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�