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1833 SHERRY DR - ADDITION ' a';�, City of Atlantic Beach q y z ■ Building Department ay M 0 �� ?O15 APPLICATION NUMBER i• 800 Seminole Road (To be assigned by the Building Department) • Atlantic Beach, Florida 32233-5445 '� �,/,' Phone(904)247-5826 • Fax(904)247-5845 �•�'-�� 1/ 9 47. ' ___, E-mail: building-dept @coab.us �/ Date routed: City web-site: htfpa/www,coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Jf'83J/4E,-r7y ,4/ e•attrrleni review required Applicant: f�cJ -�re— 'Puildin. {�9© { 1rQ lannmg&Zonin. U- P�oJeCi- � _ `e ' mistrator �` _____-- Public Works Fire seil ) Namill Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date 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: (Circle one.) �pproved. Comments: ❑Denied. BUILDING c)-� -6- �-T^4 e. ,d-z4TO C�,�.,,_ _a _'s LANNING&ZONING . TREE ADMIN. Reviewed by: Date: .S" 2i f -- Second Review: DApproved as revised. 11 D'enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: Date: Approved as revised. ODenied. Comments: -�— Reviewed by: Date: 1 07/27/70 I a r.:~ BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 1c r _ _ 800 Seminole Road, Atlantic Beach, FL 32233 1 r �!`) L• (] Iij' ! Office (904) 247-5826 Fax (904) 247-5845 MAY i g - • • ''l, Job Address: i 33 5 ry/ tr. i\\. Permit Num s 1'4 Lnar 1013 ` _Legal Description 8(o- ,1 O I - 3 -a c a. Parcel# I--Di 12- ° Floor Area o q.Ft.t' Sq.Ft of Work$ 12.5OD0O Proposed Work heated/cooled x12- non-heated/cooled eated/cooled l(Q. Class of Work(circle one): New Cddition) Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial (esidential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No /A Florida Product Approval # For multiple products use product approval form S d' E nd Describe in detail the type of work to be performed: r! — c '� 00r- (148(-11 of � eX•s-h ( �re.d YJorck ei lostAt-e./ porgy addt+tOf) (N e Property Owner Information: �» nr 1 Name: Stephen, . -I-I- `. '�fl t SC, (. ' S Address:1S33 JC h i'-P�1 (�t-. NI. City A}( 4 lc, 13e.g.cts StateFLZi 57 33Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: 1&roe,I 1 Q-.O 11 r .d-ton Qualif ing Agent: kt-6, -r1 z1t-el Address:'f:0.1505 5-1112. City0.x 3c.h State FL Zip 3xayO Office Phone (q o4 aS4-q'7,2,% Job Site/Contact Number (90A6,154-912.2. Fax# — State Certification/Registration# &C0 9945 Architect Name& Phone# . • 6.2...,.- t a •o - ;Y:r• Engineer's Name& Phone#Fee Simple Title Holder Name and Address S+epher, 3-c44 li ge, ( v Bonding Company Name and Address N I pt I Mortgage Lender Name and Address N I Pi- 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. I understand that separate permits must be secured for Electrical;York, Plumbing,Signs, Wells, Pools, 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 a plication 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 pernut does not presume to give authority to violate or cancel the provisions of any other federal,state, o local law regulating co struction or the performance of construction. �_ Signature of Owner .��1A��'� /'�Aj. Signature of Contractor__4a201:1_9C2— Print Name Weill - `t°j I Print Name Sworn to and subscribed before me Sworn to and subscribed before me this \`per" y of ViCi& ,20 \5 this IS Day of Mcy , 20j, __�_ _1 1.fl, \4 -A _ Notary Pu 1 ,•�;'A.•1 CYNTHIA a--� � �Q '' 1 ,Ip7 Public 1 =*i .�. :._ MY COMMISSION Y FF 115400 1 4 ;ro.--. CHRIS NOWAK "• °p' Bonded EXPIRES: pril 22,2eiwriten i _•; ,.% • , Notary Public-State of Florida] evised 01.26.10 n. Notary ( ,• all • My Comm.Expires Aug 6,201fi ' ■.t ''9 C�7 o` 9 0 dp.1 S u e it.../Z--y /) A-. A✓m0.',9' Ze K/ 8C'-eo' 2 + O -o. Jo O.. E 1 .• • • I 01 0 ' 1. . ' . *. • . P.)00'1', DRtvE WAY O fit , \.� vz •• 4 its'. t � 1. /-5 fi 'r - Ex!ST.2 S'�bR•r- I L . M 8.0 ;r, Z8•Z' 'o i ` _. HOta se z.i v ■ ,t, � O � O emm ©� ij L I H _ ."• yC O • X X - x x� al • 4 Soo . 4cr uov e 8 . °0561 ' 00 ' SEG .TS 9 II - 4 - I KLAN . i+= Z0 CA r1St - r v /\'\ c5 .e At SITS KEY NO Tt -S P194> Q_ PAffKI :_7- . '..17U M IVIVR . 'QKT90- Le f 4 Stan>s'M m1 G 'itzot_ l-f3t•e-E 6, laxrg-r.Shed --:1 Z- 61ORY ,a9171-no t4 4 61.1 Log X13T. ft)P H I)6, R - 'g nuarr-roi> - I $ 3 y Construction Site Management Plan • Removal and demo of existing deck in rear of property • Onsite parking marked. There are two to three island parking areas in the medium • Neighbors will allow us to use their front yard for two parking spaces • Dumpster will be onsite for loading and removal. We will use garage f rtr�ash staging • I._ SJ C.04-u •.t 00 1 �� •o f6S e 2 L`4 o o-U a- .Aok-(9.c4 c6"J r ._ City of Atlantic Beach '-'.' Building Department 800 Seminole Road �L; APPLICATION NUMBER Atlantic Beach, Florida 322 (To be assigned by the Building De 5445 �ry g partment.) /):. Phone(904)247-5826 • F A :. _- E-mail building-dept @coa x(904)'7 5�q�z�15 /�!-�� /� �, City web-site: I�tfip://wwuv.c Ys Date routed: of APPLICATION `-- �r REVOEW AND TRACKING FORM Property Address: 1f83 Aer r / .,,„ _— /V De;•a►tment review required fadisliayar'yr: C ��Buildin. g d fl90 c.1r(� Q Planning&Zonin. rjert: _ ,Public Works —�-- r::.rrmit _ Public Safety - ,a1� Review fee $— 1— Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco �_ Other: APPLICA ION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING 'CANNING &ZONING TREE ADMIN. Reviewed by: i'✓r )— ---' Second Review: Date: Z! 1(--P''�f WORK Comments: aApproved as revised. ❑ponied. B IC UTILITIES PUBLIC SAFETY Reviewed by FIRE SERVICES Third Review: Date as revised. Ope11ied. Comments: ________ Reviewed by: 107127/10 Date: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH L�1 l l�r __ 800 Seminole Road,Atlantic Beach,FL 32233 1! fy :1 .. Office (904) 247-5826 Fax(904)247-5845 P MAY 1 9 - • • 1 ' Job Address: /833 511rry br. NI, Permit Num i • Legal Description 64,-(ol 09 -2,5 -aq •' i_y 103 oe Floor Area ofdq-Ft. 'I -�' Parcel# • I.Z. Valuation of Work$ 12,5;000— Proposed Work heated/cooled A 12. non-heated/cooled 1(Q Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Y es - o /A Florida Product Approval# For multiple products use product approval form S+ rw Describe in detail the type of work to be performed: I — oor Qdd c+-ton, ex i s-1i ng Cli)k)r-red `porc.,eMcloslit>i-e., poto.4d-Ct0n (Nc4� Property Owner Information: 1 Name: Sf.Gpb n `. �tse, l�e4s Address: 1$33 Jrh n-1 (�r, M. City 1�*�4-tc, r3e&,cl� StateFL,Zi6 3")..7,33 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: (r,Q o.ppe•I I at.)nS-4-LAci-ton Quali ing Agent: 1tdi T- yt-d Address:P.0.1 o 511 la CityJ . 3c \ State FL Zip g 'lo Office Phone (9 4-coat% Job Site/Contact Number (q04126-44-112.2. Fax# — State Certification Registration�# (t,Ci) 1Cy45 on Architect Name&Phone# s,, et1 b s t al OW)2 142,,MOO Engineer's Name&Phone# Fee Simple Title Holder Name and Address S+ er Se,4 4 I ee,t e�e.., (,may Bonding Company Name and Address n1 I pt 1 Mortgage Lender Name and Address N A- 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 ofa 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. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, 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 cert fy that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type ofYwork 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,o local law regulating c. truction or the performance of construction. Signature of Owner � �ii�L/V��ji Signature of Contractor : _- /.'C i/ 0 Print Name wen i - •, Print Name R.tc, d,-1: -- rd Sworn to and subscribed before me Sworn to and subscribed before me this ``p,1.y of MCt� ,20 \5 this /s Day of Mel ,20/,s �. Ai / ilk . k Notary Purl .;�'fi CYNTHIA B�ILON ;.. �. .+� MY COMMISSION to FF 115400 A `4) pub tc CHRIS NOWAK .•..,..a EXPIRES:April 22,2018 . ,A3 g* : Notary Public-State of Florida ?,'pr,41 Bonded ThruNotary Public Unde;wMen ( g r: iir .t=My Comm.Expires Aug 16.201 evised 01.26.10 A y%ki 1F dds rnmmin n:.... .It rr I do... S u E,t..Y /) R... (44'f--/,J) A/mo.' • q' z ' K! 85.00' 1 � 0...--____ 9 d 0 i0 . Ice • i j o 4 4. , . . ., Ra(KT, MisatE WAY ° • SA Zo.4• 1' - 0 • ti . . !i se • 6 ix's"2 S"E'oR.' L'. -Rom 50 I © Jr di- 1 M - '1 • L X — x---,., xi 03; °A: S 00 • dq' o" a oo . irre PLAN ,. I = 2 0_,D15\rtkrA-1-"Dis SITS KEY NO-Ct 5 0.__ 'Aft Kt N4, rYN,c r\a--3e'0`'�-�- 1� bU M Pff E K pp .o-Loi L-. N -4 OP 41 awer 641R -. er rJ' x t DECK•F-i'•tov t3 Co axiST..51r4 P - 8 ' 6O'1/Cfit"Bv-pP 4-1 APpITe'I" A taNG Los E MX ivr.. fbIgGH • A-e_A-sy i S3 5ker Construction Site Management Plan • Removal and demo of existing deck in rear of property • Onsite parking marked. There are two to three island parking areas in the medium • Neighbors will allow us to use their front yard for two parking spaces • Dumpster will be onsite for loading and removal. We will use garage f r trash staging • j_c s.S ��..t�' •.bpd �� I PO r6S °—� 2 l"4 • 1.3 '1 o4._ oskj c`�cO'-' •