1359 Beach Ave patio 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000480 Date 4/04/14
Property Address . . . . . . 1359 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
----------------------------------------------------------------------------
Application desc
REMOVE REPLACE CONCRETE PATIO SAME FOR SAME
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
GOELZ, JOHN H & PATRICIA CLADDAGH CONSTRUCTORS, INC.
1359 BEACH AVE 3997 AMERICA AVE FL 32250
ATLANTIC BEACH FL 322335731 JACKSONVILLE BEACH
(904) 241-1012
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . - Plan Check Fee 32 . 50
Permit Fee . . . . 65 . 00 Valuation . . . . 2200
Issue Date . . . .
Expiration Date . . 10/01/14 ------
------------------------------------------------------------- --------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 6S . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . S0 . 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
FILECO Py 800 Seminole Road,Atlantic Beach, FL 32233 nu
fl 9 It 2n14
Office (904)247-5826 Fax (904)247-5845
Job Address: Permit N mber _1`oo,
Legal Description Parcel# tier y
FloorAreaof Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition fil-tier"a-t—ion) Repair Move Demolition pool/spa window/door
Use of existing/pro osed 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 proaucts use product app rm
Describe in detail the type of work to be performed:
Propertv Owner Information:
Name: -�T&Am 4-?A PA,7-,,yc,,x,- Address: / 35-1 13�� _4 of V__
City 9 7L�a ,7-1 4-k5�—d, Statee��Zip 3 Z Z-33 Phone
E-Mail or Fax#(Optional
Contractor Information: CONTRACTOR EXAM ADDRESS:
Company Name:—_C-1"Ot Qualifying Agent: 144-f r--r- /,;v7,q f,
Address: 3 11-7 T_- City -1-- So,., ,,14 &,-.,,,A State /-- L_ Zip_3?:::z- Sb
Office Phone 2-V /-/o 1 2- Job Site/Contact Number F13- /-7zr Fax# 7--y-2- i3 54 Iz
State Certification/Registration# C-ge- 41-5-8 36 7
Architect Name&Phone# 0
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A he e ade to obtain a ermit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
all work will�e performed to meet the standards of all laws regulating coi-,ruction in thisjurisdiction. This permit becomes mill
o' th te ed thpin six(6)months, or if construction or work is suspended or abo. lonedfor a period ofsix�6)months at any time after
i P"c io is r 'y"d
p
ssuance o a emit an
and"id� P k s not co,
"" is c 0 ,i in c wi -Work-, Plum, -g,Signs, Wells,Pools, fkirnaces,Boileis,Heaters,
k e ced. I understand that separate permits must be securedfor Electrical
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RIF-*'I_ORD 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 RECOF_nING YOV]i NOTICE OF
COMMENCEMENT. '
I hereby certify that I have read and exami.ned th* plication and know the same to be true and correct. All provisions of laws and ordinances governing this
7s
type p�work will be coinplied with whether eci7zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or localsf1w regulating construction or the pe�fo�mance ofconstruction.
Signature of Owner Signature of Contractor
Print Name Print Name
................ ................................................ ..........M
.................................. ..........................
Before me Before me
this ,24 Day of Wvd�_ 20 Ig thisq2t Day of
CAW I i 0.se"NE10"
IC qmr!
U400 e �C" ol Flodft
WVPW NotArVPnNjCSfxtnCj1:j0jjd%& �4-- N-6wy Pvbk-SUN
Notary Public > !r* Atta IFLMMic C0111111111.Is"
Mona G Carter
!Vr� My Commission EE057508 CommM"0 FF OMIX
W Expires 04/03/2015 'j,"Pri Wi6"
City of Atlantic.Beach
219 APPLICATION NUMBER
Building Department (To be assigned by t e Buildin Department.)
800 Seminole Road e
_7 Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
t
E-mail: building-dept@coab.us Date routed: 2 L�?
City web-site: http://www.coab.LIS
APPLICATION REVIEW AND TRACKING FORM
Property Address. /Y.0 lilrg_ ent review required Yes No
B ildin
Applicant: 0/0/k a ning &Zoning
FTYes
F-�
Project: iM6VF, IZ6J2144__,�_ eZ 16 Public Wo-rks
Fijic e s
Public Utili ies
Public Safety
Fire Services
Review-fee'$ -Dep-tSign-ature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified Bv—
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and RestauraEnts �E
�v
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [OA' pproved. FIDenied.
(Circle one.) Comments: C 0,1 1 ra C 1c)Yz- 4, lvx� 4 n 'ar h 40 y wln I jo
�LD I N io E P - P lea�-e CX C"
PLANNING &ZONING lbcs P-eywl" I S' Pilo, -rk a kiky fil
Reviewed 1by: Date: 3—3
TREE ADMIN. �E]
Second Review:� DApproved as revised, Dern tied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.-
FIRE SERVICES Third Review: 0APProved as revised. F]Denied.
Comments:
Reviewed by: Date:
jised 05/14109
City of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by�Te Buildin Department.)
Atlantic Beach, Florida 32233-5445 A/
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 2 L-f
City web-site: http://www.coab.us I :W
APPLICATION REVIEW AND TRACKING FORM
Property Address- ent review required Yes No
B ildin
Applicant: 0/0/k X_ anning 8,Zoning
&zez Public W
Project: ekim,6 VE i c rks
u I P i tilifies
Public Safety
X79� Fire Services
Peview fee D- ept Sig nat6re,
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 6�,
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
0
F
F
t
0
0
h
ri
ri
d
e r
a
n
A
Dege
pt
n
hda De
p
i
St.Johns River Water Management District
C I
Army Corps of Engineers
i f I
Division of Hotels and Restaurants
i i f I
Division of Alcoholic Beverages and Tobacco
ot
Other:
APPL.19ATION STATUS
Reviewing DepartmentFFirst Review: 'ff�AA*p*proved. DDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
TREE ADMIN. Reviewed by.- Date:.
Second Review: DApproved as revised. E]Denied.
I by
D a't eA.-
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.-
FIRE SERVICES Third Review: []Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
evised 05/14109
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Beaches and Coastal Systems
3900 Commonwealth Blvd—MS 300 PermitNumber.
FLOR A Tallahassee,FL 32399-3000
(850)488-7708 No.ofPagesAuached:
FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052,FLORIDA STATUTES
FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for a permit was considered by the staff designee of the Department of
Environmental Protection and found to be in compliance with the requirements of Chapter 62B-33,Florida Administrative Code(F.A.C.). Approval is
specifically limited to the activity in the stated location and by the project description,approved phxns(if any),attached standard conditions,and any special
conditions stated below pursuant to Paragraph 161.053(5),Florida Statutes. This permit may be suspended or revoked in accordance with Section 62-
4.100,F-A.C.
PROJECT LOCATION: A tk'
7 o
14
PROJECT DESCRIPTION:
0�t/1,4 0%),e
iz 11 14 k i�'
1pc,�e
< 'P31 4L _e A�;U 4-1 LOL)s
SPECIAL PERMIT CONDIT IONS: This permit is valid only after all applicable federal,state,and local permits am obtained and does not authorize
contravention of twat setback requirements or zoning or building codes. This permit and public notice shall be posted on the site immediately upon
issuance and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other special conditions of this
permit include:
1 19 A.4, 5A-,
(4
A-
STANDARD PERMIT CONDITIONS: The permittee shall empty with the attached standard field pwrnit conditions.
APPLICANT INFORMATION: I hereby certify that I am either. (Is)the owner of the subject property or (lb)I have the owner's conscritto secure
this perntit on the owners behalf,and that(2)1 shall obtain any applicable licenses or permits which may be required by foderal,state,county,or municipal
law prior to commencement of the authorized work; (3)1 acknowledge that the authorized wock is what I requested;and(4)1 accept responsibility for
compliance with all permit conditions,
Applicants Signature_ Date Telephone No.(
Address
Applicants Printed Name
If applicant is an agent
printed name ofproperty owner prop"owner's address property owner's telephone no.
DEPARTMENT FINAL ACTION AND FILING AND ACKNOWLEDGMENT: This field permit is approved on behalf of the Department of
Environmental Protection by the undersigned staff designee,and filed on this date, pursuant to section 120.52,F.S.,with the undersigned designated
Deputy Clerk,receipt of which is hereby acknowledged.
StaffDesigneelDepuly Clerk Printed Nwne ecotputy Clerk
PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE:
(Emergency permits issued pursuant to Section 62B-33.014,F-A.C.,are valid for no more than ninety days and other field Permits are valid for no more
than 12 months. The staff designee may specify a shorter time limit.)
EMERGENCY PERMIT:0 YES 0 NO Approved plans are attached: NO
AND PUBLIC NOTICE CONSPICUOUSLY tO ;E�SITE
DEP form 73-122(Updated 01/06) Vhite Copy-Tallahassee Office] ffellowCopy-Applicanll [Pink Copy-StaffDesigneel
.-.-,,3A,, 3NOZ G003-4 NIV230 DIINV-11V
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70aINOANOIS083 869 GNV V69 _L)
'6g 3OVd '9f >1008 IV7d 3NII -708LNOD NOISOa3
--—————— - ————————————————————————————————————--
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
jilt
Application Number . . . . . 14-00000480 Date 7/22/14
Property Address . . . . . . 1359 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200 -----
-- --------------------------------------------------------------------
Application desc
REMOVE REPLACE CONCRETE PATIO SAME FOR SAME -----------------------
-----------------------------------------------------
Owner Contractor--------------
----------
------------------------ CLADDAGH CONSTRUCTORS, INC.
GOELZ, JOHN H & PATRICIA 3997 AMERICA AVE
13S9 BEACH AVE JACKSONVILLE BEACH FL 32250
ATLANTIC BEACH FL 322335731 (904) 241-1012
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - -
Sub Contractor FERRANTI ' S ELECTRIC
57 .40 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 1/18/15 -----------------------
---------- --------------------------------- -------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE ------
---------- ----------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
---------- ------- ---------------------------------------------------------
Fee summary Charged Paid Credited- Due---
----- ----------- ---------- ---------- -------- ---
Permit Fee Total 57 .40 57 .40 . 00 . 00
Plan Check Total . 00 * 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 61 .40 61 .40 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE wiTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: ��—q 'L'__Y+ad Aux_�IVL4'1: PERMIT#
)_ c-,4�� 2_�_fc)
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS IS(.)
NEW SERVICE F-1 Overhead Underground Underground up Pole
[]Residential(Main) Service
E10-100 amps El 101-1 50amps El 151-200amps El amps #of Meters
El Commercial(Main) Service
E10-100 amps El 101-1 50amps Ll 151-200amps 11 amps LICT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
E10-100 amps El 10 1-I 50amps [I 151-200amps []_____amps #of Unit Meters
LITemporary Pole El amps
SERVICE UPGRADE 11 amps [I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100amps 11150amps [1200amps El_amps IICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
E Swimming Pool F1 Sign E Smoke Detectors_Qty El Transformers KVA Motors hp
FUZE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can 11 Safety Inspecti n []Panel Change [I OH to UG
VI'ther: A bl,� 2- P-g C _SPKO�S 7-6)
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Jo c , 6��c L Phone Number
Electrical Company Ft -V I S-S-164 A
,c !a&Z�', L L C —Office Phone qo,.�
Co.Address: /691 -L)Jf,1 city 6-cs/I State_,!�L zip JLO q-�
Zj
License Holder(Print): J 14C Ic State Certification/Registration# d-Cocz)16 0-6
Notarized Signature of License Holder
Befo me this day of 20
Si e of Notary Public