2251 BAREFOOT TRAC - REPLACE DECK _cf s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DECK-14
Job Type: DECK/PATIO
Description: REPLACE DECK SAME FOR SAME
Estimated Value: $11,884.00
Issue Date: 1/14/2016
Expiration Date: 7/12/2016
PROPERTY ADDRESS:
Address: 2251 BAREFOOT TRAC
RE Number: 169463-0632
PROPERTY OWNER:
Name: HAGAN,KENNETH DALE & CATHRYN A, *
Address: 2251 BAREFOOT TRAC
GENERAL CONTRACTOR INFORMATION:
Name: JOSEPH BUILDERS INC
Address: 13245 ATLANTIC BLVD APT 272 RAYMOND FORREST
JOSEPH
Phone: - -
PERMIT INFORMATION:
FEES: — ------------
PLAN CHECK FEES $54.71
BUILDING PERMIT FEE $109.42
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $168.13
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
01.avr City of Atlantic Beach APPLICATION NUMBER
js -"�� Building Department (To be assigned by the Building Depa ment.)
800 Seminole Road // G //
�lr) Atlantic Beach, Florida 32233-5445 (� /ri JJJ
Phone(904)247-5826 • Fax(904)247-5845 / J�
'�r g 9 E-mail: building-dept @coab.us Date routed: / J/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 22 67 1rt dor Tegt,e..., Department review required Yes No
wig
A kI�Applicant: J/ �Er -gild te‘ Planning &Zoning
rme-Acierunistrator
Project: ? / e f f r(i,e Public Works
Public Utilities
� d� �� Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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. I (Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by:■01$1.v7// / Date: /
TREE ADMIN.
Second Review: I '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:
Revised 07/27/10
ot twr City of Atlantic Beach APPLICATION NUMBER
r, t . �4 Building Department (To be assigned by the Building Depa ment.)
"; ti 800 Seminole Road / G )/ /
s� /� — G //<</i
-6_. . Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 / // /�
P�;3 E-mail: building-dept @coab.us Date routed: / (Y
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
22 £7 Sflr6 ,T Property Address: ��2.�/ � De•artment review required Yes o
J �tA I QI .in _
Applicant: Planning &Zoning
. • ini a or
Project: liter Public Works
Public Utilities ___
� og �6 Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required 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: pproved. ❑Denied.
(Circle one.) Comments:
ILDING
PLANNING & ZONING
Reviewed by: Date:I--6 14
TREE ADMIN. Second Review: ❑Approved as revised. ❑Den d.
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
P 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: ''. 26\ TIl rc Permit Number: A-Deck-/f
Legal Description 4)-A-1, of-o1S-actE 0 -•A5 -)ii. Parcel# 6 lA((3 -0(03)
a, Floor Valuation of Work$ It1(6%£ Proposed Work heated/cooled ted/cooled •
n i .I, :. .1�+pot.
Class of Work(circle one): New Addition Alteration Repair Move •>. olition ,ob1/s a w' i 1 G
• _. •11 J - 5 p rn I•or
Use of existing/proposed structure(s)(circle one):, Commercial esid, ! 2016
If an existing structure,is a fire sprinkler system installed?(Circle one): •e �I Oi!r , 400,.."1
U
Florida Product Approval# !!��
For multiple products use product approva orm
Describe in detail the type of work to be performed: ,Z C rat-U .6kb 1 Db c,i
ell- sT∎l .. t)tM - Dec,, S124..- _ 114. SA4,44. - Air Ex ao 14.•
P
Property Owner Information:
Name: N,k��� i-ek Address: . 51 O .9" -le .,A_ty (4•."eti 4644
State Zip 3)a b'•',Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: J ui n L1.Q ir t t 5„o W�,net
Company Name: .JO ,irk ( twit IEc Qualify' g Agent: la��
Address: IiJa - ►c, /bt�JD '� }S
Office Phone �'�'•a'� Cif' �'�° State Ft- Zip
'J+. Job Site/Contact Number 1041-Z 13.7 Fax# a')-A1`?b'a
State Certification/Registration# C.C•C. 051 4 60
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 cert 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 judsdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora period of six Z6)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 IMPROVEM ► '
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC . •
COMMENCEMENT.
I hereby certi&that I have read and examined this a placation and know the same to be true and correct. All provisions of 1
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give a thority to" ila oorvcancel the
provisions of any other federal,s • e, or local law regulating 'nstruction or the performance of construction.
CO C
w Z
signature of Owner �1� _ �, _ _�` m o
Signature of Contractor 10, = d. 0 ,2
Tint Name C' /�' (�0 + ¢, Z -T7 -v 2
®... .. Print Name �p� . 2 Z o =
ef� w 0..p,,..._...c l
i► ►e.A + Before me
Q -n n
i. sl. ,�I: , of PEL ar-x_ , 20 I r this 5- Day of ■ :u • (.4 = ai •
•
Public ,.o ° •,, Aiflt:RT MORENO ( / / F v �A
.1 �,:: Notary Public-State of Florida Notary Pu•lie
m
• ,. Commission#FF 239295 '
,,,�o�� My Comm.Expires Jun 9,2019 Revised 01.26.10
•,,„ Bonded through National Notary Assn.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH •
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: '- •a5\ 1 - Permit Number:
Legal Description at.- t-1S-aai • -a5 -)9E Parcel # ( 14(o3 -Q(0 '1
Valuation of Work$ t �c6 Lk Proposed Work heated/cooled
1T eel t:- • .rig*0Q14
Class of Work(circle one): New Addition Alteration air Move '.
Rep , olition ...I/spa ,
_ win, I tor
Use of existing/proposed structure(s) (circle one): Commercial 'esid:' 1�� 5 2016 U .
If an existing structure,is a fire sprinkler system installed? (Circle one): 'e �I ai!r
Florida Product Approval # ! �_^
For multiple products use product approva form
Describe in detail the type of work to be performed: i bbt e4rcz (). D13 c)1
e-tc■51vk it - Nr,v_S t u- pd4s)—a e 1-14- SaA'AF. - ►l,? Ex AoAt . 0
Property Owner Information:
Name: C'L+� it�T l r,� oZ a5\ esk re fast •ilraeh.
Address:
City (�'(c�, tc, t3k t State V—Zip 3.a3'3Phone
E-Mail or Fax#(Optional) C -
ContractorInformation: CONTRACTOR EMAIL ADDRESS: J Dj n L v�tt So1�►t{l,net
Company Name: ..JO`%( o U '-A t, if C Qualify' g Agent: `'!l--loti`1'
Address: \1J-3 A5 rr A,•-lu, 31-dD l' 4-VII City 1= State FL Zip 41-15
Office Phone ..-A'a•,- ?73a Job Site/Contact Number "Act-a 13"7 Fax# -D)-o—"3.1v1
State Certification/Registration# CC•C U 5' it 60
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 cer•t 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 is commenced. I understand that separate permits must be secured for ElectricalWork,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 IMPROVEME►•
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT .
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC : 4
COMMENCEMENT.
I hereb cert that I have read and examined this a placation and know the same to be true and correct. All provisions of la and ordn,cnc over ping this
type ofwork will be complied with whether specified herein or not. The granting of a permit does not presume to give a tthority toolaor cancel the
Provisions of any other federal,s' e, or local law regulating-onstruction or the performance of construction.
•
/ +�_ to �''' ° o,.
signature of Owner . ._ ¢, W m ¢, o
A-- Signature of Contractor 1��A o
'Tint Name C 2 1�
/ �, Z I.
-13 Print Name s .�,•2 o cr =
wr"7
�efsr� ni Before me ° —ii s �' =
cl i z
s . ill: , of 17Ee-r;-evta Fc,,c , 20 15 this 3 Day of i : i U� (Z r\' /(P
LA v? 4'11:.N^r i;RT MORENO 1a 1. �►�■ `•
•to y Public ;�� ,.� Notary Public-State of Florida Notary P .•
Commission#FF 239295
' ..", ,T My Comm.Expires Jun 9,2019 i Revised 01.26.10
",''��'• Bonded through National Notary Assn.
/ - .I 1 ATLANTIC BEACH
4iveimbow f
,}
PERMIT RECEIPT
6j
PERMIT DESCRIPTION: REPLACE DECK SAME FOR SAME
PERMIT NUMBER: 16-DECK-14
PAID
ADDRESS: 2251 BAREFOOT TRAC
JAN 14 2016
OWNER:
CITY OF ATLANTIC BEACH
DATE ISSUED:
FEES DUE:
PLAN CHECK FEES $54.71
BUILDING PERMIT FEE $109.42
STATE DBPR SURCHARGE $2.00
I
STATE DCA SURCHARGE $2.00
Totals:
$168.13
MAP. SI_ J WING BOUNDARY . URVEY OF
LOT (c7-5— BLOCK - AS SHOWN ON MAP OF
CC. ,46.4....j,mot.a4.__Ac_._ v L.._.1 V-T" — '�v o
•
AS RECORDED IN PLAT BOOK 4Z— PAGES 13- (3 C)OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED FOR: 1Z�►_.-„.._, -‘-, t7). c 1 - r■--k Z-711-) .a.�, -, 1-(Ac L� • a,d,�� c r• E°.-v--,2
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NOT VALID L ■(LESS EMBOSSED iV1T11 SEAL OF THE UNDERSIGNED. BEARINGS BASED ON —l .1 LINE AS SHOli
THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE X— AS SCAT FD FROM FLOOD
•INSURANCE RATE MAP 000 I FOR. ..-cc._A-L_A-r L c.— c5c—L.4. FLORIDA, DATED z4.-- r-1 -cEPi LAND SURVEYORS, INC.
8411 BAYMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235
LEGEND
I HEREBY CER71FY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY
II cavc MON RESPONSIBILE SUPERVISION AND DIRECTION, THAT THERE ARE NO
ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN
(SET W7H CAP if LS 4144) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY
—x—FENCE THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECTION
o IRAN CCt(FOUND) 472.027, FLORIDA STATUTES
0 CROSS GUT
&RL BUILDING RESTRICTION LINE
ESM7 EASEMENT LARRY G. EDDY, P.L.S. No. 4144•
R/1✓ RIGNT--0E-WAY z
�� COVERED AREA SCALE ` ' o
4101-111-Y& 7
q CENTERLINE �_
A/C AIR CCN 'nGYJwc PAD 'EGISTE:'701r URVEYOR S ATE OF FLORIDA
(R) RADIAL DISTANCE DATE: —I'(O-C:k J
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