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205, 209, 213, & 217 OCEAN GATE DR - PERMIT ,6' ;t tl CITY OF ATLANTIC BEACH Ak s 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFAT-2545 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SFAT Estimated Value: $130,000.00 Issue Date: 11/24/2015 Expiration Date: 5/22/2016 PROPERTY ADDRESS: Address: 217 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD A1A #701 Phone: 904-334-1202 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $285.00 BUILDING PERMIT FEE $570.00 STATE DCA SURCHARGE $8.55 UTIL REV RESIDENTIAL BLDG $50.00 WATER CONNECT/TAP & METER $185.00 WATER CROSS CONNECTION $50.00 Itl;�t tr,wi b si a CORDANCE$8,:65 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA B i1LD1\G CODES. ;, "' ., J CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD J•. r� ATLANTIC BEACH, FL 32233 ,> INSPECTION PHONE LINE 247-5814 "'.1.0.1119 a � Total Payments: $1,257.10 PERMIT IS APPROVED ONLY IN ACCORDANCE WI111 ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH - 800 SEMINOLE ROAD L ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 _ SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFAT-2544 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SFAT Estimated Value: $130,000.00 Issue Date: 11/24/2015 Expiration Date: 5/22/2016 PROPERTY ADDRESS: Address: 213 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD A1A#701 Phone: 904-334-1202 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $285.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $570.00 STATE DCA SURCHARGE $8.55 STATE DBPR SURCHARGE $8.55 WATER CONNECT/TAP & METER $185.00 WA`1'LR Ltd 3,s,s CO`ri, NECTIONDANCE MOLL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA I3I II,I)I\(:( OI)IS. (1) f ,\ss, CITY OF ATLANTIC BEACH -y 800 SEMINOLE ROAD ' �) ATLANTIC BEACH, FL 32233 \!..) _ (()) INSPECTION PHONE LINE 247-5814 Total Payments: $1,257.10 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. v1 r'. . , - \S) CITY OF ATLANTIC BEACH „ s� 800 SEMINOLE ROAD z" ATLANTIC BEACH, FL 32233 :\ INSPECTION PHONE LINE 247-5814 '�J131t)r SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFAT-2543 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SFAT Estimated Value: $130,000.00 Issue Date: 11/24/2015 Expiration Date: 5/22/2016 PROPERTY ADDRESS: Address: 209 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD A1A #701 Phone: 904-334-1202 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $285.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $570.00 STATE DCA SURCHARGE $8.55 STATE DBPR SURCHARGE $8.55 WATER CONNECT/TAP & METER $185.00 IW\WER GROLS48.1CONNENCTiONWANCE$931013LL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BI ILDING CODES. '', S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 \� INSPECTION PHONE LINE 247-5814 \01319~ Total Payments: $1,257.10 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r\11r ' ,, `' ` , CITY OF ATLANTIC BEACH --•.-k = l 800 SEMINOLE ROAD j ° " ` ;� ATLANTIC BEACH, FL 32233 \ INSPECTION PHONE LINE 247-5814 '�JJ319'r' SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFAT-2542 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SFAT Estimated Value: $130,000.00 Issue Date: 11/24/2015 Expiration Date: 5/22/2016 PROPERTY ADDRESS: Address: 205 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD Al A#701 Phone: 904-334-1202 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $285.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $570.00 STATE DCA SURCHARGE $8.55 STATE DBPR SURCHARGE $8.55 WATER CONNECT/TAP & METER $185.00 WAVER GRIM CQN.(1 ECTIONwANCEMIOLL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA 'WILDING COD"s. rs r,J`f 7,# s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD V V fry ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $1,257.10 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. OFFICE COPY Oct. 23, 2015 Mr. Kayle Moore Public Utilities Director City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Dear Mr. Moore, I have submitted a building permit application for a house at: BLK 5: Lots #1, 2,3,4 #217, 213, 209,205 OceanGate Dr.,COAB. Beaches Habitat will not be installing a fire sprinkler in this structure. In addition, pursuant to our HOA docs, we will be installing an irrigation system. Please give me a call 904-241-1222, or 904-334-1202 if you require any additional information. Sincerely, • . .- • _ : sans_ Construction Director OFFICE COPY Oct. 23, 2015 Mr. Dan Arlington Building Official City of Atlantic Beach 800 Seminole Rd. Atlantic Beach, FL 32233 Dan Attached are the following materials in support of Beaches Habitat application for the building permit : Quad T, Block#5 Lots# 1, 2, 3, 4 #217, 213, 209, 205 Ocean Gate Drive, COAB 1) One (1) copy of the Building Permit Application each unit 2) Two (2) copies of roof truss plans 3) Two (2) copies of HVAC Energy Sheets 4) Two (2) copies of the Florida Product Approval form 5) One (1) copy of recorded Notice of Commencement 6) One (1) copy of letter to Kayle Moore regarding fire sprinkler/irrigation systems. 7) Five (5) copies of the Construction Management Plan 8) Two (2) copies of architectural plans 9) Two (2) copies of structural engineering plans 10)Five (5) copies of civil engineering plans 11)Two (2) copies R.O.W. Permit Please let me know if any additional information is required. Thank you, Sincerely, Ro.- ' - er-son;--. Construction Director 904.334.1202 attachments 0 ISITurner MAIM Oman 480 EDDEWOOD AVENUE,SOUTH, JACKSOIMLtE,FLORIDA 32205 "n PRIPest EMIL 9114-355•51P0•FAX 9D4.353.1488! ] =Turner urier &tAEM OmCl2 480 EDCEWDOD AVENUE,SOVIH, JACKSONVILLE,FLORIDA 32205 pest En&964-355153.38'FAT 9Q4.353•148t5jD1t F u 8fl-2 5795•►,ww,7VNMElq'Esv,e_910 mil El/Control 8T MAArt,6A-9124761300 OsAU,Fu.-352-351-4386 Bugging You? OA IM BACH,Fu.-386-788.8303 PORT Si.Luc[,Fu.-772492-0078 ^� What's B Manioc Fu.-321-951-3325 • TArPA,Fu.-8184814381 '♦ NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES nl as re.tilted by Florida Building Code.FBC 104 2.6) 0 Address: e;1.0 QC_2v.-,- .cE. 0 Lot: _i . Block: Date: —10)t 3 ALL STRUCTURAL CHANGES BORA-S;ARL"Icnuiiiridc(Wuud'freatiotnt) ARE TO BE REPORTED Product Used FOR RETREATMENT J)isotlium Oct;ibnrate Tt•trgliysiratt. 23%Active Ingredient Chemical used(active ingredient) l Percent Concentration Application will bEptrlurmcd unto stnlcturctj ii►tlr3 ai iiricd�in Ntage Ofconsttpicjstn Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area) BORA-CARE icnniticide application shaJJ be applied according 45o LPA, rcgistrated label directions as Mated in the Florida Jiuilding(:ode Section 1816.U Ilk (INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION) 4 ERTurner Msrn Ovfaoi:480 baby=AVENUE,SDNE, JACSSONYRLE,FLORIDA 32205 Pest LTA;9D445537DD•Pot 984-353.1488•TD{l FNE1:6HZ5:334b•nww.7VNwwst,cou Ell Contra,. S,.MARY,GA..-912-576-1300 OCALA,Fu.-352-351.4386 DATIONA BEAN,FLA.-386.798.0303 Pan Si.LOCK,ht.-772492-0078 What's Bugging You? Masaast,Fu.-321-951-3325 TAMPA,Fu.-$18481.381 NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES as re.uired by Florida Building Code.FBC 104.2.61 • Address: u13 Lot: __. Block: Date: )6 Jz _ O IiOILAAKL lcnnitiridc(Vdli�od'I}cattttKETt) ALL STRUCTURAL CHANGES Product Used • ARE TO BE REPORTED FOR RETREATMENT 0 iNspilium()elaborate Tetrahydratt• 23%Active Ingredient m Chemical used(active ingredient) , Percent Concentration n Application will be_pe lurmvd unto strnrturaj,j od at dria tl�iu stage of etinsttu}t i>n 0 Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area) BORA-( ARE'lenniticide applicaucnt AA be applied according iS2 rcgistrated label directions as stated in the Flutidji uil ;Code Section 1816.L (INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION) • ICHTurner ner MAIN Osska:480 EDGEWOOD AVENUE,SOUKM, JACKSONVILLE,FLORIDA 32205 Pest Essil;904•35515,1DD•FAx 984-353.1488•Tait FNEZ:8gl215_S305•wow.TVHMCRMLA,ogg [3 Control 87,MARTS,Gs.812'576.1309 DCAU,Fu.-862-361.4386 DAnau Bum,Fu.-316.7184303 PONT Si.Luta,Fu.-7724924078 What's Bugging You? Ma,oumE,Fu.-321451-3325 TO PA,Fu.-1134114381 NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES as re.uired by Florida Building Code.FRC 104.2.6) — Lot: _. -- Block: c- Date: /0123//)� C3 li(1ltA SAKI'"Inniticidc Wood' ALL RUCTUA CHANGES ( Ircatinsjtt) ARE TO BE REPORTED Product Used FOR RETREATMENT 45 nisodium()ctaMuate Tt•tral ydratc 23%Active Ingredient Chemical used(active ingredient) \ Percent Concentration il Application will be_pgrfornivJ uuto structurilJ ou at dried-its stage of coml.twjltn Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area) IiiRA-(;ARE Tenniticidt•application,!hall be applied accordingtSt IPA rcgistrared label directions as stated in the Florida j3uil iinl;Code Section 1 tt 16.1A ,.,< (INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION) r isi) • City of Atlantic Beach- to APPLICATION NUMBER * ,.,., Building Department r �, (To be assigned by the Building Departmen .) Atla Seminole Road �_ Si�I_ 25 fL .yT ''� Atlantic Beach, Florida 32233-5445 Y Phone(904)247-5826 • Fax(904)247-5845 ?!J;t �%- E-mail: building-dept @coab.us Date routed: 0 lir City web-site: http://www.coab.us ....mw, APPLICATION REVIEW AND TRACKING FORM Property Address:0?43v/ / / 11 ,t, Department review required Yes No il.•i•, — Applicant: .., 6 `j A , /, ' r _ / / •�I' = • . ing &Zorn == • = 'stator Project: Sj,1Q/ /n-n. 7 i 1R.! OCublic Works / ublic Utilities ublic 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 Reviewing Department First Review: nApproved. I JDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: — TREE ADMIN. Second Review: nApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY — _ Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: evised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 205 Ocean Gate Dr., COAB FL 32233 Permit Number: /5 - SP/9 7-- G7S e/) Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk# 5-Parcel#4 Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 110,000 Proposed Work heated/cooled : 1170 non-heated/cooled : 200 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential (X) If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Constuction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202_Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 eod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical- 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 h. e read and examined this a plication and know the same to he true and correct. All provisions of laws and ordinances governing this type of work will be co •lied 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 fe.. 1,state,or local law regulating construction or the peiformance of construction. Signature of 0 -ier iAii ' AA •_ Signature of Contractor Print Name i Print Name c-sc- t--- Sworn to and subscribed beforF me Sworn to and subscril d before me this 7i& Da of (7`1-. ,20 f S5 this Z I"-Day of U c4,Le% ,20('C Notary Pi blip. Notary Public • • L RAY KYLE MURRAY • '`= MISSION#EE185723 RCPt�Cd 61.26.10 EXPIRES April 02.2016 '*= MY COMMISSION#EE185723 ow)�6e•o15� FbriCsNoo�gervbe coin -r. EXPIRES AprN 02,2016 1407;3441p FbWW+Noarye«doe eon, r�^:�_r�;�� City of Atlantic Beach APPLICATION NUMBER / .4. Building Department 800 Seminole Road (To be assigned by the Building Department.) .4 /� .SMr 2113 ..,14;' =�'��' Atlantic Beach, Florida 32233-5445 y T Phone(904)247 5826 Fax(904)247-5845 ,,/. ,-, , E-mail: building-dept @coab.us Date routed: /DA.7/4/1(.J J City web-site: http://www.coab.us j APPLICATION REVIEW AND TRACKING FORM Property Address: A 69 / / if De•artment review required Yes No :uildingr- -- Applicant: c2O 1 / ,, ! r / J di/' — • - •ng &Zoni .21,„ -- "T"'ir: -- istrator Project: fl - / r , .A Ablic blic Works -- Utilities `public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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. I !Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ` nApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: evised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 209 Ocean Gate Dr., COAB FL 32233 Permit Number: /5" sr/9 -7--,P 5 i`3 Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk. #5 Parcel#3 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$110,000 Proposed Work: heated/cooled - 1358 non-heated/cooled - 164 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential (X) if an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Constuction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 he 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 he 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 he true and correct. All provisions of laws and ordinances governing this type of work will he •mplied with whether speci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any othe Nederal,state,or local law regulating construction or the performance of construction. • Signature of 0 er �. 1/. l 111 = Signature of Contractor Print Name 410�4 Print Name s Sworn to and subscrib cl before me Sworn to and subscribed beforc me this 21'` Day of Utbrief ,20 l( this ?ebay of 0( l ,20 rc Notary Pub is N•t.. ' • ;:+' MURRAY KYLE MUR' MY COMMISSION!1 EE18S723 ?:: 1 COMMISSION s<EE18S used 01.26.10 EXPIRES April 02.2016 • (407)!!., •' •.4,.. ' EXPIRES April 02,2016 3Oe•0133 Fbridallofsry!ery ce rem (107)394.01 Fiona ••. -- • corn c^-1:). City of Atlantic Beach APPLICATION NUMBER 6 'r� . >>i Building Department (To be assigned by the Building Department.) ' 800 Seminole Road n • ` " Atlantic Beach, Florida 32233 5445 I T . fjli/ Phone(904)247 5826 Fax(904)247 5845 ‘:.?.o.;1,..9.� E-mail: building-dept@Coab.us Date routed: D ANIF City web-site: http://www.coab.us � 1 —1 APPLICATION REVIEW AND TRACKING FORM Property Address:d/ / _ / 1 1,/ Department review required Yes No ild.i.`'� — Applicant: Q `j q == ' : - istrator Project: O /9-1- 1 i / i 7Th , J blic Works ublic 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: _____ APPLIC TION STATUS ' Reviewing Department First Review: Approved. nDenied. (Circle one.) Comments: 4120110 PLANNING &ZONING ,�y� Reviewed by: ✓ / l Date://`17/c TREE ADMIN. Second Review: nApproved as revised. n nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY _ Reviewed by: Date: FIRE SERVICES Third Review: I !Approved as revised. nDenied. Comments: Reviewed by: Date: evised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 213 Ocean Gate Dr., COAB FL 32233 Permit Number:/5' ST-79 T—c25''19 Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk. #5 Parcel #2 Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ $110,00 Proposed Work heated/cooled: 1358 non-heated/cooled: 164 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential IX) If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Ajent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 ElectricalpWork,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 application and know the same to he 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 feder. state,or local law regulating construction or the performance of construction. Signature of Own moV/t'`�� Signature of Contractor Print Name Print Name �Lex-k Ike Sworn to and subscribed before me Sworn to and subscribed before me this 214TDay of oL ! ,20/ this 7'1—Day of ),&FBI ,20 j r Notary Public ;,• , RAY 1 .�+' •KYLE MURRAY ,- MY COMMISSION#EE185723 I •; `' MY COMMISSION 1 EE185 •evlsed 01.26.10 • . EXPIRES ApttI 02,2016 • '�.r EXPIRES April 02.2016 140713960153 FbriosMOUrySMVict ow. (407) '18M.4s.'Oa vA. .,trig;•;. City of Atlantic Beach l� APPLICATION NUMBER �",'t1�" .�� Building Department ,,`i 800 Seminole Road (To be assigned by the Building Department.) f� /SST -as'�. - Atlantic Beach, Florida 32233-5445 b Phone(904)247-5826 Fax(904)247-5845 1J;t >%- E-mail: building-dept @coab.us Date routed: 0 AM City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4,2/ 7 / / i I, 1, Department review required Yes No • ild ,. Applicant: ,., O Lj q // / 7 , , , - — �• _ 'rig &Zonin.... :: ' : - !stator Project: /'1 &-»/ / i 1Th iJ r•ublic Works ,'"•ublic Utilities •ublic 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: []Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ['Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 217 Ocean Gate Dr., COAB FL 32233 Permit Number: /S---- 3/7 1 7—,:2 S 9 S- Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk. #5- Parcel # 1 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 110,000 Proposed Work heated/cooled: 1170 non-heated/cooled: 200 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential (X) If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 rf 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 ElectricalpWork, 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 r ve read and examined this application and know the same to he true and correct. All provisions of laws and ordinances governing this type of work will be c ,•lied 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 fe .ral,state,or local law regulating construction or the performance of construction. be ,Signature of Owner arL - di Signature of Contractor C. W: y Print Name `_ `� i ✓� Print Name �L,e vt t-e-+e-(S to-. Sworn to and subscribe beforc me / Sworn to and subscribed bef re me this Imo-Day of t) Gi-- - - � ,20 (1 this 7,r—Day of O LLo .20/5"--- Notary Public :+P''?u KYLE M 1dO1.26.10 MY COMMISSION It EE185723 MY COMMISSION EE18ST23 evis EXPIRES April 02,2016 EXPIRES '••R. List.• ' 02.2016 l(401)308bo753 RorideNonryr8ervioe oom 390153 gaidaNaterraervbe com 0.Aii;.. City of Atlantic Beach lOsti { 4CATIONNUMBER '1 ;•� Building Department 800 Seminole Road (To be assigned by the Building Departmen.) -4- Atlantic Beach, Florida 32233-5445 �j (� Phone(904)247-5826 Fax(904)247-5845 `� _ Silir- 2,6" 2-- ''`�;i �� Email: building dept @coab.us 4.4/ . City web site: http://www.coabus Date routed: D APPLICATION REVIEW AND TRACKING FORM Property Address:pA'/ / j i ♦ —__ /, Department revie r_ w required No L� ,� r -u�ld ,. _m Applicant: Q i, ' _ ./ • /' "' �'rarming & Zorn .� �- '101"'="'"ls- istrator Project: dry 1) mm 7 i 7Th l Public Works - _ i P'ublic -� Utilities �- �'ublic Safety -- Fire Services - Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of P_ermit— Verified B Date Florida Dept.of Environmental Protection Florida Dept. of Transportation — 11111111111111111111 --- St. Johns River Water Management District _____IMUMI Army Corps of Engineers Division of Hotels and Restaurants _ Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Xpproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: � TREE ADMIN. , Date: tli y�f Second Review: (]Approved as revised. PUBLIC WORKS Comments: ❑Denied. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: , FIRE SERVICES Third Review: ['Approved as revised. ODenied. Comments: , Reviewed by: Date: ised 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: 205 Ocean Gate Dr., COAB FL 32233 Permit Number: Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-2824 Blk#5- Parcel#4 Valuation of Work$ 110,000 Proposed Work hea ed/cooled : 1170 non-heated/cooled : 200 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)((circle one): Commercial Residential X) If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Constuction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 aperiod 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 h• e 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 co lied 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 fe •1,state,or local law regulating construction or the per formance of construction. Signature of O er 0/0 I Signature of Contractor igipy Print Name Print Name 9-61,-e, -E-e r g�,-, Sworn to and subscribed beforc me Sworn to and subscri�gd before me :his Zter Day of ('� ,20 ter- this Z i 'Day of (J c.,66e.c ,20(e- votary �f�� Notary Public '~ M MISSION#EE185723 ;i• "' KYLE MURRAY R1oise .26.10 EXPIRES AprII 02,2016 '. 'a' MY COMMISSION 1t EE185723 1407 X980183 o,' Flo.iaallorn�ysenice oom a fi: EXPIRES Anil n9 on,a i1-;.i); City of Atlantic Beach '' '' '• . Building Department 2 i APPLICATION NUMBER •I .,' `. 800 Seminole Road (To he assigned by the Building Department.) i ~= k. Atlantic Beach, Florida 32233-5445 S Phone(904)247-5826 • Fax(904)247-5845 �-`.' r.. €1,3 `'%,jit ,- E-mail: buildin de t coab.us g p @ Date routed: 4 Aor City web-site: http://www.coab.us -rsAII APPLICATION REVIEW AND TRACKING FORM Property Address:AO / / , .. De 9rtment review required arin No Mil pp �Q / / �, .. uildtn._ Applicant: ! L/ , , .�,, _ '�-wing &Zoni .�, • Project: n L "� •:+ rmistrator NM / 1 i 'ublic Works -- ow , 'ublic Utilities 'ublic Safety -- Fire Services MOM Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection — Florida Dept. of Transportation ------- St.Johns River Water Management District Army Corps of Engineers 11.1.10.11 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: IIIIIIIIIIIII APPLICATION STATUS Reviewing Department First Review: pproved. (Circle one.) ❑Denied. Comments: BUILDING PLANNING &ZONING Reviewed by: fg �,��— TREE ADMIN. Date: r 4f r Second Review: []Approved as revised. PUBLIC WORKS Comments: ❑Denied. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ['Denied. Comments: Reviewed by: Date: – -- ------ ised 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: 209 Ocean Gate Dr., COAB FL 32233 Permit Number: Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk. #5 Parcel#3 Floor Area of Sq.Ft. Valuation of Work $110,000 Proposed Work: heated/cooled - 1358 non-heated/cooled- 164 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial Residential (X) if an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # attached I?or multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Constuction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 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 certifi,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 •mplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pmvisions of any oche ederal,state,or local law regulating construction or the performance of construction. ■ Signature of O ner Signature of Contractor _-_ ' Print Name 1, 6,. ,„z 4 Print Name e v-i- ' e r s w-N-� Sworn to and subscribed before me Sworn to and subscribed before me his -Zi'`- Day of c�.er ,20 it this *7,44-Day of Qp i r ,201C Votary Pub is Nota ' • ; *"' MURRAY MY COMMISSION#EE185723 ;;p`•�� KYLE MUR ,1� �4`, EXPIRES April 02,2016 MY COMMISSION#EE185 ised 01.26.10 • 4`•• ' %9!-t. EXPIRES April 02,2016 (407)398-0153 floridallotorvsmvkY rnm • .-.11 .; City of Atlantic Beach ,, .*= >•, Building Department [ ICNUMBER ., 800 Seminole Road (To he assigned by the Building Department.) ; T n ,�> •• �� Atlantic Beach, Florida 32233-5445 � _ Fp.r� ' ..0/� Phone(904)247-5826 • Fax(904)247-5845 'r (� f:iis;)91' E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: /D AI s.1., APPLICATION REVIEW AND TRACKING FORM Property Address:d/ / / j 1,1 .�. De.artment review requi rreffilikob red q red Yes No Applicant: 6 `/ n i, i r / / . I' - P' . ing &Zonm.... I lli e^ - istrator Project: /7 /tYn yQ Public Works — all ,�'ublic Utilities _- 'ublic Safety Review fee $ Dept Signature . Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection — Florida Dept. of Transportation — _i 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: Ei, ,pproved. Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed TREE ADMIN. i Date: atm 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: ised 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: 213 Ocean Gate Dr., COAB FL 32233 Permit Number: Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk. #5 Parcel#2 Valuation of Work$ $110,00 Proposed Work heated cooled: 1358 on heated/cooled: 164 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential (X) If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 cent 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 f 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'Fork, 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 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 compli•d 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 feller. state,or local law regulating construction or the performance of construction. I � N Signature of Own =` �. ��' � Signature of • !+ gn Contractor Print Name 7^CS Print Name d (�-{�v- S sworn to and subscribed befow ta me Sworn to and subscribed before me his 2I``Day of [X-4 r ,20/( this 71 t'Day of (fie ,20 4otary Public y;,`I, RAY "'sb- KYLE MURRAY MY COMMISSION#EE185723 v�� "' MY COMMISSION#EE185 23 'evised 01.26.10 '!•• • EXPIRES April 02,2016 (+0 ) FloriasNoterv3n wins, EXPIRES April 02.2015 o •+IF4;, City of Atlantic Beach d• `. Building Department APPLICATION NUMBER " �' t? 800 Seminole Road (To be assigned by the Building Department.) ,_ r) 6c Atlantic Beach, Florida 32233 5445 b /c- d, -025-1 ,5 Phone(904)247-5826 • Fax(904) 247-5845 7 • • toil a%• E-mail: building-dept @coab.us Date routed: D I� City web site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c2/ 1 / / g 1I Dee!artment review required q Yes No Applicant: .� 6 4' R /, , r _ /,/ , I- -_ 4�� _ ng &Zonm.� -MI �"�""'� istrator Project: 40 /1 /77r)/7 i 1Th yQ r ublic Works == / ,P-•ublic Utilities ublic 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: 5itApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ;r-%.,,,.,/ `/�j Date: t t tt /f TREE ADMIN. Second Review: QApproved 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: , vised 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: 217 Ocean Gate Dr.,COAB FL 32233 Permit Number: Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 BIk. #5- Parcel# 1 Floor Area of Sq.F't. Sq.Ft Valuation of Work$ 110,000 Proposed Work heated/cooled: 1170 non-heated/cooled: 200 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential (X) If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 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 cert that I .ve 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 c. •'lied 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 fe -ral,state,or local law regulating construction or the performance of construction. Signature of Owner 'L • Signature _p ignature of Contractor '1<e-/K-44 fir-- ?rint Name N! " 113✓� Print Name r2,4 Sworn to and subscribe befori me/ Sworn to and subscribed before me his?14'x'Day of c�—-�-�-( ,20 ( this 7,r—Day of Q Chi ,20% Jot KYLE I;;p' "� KYLE MU •': MY COMMISSION#EE18S723 Revised 01.26.10 ': MY COMMISSION ti EE183T23 • ,A•?. EXPIRES April 02,2016 �, FYwACe ( .. City of Atlantic Beach , . Building Depament • APPLICATION NUMBER 800 Seminole Road Tt , (To be assigned by the Building Departmen .)^ x ' Atlantic Beach, Florida 32233-5445 �/ . Phone(904)247-5826 • Fax(904)247 5845 �Cr 2 8 2015 .�- s��r- z.� z %:�;; �% E-mail: buildin de t coab.us g p @ $ Date routed: D City website: http://www.coab.us 1': Air APPLICATION REVIEW AND TRACKING FORM Property Address:0?&.5. r / 1 De•artme 7 nt review required = No Applicant: � (' _ / j . *ng &Zornn.� -- Ilm?T a '- istrator Project: /� ■ 7D9 1 ii Public Works �� ilh-'ublic Utilities Ell- ublic Safety - Fire Services Review fee $ Dept Signature • Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection__ —-- Florida Dept.of Transportation IIIIIIIIIIIIIIIIIIII ----- St.Johns River Water Management District Army Corps of Engineers --` Division of Hotels and Restaurants IIIIIIIIIIIIIIIIIIIIIM Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: k2Approved. I !Denied. (Circle one.) Comments: 4e #9411111 t W,4 BUILDING PLANNING &ZONING 'Reviewed by: • TREE ADMIN. �� C__ Date: /n Z Second Review: QApproved as revised. %Denied. PUBLIC WORK Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: i nApproved as revised. [1]Denied. Comments: Reviewed by: Date: ised 07/27/10 --- — ----..—_— - -_,_. ( jc Ci t of Atlantic Beach Building Depament APPLICATION NUMBER 800 Seminole Road (ro be asgned by the Building Departm Atlantic Beach, Florida 32233-5445 �_ (' �7-.. � /� Phone(904)247-5826 • Fax(904) 247-5845 ..7 [� ..,?,-,5. 1- E-mail: buildin de t coab.us g p @ Date routed: /0 Arr City web-site: http://www.coab.us ....... APPLICATION REVIEW AND TRACKING FORM Property Address: AO / / , t, 4i, De.artment review r. - required No uildin. MINI Applicant: „ Q `j , i i r 4 „Jr., — A - ing &Zoni .... lib t.7•�,, ' • -'mistrator Project: I') - 4 e/ I rig t A Public Works --- �'ublic r _ Utilities -- -•ublic Safety _n Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection — Florida Dept. of Transportation IIIIIINIIIIIIIII --- St. Johns River Water Management District _IMER.I Army Corps of Engineers Division of Hotels and Restaurants IIIIIIIIIIIIIIIIIIII Division of Alcoholic Beverages and Tobacco Other: IIIIIIIIIIII APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: �s �/� /', (� BUILDING ��G �5 �/+��4 � / �% J PLANNING &ZONING Reviewed by: / — TREE ADMIN. a Date: d 9 Second Review: W --- Approved as revised. IlDenied. /PUBLIC WORK—S)) Comments: -- PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: Reviewed by: Date: ised 07/27/10 — --- /),. City of Atlantic Beach 'Ai k- �,.. APPLICATION NUNlBER �� f• Building Department i 800 Seminole Road (To be assigned by the Building Department.) �;" ```46` 5 Atlantic Beach, Florida 32233-5445 b .. i��T Phone(904)247-5826 - Fax(904)247-5845 �/ �7 %_�;;y�• E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: Allr p s� APPLICATION REVIEW AND TRACKING FORM Property Address:07/ / � j its De p artment review required Yes No Applicant: ..., 4 L/ 4 /, ' r .. • ,' — '�' - ing &Zorn .a al �'"777"`� istrator Project: /,j}-»// if 7Th A r-ublic Works KM PI ublic Utilities _- •ublic 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 N.M. Army Corps of Engineers Division of Hotels and Restaurants -IIIIIIIII Division of Alcoholic Beverages and Tobacco IIIIIIIIIIIIIMMII Other: APPLICATION STATUS Reviewing Department First Review: 1pproved. (Circle one.) nDenied. (Ci ) Comments: �Q JJ 0 BUILDING ..jei /6 i perl 60144 PLANNING &ZONING ' Reviewed by: __ / _` c____' Date: /a 1971 TREE ADMIN. ��tI' SAW Second Review: nApproved as revised. =Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: Reviewed by: Date: ,ised 07/27/10 _ City of Atlantic Beach ds � Building Department APPLICATION NUMBER likt, 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 b c�nn Phone(904)247-5826 • Fax(904) 247-5845 •1140;01- E-mail: building-dept @coab.us Date routed: D AT City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 024 / / / ,, Department review required q Yes No Applicant: 6 `j ,q i, • P- - ' &Zonin• AP; n 9 ir.T ,,.'. tstrator Project: at 1D9 r ublic Works == ,fr•ublic Utilities ublic Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required LierilY view or Receipt 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: rlApproved. ❑Denied. (Circle one.) Comments: ��, /�,, BUILDING '1L'� ��'�"7".!/u �'(��txl PLANNING &ZONING y OPOtc> 21 c Reviewed b : Date: / lq TREE ADMIN. 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Sf 5) NOTICE OF COMMENCEMENT OFFICE COPY State Florida Tax Folio No. County of Duval 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 improved : 38-2S-29E-7.41 B De Castro Y Ferrer Grant PT Recd 0R/16531-2248 ( Block# 5 Lots# 1, 2,3,4) Address of property being improved #217, 213, 209, 205 Ocean Gate Drive, Atlantic Beach, FL 32233 General description of improvements: Construct 2 Story Single Family Attached Quad-Plex Owner: Habitat for Humanity of the Jacksonville Beaches Address: Atlantic Beach, FL 32233 Owner's interest in site of the improvement: 100% Fee Simple Titleholder(if other than owner): Name: Contractor: 201 Mayport Construction Management LLC ( FL State Certified General Contractor#CGC1506666) ddress: 2768,State Rd.A1A, #701, Atlantic Beach, FL 32233 Phone No.: 904-334-1202 Fax No.: 904-241-4310 Surety(if any): Address: Amount of bond $: Phone No.: Fax No.: Name and address of any person making a loan for the construction of the improvements: Name: Address: 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: Robert Peterson, c/o 201 Mayport Construction Management, LLC Address: 2768 State Rd A1A, Atlantic Beach, FL 32233 Phone No.:904-334-1202 Fax No.: In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Phone No.: Fax No.: Expiration date of Notice of Commencement(the expiration date is one (1)year form 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 1, 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 attorney before commencing ork or recording your notice of commencement. THIS SPACE FOR RECORDER'S USE OWNER 1 1 Signed: f`A i t n/A I P Date: Agia Z t I f Before me this 'Z j(' 17r-of c?(1.4<1 in the County of Duval, State of Florida, has personally appeared 6,L1-,,e ,-.1 b n e S Notary Public at Large, State of Florida, County of Duval Doc#2015242990.OR BK 17343 Page 2190. My commission expires: '-/ – -/ (, Number Pages 1 Personally Known: ✓ or Recorded 101222015 at 08:06 AM. Produced Identification: Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY �7—..„ RECORDING 510.00 KYLE MUR i•:' •, MY COMMISSION 0 EE185723 �S EXPIRES April02,2016 1 ,Y11 101J11 Cl Cw...-mQM.....w