246 MAGNOLIA ST - WINDOW / DOOR �1� CITY OF ATLANTIC BEACH
r= �� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1426
Job Type: WINDOW AND/OR DOOR
Description: REPLACE FRONT ENTRY DOOR FL 15213.14
Estimated Value: $1,000.00
Issue Date: 6/18/2015
Expiration Date: 12/15/2015
PROPERTY ADDRESS:
Address: 246 MAGNOLIA ST
RE Number: 170535-0000
PROPERTY OWNER:
Name: CHASE III, JACKSON E
Address: 246 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: JUSTIN LARSEN CONSTRUCTION INC
Address: PO BOX 1942 LIC # BELOW 4 GERALD GOLLOBIT
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $27.50
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
iuu City of Atlantic Beach
s� APPLICATION NUMBER
Building Department
j 800 Seminole Road (To be assigned by the Building Department.)
v Atlantic Beach, Florida 32233-5445 IS'`AN) A�1 Z
Phone(904)247-5826 • Fax(904)247-5845 G
J7 E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2.16, ( AAc joLi AST. Department review required Yes No
cBuilding)
t .
Applicant: s r,1J LIN tk N �, -j Planning Zoning
1 Tree Administrator
Project: _ u 10 K Public Works
Public Utilities
Public Safety
Fire Services
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: j''
� •pproved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: .. Date: 6 11111 y
TREE ADMIN.
Second Review: ['Approved as revised. ['Denied.
•
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: QApproved as revised. ['Denied.
Comments:
Reviewed by: Date: OQ
Revised 07/27/10
05)
94R
D ( {E 1 5 BUILDING PERMIT APPLICATION
TION
JlJUN 17 CITY OF ATLANTIC BEACH •
800 Seminole Road, Atlantic Beach, FL 32233
lei Office (904) 247-5826 Fax (904) 247-5845
Job Address: • �� ',,,I` •S`I' • (S' ) N D- " L.1-
Permit Number:• l–:
Legal Description 10- ';j -dS• ieg" j— Ifz Sec_ Parcel # j p 35r - c;�t`l�,
- Floor Area of Sq.Ft. Sq.li't
Valuation of Work i /6.47. Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial •Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes . ..°l�o N/A / ,
Florida Product Approval # %3 • 1
For multiple products use product approva orm �` "
r-, cm . is
Describe in detail the type of work to be performed: v } //&p!i 1,r //�°t�-
4,0r :�
•
Property Owner Information:
Name: /'Av_ fj •1Grw Sc.�
� � Address: a&� /`�/� ,1e t6� ,
City 4 . • . , . _ State, Zip i 4,1.3?,Phone goy-- .5Y-5- d'.2 4
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name X5 1. 3 }} � en,;�,S,j r�� • —
C 0V-1 INC Qualifying Agent: u�;i...,,:i (_ 1 ecf/■-)
Address: 4 640 14•enGet. ._ S4- , City 1/1% noj:I,�;i.�-- State/P Zi
Office Phone (foc( �•,-i---431( Job Site/Contact Number t 4 p �c�'
State Certification/ egistration# - 7�L1 Fax#
CJ�C — 12
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 will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit 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 of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for ElectricalpWork, Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Healers,
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.
1 hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and or'.nances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give author'' to iolate or cancel the
provisions of any other federal,state, or local law re lating construction or the performance of construction.
Signature of Owner i -9A tilt '/J/(//// Signature of Contractor ,�
Print Name I-nun 1O. ,A p,. � Print Name -r- aQ
Befor gale ` Before me 4<('this I.) Day of �.,J , 20 1.5- this 15 Day of '\-,.t,-�t\f ,20 15
_cc c- ,5.--fit- .4.1L �
�i,,� �6' '`� '�- (J.o SCHALEASE LARSEN
Notary Public ° *"" SCHALEASE LABS `
al Public MY COMMISSION#FF022491
MY COMMISSION#FF022491 °?:' EElRIp t4 y 30.2017
�' `0�/ °.F.F`KeviSeCTU1:Z .1 U
''..: ;ii: ', EXPIRES May 30,2017 (407)398.0153 FloridallolaryService.corn !
NOTICE OF COMMENCEMENT
State of e..- 7 �C}
County of ••v
To Whom It May Concern: Tax Folio No.
The undersigned hereby informs you that improvements will be made to certain real property,
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: • p Y,and in accordance with Section 713 of
_ MENCEIVIENT.
Address ofpropez-ty being improved:
(o v(6, •c, iA 3 I.. 44..•+
General description of improvements: if 13 I=/
_ iocJ > r °r
(1';'-14 w�i 6, i
Owner: —�__ 0 ;
Owner's interest in site of the improvement: Address:
Fee Simple Titleholder(if other than own);• ---~ f r�� �,
Name:
-322.33
Ki‘\.‘.::1
C tractor:�T�, r- J wsF� s co,, - .
�"' Address:
Telephone No.:( a ' " " - , - !/1/ V�
G,. 2 , -mot L "^ V
Surety(if any) �- Fax No:
Address:
Telephone No: Amount of Bond$
Name and address of anyperson making a loan for the construction of the improvements
Name: P vents
Address:
Phone No:
Name of person within the State of Florida. other than himself, Hated b
served: Name: - g by owner upon whom notices or other documents may be
Address:
•
- Telephone No:
In addition to himself, owner designates•the following Fax No:
•
713.06(2)(b),Florida Statues. (Fill in at Owner's option) person to receive a copy Lienor's pY of the Lieznor s Notice as provided in Section
Address: oiA
Telephone No:
Fax No:
pecified): date of Notice of Commencement(the expiration date is one (1)year from the date
pecified):
of recording unless .,A7- eznt date is
MS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2015137785,OR BK 17202 Page 1065,
Number Pages:1 Signed: �t St f
Recorded 06/16/2015 at 03:42 PM, Before z e this `�of ��// Date:
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Of Florida,has personall a in the Cou
COUNTY Personally Known: eared T �R ,; o Duval,State
RECORDING$10.00 Produced Identifictio • +'y
Notary Public:
_ 01
My commission expires: k, �
MYC•Y v • #FF022491
;Ft„Q,: EXPIRES May 30,2017
0871398-0153 FloridallotarvService.corn
INSPECTIONS REQUIRED FOR PERMITS
To verify compliance with building codes,inspection of the work authorized at various points of the construction are required.The following
inspections are typically,for residential projects.
Date: Initial: Date: Initial:
Power Pole [imming Pool Steel ,
When power pole is ready to be released to JEA for connection. *When all swimming pool steel is in place but before any gunite is placed.
Piers 1 Swimming Pool Safety
Underground Plumbing
' ! I Electrical Grounding&Bonding
Underground Electric j When the pool and deck steel is in place but before it is covered.
Foundation/Slab/Footing I I
Retaining Wall Footing ,Swimming Pool Final ,
When all underground plumbing,electric and reinforcement are complete but
before any backfill is placed. Additional inspections may apply to your project,if your project
contains these elements.
Rough Electric
Rough Plumbing/Top Out Reinforced Concrete
Rough Mechanical { *When forms and reinforcing steel, anchor bolts, sleeves, and inserts, and al
electrical,plumbing,and mechanical work is in place,but before concrete is placed
When all rough electric,plumbing,mechanical are complete but before any work
is covered up. ,
Steel ,
*When all structural steel members are in place and all connections ate complete,;
House Wra p but before such work is covered or concealed.
Tie-down Framing Connections I
Wall Sheathing
Rough Framing f N T 12 f
Roof Sheathing(Dry In) Permit Type
c , 3
Window Installation-Door 0
is- G • ,v r..
*When all framing,windows,sheathing,shear-walls and metal connectors are in �y‘,yr,(� c n r_
place but before insulation is placed. ,S r. "; .� c
Stl
Insulation Ceiling 1 ,� ,-
Insulation Wall I , r r— .`
When insulation is in place but before insulation is covered. `JFjt)r
Exterior Lath
When all backing and lathing,interior and exterior,is in place,but before any 15 i I No- 1426
‘14 plaster is applied or insulation is installed.
?Ato M PiJOt,1 A
Drywall i ••
J
*When all wallboard is in place but before joints are taped and finished. Job Address
JiflNLP -td
1 Early Power j I Contractor
*When building electrical can be safely energized and all work is substantially
complete. POST THIS CARD WITH PERMITS
Gas Test IN FRONT OF BUILDING
When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance.All outlets must be capped and pipe pressurized at a Building Department Fire Department
minimum of 15 lbs. Phone:904-247-5814 Phone:904-630-4789
Fax:904-247-5845 Fax:904-630-4203
Final Plumbing I Email:building.dept@coab.us
Final Electrical Public Works/Public Utilities
Final HVAC Phone:904-247-5834
Fax:904-247-5843
Final Building , I
*When all construction work including electrical,plumbing,and mechanical, Construction Hours per City Code
exterior finish grading,required paving,and landscaping are complete and the 7 am-7 pm Weekdays 9 am-7 pm Weekends
building is ready for occupancy but before being occupied.