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518 Selva Lakes Cir 2014 Screen room CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001025 Date 8/01/14 Property Address . . . . . . 518 SELVA LAKES CIR Application type description SCREENED ENCLOSURE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8067 ---------------------------------------------------------------------------- Application desc SCREEN ENCLOSURE OVER NEW FOOTING AND PAVERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOSEPHS, TARA HARRIS SCREENWORKS, INC 4575 CARRARA CT 7560 COMMERCE CT FL 34243 JACKSONVILLE FL 32224 SARASOTA ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc - - 47 . 50 Permit Fee . . . . 95 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 8067 Expiration Date . . 1/28/15 ----------------------- ----------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Remain clear of easement . Full right-of-way restoration, including sod, is required. 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -------------- 2 . 00 Other Fees . . . . . . . . . STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 9S . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 146 . 50 146 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. "TT PERMIT APPLICATION i-PUILDING CITY OF ATLANTIC BEACH -R00 Seminole Road. Atlantic Beach. Fl, 32233 JUN 2 5 2014 FILE COPY Office (904) 247-5826 Fax (904)247-5845 IDY i 7--111 Permit 104 S-- 0 Job Address: 3 Legal Description tzk\0'7- cXc Parcel# 12�to , 09 FloorAreaof Sq.Ft- S _ Valuation of Work$. W I Proposed Work heated/cooled -- , - h-ated/cooled Class of Work(circle one): New Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial esidentia If an existing structure,is a fire sprin=system installed?(Circle one):4��es�N(o N/A Florida Product Approval#____ For multiple products use product approval form Describe in I the type of work to be performed: 'D Property Owner Information: Name: a)(_Nn Address:_5\q-��cX' WO- LD-*fS city r,,A\WY\\c, State 0-Zip 34-2�5-5 Phone '0'�-LVILM50A E-Mail or Fax#(Optional Contractor Information: Company Name: Qualif��ing Agent: \-A . Address:\CiA 0�k City�Kqa�- _�afv State Zip -6 Office Phone OV��`\'Ll 1-b-6 0-N Job Site/Contact Number 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 Application 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 ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null ter and void ffwork is not commenced within sL-c(6)mont/6, or if construction or work is suspended or abandonedfor a eriod ofsix months at any time af pi k We I Pull work is commenced. I understand that separate permits must be securedfor Electrical-Work, umbing,Si ns, i s,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta 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. lhere certify that I have read and examined this a lication and know the same to be true and correct. All provisions oflaws and ordinances governicneg this _pp granting of a permit does not presume to give authority to iolate or can I the 1�work will be co I*ed -th h th ecifi-ed herein or not. The e to give authority to 10, m I I w,'10, regulating construction or the pe�fomance of construction. provisions ofany other e I's Signature of Owner Signature of Contractor S ' 0 �M V) Print Name ............ .............. Print Name .......... n s re M Swom,tq and subscribed beforme e Sworn tQ_and sub:Ep NICHOLE FREEL this \��-Day of 2-0_Lq this\��-" Day of QYN(- NIC OLE FREEL EXPIRES August 16,2015 -cam Notary Public Notary Public EXPIRES August 16,2015 '4 .40, Wallotary'-rvice Revised 01.26.10 (407) * DATE(MIIND01YYYY) AC40RV CERTIFICATE OF LIABILITY INSURANCE 12/21/2013 F THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(jes) must be endorsed. If SUBROGATION IS WAIVED, subject to terms and conditions of the policy,cartain policies may require an ondorswnent A statement on this certificate does not confer rights to the certificate holder in lieu of such"orsement(s). PRODUCER HDINT CT K&te aloe Paolilla. FA.X PHONE (904)268-7310 C. JP Perry Insurance 00t 1,14 No): (904)268-2801 F= kpaolilla@jpperry.com 3342 Kori Road 00r, A ss* �\NA, INSURER(S)AFFORDING COVERAGE kAIC 9 --1-3021 Jacksonville FL 32257 INSURFRA:United Fire & Casualty Co INSURED INSURER 0 Bridgef ield Employers Screenworks, Inc. INSURER C: 1031 Blanding Blvd INSURER D: INSURFR E -Orange Park FL 32065 INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 A.11 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO �AMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS OUL 3URR —06UE-Y_EFF POLICY FXP NSR TYPE OF INSURANCE I M LIMIITS L r2/ MED EXP(ArTy one pwsocI) S 5,000 rR Nsp wyn POLICYNUMBER MWODYYYY) MMIDD(yyyy) GENERAL LIABILITY EACH OCCURRENCE % 1,000,000 DAMAGE TO RENTED 100,000 X COMMERCIAL GENERAL LIABILIrY PREMISES 1E,00��,Urrence) A CLAIMS-MADE FXIOCCUR 60410211 12/31/2013 2/31/2014— PERSONAL&AOV INJURY S 1,000,000 GENERAL AGGREGATE 3 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPA)P AGG S 2,000,000 JIEIT _�LOC $ POLICYF—]PRO F COM81NED SINGLE 71—M-1, AUTOMOBILE UABOUTY (F_a accide") 4 300,000 X ANY AUTO BODILY INJURY�v* 3 1 I AILL OINNE0 SCHEDULEC 60410211 12,'31/2013 12,'31/2014 BODILY INJUR�iPer wx4em� S I AUTOS X AUTOS PROPERTY DAMA E $ NON-OWNED X RED AUTOS AUTOS (per accxwvt) UMBRELLA LIA OCCUR EACH OCCURRENCE s EXCESS LIAB a HCLAIMS-MADE 4GGRE�3,A_ DED I I RE TE NT ION$ B WORKERS COMPENSATION X !_�C STAT".1- ICT FR AND EMPLOYERS'LIABILITY Y!N ANY PROPRIETORIPARTNER/EXEr-UTIVE D E L EACH ACCIDENT 1,000,000 OFFICER/MEMBER EXCLUDED' NiA (uwhsm-v in w 3'3498811 12/31/2913 12,131,12014 E L DISEASE-EA E%4P,_jYcj S 1,00C.000 ;Mdownbe j1dw RIPTION_OF OPERATIONS oeio� E DISEASE-DOL CY 1.000,000 DESCRIPTION OF DPERA-IONS,LOCATIONS VEHIC�ES (Attacn ACORD 101,AddItIonai Rq~ks S010duicl 7wv WAce S-wquirecl CERTIFICATE HOL nFQ CANCELLATION SHOULD ANY OF THE A3CVE:)EZC;R!SED'JCL'C ES 3E ;A?4:9 3Ez—_1�7 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELiVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. JkUTHORLZED REPRESENTAnVE J Perry, III/KATEP ACORD 25(2010105) Oc 1988-2010 ACORD CORPORATION. Ail rights reserved. INS025,201OG5,01 The ACORD name and logo are registered marks of ACORD Jul 30 14 11:47a Sceenworks,Inc. 9042727562 P1 FILE GU AK,MAVff FOR ATrACEONG A NIEW STRUCTURE TO AN MSMNG STRUCTURE TO: BuildingIns�cotion Dopmt�ttnt,City ofAtlantic Beach,800 Seminole Road Rome Owmer.- Nam' c5 011'�Y SereetAddress 'RAWtt CtV,State.and.Vp Codd. Permit Number As the Colitr2etor for ft proposed nev�struetare tocated at the above address,Y have personaty viewed with the above nam ed home owner those portions ofthe existing structure on which portions of the proposed new stractare are to be attached for structural supporL I am confident that the drawings ind details included witt-tkas permit applicadua depict the existing conditions of the host structure,and the members of the misling structure upon which the new structure are to be attached am sound with no rct or deteriomlion.The horde owner has been advised by me lhal,in my bestjudgment based an experience and knowledge of strucbaal adequacy,the members ofthe existing structure upon which the new structure arato be otar-hed are sound with no rot or deterioration and will support&11 structural loads and forces imposed cul fls6m-By signing below,I hereby-declare that I will hold the City of AtlanticBeach harmless and reltd3�,*from Emy respDnsibffity and Hability for any adverse consequences or failures rcsUlting f .MM tbj$V*Md AtMex ttlat I will Aot jnitiate�execute orenjqirk any)egaj ac�qn Apiov te City of Atlantic beabla fort such consequences or failures. A copy of this dota:nentwill be recorded as an officiRl record with the Building Inspection Departraeat permit history so that iny and aU future buyerstowners of this property MALy be m2de aware of the status ofworlc pe fo e on this structure. Signed Date 1 30.) BeforemethiJ Alayof.' in the County of Duval,State of Flo4dahas personally appeared A-a�rn Um a bminbyhim NiCHOLE FREEL Affirms all stntemeats and derlarallons hemm' are true and accurate. Z�P. M'1 COM AISSION#Er=12270i EXPIP:S August 16,20iS r U E4 0 Liclit M"' of 146fary Pub County of 7- Personally Kno orProduced Identification ID Type F,buildIng/affidavitfouxta&Ing 3 mw ctructureto-an e4urring stmaure.dom A 4 HOMEOWNER SUNROOM ENCLOSURE AFFIDkVIT FILE COPY f ' The purpose of this document is to make you aware of any limitations in the enclosure that isbeing permitted at your residence. The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing. The property owner is hereby notified that should they make changes to the sunroom which could include, but not be limited to, addition of any form of temperature control system or removal of the doors/windows separating the sunroorn from the host structure, the room may become non-compliant with the quirements as mandated by the Florida Building Code, the Florida Model Energy Code and State Statutes. OWNER I have read this complete form W)d understand I am receiving a Category X7 Sunroom-(I-V) Printed Name Address 5\(b ux Signed: Date: Before me thi of in the County of Duval,State of Florida,has personally appeared statements and declarations herNn—are true and accurate. EL rms all MY COMMISSION#EE122701 Notary Public at Large,State of County of EXPIRES August 16,20115 Personally Known E]or Produced Identification El FbddallotaqServ1w ID Type Sunroom and Screen Enclosure Requirements Category IV V Habitable Space No No No Yes Yes Foundation Walls <200plf Walls <200plf Walls <200plf can Walls <200plf Walls <200plf can can have 8"W can have 8"W have 8"W x1 2"D can have have 8"Wx12"D x12"D ftg or 3- x12"D ftg or 3- ftg or 3-1/2"slab if 8"Wx12"D ftg ftg OR have site 1/2"slab if no 1/2"slab if no no concentrated OR have site specific concentrated concentrated load >7501b OR specific engineering load >7501b OR load >7501b OR have site specific engineering have site specific have site specific engineering engineering engineering Existing exterior GFCI outlet Relocate or add additional outlet to exterior if enclosed Exit Lighting Not Required Required Required Required Required Interiorpectric Not Required Not Required Required Required Required Outlets Emergency Egress from Egress and Exit Egress and Exit Egress and Egress and Exit Escape exist. structure must meet code must meet code. Exit must meet must meet code. Openings allowed if open to code. atmosphere and has screen door leading away from residence. Misc.Window Host structure Windows must indows may be Host structure Host structure and Door windows/doors be removable fixed or removable. windows & windows&doors Requirements shall not be Host structure Host structure doors shall not may be removed. removed. windows/doors windows and be removed. Forced entry, air shall not be doors shall not be Forced entry, leakage and water removed. removed. Forced air leakage penetration entry, air leakage and water requirements and water penetration apply. penetration requirements requirements apply- apply- Wind Borne Required, can be on host structure, if built under existing Debris Opening Not Required Not Required roof Protection Energy Sheets Not Required Not Required Not Required Required Required _U"J�ryr" City of Atlantic Beach APPLICATION NUMBER '4 �1.is Building Department (To be assigned by the Building Department.) 800 Seminole Road zj Atlantic Beach, Florida 32233-5445 10 2-'5_ Phone(904)247-5826 - Fax(904)247-5845 oj)69� E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Qzartment review req-uired Yes Buildi IN o Planning & Applicant: Project: SC'4/_t/C4__) -cndoSkArc, Tre-e-A-c7ministrator OYT-Y'- r)-f� PCkV_t_A-S Public Utilities_,, _755 Ku-0lic fety 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: �pproved. [-]Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: 7- TREE ADMIN. SecondReview: DApprovedas revised. F]Denied.,�/ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. [:]Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH i ' FILE COPY ' ' Building Department W.. . ..... 800 Seminole Road ............ Atlantic Beach,Florida 32233 -5800 (904)247 PLAN REVIEW COMMENTS Permit Application #. IC) Property Address: 5' SAVe Applicant: Sc v-,e�e oz [,,--S Project: Scr'4P�--a h doSulf-C ov-e r7-e ii, 0a v�p y-.s This permit application has been: Approved Reviewed and the following items need attention: JfZrdakit . -I?or a.#acAl" P c/o VO)r-e- EnL�X -,G4241151 7 7 LZ Please re-submit your application when th ese items have been completed. Reviewed By:-, z Date: A 6/ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road CET'VEL v 10 I Atlantic Beach, Florida 32233-5445 JUN 2 7 2014 - I L4 Phone(904)247-5826 - Fax(904)247-5845 I r jilt E-mail: building-dept@coab.us Y: Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Qgjaartment review required Yes- No EB. Applicant: < Plainning &KoDjuo ��trator Project: n dDSLA r-c' Ck V__T_&S m5lic 9—afety 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: []Approved. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: [RApproved as revised. RDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: D a t e: FIRE SERVICES Third Review: DApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14109 City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 JUN 2 7 2014 10 Phone (904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L_�ate routed: 01119 A City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L'&kr_5 C1 D review required Yes No Buildi Applicant: <71anning �.�n �inistrator Project: ;g��k�2 CkV–T-VS Public Utiliti2.�2 –p-ur rIc-79—afety Fire Services Review fee $ 92 Dept Signatur 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: Approved. ElDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: F]Approved as revised. FIDenied. Comments: BLIC LIT S PU"LICSA�F TYt Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. OlDenied. Comments: Reviewed by: Date: Revised 05114/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road L4 - 1(32-' I Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 L Date routed: �D E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM :::)CJV& L Property Address: 61,2) Denartment review required Yes No uildi Applicant: < Pla�ning &Zon' Tree inistrator Project: 60SLA r-C' e. k CkV_T_A-S Public Utilities u ic afety 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 nt First Review: DApproved. Reviewing Departme Xpenied. (Circle one.) Comments: fleAse BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: )�Approvecl as revised. FIDenied. PUBLIC WORKS Comments: Afrr-#\(J per PoA afloroveh, PUBLIC UTILITIES Reviewed by: �Date: PUBLIC SAFETY FIRE SERVICES Third Review: F-]Approved as revised. [:]Denied. Comments: Reviewed by: Date: Revised 05114109