65 19th St 2014 Deck CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001160 Date 8/15/14
Property Address . . . . . . 65 19TH ST
Application type description DECK/PATIO
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 8000
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Application desc
REMOVE AND REPLACE DECK
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Owner Contractor
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SWEENEY,DAVID & PATRICIA OWNER
65 19TH ST
ATLANTIC BEACH FL 32233
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Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc . . Plan Check Fee 4S . 00
Permit Fee . . . . 90 . 00
Issue Date . . . . Valuation . . . . 8000
Expiration Date . . 2/11/15
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Special Notes and Comments
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 . )
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total 45 . 00 45 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 139 . 00 139 . 00 . 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 JOL 21 .2 14
IJFILE COPY [ 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: I& Permit Number:
Legal Description Parcel# 16 7d3 —10YQ
d Floor Area of Sq.Ft. Sq.Ft -
Valuation of Work$ Proposed Work heated/cooled - n-beated/cooled
4000
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
6�)
Use of existing/proposed structure(s) (circle one): Commercial Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one es N/A
Florida Product Approval
For multiple products use product approval form
Describe in detail the type of work to be performed: Remo ve- e-,)c t�sAna #—e d
&,r,K and rej-)1ace,4r
e�,buljd nemi 6o 5i� alpr�,g
Proper�y Owner Information: ALW�d /I S�,
Name: a� 7ress /q
P ?�'70�/) 535-
city State Flzilp -3 'hone
E-Mail or Fax (Optional)- TA-?t
Contractor Information:
Company Nanje: Ea r4i t: -DoL4sjoi.5 M'G-r�e
Address: LA/ 12 All"-I- r14 State Fl- zi�3z2-q&
Fax
Office Phone qQq- I% - 07
State Certification/Registiation
Architect Name&Phone 4
Engineer's Name&Phone#
Fee Simple Title Holder Name an,
Bonding Company Name and Adc
Mortgage Lender Name and Ad&
Application is hereby made to obtain a p� that no work or installation has commencedprior to the
issuance of a permit and that all work wili onstruction in thisjurisdiction. This permit becomes null
and void ff work is not commenced within bandonedfor a period of sixA months at any time after
work is commenced I understand that S Fibing, Signs, Wells,Pools, rnaces,Boilers,Heaters,
Tanks andAir Conditioners,ele.
WARNING TC ECORD A NOTICE OF
COMMENCEMENT M WICE FOR IMPROVEMENTS
TO YOUR PROPERT' INANCING, CONSULT WITH
YOUR LENDER 01 RDING YOUR NOTICE OF
I here certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws andordinances governing this
111work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfe r state, or loc egulating construction or the Ae�formance of construction.
Signature of OvmwT Signature of Contractor
Print Name Print Name ............... ....................
!.........................................VQJ�..Crlf..... .................. .....
-Wy-,
Before me Before T e vti
-his �L I Day of this Day o
Notary Public State of Florida N ublic S
late of Florida
sandre A Rea
y mission EE087593 Not Public my Commisslon EE087593
4otary Public Expires 05/1 W01 5 OF Expires 05110/2016
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City of Atlantic Beach APPLICATION NUMBER
Building Department 0 Jo be assigned by tpe Building Department.)
800 Seminole Road 13 11 — A�10
X tlantic Beach, Florida 32233-5445 ly
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 7/22/
JA
Cityweb-site: http://wwwcoab.us I .. f _F /_. . .1
APPLICATION REVIEW AND TRAC''t' NG FORM
ri
Property Address: jr Department review required Yes,,—No–]
C'B u i I di_�� Ll-**'
jftrm A)daks anning &Loninc
Applicant: % j__
Tree Administrator
Project: c v1d :S_*_�
7'ubficU, -as
Public SF -q
Fire Sen---. :,s
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Recei, Date
of Permit Verified
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: P?rApproved. []Denied.
(Circle one.) Comments: No
(EED
PLANNING &ZONING Reviewed by: Date.-
TREE ADMIN.
Second Review: OApproved as revised. PDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: FlApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
levised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department Jo be assigned by tpe Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904) 247-5845 Date routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRAL NG FORM
Property Address: Department review required es ��o
Applicant: &eke �F�annino &Koningq__'�)
Tree Administrator
:s
c X
Project:
�P.bliiic U, as
Public S,; -ty
Fire Sen �,s
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Recei,. . Date
of Permit Verified
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: [O'Approved. [:]Denied.
(Circle one.) Comments:
BUILJ)ING
(�ANNING &ZONIN
Reviewed by: Date: —IV
TREE ADMIN
(N Second Review:/,&proved as revised. DDenied-
PUBLIC WOR Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
)y
7
FIRE SERVICES Third Review: FlApproved as revised. OlDenied.
Comments:
Reviewed by- Date:
vised 05/14/09
BP250U01 CITY OF ATLANTIC BEACH 8/15/14
Application Tracking Step Selection by Revision 11:28:54
Application number . . . . : 14 00001160
Address . . . . . . . . . . : 65 19TH ST
RE number . . . . . . . . . : 169723-1040
Application type . . . . . : DECK/PATIO
NCR OLD ACCOUNT NUMBERS . . :
Tenant name, number . . . . :
Type options, press Enter .
2=Change 4--Delete 5=View 6=Fast log 8=Action log maintenance
9=In/out maint Path ---- Key Dates --- - Review Summary -
opt Agency description Rev Step Req In Est Cmpl Resulted Stat By
BUILDING DEPT. A 01 Y 08/15/14 07/31/14 08/15/14 AP MJ
PLANNING & ZONING A 01 Y 08/15/14 07/31/14 08/15/14 AP SLG
PUBLIC WORKS A 01 Y 07/22/14 07/31/14 07/24/14 AP LS
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