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530 Sherry Dr 2014 deck/patio CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000415 Date 4/01/14 Property Address . . . . . . 530 SHERRY DR Application type description DECK/PATIO Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3386 -------------- ------------------------------------------------------------- Application desc 151 x 181 PAVER PATIO W/ 61 X 41 PAVER WALK FPIT ------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COX JEREMY N RANDY & RAY' S LLC 530 SHERRY DRIVE 10631 SQUIRES CT FL 32257 ATLANTIC BEACH FL 322335354 JACKSONVILLE (904) 874-5800 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc - - 35 . 00 Permit Fee . . . . 70 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 3386 Expiration Date . . 9/28/14 --------------- ------------------------------------------------------------- Special Notes and Comments Full right-of-way restoration, including sod, is required. Roll off container company must be on city approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management. ) --------------- -------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 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 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION 0 T @ � 0 T T CITY OF ATLANTIC BEACH U" MAR 19 14 800 Seminole Road, Atlantic Beach, FL 32233 R Office (904) 247-5826 Fax (904) 247-5845 183 JobAddress: Sao �Si4ce_e,�, Permit Number: Legal Description Floor Area of' Sq.Ft. Parcel 9- Sq.Ft Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: 1 :5 % ii ?PtV9,iZ P13,Tro Wzrit 61 X441 Cody a gtTraL.. e"&-a wN0(. 1-b rite (A-04',se C^jzn4. Frof VIM Property Owner Information: Name:_-5S&&ftm, &,K Address: 5 250 :5 4 6 9 941 City KTLAu rze—' &64atk StateFLZip 3A233 Phone (9044) 4,0�f '4. CT2- E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: _RA M D4 PrAiD Rk!A5 &-jKAZ1, ,Ca_ K Company Name: 7^m 0 4,-Ur416 Qualifying Agent: "�ID4 ZC-94 Address: ioteSi City -5Fta40,,5QAJ414-"C 'State 4c::t- _Zip342677 Office Phone 4 04 9*1 q 5'C04 Job Site/Contact Number 4# SS oc? —Fax# State Certification/Registration# Architect Name&Phone# 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 commencedprior 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 i(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 Electrical Work, Pluinhing,Signs, ells Pools, arnaces,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. Ihereb certify that I have read and exam ined this,a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o wc whether ec e�l herein or not. The granting of a permit does not presume to give authority to violate or cancel the 17, )rk will be complied with f X, provisions of any otherfederal,state, or local"gaw regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name Print Name -V A WL-,C�-1 Dea.��................... ........................................................... .......7.� ............................................... ........................ Before Before me thi ay of t, 2014 this \-2- Day of 4C_1W1.__ 4 HENRY R. PROC LENE E GUILHEM 48 commission#EE 857348 E016831 Comm ss, Nkt Public MY IVIMMS�N;F t Notary Public I M I 6 e,-,* Dyecembef 10 2016 EXPIRES August 02,2014 1 407)398-0153 FiondallotaryServicexom %,U vl.�V.IV vo D pL^AF7% A C�T �5T Z- 0 (0 0 Lj.,s q95 F 5 v . eO ve,(e 'k 6r 9, r- 0 F LA) OK co -fo A-IVD(l > z Mo 'o" ZO 61 z M 0' cn 0 >Z XID 0 90 x Z 0 (A 1!> L4 (,4 0 -9�-,p-< —4 m * ;d 9 0 w z 0— , 1� C- 'Tl 4, woo r, -10 Co :pa )OX :om 0 N Z > Ck 0 U) L- z > -u M U rq t>T -u M r- 0 0), Ll M LQ bICK k4 (e— LP 06 ol 00 !41 *I ARFA Ix 10.2' 1:1,Ms U) C: m < t-a > En 47.82' -A M w ,--RRY DRIVE z '5�0 SH 60' RIGHT OF WAY 0. TI City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 9 Atlantic Beach, Florida 32233-5445 o 2014 Phone(904)247-5826 - Fax(904) 247-5845 E-mail: building-dept@coab.us _Laterouted: Cityweb-site: http://www.coab.us IM APPLICATION REVIEW AND TRACKING FORM Property Address: E53o 5hcy-v-LA [)y- Department review required Yes No Building Applicant: <;71anning &Zoning Tree Administrator Project: Pcivt-f, -bb -b orks�> Pu 76 Utilitial�> cwcr _C� U)c_4 FuTbTic 7aTe—ty— 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: XApproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: DApproved as revised. RDenied. PUBLIC WORKS Comments: ................................ PUBLIC UTILITIES ___��BLIC�SAFE�TY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. ODenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road -5445 _L41 S Atlantic Beach, Florida 32233 Ph ne (904)247-5826 - Fax(904) 247-5845 building-dept@coab.us E-mail* L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: E5,3o L5hL)(-v-cA by- Department review re uired Yes No Building Applicant: <—Planning &Zoning k.1 Tree Administrator Project: a-Fu� r Cs > Pu_5 Fic–Utilities—') Cpx-4 F0 15 Fic 7a f e—ty 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: APPLICA316N STATUS Reviewing Department First Review: E*P<roved. ElDeni&_ (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b. Date: Y, TREE ADMIN. Second Review: nApproved as revised. DDenievd. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date.- FIRE SERVICES Third Review: DApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach - — E APPLICATION NUMBER RE EIVED Building Department L CL i be assigned by the Building Department.) MAR I 01 14 800 Seminole Road 4 AR 19 ?Q14 L�-41 S At antic Beach, Florida 32233-5445 584� 24 - 8 Phone(904)247-5826 - Fax(904) 5 45 0 . E-mail: building-dept@coab.us Date routed: Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 5hLy-y(A by- Depart -.f-nt review required Yes No Buildinq Applicant: <=Ianning7�Zo�in�� Tree Adr-, iistrator Project: PLI lic Ut - �s L/i a KLAA 4 t-pr-4 PUNIC 6 �f� Fire Servi---s Review fee $ Dept Signature C-� - 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 Divisim of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS F )(Deniec va'�(-4 Reviewing Department First Review: E]Approved. (Circle one.) Comments: gk'cic— T- 1'0+cpce--.�-e ch:w-+h9it % 01 knt' r-K" W to '(�LA rt- in-) si.Arface, ht. re-Fos'ea- BUILDING 15fAttd hc�cl n_r , V)ko( PLANNING &ZONING Reviewed by:__ Date TREE ADMIN. Second Review: Approved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. EI]D enfli e Comments: Reviewed by: Date: Revised 05/14/09