344 5th St 2015 Pool Enclosure CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
9
RESIDENTIAL ADDITION
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RADD-3
Job Type: RESIDENTIAL ADDITION
Description: POOL ENCLOSURE
Estimated Value: $11,400.00
Issue Date: 1/21/2015
Expiration Date: 7/20/2015
PROPERTY ADDRESS:
Address: 344 5TH ST
RE Number: 169836-0020
PROPERTY OWNER:
Name: GREENE 111, CLARENCE & ASHLEY,
Address: 344 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: IMPACT ENCLOSURES INC
Address: 139 SOLANO CAY CIR RYAN HAMMERS
Phone:
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $53.50
BUILDING PERMIT FEE $107.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $164-50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
&C" Building Department
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
-D.T119 "' FIL E
COPY :
PLAN REVIEW COMMENTS
Permit Application 4 / 5 -
Property Address: -2 'yy '5-1�
Applicant: do S-U/,PS-
Project: 6-�Iek TZ/r-e_
This permit application has been:
Approved
Reviewed and the following items need attention:
.............
IF Pli/e CIO
Please re-submit your application when these items have been completed.
Reviewed By: Date:
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE Cur 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number:
Legal Description
Parcel #
Hoor Area 6t- S
ha.Ft. Sq.vt
Valuation of Work$ Lf Proposed Work ted/cooled non-heated/cooled
Class of Work(circle one): New 6�� Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(�)(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 products use product approval form
Describe in detail the type of work to be performed: f�,Wu\" ��X-P-tn
-1)(-
Property Owner Information:
Name: Address: q
City Statce Zip 2222-13 P-htone -16-A, W7
E-Mai I or Fax#(Optional
Contractor Information:
Company Name\Jfflkr4 bcl wu)� fn r Qualifying Agent: Cq\ "-C�
Address:atn 7)tvw\- A- K) la ct City t-%, ALL &ach State Zip
I - - qu q 31�--Lsxl
Off ce Phone --a 51-4;1-1,2- Job Site/Contact um er 44Nw,,,S Fax#
State Certification/Registration# -0 S-T) to-I
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 commenced prior to the
issuance oJ�aopermit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void f rk is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a
Wperiod of sixJ6,1 months at any time after
work is commenced I understand that separate permits must be securedfor Elec rica Work,Plumbing,Si ns, Is, P ols, urnaces,Boile , Hea
Tanks andAir Conifitioners,etc. t 1 6 el 6 is ters,
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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certi
ffy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
work will he complied with whet ecitied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfedera te 0 aw regulating construction or the performance of construction.
Signature of Owner 11-�� Signature of Contractor
Print Name 0-, ar�te,-t4:W-- Print Name R
.......................................................................................................................--.............. ........... ...................................................... ............
Sworn tqgand subsc e r e Sworn tp and subscr�bed before me
this in Day/�T -1An"A-r
this '00ay of — -1
'I V 3 20 t
Joan M.Newton
Notary Public r
4NOtau'blic State of Florida Commis-sion# EE 610,1511
�s
My Commission Expires 12/18/2017 y 9M E8,
Commission No. FF 77749
Pig
NOTICE OF COMMENCEMENT 0-3
State of on d-CA, a,x Folio No.
County of— 'DAW11 F
ILE COPf
To Whom it May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 7h of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
I Oq I b-as
Address of property being Improved:_ -r�, qc( ��VA
General description of improvements:
Owner: Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name-
Contractor:
Address:
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Doc 4 2015001930,OR BK 17025 Page 7411,
Name and address of any person making a loan for the construction of the improvements Number Pages:I
Name: Recorded 01,105/2015 at 03:45 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Address: COUNTY
RECORDING$10.00
Phone No: Fax No:
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: -. I'V/2.11 1
Before me this day of hoMg-r&P� in the County of Duval,State
Of Florida,has personally appeared
ge, State of Florida,County of Duval.
i
Joan M.NW9 inmission ex ires: /z j"7
n Ily K; n-
ry *; ?e ca'on
a 7EX
0
Notary PPL#Y;nallv Known:
or
state of e ca ion: Dnd)�ws &NAU-*
My COMMISS10
Mi.,ComMission pras
ir's
C i Sio
9
F 77747
commissi No.FV
n N
TREE VEGETATION AFFIDAVIT",
City of Atlantic Beach FILE COPY
Department of Community Development
Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233
(P) 904 247-5800 (F) 904 247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION [X— Owner(s) F_ Legal Authorized Agent*
NAME OF APPLICANT Clarence Greene
NAME OF COMPANY IMPACT ENCLOSURES INC.
ADDRESS OF COMPANY 207 20TH ST.N UNIT A JACKSONVILLE BEACH,FL 32250
PHONE 904-853-65 CELL EMAIL
SUTTON 1.IMPACT@GMAIL.COM
CONTRACTOR CERTIFICATION NUMBER
CBC1257761
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION 11-SITE INFORMATION
STREET ADDRESS OF PROPERTY 344 5TH ST ATLANTIC BEACH,FL 32233
If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
LEGAL DESCRIPTION 5-69 16-2S-29E.17 ATLANTIC BEACH
LOT BLOCK SUBDIVISION 03101 ATLANTIC BEACH
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC
RESIDENTIAL X COMMERCIAL OTHER(SPECIFY)
affirm that have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of
Ordinances for the City of Atlantic Beach, FL andlor/have participated in a pre-application meeting with the Administrator of those
regulations. Subs I
equent,y,i 011riefoo i-to reguiated trec.�and no reguloted vegetation will be damaged, destroyed andlor removed
from the above-describe a roperties in conjunction with this project.
SIGNATURE OF OWN SIGNATURE OF OWNER
Signed and sworn before me on thisZq_day of _0fW?kr by State of
County of
Identification verified: Ye,s
!w�t o n
wMMJWn_M'e�NeF_ Nc
Notary PUblic
State of Florida
T I aryf�VYu—re
My(,,OMM ary i ure
, ission Expires 12/ b 8J 1
C,
ommission No-FF 77174__
REV-TVA V 10, My Commission expires: 12-11611-)
SUNROOM9 SCREEN ENCLOSURE9 AND/OR SCREEN Room AFFIDAVIT
CITY OF ATLANTIC BEACH
JOB ADDRESS: . qq PERMIT# /5_-)CXM-_3
INSPECTIONREQUEST 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 Enclosure Requirements provides a brief description of the various sunroorn 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 any forrn of temperature control system be added to a Category 1, 11, or III
Sunroom or the removal of the doors separating any Category I tbru IV Sunroorn from the h6sf-structure' occur, the room shall
become non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces I as mandated by the
Florida Building Code,The Florida Model Energy Code and State Statutes.
Scree Room,Sunroom and Screen Enclosure Recluirements
Category 1 11 111 IV V
Habitable Space No No No Yes Yes
Foundation Walls<200plf can Walls<200plf can Walls<200plf can Walls<200plf can have Walls<200plf can have
have 8"Wxl2"D ftg have 8"Wxl2"D ftg have 8"Wxl2"D fig R"Wxl2"D fig 8"Wxl2"D ftg
r 3-1/2" slab if no or 3-1/2"slab if no or 3-1/2"slab if no
concentrated load concentrated load concentrated load
>7501b >7501b >7501b
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency Escape Egress from exist. Egress and Exit must ---gress and Exit must Egress and Exit must Egress and Exit must
Openings structure allowed if meet code neet code. Other eet code. Other meet code. Other
open to atmosphere or -esistance -esistance requirements resistance requirements
considered screen -equirements for 'or forced entry,air for forced entry,air
enclosure and has brced entry,air eakage and water leakage and water
screen door leading leakage and water )enetration also apply. penetration also apply.
away from residence. Penetration also apply.
Misc.Window and Host structure Removable windows Removable windows Jost structure windows Host structure windows
Door Requirements windows/doors shall allowed in sunroom. allowed in sunroom. k doors shall not be &doors may be
not be removed. Host structure Host structure Tmoved. -emoved.
windows/doors shall windows/doors shall
not be removed. not 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 h V�- waA and understand all the above on this Day of
tl&ae—Owfier's Signatt PrintName
STATE OF FLORIDA, COUNTY OF DUVAL:
The foregoing instrument was acknowledged before me this day of � 20 by
C,F. herein by4jjfm�seffierself and affirms all
statements and declarations herein are true and accurate.
N N bll'Stateof Florida
,,,,V"o, otary Public State of Florida
Clayn H r a ROTARYqU13MC, STATE OF FLORIDA
a illi MS
Dayna H Williams
m co m EEI 1 9675
y commission EEI 19675
0'712015
r. 081
-,Y,d ExpirG3=08/07/2015
4'jW Print Name: LA)'Q
0 Personally Known/& rdentification: _753)0 0
ArT AXT'PTf'QPArU PT 1??T3 PHn'NF,(()04)247-5826 FAX(904)247-5845 REVISED 1-20-10
1ad7
COPY0
AFF.EDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole Road
Home Owner:
Name -31q r-JL S�L .
Street-4ddress
13etCk PL—
City. State and Zip Code
Contractor: Tri-0 A-C-l4- &�C/Cp
PermitNumber 15
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 bestjudgment 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 permit history so that any and all future buyers/owners of this property may be made
aware of the status of work erformed on this structure.
Signed T Date-1 -31 )
Before me this /-7 ilay of c-
In the County of Duval, State of Florida,has personally appeared
C-7 f---0 -e- herein b imse erse-
Affirms all'statements and declarations herein are true and accura� 0 Notary Public State of Florida
Dayna H Williams
my Commission EEI 19675
Expires 08/0712015
Notary Publ1c at Large, State of 'FLbPz>A ' Countyof :buvA(,
Personally Known or Produced Identification
ID Type 6&,.12-0 (010 15,3100
F:building/affidavit for attaching a new structure to an existing structure.docx 7/21/09
/ -or vilBuilding Deparfm APPLICATION NUMBER
800Seminole Road7-6 be assigned by the-Ruildin(
Atlantic Boach. F�hda32233-5445
^ 11 1
Phone(904)247'5826 Fax(904)247's84s
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Date 1`07uted:
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,LANNING on,ZONING
Reviewed by:_
TREE ADMIN &E Date:
PUBLIC WORKS --Den-'' �
SAFETYPUBLIC UTILITIES
PUBLIC
_ Reviewed by:
Date:
FIRESERV/CE ----- `----
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/ Date:
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ED 092520-14
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be assig
800 Seminole Road ppd by the Buil
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Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5)845
CifY wPh qite hftr1/w%Afw-roabm,,
Date routed:
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evievifing Dep4ltneenk First Revievic XApprnved DlDenie,;
(Circle one-\'
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BUILDING
1ANNING &ZONING
Reviewed by,
TREE ADMIN
__]Dejjip
Second Reifiewv: nApprovp(j as rp
visp(i
PUBLIC WORKS corrimprifs
IUBLIC UTILITIES
,DUBLIC SAFET' Rpviewpd by:
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Third Revie-itv. ..]Approved Ss revised, OlDenier:.
RPViewed by-.
Date
D 09252014
TREE & VEGETATION AFFIDAVIT
City of Atlantic Beach
Department of Community Development
t
Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233
(P)904 247-5800 (F)904 247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION 1_X Owner(s) F_ Legal Authorized Agent*
NAME OF APPLICANT Clarence Greene
NAME OF COMPANY IMPACT ENCLOSURES INC.
ADDRESS OF COMPANY 207 20TH ST.N UNIT A JACKSONVILLE BEACH,FL 32250
PHONE 904-853-65 CELL EMAIL SL,'I-TON1.IMPACT@GMAIL.COM
CONTRACTOR CERTIFICATION NUMBER CBC1257761
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION 11-SITE INFORMATION
STREET ADDRESS OF PROPERTY 344 STH ST ATLANTIC BEACH,FL 32233
ff an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
LEGAL DESCRIPTION 5-69 16-2S-29E.1 7 ATLANTIC BEACH
LOT — BLOCK SUBDIVISION 03101 ATLANTIC BEACH
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC
RESIDENTIAL X COMMERCIAL OTHER(SPECIFY)
I affirm that have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of
Ordinances for the City of Atlantic Beach, FL andlor/have participated in a pre-application meeting with the Administrator
ofthose
regulations. Subsequently, I a irr a 1-10 fegulated trees and no regulated vegetation will be damaged, destroyed andlor removed
from the above-describe a roperties in conjunction with this project.
SIGNATURE OF OWN&(
SIGNATURE OF OWNER
Signed and sworn before me on this dayof y
b State of
County of
Identification verified:
Ye,
�r_�No
wa�Ajn�MeN�ewton
Notary PUbliC
State oi Florida
(
MMISsion Expires 1211 T 81Ary p#YLTre
MY Co
ornmission No.FF 777,4
C
My Commission expires: -
REV-TVAI-00, 12-11611 )