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128 Pine St Screen Enclsre 2015 \ , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J "r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SCRN-649 Job Type: SCREENED ENCLOSURE Description: SLAB SCREEN ROOM Estimated Value: $7,082.00 Issue Date: 4/8/2015 Expiration Date: 10/5/2015 PROPERTY ADDRESS: Address: 128 PINE ST RE Number: 170633-0000 PROPERTY OWNER: Name: HENRY, KATHLEEN ROSS Address: 12906 S BIGGIN CHURCH RD GENERAL CONTRACTOR INFORMATION: Name: G & T CONTRACTOR SERVICES LLC Address: 8480 Manresa AVE Phone: - - PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction No silt is allowed to leave property. FEES: PLAN CHECK FEES $42.71 UTIL REV RESIDENTIAL BLDG $25.00 BUILDING PERMIT FEE $85.41 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $157.12 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. g.- g1ve,htl ® rni nr� spry► . �e "'�, BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 12?) PLS SL" +; Permit Number: 15-- Sc r!V Legal Description 10- t(o _�)I . ;� C( E_ S0AA0Lk C 3Parcel# 1_7 Q L0� 2_ cccc _ oor Area S Sq.Pt. �q• Valuation of Work aoa DCS Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition a on Repair Move Demolition pool/spa window/door Use of existing/proosed structures) (ci e): mmercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# 'S For multiple products use product approval form Describe in detail the type of work to be performed: / sue,en Loa l I t,01 Property Owner Information: Name: \ v Address: I2 City StateWZip�Phone 7 E-Mail or Fax# (Optional) Contractor Information: -( Company ame: c l '�` Quali _ ing Agent: R� 1G Address: �� - Ave - City � ( State L Zip y Office Phone �©l\ `lam, �t� Job Site/Contact Number X115 C(� Fax# I State Certification/Registration# �Z A (1 t) i/ I'll 1 3�z3 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 of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. ThFSS, ermit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period ix (6) months at any time after work is commenced. I understand thhat separate permits must be securedfor Electrical Work,Plumbing,Signs, Welools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. 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 certify 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 type of work 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 other federal,state, or local law regulating construction or the performance of construction. Signature of Signature of Co�-O_, ctor �' v `PrintName . . .... ,.1.��.. .V.. .....................Print Name....... ............. ,... . .... .... !..!_`G.................... ................................. Swom and subs ribed before me w and subscr*W3 efore me 20 this, Day of (�1 t�(. t i Way of t"e 20 try u he N aoN ry Public Revised 01.26.10 Notary Public State of Florida Ashleigh Raymond �u+Y =PubllcStateate of Florida+� My Commission flr 197608 ns�ta^o� Expires02/0912019 �c FF 064343?�f017 FILE: COPY R1 MAP SHOWING BOUNDARY LOT 671 BLOCK -- AS S � SECTION NO. 3 SALTAI �� Z t AS RECORDED tN PLAT BOOK t0 PAGES 16 OF THE C CERTIFIED TO W1Ll1AM c.suLuvAN.�2EC,IONs E3ANK tea REGIONS MORTGAGE (� r OSWRNE a SHEff�ID TITLE SERVICES.LLC.FIRST AMERICAN TITLE ( _ t ro pi (4y k �-jb Li jh'r LOT 660 �Q>M W + 11 .} �1fir�' LOT 661 praW)11 FOUNOK•'IP NCl tt) I MOD 5000 (PI , 4'wrxto FENCE �o.r N22'04'31"E 49.90' M} e YiNYI FENCE 2 Z � Q'} �6-`N000 FENCE co OD i a p ',' �• 14,1 _ d 24 0q k n RETE m LOT 672 LOT 670 2 STORY STUCCO DUPLA 6 vaoo FENCE— 22-128 -& o �x 'JA O Q r ,W Suri`W000 DECK O A� C-174 �, r o - 7,�'y2 j COVERED l ca+CaETf _ E l i FeNCE oN LINE ooncReTE 50,25(M) G C. 50.00'(P) C�.Ab2G� S2t•08'02'W 104A9'(M) --- O � F i.K)MD X•�M P , N Fousa;w � S22,00'00"W 49.89' (M) ,,bo coumo�-I v No n 50 00•(P; �J�� NO ID PINE STREET (50' RIGHT-OF-WAY) Arciivi,,) VleWeT rage i ol I ,r 462 I 166 JE COPY A, 161 r 11 L elt m I 148 SO 146 142 ;t 141 134 140 le e! 147 134 LAB 1706330000 143 112 126 125 lie 124 131 651 rr 29 httn-//mnnq rani npt/WFRq1TFjDiivcdMqnzqC)T /NAqnFrnmp htm FILE COPY AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE TO: Building Inspection Department,City of Atlantic Beach, 800 Seminole Road Home Owner: iv ck- n. Name 2 Set ddrett City. State and Zip Co- e Contractor: Permit Number 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 permit history so that any and all future buyers/owners of this property may be made aware of the status of work performed on this structure. Signed ��L .. Date6 /2—q-1 �f Before me thisQq day of (' V � In the County of Duval, State of Florida,has personal y appeared C� G herein b him e s 1 erself and Aff s all s ments and declarations herein, true and accurate. ��c►�Y ky� Notary Public State of Florida Rachel Simmons UJu V ` My Commission FF 064343 --2)wn,-Y� OF Expires 10/20/2017 No ary Pu lic at ge S, tete of Co of Personally Known or Produced Identification ID Type F:bu.Rding/affidavit for attaching a new structure to an existing structure.docx 7/21/09 HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT FILE COPS 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 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 sunroom from the host structure, the room may become non-compliant with the re uirements as mandated by the Florida Building Code, the Florida Model Energy Code and State Statutes. OWNER I have read this complete form and understand I am receiving a Category_L Sunroom.(1-V) Printed Name \ V� Address �`- ( ��� / /< Sign L{� Date: � Before me this r day of � y AArC 1 1 in the County of Duval,State of Florida,has personally appeared bN11 LiAI herein by himself/herself and affirms all statements and declarations herein are true and accurate. ,, Notary Public at Large,State of �� County f WJ v CO �v'o A- Notary Public state o Florida Personally Known❑or Produced Identification❑ y Ashleigh Raymond ID Type fpFpo�f E pimy irres 02/09/20ommission 19 1 7506 Sunroom and Screen Enclosure Requirements Category I II III 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- x1 2"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 en ineerin engineering Existing exterior GFCI outlet Relocate or add additional outlet to exterior if enclosed Exit Lighting Not Required Required Required Required Required Interior Electric 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 Windows 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. pply.ap I . Wind Borne Debris Opening Not Required Not Required Required, can be on host structure, if built under existing roof Protection Energy Sheets Not Required Not Required Not Required Required Required TREE & VEGETATION AFFIDAVIT City of Atlantic Beach "� 7 Department of Community Development �" Planning&Zoning Division By _ ar � � 800 Seminole Road Atlantic Beach,FL 32233 „ PERMIT# (P)904 247-5800 (F)904 247-5845 SECTION I-APPLICANT INFORMATION 5/Owner(s) Legal Authorized Agent* 'j NAME OF APPLICANT W S` U.`,�`V CIO NAME OF COMPANY 0:51 Co irNr(3 C SefV L.C., ADDRESS OF COMPANY PHONE , ( - J�L��CELL EMAIL affa el �mInd g can CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER I i SECTION II -SITE INFORMATION 1 STREET ADDRESS OF PROPERTY 12-13, 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 LOT BLOCK SUBDIVISION REAL ESTATE NUMBER I�����—�� OT OR PARCEL SIZE: SQ FT AC I RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23 "Protectionof TreesandNative Vegetation" of the Municipal Code of i Ordinances for the City of Atlantic Beach, FL and/or 1 have participated in a pre-application meeting with the Administrator of those 1 regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from�above- scribed r ent pro erties i c coon with this project. I SIGNATURE OF OWNER SIGNATURE OF OWNER C-6 Signed and sworn before me on thi52 day of �,(1 L ,Qby+by State o � � Countyof S Identification verified: Oath sworn: es (— No k l �v+"� Notary Public State of Florida Notary Signature Ashleigh Raymond ���pp� My Commission FF 197506 My Commission expires: RF -_ . �`.' Expires 02/09/2019 NOTICE OF COMMENCEMENT State of ,r Tax Folio No. County AiU Y OL. To Whom It May Concern: 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 im roved: its- Ik1p Q 25 - 2-q E Sa-� a\ r Se (2- Address of property being improved: n General description of improvements: 1 m Owner: W\ \ fy-) Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Na e: Contractor: Address: Telephone No.:�� 1 _ Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: DOG 9 2015069588,OR BK 17111 i Page 459, Name and address of any person making a loan for the construction of the improvements Number Pages:1 Recorded 03''27''2015 at 11:54 AM, Name: Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY Address: 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: Before me this ay of in the County of Duval,State Of Florida,has personally appeared i tc lvykrJ �op ,V°"k Notary Public State of Florida Notary Public at Large,State ofa 1u ty of Duval. Ashleigh Raymond My commission expires:My Commission FF 19751)6 Personally Known: or Expires 02109!2019 Produced Identification• ZONING REVIEW COMMENTS City of Atlantic Beach Building g and Zoning Department 800 Seminole Road Atlantic Beach,Florida 32233-5445 E J l i *r Phone: (904)270-1605 Fax: (904) 247-5845 Email: dreeves@coab.us Permit: 15-SCNR-649 Applicant: G and T Contractor Services Review: 1 st Address: 8480 Manresa Ave,Jacksonville, FL 32241 Site Address: 128 Pine St Phone: (904) 771-3588 RE#: 170633-0000 Email: G+Rachel@mindspring.com Correction Comments 1. Setbacks: Please show the distances between property lines and the proposed structures on a site plan. 2. Tree Removal: Please subm Vase"fi' ll e Removal Permit Application if any trees are to removed. If no trees are to be removed,then out an Affidavit of No Tree Removal. Both forms are available on the city website under"Planning and Zoning" and at City Hall. 3. Number of Screen Rooms: Please verify that two identical screen roomsbeing constructed. Derek W. Reeves Zoning Technician dreeves@coab.us Graham, Shirley From: Reeves, Derek Sent: Tuesday, April 07, 2015 12:36 PM To: Walker, Jennifer; Graham, Shirley Subject: 128 Pine St I have signed off on the screen porch additions at 128 Pine Street. I believe that I was the last one so it should be good to go. Thanks, Derek W. Reeves Zoning Technician City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (904) 270-1605 dreeves(q-)_coab.us i MAP SHOWING BOUNDARY LOT- 671 BLOCK Z -ASS SECTION No. LsLlkLTAl �l PLAT BOOK 40 PAGES 16 -- OF THE A,S RECORDED IN RF,7,i0N',l,BANK DIWA REGIO06 MORTGAGE CERTIFIED TO �Mqyk ilLt SERVI �,LLL.FIRST TITLF T {4y SOT fi6Cr F,a t-60 rA N, I 5000 (P N22'04'31"E 49.96' (M) JI rENC� OD 74 1,.4 01 672Ak 2 STORY STUCCO DUPLEX �128 STe)Qv 0000k DrU:K 0 n q 35 Af e ')o 0" S 2 i r" 49-89' (M) 0 522 00'00"W 50 00' (P` PINE STREET t5()' RIGHT-OF WAYI City of Atlantic Beach APPLICATION NUMBER -; Building Department (To be assigned by the Building Department.) Seminole Road Sed , �•`.� Atlantic ntic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)2.47-5845 E-mail: building-dept@coab.us Date routed. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: OF7 itreview required Yes No 0 ;7-Applicant: /) Q �snin rator Project: /' D — Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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. Denied. (Circle one.) Comments: Su p `�iGti BUILDING PLANNING &ZONING // Reviewed byw Date: 2� S TREE ADMIN. Second Review: Approved as revised. []Denied- PUBLIC WORKS Comments: PUBLIC UTILITIES ! PUBLIC SAFETY Reviewed by: 06 y/� Date: y 7 �S FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: evised 07/27/10 ..ENNEENNE. i City of Atlantic Beach Building Department �., APPLICATION NUMBER (To be assigned by the Building Department.) 1r 800 Seminole Road c Atlantic Beach, Florida 32233-5445 �� Phone(904)247-5826 Fax(904)247-584.5 E-mail: building-dept@coab.us Date routed: City web-site http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4 ,0IF77 t review required lyes No Applicant: f Qsoning s rator Project: �- d s 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: APPLI ATION STATUS Reviewing Department Fi 'rst Review: Approved. []Denied. (Circle one.) Comments: n BUILDING PLANNING &ZONING Reviewed by: Date: c 1 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied Comments: Reviewed by: Date: evised 07/27/10 City of Atlantic Beach Building Department APPLICATION NUMBER 9 p (To be assigned by the Building Department.) 800 Seminole Road �� n Q �r Atlantic Beach, Florida 32233-5445 K 7 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4"Q D nt review required We No ' BU' Applicant: f Q S annin &Zonin istrator Project: is Utilitie Public Safety 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 Of Reviewing Department First Review: ❑Approved. Denied. (Circle one.) Comments: �CG+r �E' �r l // G��l"7! b'�'r T 'I U�' <d Trot f/ir r✓l r Tc' BUILDING �l`�ST Slrl vC�[/s'Q-j c'f Neve- Pe"r PLANNING &ZONING a Reviewed by: Date: 3'a?41.1 r � I B SPCr Tar TREE ADMIN. Second Review: Approved as revised. ❑ enied. PUBLIC WORKS Comments: A) 0C' PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: 3.d7.a FIRE SERVICES Third Review: ❑Approved as revised. FID d. Comments: Reviewed by: Date: Revised 07/27/10 City ®f Atlantic E3each �l�D APPLICATION NUMBER Building Department #Seminole Road ��,� Atlantic (To be assigned by the Building Department.) �r Beach, Florida 32233- Phone(904) 247-5826 Fax(904)?.d E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D art nt review required Yes No Bu* Applicant: t: s - anning &Zonin is rator Project: /� P -ublic Utilities Public Safety Fire Services Review fee $ Dept Signature _ 1Zw-,, 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. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING 7/ G✓ Yi .312r�//� Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. IC OR S Comments: C4 TILITIJES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: evised 07/27/90