775 Plaza 2014 Porch roof repairs CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000172 Date 2/12/14
Property Address . . . . . . 775 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000..............................
-------------------------------------------- -
Application desc
REPAIRS ON ROOF
--------------------------------------------
Owner Contractor
------------------------
------------------------ NOBLE CONSTRUCTION GROUP INC
CRAWFORD GEORGE W 14203 DEVAN LEE DR W
775 PLAZA FL 32226
ATLANTIC BEACH FL 322333907 JACKSONVILLE
(904) 885-2523
--- Structure Information 000 000 PORCH REPAIRS
occupancy Type . . . . . . RESIDENTIAL
---------- ---------------------------------------------------------- ------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . - 75 . 00 Plan Check Fee 37 . 50
Permit Fee . . . . Valuation . . . . 5000
Issue Date . . . .
Expiration Date . - 8/11/14 -----------------------
----------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY. ------------------------
----- --- ------
------------------------------------STATE DCA SURCHARGE 2 . 00
other Fees . . . . . . . . . STATE DBPR SURCHARGE 2 . 00
- --------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---- ------------ ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 . 50 116 . 50 . 00 . 00
Ap
-?�09' /, '�'q z� JWA
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 FF.?
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 av-FQ�A)�
Job Address: S RL A Z A - Permit Number:
SO 9
Legal Description.?()-40 3R-_2s-a.,q E 63),W &oql #A"�Iarcel# PJE- 1711k-0000
Floor Area of scf.pt. 7q--Ft
Valuation of Work S jdf,=Pd�66_Proposed Work heated/cooled non-heated/cooled
-6?ad , od
Class of Work(circle one): New (V itio Alteration Repair Moye- Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): ercial (:R:e
Comm �si d:le n�ti
s
If an existing structure,is a fire sprinkler system installed? (Circle one): es N/A
Florida Product Approval #
For multiple products use product approval Form
Describe in detail the type of work to be performed: Wild 10 X I-L C Wd
k0cf 2X
axw 0 06v .,&"r
41�S A?,r,4 0 MAtC,41 X-046r_'
Property Owner Information:
Name:— (,e,4f612,0 Address:
City AtIA,17k StrACld State Ft zip:?,L)_�3 Phone onn if
E-Mail or Fax# (Optional) L b 111
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: aa""" - Qualifying Agent: ll;weo /o 7WC)14,65,
Address:� city J�x State 54 Zip _I-z2-
Fax-#
Office Phone 4c& ZrS PIS7 Job Site/Contact Number IsKff!�
State Certification/Registra�tion#7��;311 Zys- (071 -4 Ka ie L:IftM17k
Arcl4t=LN-ame &Phone#--=:, L-7-4 III/ L,'AJ*-F-n,'-A _T ji r
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address_
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced he
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 btc'oore'son''l
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of sixP6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, Wells,Pools, nrnaces,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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
aws andelrdinances governing this
examine lt, 6�n and know the same to be true and correct. Allprovision
'I
�fleg lhcearein or not. The granting of a permit does not presume to
�hat I hav �d examine,
i
type work will be co lied et �s`oecil so utho,
I here certify that I ha read nd X (y to violate or cancel the
�et,
y ot r
711 i�& ruction,
provisi.ons of any other e tate, cal aw regulating construction or the pe�formance of construction.
Signature of 0 Signature of Contra_to
c r
,C
Print Name '41
Print Name ... .......... ...........................................................
.. �1).............
.............. .NFP
.................. ................C
Befora,rve Before me
this,-�/- Day of 20/V
Notary P State of Florida
Notary Public State of Florida
Z_�v _—.7 o"A"195M fu
Notai37?ubl-ic My Commission EE 193470
CW v6w Expires 04/2612016
ised 0 1.26.10
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
f )
800 Seminole Road X=_
L4
At antic Beach, Florida 32233-5445
- Fax(904)247-5845
Phone(904)247-5826 r -2-
LLDate routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: rtment review re uired Yes No
Applicant: OYI) ree
Project: Public Works
Public Utilities
4!4442 Public Safetv
cg;*r porCA--, Fire Services
#7 4
-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: ree minis ra or 7
Public Works
Pu bl ic Utilities
P u bl ic Safety
F i r rvic s
eSe et
----------
----------
APPLICATION STATUS
Reviewing Department First Review: [O/Approved. nDenied.
(Circle one.) Comments: 0
Date:
PLANNING &ZONING Reviewed by::
TREE ADMIN. =k
Second Review: FlApproved as revised. [E]Den d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. nDenied.
Comments:
LReviewed by: Datei
Revised 051114109
T CITY OF ATLANTIC BEACH
Building Department
800 Serninole Road
Atlantic Beach,Florida 32233
(904)247-5800
PLAN REVIEW COMMENTS
Permit Application # / /- / 7 ,-;Z
Property Address: —7 7 5- AV
Applicant: &v1,q1,e
Project:
i-11 a f X fil
This permit application has b n:
Approved
Reviewed and the fol.lowing items need attention:
Al 'A P
y 0 hV R-e r-e
S
Please re-submit your application when these items have been completed.
Reviewed By: . Date:
MAP OF BOUNDARY SURVEY
- FILE copy '�� k
rDE IS;CPIP T I ON.- . . -li
L .- a 0 . -
. .-- 0.,�
LOT 28 IN BLOCK I OF POYAL PALMS UNIT ONE ACCOPDING it AT
THEPEOF AS PECOPDED IN PLAT BOOK 30 PAGES 60 60A OF THE CUPPENT
PUBLIC PECORDS OF DUVAL COUNTY, FLOPIDA.
LOT 8
BLOCK I LOT 7 .5' NORTH LOT 6
F.I.P. 112- BLOCK 1 .2' SOUTH BLOCK I
NO ID .3 NEST
5" EAST
L N 85, 04, 50. x FENCE TIES
6
F
1.0' NORTH
.3',SOUTH
.5 WEST
FENCE TIES F.I.P. 112'
� og� �Lk NO ID
T c?,
RIEE
STOOP
PLASTIC
PAO
CO
Ulz
P
39.1, 15.2'
4j Lu
LOT 28
BLOCK I
LOT 27 1 STORY
BLOCK I BLOCK
75 LOT 29
�9. , BLOCK I
1 .5'
COVERED
ENTRY
F.I.P. 112'
NO ID
26.82' (c)
- - W.M. S.1 P.C. 5/8'
LB17251
zt:
8"
K�
N 85o2LT S
02,W 80.
N 85,25, N (m)
............... .......
...................
.................
............... ..........
..........
....... ................... ............
............*:�:�,.,:�,.,.,.,.i:,.-.�:���:�:�:�:�:�:,...�-.".-.'-.�:�:,.-.�:�::
8' ASPHALT.............. ......
......... ....
PLAZA eal
...... . ........
:. ............
..............
..............................
..................................
F.I.P. 112*
NO 10
NE CORNER OF
ROYAL PALMS RD. &
PLAZA
CERTIFIED TO AND FOR THE
SURVEY NOTES: EXCLUSIVE BENEFIT OF:
11 BEARINGS ARE BASED ON THE PLATS NEST LINE OF LOT 26 ELITE TITLE AND ESCROW SERVICES
BEING N 04' 39' 58' E CHICAGO TITLE INSURANCE COMPANY
IN BLOCK 1 GEORGE CRAWFORD
02 UNDERGROUND UTILITIES FOUNDATIONS OR OTHER EPA MORTGAGE
IMPROVEMENTS WERE �OT LOCATED BY THIS SURVEY. ADDRESS: 775 PLAZA
0 ATLANTIC BEACH, FLORIDA
L #3 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY
FIRM MAP PANEL IND. 120075 0001 D, EFFECTIVE 04-17-69,
THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE "X".
#4 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT,
TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE. SCALE: 30
0
0
0 05 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF
0 AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE.
#6 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE.
0
17 THERE MAY 13E ADDITITONAL RESTRICTIONS THAT APPLY WHICH MAY NOT
.1 BE SHOWN ON THIS SURVEY WHICH MAY BE FOUND IN PUBLIC RECORDS OF
In SAID COUNTY. 0?-�OE 0. VAN KLLLLK
03
0 fRVEY IS CERTIFIED TO THOSE INDIVIDUALS SHOWN ON
3 NOTICE OF LIABILITY: THIS SU FLORIDA REGISTERED SURVEYOR AND MAPPER NO. 2545
NY OTHER USE. BENEFIT OR RELIANCE BY ANY OTHER PARTY IS ANTHONY P. O'NEIL
THE FACE THEREOF. A ;ISLE ONLY TO THOSE
STRICTLY PROHIBITED AND RESTRICTED. SURVEYOR IS RESPON� FLORIDA REGISTERED SURVEYOR AND MAPPER NO.5684
0 Y DISCLAIMS ANY OTHER LIABILITY AND HEREBY RESTRICTS THE
WITHOUT EXPRESS GNATURE & THE ORIGINAL RAISED
CERTIFIED AND HERES NOT VALID WITHOUT THE SI -0
RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM TO USE THIS SURVEY, SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
Q) WRITTEN CONSENT OF THE SURVEYOR.
0 ELECTRIC
m: - FENCE OHE -OVERHEAL' ; '
C.M -ONCRETE MONUMENT SEC- SECTION FEN C.L.F.-CHAIN LINK FENCE
C CLR - CLEAR
L F.C.M -=FOUND CONCRETE MONUMENT TWP- TOWNSHIP W.F.-HOOD FENCE I'G
TER
�=EASURED
0 D
I IRON ROD AND
F F NO N R A
P C OU IRON POD N
IR 00
L FOUND IRON ROD AND CAP P.T� POINT OF TANGENCY FNO FOUND
F PGE- RANGE C.B. -CHORD BEARING
F FOUND N D E
ON 'P
D " 0 A'
P 7 IRO
(v F.I.R FOUND IRON POD P C POINT OF CURVATURE
P P
UTITLITY EASEMENT POINT OF INTERSECTION (P) PLAT WA TER METER
VATION
FOU NO ,
F P: FOUND IRON PIPE U:E' - IDITIONING UNIT EL ELE W.P.- WOOD POLE
S T 'TRON " A A'
R C E I? N ROD AND
L D
T NA IR'A Dl K
F.I. - CAP DRAINAGE EASEMENT AIC AIR COA
SE
R C U D E S
�D Fo NO N ',
N T Dl K
I
U C & CURB & GUTTER NTS SCALE CONC. CONCRETE
.1 D.E P M- PLAT & MEASURED
L S,1,R C SET IRON POD AND G _NOT TO ESMT EASEMENT
E, S MIH- MANHOLE
> F.N&D FOUND NAIL AND DISK PR) PROPOSED
�D L U RIGHT OF WAY coR CORNER
L U I
L FIELD MEASUREMENT EXISTING
C LCUL T M SUP
(M) C LCUL T M SUP CENTEPLINE
(C) CALCULATED MEASUREMENT C/L INF RMATION
u PROJECT
L-
FIELD SURVEY DATE
FIRST COAST LAND. ORD NO: 1421
PLOT PLAN DRA WN E3 Y: APO
w
< BOUNDARY o6-12-07 SURVEYINGp INC. REVIEWED BY: TN-
z
uj FORMBOARD 1660-B LANE AVENUE SOUTH, JACKSONVILLE, FL. -jeeju
-1 062 FAX (904) 779-7784
u- FO ATIO PHONE (904) 779-2
CERTIFICATE NO. LB 7261
FINAL
go
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 LDate routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: oDe artment review re ui red Yes No
uild*
Planning &7nnin
Applicant: Tr m i tor
Tree Administrator
Public Works
Project: Public Utilities
r_X3r_C 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:
APPLIC - ION STATUS
L'C_-A,,T'ON 5-1,
epartment First Review: ;A;p 7 oved. nDenied.
Reviewing pr
(Circle one.) Comments: �I-P-4se rts tj6lh)� plans -:56wlk� 'Ot
BUILDING 'Otj-901C, t,4,411 Ja 1DCA4-od
PLANNING &ZON Reviewed by: Date:Z&6_Zk_
I b ,Z6
TREE ADMIN. Second Review: EnApproved as revised. OlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CE OF COMMENCEMENT
91-0000 q101 T-1 (PREPARE IN DUPLICATE)
Permit No. - I; Tax Folio No. t7 119-006go
State of County of
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: c- 3
Address of property being improved: -77.5' Pl-,4-4A
General description of improvements:. AA9&1 6oCa--1A
1-0.02� ()44111. 040WA&AiZ W MW,!�
Owner (gFael 911—C eud&luo
Address 75 AA-1-A
Owner's interest in site of the.improvement XA/A.-6<,e
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor A161Z le
Address
Phone No. 1q19 711 Fax No.
Surety(if any)
Address Amount 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, mignates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florid.Statutes.(Fili in at Owner's option).
Name
Address
Phone No. Fax
Expiration date of Notice of Commencement(the expirati da is one year from the date of recording unless a
l7d,�year frc
different date Is specified):
THIS SPACE FOR RECORDER'S USE 0 OWNER DATE
efc, day of S�� tin th6
Cou 0 S ate Of r 7 __-�ereln by
-,ez=
Doc#2014039-35,OR BK 16696 Page 1734, IfIrritelf/herself afid-affirmnhat all statem6nIs and declarations herein
Number Pages:I are true and accurate
Recorded 02i2l/2014 at 11:30 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL 00 Notary Public State of Florida
COUNTY William R Rohn ir
RECORDING$10.00 11t6fa-ry Public a ruWfat qf y.Commission EE 193470
-r' . -
exp!,.�.�t t
-Pm�Is rlo,�.
,mIs
ss
s
PlIr
My Corr ex; e '4 foriv xpires 04/26/2016
a,,;4�nowrj
Personall nown
ProducecijdSq�fw,Aon