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290 BEACH AVE - NEW RESID PERMIT S LAJ`J ,+ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFR-1868 Job Type: SINGLE FAMILY RESIDENCE Description: Estimated Value: $700,000.00 Issue Date: 8/28/2015 Expiration Date: 2/24/2016 PROPERTY ADDRESS: Address: 290 BEACH AVE RE Number: 170196-0010 PROPERTY OWNER: Name: PITLER, ANDY Address: 273 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: BOSCO BUILDING CONTRACTORS Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO Phone: -- PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $2,080.00 PLAN CHECK FEES $1,040.00 STATE DBPR SURCHARGE $31.20 WATER CROSS CONNECTION $50.00 Total Payments: $3,351.20 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f:, (At CITY OF ATLANTIC BEACH r' PUBLIC UTILITIES 1200 Sandpiper Lane A.051S�r ATLANTIC BEACH,FL 32233 (904)270-2535 or(904)247-5874 NEW WATER/SEWER TAP REQUEST Date: g-+- / 5— Project Address: 297 13; ,y< Au No. of Units: Commercial Residential v7 Multi-Family it New Water Tap(s)&Meter(s) Meter Size(s) / New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application#/5-S F<_ /8 G Water System Development Charge $ — Iia. e €R•.s'rWJ(a I,v€. Sewer System Development Charge $ Water Meter Only $ Reclaimed Meter Only $ Water Meter Tap $ Sewer Tap $ (notes) Cross Connection $ gyp, CO Other $ TOTAL $ SO. 00 APPROVED: Kavle Moore,PE -C`"--- (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED •:2f, City of Atlantic Beach ' ^�` APPLICATION NUMBER ..-;' ,• Building Department � L� ., �_�,,� (To be assigned by the Buildi Depa Went.) i;,` 800 Seminole Road -`, rT ,. .it',, ,,. Atlantic Beach, Florida 32233-5445 4 { V �5� S r►�.. ' Phone 2 4 7-5 8 2 6 G v 4 • Z �,;,;:' E-mail: building-dept @coab.us ' QS Date routed: a City web site: http://www.coab.us --------- APPLICATION REVIEW AN ACKING FORM Property Address: 2 -• O 8 EACH AVE/. De•-rtm --- __________ _ ent review required Yes No BOS � :lanai . _- Applicant: . 'fanning &Zonin• - Project: _ 5 F A - •• _ ' _____ ra or 4 Public Wor- 111111 Public Utilities _ Pub is afety n Fire Services -` Review fee $ 9� 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: APPLI TION STATUS Reviewing Department First Review: 112rApproved. (Circle one.) Comments: nDenied. BUILDING PLANNING &ZONING �te< (1_ ,S 4 Reviewed by // Date: TREE ADMIN.— Second Review: []Approved as revised. CI Denied. • LIC 0"K omments: r P14)IC U ILITI PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax (904)247-5845 Job Address: 290 Beach Ave Permit Number:'9srie— I (o€i Legal Description 5-69 16-2S-29E.15 Atlantic Beach 03101 Parcel # Lot 5 Block 28 V Floor Area of Sq.F Ft t. Sq. Valuation of Work $ I Ts' Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): OM Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial iTIMITIVIll 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: Construction of new single family residence. Property Owner Information: Name: Andrew Pitler Address: 277 Beach Ave. City Atlantic Beach State FLZip 32233 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Bosco Building Contractors,Inc. Qualifying Agent: Todd A.Bosco Address: 2158 Mayport Rd. City Atlantic Beach State FL Zip 32233 Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326 State Certification/Registration# CBC 1250212 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. 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 certify that I have read and examined this pplication 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,7 state r la law regulating construction or the performance of construction. Signature of Owner Signature of Contract Print Name Andrew T. Pitler Print Name Todd A. Bosco Sworn to and subscribed before me Sworn to and subscribed before me this.71 Day of ).,- 1 ,20 6 this 7.4 Day of 1✓L). ,201; ,,��� �,.�:„, `Y//t ,1/oz, Notary Public WILLIAM L.POPE Notary Public Notary Public,State of Florida WILLIAM POPE Revised 01.26.10 Notary Public,State te of Florida My Comm.Expires Oct.19,2015 My Comm.Expires Oct 19,2015 Commission No.EE 128745 qlp , City of Atlantic Beach 406 p � ..r�,T` c,• Building Department 6 ; 4 2015 I APPLICATION NUMBER• -" ") 800 Seminole Road /(To be assi. by the Buildi Depa Went.) Atlantic Beach, Florida 32233-5445 /�� S �� ' ri Phone(904)247-5826 - Fax 904 247-5845` ( ) E-mail: building-dept @coab.us 8 City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: 2.q O �.�/ AVE, De.artment review re wire q d Yes No :uildin. S Applicant: . Manning &Zonin. Project: 5F --"" 'I II istra or - — - — — - - di Public Wor- -- 11 II Public Utilities . - VII Pubic afety Fire Service, • Review fee $ 1 / Dept Signature_ V Other Agency Review or Permit Required Revie — —_ ofP i Florida Dept. of Environmental Protection 49\ ` x. Florida Dept. of Transportation ^ \s St.Johns River Water Management District `j/ - Army Corps of Engineers - Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS / lop_ „, Reviewing Department First Review: (rj/A pproved. Denied. (Circle one.) Comments: BUILDING -- i c N t� - C�..�.,�Ems., PLANNING &ZONING /i ' L 0 Reviewed by: Date: 7 /� TREE ADMIN. — Second Review: Approved as revised. R�nied. PUBLIC WORKS Comments: See 04 , /_/ pta PUBLIC UTILITIES W PUBLIC SAFETY Review �_ L_ ed by: J Date: ?° / S FIRE SERVICES Third Review: nApproved as revised. Denied. Comments: Reviewed by: Date: Revised 07127!10 itADi AUG 19 2015 f eP () BY; R.O.W. Permit Attachment of for 290 Beach Ave R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 i O V 2 -'� Owner's Name: Andrew Pitler V Lei Property Address: 290 Beach Ave Ill, Atlantic Beach,FL 32233 jJAUG 8 2015 Subdivision: 03101 Atlantic Beach —.1 Lot#/Block#: Lot 5 Block 28 R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this 17th day of August , 20015 by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and Andrew Pitler of Atlantic Beach, Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: 20'Driveway Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30)days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: 290 Beach Ave,Atlantic Beach,FL 32233 . The depositing of said notice of cancellation in the United Stat ail-shall constitute the notice of cancellation and the burden is upon USER to keep the CI informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 ... _ ' *4 1 , 4 0 PI ilis no. A • i Ai 4 -. ... _ , ._,..,... .. .. . _ _ ..,_. . _.... ----r,..---""illr."40 44, , • I. . , ,.. ... r ..„,„.,. _. 1,..... . . . • '' 0-1011140 li I • , at, , ' ,•' ... - •4 I 4 ' 114 -44 11044 44- . . „., I 4 • .. '4 . '4 , dWill . 1 .'i° *044. 1 i • ■ ti ' wa, ••4': , - t' • 14 . . .--le ...411 'II 4 4 , .40 . I 11111,4P.0".._lk it' Mill AL 4 • ,.. 4-44---- 1 4"VC SEWER LATERAL . 406 i .4. ' 4 411 1 ' I '' 4"VC SEWER LATERAL It 14,,111:r ....„. 10 . . 0.- i - / , • 11. 'ILO 1 ' 2 3 '.4'..11 to..:111141 1 I.,._.' 6.', 4''4'.=,,•.. -1 1 ‘ 1 . 4 4 ,- . _ 5113 -,-- ... * 1"WATER SERVICE r- ilitl ii 1 . . .201/4 11P4. - 1101....t: i .... i ,...,.. 250 , . 10 1111* ••• , .111 0,.....--.... ...._---7.. .11, .,..e..........140. ..41.11:40, I .1. ' 237 I , .. • , 4, e 01:440:' 11111kt%"-4 1 veY 4 . 4AtiPlai. 4 ' t ..... likkr 7,1t,'''...' • ; 41 Mt AV 4, * ■ j ‘',,a- .4..._ f 1. . ilir m , , --I-4r a 'P .. ..... The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this /1 day of Lei ,200_. By: roperty Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this I Y day of ,.Q„qv , 200_, personally appeared before me, a Notary Public in and for said County and State, ,v(460, P/1 i , the property owner of zoo ,.34,c sr,4v‘/u✓E__ , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. / WILLIAM L.POPE 4/ -Xi- l� rP Notary Public,State of Florida Notary Public in f o r said County and State My Comm.Expires Oct.19,2095 Commission No.EE 128745 CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved:, Doug)Layton;Publio'Works Director CJ For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 aZ 90 jet c4 i7 e• /-i'-•. /P6/ Folio Z. Pi- 410 K-TO • 61,r00_ ht.. Add 3Lk2T ' .zr, ' X17 -y/fo 0Z,M J(.3.0,.2 :-" 716_ ova 6.r.tz, 61 / 1.114441 AP k6 -; /t, \ --, IC\ toodeleme—zroel.r A( ;6 _____Ake-42- t it / J.ziz ea 31 aro Igi gf_r 74, fid /Hui = Ai .44,y, y 0 lb /01/ 1 1--0--d zuuo cr 93 ✓yam. _ zcil Co4e' 404PW 1? ,iLr Y 7 I El H ot as 4f,d Ar-, /e-14 Park_Cv `e Lot .1_7 o X,ra 4fo _ f/ecft `17 ,K 3.r✓ 17/-t' Gity4 xzy 8y0 ?hi_ irtat47 J ul r `20 r / - - 7x 7 ✓� 4 ~ y - 6014,4 4TX1 67 -- C-Pbl 3,3 � O 2 X r� ;oZ *e 11,6 = -- 327f3' `al e �o Pre 2 41/ fr BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904) 247-5845 Job Address: 290 Beach Ave Permit Number:'5sFie- 'g(Dc5 Legal Description 5-69 16-2S-29E.15 Atlantic Beach 03101 Parcel# Lot 5 Block 28 V Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ I UV r Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): MEI Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial t . l- installed?an existing structure,is a fire sprinkler system nstalled?(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: Construction of new single family residence. Property Owner Information: Name: Andrew Pitler Address: 277 Beach Ave. City Atlantic Beach State FLZip 32233 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Bosco Building Contractors,Inc. Qualifying Agent: Todd A. Bosco Address: 2158 Mayport Rd. City Atlantic Beach State FL Zip 3. 2233 Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326 State Certification/Registration# CBC 1250212 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. 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 certify that I have read and examined thisplication 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 specs ted 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 r!p law regulating construction or the performance of construction. Signature of Owner , '/ Signature of Contract Z------ Print Name Andrew T. Pitler Print Name Todd A. Bosco Sworn to and subscribed before me Sworn to and subscribed before me this S-, Day of )u1-.'," ,20 f this 2=1 Day of i ii�)'. •20/; ,,j`/. /-'� Notary Public `4 4 Notary Public v WILLIAM L.POPE ry WILLIAM L.POPE Revised 01.26.10 Notary Public,State of Florida Notary Public,State of Florida My Comm.Expires Oct 19,2015 My Comm.Expires Oct 19,2015 Commission No.EE 128745 ---=- •• -�------ City of Atlantic Beach '`` APPLICATION NUMBER Building Department (To be assigned by the Buildi Depa Went. ':J800 Seminole Road ) Atlantic Beach, Florida 32233-5445 15• SFR- ' O Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept @coab.us IT City web site: http://www.coab.us Date routed: APPLICATION REVIEW AND TACKING FORM Property Address: 240 6 eA q �De.,rtment review required q ed Yes No Applicant: BO tICI — 'fanning &Zonin. Project: 5�� '" `dwio_istra or MIL'Wor• � __.__ .4111/1 Public Utilities _ _ Pu. is afety a 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: nApproved. ,,Denied. (Circle one.) Comments: fez "War chi BUILDING PLANNING &ZONING Reviewed by��' "T • /� Date: / ( S TREE ADMIN. /MI Second Review: XApproved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b :,4 �� Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10 _ erri_6115205 ZONING REVIEW COMMENTS J' \\J 4� ) City of Atlantic Beach J �r Building and Zoning Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904) 270-1605 Fax: (904) 247-5845 Email: dreeves @coab.us Date: 8/17/15 Permit: 15-SFR-1868 Applicant: Bosco Building Contractors Review: 1st Address: 2158 Mayport Rd, Atlantic Beach, FL 32233 Site Address: 290 Beach Ave Phone: (904)241-0320 RE#: 170196-0010 Email: N/A Correction Comments 1. Height: Please show the overall height of the structure as measured from grade to the peak of roof. 2. Fireplace Projection: The eastern most fireplace extends beyond the allowable 24 inch projection into the side yard. Please revise plans accordingly. 3. Eave Projections: Please clarify the eave projections of the eaves located on the south side of the building. Be sure that they extend no more than 24 inches into the side yard. 4. Third Floor Footprint: The third floor foot print exceeds 50 percent of the second floor foot print as required by Section 24-172(c)(3). Please revise plans accordingly. 5. Fence Height: Please clarify the wall height for the walls extending from the garage to the north and south. Note that these are considered fences which have a maximum height of 6 feet. Also show all other fencing to be included in the project. 6. Shade Trees: Section 24-172(c)(4) requires 2 shade trees on the property. Please show that this requirement is being met by existing trees or with new plantings. Informational Comments 7. Tree Removal: An affidavit of no regulated tree removal was submitted with the permit application but the survey shows palms in the area of the new driveway. If these palms or any other trees on the lot are to be removed then a tree removal permit is required. Palms are considered as a regulated tree. Derek W. Reeves Planner dreeves @coab.us BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: 290 Beach Ave Permit Number:'5S lelo Legal Description 5-69 16-2S-29E.15 Atlantic Beach 03101 Parcel# Lot 5 Block 28 Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ I�� Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): OM Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial FRTIM, 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: Construction of new single family residence. Property Owner Information: Name: Andrew Pitler Address: 277 Beach Ave. City Atlantic Beach State FLZip 32233 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Bosco Building Contractors,Inc. Qualifying Agent: Todd A. Bosco Address: 2158 Mayport Rd. City Atlantic Beach State FL Zip 32233 Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326 State Certification/Registration# CBC 1250212 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. 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 certify that I have read and examined thisplication 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 r 4, law regulating construction or the performance of construction. Signature of Owner ' %/� Signature of Contract Print Name Andrew T. Pitler Print Name Todd A. Bosco Sworn to and subscribed before me Sworn to and subscribed before me this ?-1 Day of �.,i y" ,20 PC this V Day of )✓t,� ,20/? Notary Public WILLIAM l.POPE Notary Public Notary Public,State of Florida WILLIAM L.POPE Revised 01.26.10 Notary Public,State of Florida My Comm.Expires Oct 19,2015 My Comm.Expires Oct 19,2015 Commission No.EE 128745 MI 11 C li 1 i 1 L rS,�,,y TREE & VEGETATION AFFIDAVIT �� s� City of Atlantic Beach AUG 0 4 r ` `' 1.2 Department of Community Development� �. � Planning&Zoning Division By- 800 Seminole Road Atlantic Beach,FL 32233 �-4 ri'i},r (P)904 247-5800 (F) 904 247-5845 PERMIT# SECTION I -APPLICANT INFORMATION P Owner(s) IX Legal Authorized Agent* NAME OF APPLICANT Todd A.Bosco NAME OF COMPANY Bosco Building Contractors,Inc. ADDRESS OF COMPANY 2158 Mayport Rd,Atlantic Beach,FL 32233 PHONE (904)241-0320 CELL EMAIL josh @boscocbc.com CONTRACTOR CERTIFICATION NUMBER CBC 1250212 ATLBCH BUSINESS TAX RECEIPT NUMBER ' SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 290 Beach Ave 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.15 Atlantic Beach 03101 LOT 5 BLOCK 28 SUBDIVISION Atlantic Beach 03101 REAL ESTATE NUMBER 170196-0010 LOT OR PARCEL SIZE: SC)FT AC RESIDENTIAL X COMMERCIAL OTHER(SPECIFY) 1 affirm that I 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 and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequen ,I affir a that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-de . or a.'. t p7rties in conjunction with this project. jai SIG !ATUR OF OW ER SIGNATURE OF OWNER Signed and sworn n g d s orn before me on this ,;� day of -- ,by State of p� r-C�t vj l i.4 of'F u/ t71'TL(---(1-- County of uLIV4L- Identification verified: t'E1Z50/44L -Y 1CA 0 win/ Oath sworn: W Yes I— No WILLIAM L POPE ,{/r., �4.. Notary Public,State of Florida Notary Signature My Comm.Expires Oct.19,2015 Commission No.EE 128745 My Commission expires: i REV-NA-v10.12 /O raj-/� , EXHIBIT A. LETTER OF AUTHORIZATION DRTV 10- Todd Bosco, Bosco Building Contractors, Inc. is hereby authorized to act on behalf of Andrew Pitler the owner(s) of those lands described within the attached application,and as described in the attached deed or other such proof of ownership as may be required by the City of Atlantic Beach in applying for a development permit. BY: ‘ •. /(4 Signature of Owner or Owner's Legal Representative Andrew T. Pitler Printed Name 277 Beach Ave, Atlantic Beach, FL 32233 Mailing Address Phone Cell Fax Email State of: FLORIDA County of: DUVAL Signed and sworn before me on this day of 4-y` 'T , ,by OQ,G'v✓ PIT LGIe- Identification verified: \l/V ICAO;A)N Oath sworn: it Yes r No WILLIAM L.POPE Notary Signature Notary Public,State of Florida My Comm.Expires Oct.19,2095 My Commission expires: Commission No.EE 128745 /049' 1) FILr " 11 V EXHIBIT A_Letter ofAuthorization_vo5.io.to ;•ri ,, City of Atlantic Beach } .• . Building Department APPLICATION NUMBER(To be assigned by the Buildi Depa nent.) I . 800 Seminole Road I5 SFR. ' O `y Atlantic Beach, Florida 32233-5445 Phone(904)247 5826 Fax(904)247-5845 �' ,%i ;;J� E-mail: building-dept @coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ? ` 0 15eAcm A D- ,.rtment review required q ed Yes o Q/1 S :uildin. Applicant: BO i 'tanning &7_onin. Project: 5 FA istraTor Public Wor 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: roved. ['Denied. (Circle one.) Comments: 4 BUILDIN PLANNING &ZONING Reviewed by: 2c 6 /, Date: TREE ADMIN. Second Review: ['Approved as revised. ❑ ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ry>.N:r CITY OF ATLANTIC BEACH ,d / , Building Department j 800 Seminole Road J ;� Atlantic Beach,Florida 32233 OFFICE COPY 4; (904)247-5800 j.-1-Ji311P PLAN REVIEW COMMENTS Permit Application # /3• S'FIR- /:l6 Property Address: 90 /Jea cA 14ve-,, X g. Applicant: 5.c.3 c c? /3,,, /der S. Project: /1/ S'F/ . This permit application has been: Imo( �- T t pp roved L�, Revieyved"and the following items need attention: o •ri .' v- A n c 2 L eue a r mil ���� 1, i an Co r - • - zt- ?' di C e l e- v r, �� 71.E ?la h F'#)-1 , s) 0 b L l-evo ;on :in"' /9Il cbr r\p r S c -� l a-�- e 1 e is 7',Un s I or • ° a Give q rn7 - /2 Pn •• -/tC'. , e CcJv✓■ r1 s — r. / _ _ -z- L.( _ _ ZYn� -• . `•. - .r r1 ,P 7 P/) rU,1 op, / U%� • •. �Q�QV �GU L f0 • ILIUM - or U. . `1C,el y. . • 3r e1S o e ihiow 39 S ar)AC'en.--F--1v ` 5 v r A(e S, -kr, -_ s c+_ews Yell 7t 4 ,x o /' corr+rre44- ' 3-)'/2 ' IS P: To, `i'l — Please re-submit your application when these items have been completed. Reviewed By: fill Date: cT 1.2 '/ S-- ,724al 0 ?a6 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH rIl n®DY 800 Seminole Road, Atlantic Beach, FL 32233 1+►.,•G•• 1 1 Office(904)247-5826 Fax(904)247-5845 Job Address: 290 Beach Ave Permit Number:' Legal Description 5-69 16-2S-29E.15 Atlantic Beach 03101 Parcel# Lot 5 Block 28 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 100Y--- Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): EMI Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial 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: Construction of new single family residence. Property Owner Information: Name: Andrew Pitler Address: 277 Beach Ave. City Atlantic Beach State FLZip 32233 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Bosco Building Contractors,Inc. Qualifying Agent: Todd A. Bosco Address: 2158 Mayport Rd. City Atlantic Beach State FL Zip 32233 Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326 State Certification/Registration# CBC 1250212 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 certl 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-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 YOU R NOTICE OF COMMENCEMENT. I hereby cert�that 1 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 permit does not presume to give authority to violate or cancel the provisions of any other federal,state r lo law regulating construction or the performance of construction. • Signature of Owner Signature of Contractor Print Name Andrew T. Pitler Print Name Todd A. Bosco Sworn to and subscribed before me Sworn to and subscribed before me this.z i Day of > Y' .20 6 this 2-1 Day of . 1✓ter •20 Notary Public Notary Public WILLIAM L.POPE WILLIAM L.POPE Notary Public,State of Florida Notary Public,State of Florida Revised 01.26.10 My Comm.Expires Oct 19,2015 My Comm.Expires Oct 19,2015 Commission No.EE 128745 Commission No.EE 128745 DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: f 71 '12v S' Development Size OFFICE COPY 33)6 hone Habitable Space boo sac Apt, Non-Habitable Impervious area Miscellaneous Information Occupancy Group /2- 3 Type of Construction f Number of Stories 3 Zoning District R S - 2 Max. Occupancy Load Fire Sprinklers Required Flood Zone X ; Y)/j4 Conditions/Comments: FILE COPY Permit No. /5- S'F'r �i�� NOTICE OF COMMENCEMENT Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property(legal description of property and address if available): 290 Beach Ave. Atlantic Beach, FL 5-69 16-2S-29E ,15 Atlantic Beach Lot 5 Block 28 2. General Description of improvements: Demo of two existing houses followed by construction of new single family residence. 3. Owner Information: a) Name and Address: Andrew Pitler 277 Beach Ave,Atlantic Beach, FL 32233 b) Interest in property:General c) Name and address of simple titleholder(if other than owner): 4. Contractor Information: a) Name and Address: Bosco Building Contractors, Inc. 2158 Mayport Rd, Atlantic Beach, FL 32233 b) Phone Number:(904)241-0320 5. Surety Information: a) Name and Address: Doc#2015177624, OR BK 17255 Page 1980, b) Phone Number: Number Pages: 1 _ Recorded 08,03/2015 at 12:10 PM, c)Amount of Bond: $ Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY 6. Lender Information: RECORDING$10.00 a)Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a)Name and Address: b) Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates of copy of the Lienor's Notice as provided in Section 713.13 (1) Florida Statutes. to receive a a) Name and Address: b) Phone Number of person or entity designated by owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor, but will be one (1) year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true he est of my knowledge and belief. 44./De6N P rr-c_6 L- Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office The foregoing instrument was acknowledged before me this z day of ],)L ' , , by NDILC--.✓ 'rrL E,C— as for • (Name of Person) (Type of Authority,i.e.Officer/Attorney) (Name of Party Instrument was Executed for) WILLIAM L.POPE Notary Public,State of Florida NOTARY PUBLIC, STATE OF FLORIDA My Comm.Expires Oct 19,2t}15 Print Name: vvw,,i-h Commission No.EE 128745 211 •ersonally Known • IdentificatiorlType: (Affix Notary Seal Above) Revised 3/15/12 OFFICE COPY ' CITY OF ATLANTIC BEACH �1 ,S� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 c (904)247-5800 13��► Revision Request Sheet Date: 8/25/2015 Received by: _Resubmitted: Permit Number: Clearance Sheet Number: ' Original Plans Examiner: _ _ Project Name: Pitler Residence Project Address: 290 Beach Ave,Atlantic Beach,FL Contractor: Bosco Building Contractors,Inc. Contact Name: Todd Bosco Contact Phone Number: 904-241-0320 Contact Fax Number: 904-241-0326 Revision/PIan Check/Permit Fee(s)Due:$ Description of Proposed Revision to Existing Permit: Pending Hold: Structural: Revision are annotated in red to satisfy all comments recieved Plumbing: Mechanical: Electrical: Misc.: Additional Increase in Building Value:$ Additional Square Footage: _ Clearance Sheet/Site Plan Revised: Environmental Health Approval: By signing below,I(ydmeaeae) affirm that the above revision is inclusive of the proposed changes. 8/25/15 Signature of C rector/Agent(Contractor must sign if increase in valuation) Date Office Use Only Date: `(96—1¶ Approved: y ?< Rejected: Notified by: Plan Review Comments: w .26 Plan�: .„' er Date Created OLOSNM jb r _ ,� ra , l _ _ .. U •� - - _ _ . - - - - v\1 ai o �, o b •3 d ■C > � cn os 75 o L 1 a ,.N 5 0 a to U 4t a. c� O N "O a N d' in W g 4t Q\ ∎}' --i 'C tc a1 O CO N. 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