleO DY 0"4iw uponh"Qfyl Of Nat-flia Of person "011"I") C'j't' De �4e(ved �3U(.;UfTj 5 ax No 0. pri()ne No Ot trw L.Ienor S.NOIIK�t If. owner designates [tie f0oyong WWI to receive ii Im L100 ItIor, 10 nirrist "tes (Fill in Ht L-,vyvier's OPbon) 5,ualor, 7 13 W t,2) (t)), FMWO Statu Namt AGCfe'65 — No NO ot fit exp4frdtjon orle (1) Notice of Commerlcefflr�', e.,Lpiration dalL, of Wy N date 15 sperci USE ONLY ---�q_j_sSPACE FOR RECORDE X'P of W-1 B,MIV Me t F n4i.Pis PQr%Qila41y JAW.$ counrf r*r dr4 affirm,UAI ag Wenwiit.Ono a(V o%A end 8=11'" Doc#2013278445,OR BK 16579 page 1434, Number Fage!c;:'I Recorded 10i3v2o13 at 09i2ei AM. NOWY P moc at Le119 Ronnie Fussell CLFRK CIRCUIT COURT DUVAL M,Wj'jrU&*40f1 11$Q ,,,,-.W6oy KFQY,,n COUNTY IduflUtK"44L'n 47- RFCORD ING$10 00