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119 Fleet Landing Blvd screen patio 2014CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . 14-00000872 Date 6/11/14 Property Address . . . . . . 119 FLEET LANDING BLVD Application type description SCREENED ENCLOSURE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6800 ---------------------------------------------------- Application desc screening in existing slab -------------------------------------------------- Owner Contractor - ----------------------- NAVAL CONTINUING CARE ------------------------ DAVID WESLEYS PATIO ROOMS RETIREMENT FOUNDATION, INC 3545-1 ST JOHNS BLUFF ROAD 1 FLEET LANDING BLVD SUITE 345 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 626-5850 ------------------------------------------------ Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee 85.00 Plan Check Fee 42.50 Issue Date . . . Valuation 6800 Expiration Date . . 12/08/14 ---------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --------------------- --------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------- ---------- Permit Fee Total 85.00 ---------- 85.00 .00 .00 Plan Check Total 42.50 42.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 131.50 131.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH w s `800 SEMINOLE ROAD, ATLANTIC BEACH, FI p FILF. OFFICE. (904)247-5825 • FAX NO.:(904)241 _ BUILDING-DEPT@COAB.US -� BUILDING PERMIT APPLI) ic LOT _ BLOCK_ SUB DMSION AN C r� �h a 9. NAME: 10. ADDRESS: 11. OFFICE PHONE: 12. FAX NO.: 13. CELL PHONE: 14. EMAIL ADDRESS: OLDER 31. NAME 32, ADDRESS FL 3 H ❑ NEW BUILDING ),ADDITION❑ ALTERATION ❑ REPAIR ❑ MOVE 5. , COMPANY NAME: U4✓.s'l-) uJf5uy5 A r. STATE OF FLORIDA LICENSE NO- 5«glyQs7(o IL ADDREss.: C1 77*3 rtW A46170A 77 ,961317 - CELL P %3,z LP69 7 y,0fl ��� �.s�OI�1DiNG COMA' I. NAME: 1. ADDRESS: / Ll --- a R 7 2 1 3 0 ❑ DEMOLITION ❑ CONVERTING USE ❑ ACCESSORY BLDG. ❑ POOL/SPA ❑ OTHER suatA$CHI 23. COMPANY NAME 24. LICENSEE NAME: 25. STATE OF FLORIDI ADDRESS: 27. OFFICE PHONE 29. CELL PHONE: 30. EMAIL ADDRESS: 35. NAME: 36. ADDRESS: ❑ RESIDENTIAL ❑ COMMERCIAL �1t�Kt=E ❑ YES ❑ NIA 28. FAX NO.: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has it and that all work will the issuance of a permbe performed to meet the standards of all laws regulating construction in this commenced prior a jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction itmus sis secured for abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information 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. r 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 -fS�: Date: „ day of � �n Me county of Before me—th`is�� Duval State of Florida, has Ily ap ort t herin by himself / herself and affirms that 411 statements and declarations are true and accurate. �Y L t,ountyof Notary Public at Large. State of r5 Personally Known ❑ Produced Identification - Notary Signature:r`'• SHARI R QUEST • •' MY COMMISSION *FF068247 FxPIRES November 4. 2017 COAB FORM BL0001: REVISED:'MR(Y0C i ,.r071 398-0153 Data. 5Z' .,.y...�. tl Before me this "I 9 day of In the coon of Duval. State of Florida, has personally apps red = 4 herin by himself / herself and affirms that aril statements and declarations are true and accurate. L Notary Public at Large, State of . County of �K ❑ Personally Known � 1 Produced Identification - V vl Notary Signature: SHARI R QUEST 't MY COMMISSION #FF068247 EXPIRES November 4. 2017 (407) 398.0153 FloridallotaryService.com P) � @ TFR� AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCffRE�UN 0 3 2014 TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole Road Ly Home Owner: � XameJil" 1 Stt Address FILE COPY'= �GQ��,� City. State and Zip Code Contractor: DA -110 /_!J 51-2 `;� S 000 � CC U �a'v''✓t �j Permit Number )V_- 0&7y 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 permistory>o that any and all future buyers/owners of this property may be made aware of the st0fi of woperformed on this structure. Signed. Date/ -5/� Before me this qday of J -U-7) If— in the County of Duval, State of Florida, has personally appeared oV1 b �"declarat herein by himself/herself and Affinnb-abatements anherein are true and accurate. NotaaMublic at LargelState of Personally Known or Prod ID Type - / 7 2 County F: building/affidavit for attaching a new structure to an existing structure.docx .--Netery-Pnblic State of Florida Shirley L Graham ¢ My Commission FF 086990 Expires 02/14/2018 .-08 03-14;11 :14AM; ;/111 # QOM, SCREEN ENCLOsuRE, AND/OR SCREEN ROOM AFFIDAVIT CITY OF ATLANTIC BEACH Jola ADDRESS -.I �Lfi1 2At l � '�J�'� -- PERMIT # Iy- 0,� ?)-- INSI'1'✓MON R>GQUEST PHONE LINE (904)247-5826 The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence. The table below, Sunroom and Screen r;nclosure Requirements provides a brief description of the various sunroom category requirements. There may be restrictions cn the use of your present home depending; on the category of sunroom you are installing. The property owner is hereby notified t� it should any form of temperature control system be added to a Category I, II, or III Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur, the room shall become non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces as mandated by the Florida Building Code, The Florida Model Energy Code and State Statutes. Green , oom Sunroom and Screen Enclosure Re uirements Cate o I _ II No Walls <200plf can Walls <200plf can YII IV V Habitable Spice Foundation No Walls 400pif can Yes Walls <200plf can have Yes Walls <00plf can have have 8"Wxl2"D ftg iave 8"Wx12" D fig iave 8"Wxl2"D ftg "Wxl2"D ftg 8"Wx12"D ftg r 3-112" slab if no r 3-112" slab if no r 3-112" slab if no concentrated load oncentrated load oncentrated load 7501b >7501b >750lb Exit Lighting Not Required Required Required Required Required Interior Electric Not Required Not Required Not Required Required Required Outlets Emergency Escap press from exist. :;_tress and Exit must Egress and Exit must Egress and Exit must press and Exit must Openings tructure allowed if p ,, et code eet code. Other e . Other Get code. Other pen to atmosphere o,' esistanco �esiesttancdeerequirements esistance requirements onsidered screen equirements for r forced entry, air for forced entry, air nclosurc and has orced entry, air eakage and water leakage and water creep door leading eakage and water icnetration also apply. penetration also apply. way from residence.i cnetration also apply. Misc. Window And Host structure i;?,movable windows Removable windows Host structure windows Host structure windows Door Requirementswindows/doors shall :'owed in Sunroom, illowed in sunroom. doors shall not be & doors may be of be, removed, ist structure Host structure -emoved. removed. .ndows/doors shall indows/doors shall of be removed. of be removed. Wind Borne Debris Not Required Not Required Not Required Required Required Opening Protection Energy Sheets Not Required Not Required Not Required Required Required I hereby acknowledge that I have read and understand all the above on this 0:3— Day of 1 41 Home Owner's Signature STATE OF FLORIDA, COUNTY The foregoing instrument was ackno T M statements and declarations herein are: MY COMMISSION #FF0682,, EXPIRES November 4. 2017 {�o>)Z>ieaiaI FlorldallotarySetMee,com _0�r .57. Print Name 'DUVAL. dged before me this 3 day of J U -n L $ 20 by -)-c. �_ herein by himself/herself and affirms all ,ue and accurate NOTARY PUBLIC, STATE OF F . ORIDA Print Name: -5 ba^& k, �11F S iersonally Known/Q Identification: 06/03/2014 09:50 9049989770 WESLEYS PATIO ROOMS PAGE 01101 Wesley's Ratio Rooms 9951 atlantic Boulevard, Suitt 300 Jacksonville, Florida 32225 l?how Numbar: (904) 725-1789 Fax Numbw. (904) 725-�7 (� a M JUN 0 3 2014 Approval Information Shee y FILE C LIC# SCC 1 3 1 1, 49576 16 ... :a: .~ 1� LIC# CCC 1328946 Project dame: Permit 4: Project ,Address: / l� � A,,, -,n) A-6 6), J () Manufacturer Product I- 04 t4-4... Use Authorized Project Agent: David R. Wesley _..� 'L. City of Atlantic Beach �s Building Department `i 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assignedb the Building Department.) /V 0yIz Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address:// / t1 --at r Zti;D,*n,9 Applicant:�,dvi;6 t'J Project: lA L I Department review required Yes ego "Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Review fee $ Dept -Signature Other Agency Review or Permit Required Review or Receipt Dateof 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: APPLICATION STATUS Reviewing Department First Review: roved. ❑Denied. (Circle one.) Cg> Comments: PLANNING & ZONING Reviewed by: Date: — "1 Second Review: 1—]Approved as revised. RDenielV TREE ADMIN. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. FIRE SERVICES Comments: Reviewed by: Date: Revised 05/14/09 NOTICE OF COMMENCEMENT FILE COPY State of FL Tax Folio No. County of Dyya l , — O $ 7 2 To Whom It May Concern: m 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: I'd", ay&%Ley) 0 Address of property being improved: 44,1-'r)� kk 13A✓ l-) 3a,733 General description of improvements: �G d'ff•t1 f ,�L 1.� ���2� Owner: Address: ONE �Lt/ ( Nor tijtr pil J tZ Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: I I" Pet o NL Address: 'Y370 /t� t�f. �t�eU Zx fM5� ft,,t'l it Telephone No.: 036le- Fax No: JAS'S 7 b Surety (if any) Address: Telephone No: Fax No: Amount of Bond $ Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: i4 0 co H a) CM W O U L of (n o U �C,)Uo %R 04 a`a)) m C� 4(lull o00i Z LL ry�-04) O O E N O O W DZrrOfUW 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: Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: / Date: Before me this ay of in the Co tyof va , State Of Florida, has personally ppeared Notary Public at Large, State of Florida, County of Duval. My commission expires: n DJ } }�1:7 Personally Known: or Produced Identification: n A. •' SHARI R QUEST MY COMMISSION #FF068247 EXPIRES November 4. 2017 (407) 358-0153 FloridallotaryServlce.com OWNER Signed: / Date: Before me this ay of in the Co tyof va , State Of Florida, has personally ppeared Notary Public at Large, State of Florida, County of Duval. My commission expires: n DJ } }�1:7 Personally Known: or Produced Identification: n CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000872 Date 6/23/14 Property Address . . . . . . 119 FLEET LANDING BLVD Application type description SCREENED ENCLOSURE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6800 ---------------------------------------------------------------------------- Application desc screening in existing slab ---------------------------------------------------------------------------- Owner Contractor ------------------------ NAVAL CONTINUING CARE ------------------------ DAVID WESLEYS PATIO ROOMS RETIREMENT FOUNDATION, INC 3545-1 ST JOHNS BLUFF ROAD 1 FLEET LANDING BLVD SUITE 345 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 626-5850 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . ALL SERVICE ELEC GROUP Permit Fee . . . . 56.20 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/20/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 56.20 56.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 60.20 60.20 .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 l a Ph (904)) 247-5826 Fax (904) 2,477-55845 JOB ADDRESS: I I 'p P—+ LC nd 10� lJ 1 V id— PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS VOLTS PHASE � z ,�.o�,ICv� j cj 12f yn k- AA (L�-- QW$1 VALUE OF WORK $ 100,00 NEW SERVICE ❑ Overhead ❑Residential (Main) Service 00-100 amps ❑ 101-150amps ❑ Commercial (Main) Service 00-100 amps ❑ 101-150amps Conductor Type ❑Multi -Family (Main) Service 00-100 amps ❑ 101-150amps ❑ Temporary Pole ❑ amps ❑ Underground ❑T Underground up Pole ❑ 151-200amps ❑ amps # of Meters Size ❑ 151-200amps ❑ amps OCT Service ❑ 151-200amps ❑ amps # of Unit Meters SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps ❑ 200amps ❑ amps ❑ CT Service amps ADDITIONS, REMODELS, REPAIRS, BUII,Q-OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: I 0-30amps(GF 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: % - f AN OTHER ELECTRICAL PROJECTS [I Swimming Pool ❑ Sign El Smoke Detectors ON ❑Transformers KVA 11 Motors FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG ❑ Other: hp amps 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 `J tf l��` r Phone Number Electrical Company ` QCVl '� E ��bj�C►C. fO�j� JYIC- Office \P�.honel�'10U Sc� Fax ` 'yUi�� Co. Address: 'S �r `� vCity . 1M�1 I �R State Zip 30� it C License Holder (Print): c l V>\A\ vci -State Certification/Registration # of License Holder Before me this day Signature of Not Public MICHELE M. SPEAKER • Notary Public - State of Florida My Comm. Expires Nov 8, 2016 '�•E onn� `�`. Commission # EE 843836 L , 20�