1627 SEA OATS 2016 SCREEN ELCSURE S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -SCRN -265
Job Type: SCREENED ENCLOSURE
Description: SCREENED PORCH
Estimated Value: $35,000.00
Issue Date: 3/7/2016
Expiration Date: 9/3/2016
PROPERTY ADDRESS:
Address: 1627 SEA OATS DR
RE Number: 172020 -0132
PROPERTY OWNER:
Name: MCGOWAN ET AL, JEFFREY A
Address: 1627 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: BROADWELL BUILDERS
Address: 335 COUNTRY CLUB LN JOHN PATRICK BROADWELL
Phone: - -
FEES:
PLAN CHECK FEES $112.50
BUILDING PERMIT FEE $225.00
STATE DCA SURCHARGE $3.38
STATE DBPR SURCHARGE $3.38
Total Payments: $344.26
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
TREE & VEGETATION AFFIDAVIT
t y,,yr�f,
City of Atlantic Beach
: � � s) Department of Community Development
J -" Planning & Zoning Division
800 Seminole Road Atlantic Beach, FL 32233
'': RMIT #
(P) 904 247 -5800 (F) 904 247 -5845
/ � pp,,
SECTION I - APPLICANT INFORMATION r Owner(s) t AD Legal Auth�riz€ dgen
NAME OF APPLICANT h`f C _ ()JEL(., 1 •� I vajj
NAME OF COMPANY KOakb )ELL_S 804LiRRS ` ,3 c-
ADDRESS OF COMPANY 33 5 Covf‘Yri2' Cu-38 Ldr') A r(-. t ( rte gEkc-1 -1 6_ 32233
PHONE 9 CELL 904f - gi3- :509 EMAIL b roa d btt I r
d e G,A AIT 4 4 Cl
CONTRACTOR CERTIFICATION NUMBER CQC 1 5 7 3 a3
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II - SITE INFORMATION n p
STREET ADDRESS OF PROPERTY ' ( 2 7 ,S'ffA-013 ibk
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
LOT BLOCK SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC
RESIDENTIAL COMMERCIAL OTHER (SPECIFY)
1 affirm that 1 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 1 have participated in a pre - application meeting with the Administrator of those
regulations. Subseque 1 , I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and /or removed
from the above - r* - d o; 'cent pr'perties in con': nction with this project.
A
SIGNA R OE_ O 6∎WITER n re A e 7D . " SIGNATURE OF OWNER
Sig -d and sworn before me on this 7 day of i , 2 e /6/by , \ C
7 J ' �int of ij '
_ — 4111JJJ 2�'
Identification verified: F EB '1 • ( 4. low Illik
Oath sworn: E Yes �7 i .
� . � I i
ei., Notary Public State AFiSteri feSig . ture ill 1
Shirley L Graham
•
M Commisaron FF tam mr•.ion expires:
REV - TVA- v10.12 � Exprres02nai2ot8
BUILDING PERMI
, 'M'' _ - ,. T APPLICATION
• Fp r ty
w! CITY OF ATLANTIC BEACH
' i 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: i G a 7 5E A C A i S tJ 3t) /G - 5c,Qg/ ' 76 $
Permit Number:
Legal Description 361.04 /16111.4 U/0. Lot 8 Qc,I,q < Parcel # 17 Z020*- 0132-
Valuation of Work $ 35, OOo. Proposed Work he t no a
ed /cooled t
non - heated /cooled � 0
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial R
If an existing structure, is a fire sprinkler system installed? (Circle one): • es tip N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: ScR CEIJ FO 1A/00b PRA, s -- :. , ,r ; y r
Property 'lip
iI
roperty Owner Information: if f
J
NameJEFF2 i Crow l}n/ Address: 160 27 St OATS 1
CityAn_vi.oTIL R0,4CN State F' I,Zip 32233 Phone 3S'2 - 3i .- 0 •
E -Mail or Fax # (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: QROAO id S Q O t> I Jj')C, ^ p
Qualifying Agent: �/) j R� .Ji !)RvA
Address:13 5 C.ov J1y CL-013 LA) Cit AT- eVT2T_ RENO State FL-, Zip 233
Office Phone 964 el 3' C 97 Job Site/ Contact Number .•>aME. Fax # 904 - 241 ' Z$ 23
State Certification/Registration # C13 G 1 Z 57 323
Architect Name & Phone # GFAATz' VER ' VER 6 E ✓ (° 04,) 24G — 115 0
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. 1 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 fFork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to iv- hor'ty , o violate or cancel the
orovisions of any other federal, state, or local law regulating construction or the performance of construction.
/ 0 1 0
Signature of Owne . �, _ Ad_� Signature of C tractor if
?rint Name TCiG2, 6'7 / 4- { At c 6 Print Name
g 3-. 6POSO ° fig./
3efo e Befoic we
his k Day of C� �t w _ • Dr� �e a of
C t t� ;r. 20! So
h �'+1 r4 Wary rMNa - ilsls of ' , .' �� -
Totary Public • %-)p.,. ' (• ommission 0 FF 19698 o • ry `r 'Tic
My Comm. Expires Feb 9, 2019
so 1 N Ion Notary Assn Revised 01.26.10
- - ..-• , .• , i i vi..., ItL UIxu ut DUVAL CAJUN 1 FLORIDA.
CERTIFIED TO:
JEFFREY A. MCGOWAN Sc RONALD A. CAMARDA • • •-
JAX NAVY FEDERAL CREDIT UNION ...
STEWART TITLE GUARANTY COMPANY I►
RICHARD T. MOREHEAD, P.A.
1 FLE C
SEA OATS DRIVE •
(60.0' RIGHT OF WAY)
FOUND 1/2 IRON PIPE 110.00' FOUND 1/2 IRON PIPE
NO IDENTIFICATION NO IDENTIFICATION •
o
•� ' :-.'-'• 14'24' FOUND 4x4 CONCRETE MONUMENT
• :. f i. NO IDENTIFICATION
' - POINT OF CURVATURE
7 -
1.
a_L Z_•_'.T • • 30' BUILDING RESTRICTION UNE
. . • + • • +L. 22.0'
O v 1• • _ 25.6'
Qo S
ci
11) •_ 0 in
21.4' + ... 14'.. : 1
28.0' o COVERED h % '
LOT 7 id ENTRY "' / LOT 9
BLOCK 5 x — 12.0' ,
'•a ONE STORY BLOCK 1.8.--) a •
FRAME
3 POSTED # 1627
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NO IDENTIFICATION S $9'20'10" W 110.00' D - FOUND, EN11FIRONONIPE
LOT 3
BLOCK 5
•
NOTES: ACCEPTED BY:
LEGEND:
— X — = FENCE
O = CONCRETE
NOES:
1. BEARINGS ARE BASED ON THE PLAT BEARING OF N 89'20'10" E ALONG THE REVISIONS
SOUTH RIGHT OF WAY LINE OF SEA OATS DRIVE.
2 BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X AS SHOWN ON THE DATE DESCRIPTION
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL -001 D
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT do /OR TITLE COMMITMENT
IF SUPPUED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.
4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
- 716117 - 1 - 67T - 1 DATE OF FIELD SURVEY: 06 -04 -97 DISK # ZIP 1 _1 SCALE: 1 = 30'
CERTIFICATE -
/ . 1 ri►` 923 Peninsular Place; Suite 1
I HERERY CERTIFY THAT {i S t Jacksonville, Florida 32204 A)40 MEEK THE MINIMUM TzI:CH 1 CAt STANDARDS AS UNDER BY THE FLORIDA
�!� (Phone) 904 - 354 - 1141 BOARD OF PR SONAL .SURVEYORS AND MAPPER Ay CHAPTER 61617 -6. FLORIDA
(Fax) 904 354 - 1255 AOMINISTRf T E C J OE t Ur S ; 1 TO SEC ON C 472. .rw IDA STATUTES.
C n r;, .
CHARLES K. MCINTOSH
LICENSED BUSINESS 6702 REGISTERED SURVEYOR AND MAPPER # 5502 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
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, , ■ iiLA__,,., IILUUKUJ 1)1 UUVAL CUUN I Y, FLORIDA.
CERTIFIED TO:
JEFFREY A. MCGOWAN & RONALD A. CAMARDA
JAX NAVY FEDERAL CREDIT UNION
STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
SEA OATS DRIVE •
(60.0' RIGHT OF WAY)
•
FOUND 1/2' IRON PIPE 110.00' FOUND 1/2" IRON PIPE
T NO IDENTIFICATIONa NO IDENTIFICATION
,'' �• 14.24' FOUND 4x4 CONCRETE MONUMENT
NO IDENTIFICATION '
.7' POINT OF CURVATURE
I-
-t
— — — a::- T : - -'.� - 30' BUILDING RESTRICTION LINE fD r ,
y. -` .i! ' 220'
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!" • 25.6'
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21.4' 29.0' - . ' 14• • •.7 /����� / // g .
LOT 7 c C 1.
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BLOCK 5 x 12.0 BLOCK95
• 1e ONE STORY
FRAME Ti
3 POSTED # 1627 % / w
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LOT 8 0
BLOCK 5 i9
0.7— x
X -X x x x X0.6'
FOUND 1/2 IRON PIPE \-0.6'
NO IDENTIFICATION - S 89 . 20'10" W 110.00' 0 FON0001 NTIFICATI NPS
LOT 3
BLOCK 5
NOTES: ACCEPTED BY: .
LEGEND:
—X— = FENCE
O = CONCRETE
NOTES: .
1. BEARINGS ARE BASED ON THE PLAT BEARING OF N 89'20'10" E ALONG THE REVISIONS
SOUTH RIGHT OF WAY LINE OF SEA OATS DRIVE.
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X AS SHOWN ON THE DATE DESCRIPTION
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL 0001 D -
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT & /OR TITLE COMMITMENT
IF SUPPUED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED_
4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 1628 DATE OF FIELD SURVEY: 06 -04 -97 DISK # ZIP 1 ._ SCALE: 1" = 30'
CER11FICATE -
��=' 923 Peninsular Place, Suite 1 I HEREBY CERTIFY THAT THIS SURVEY WAR MADE UNDER MY RESPONSIBLE CHARGE
{i Jacksonville, Florida 32204 AND MEET 71tE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
+s (Phone) 904 - 354 - 1141 BOARD OF PRf SiNAL _SURVEYORS AND MAPPER CHAPTER 61G17-6. FLORIDA
✓ (Fax) 904 - 354 - 1255 ADMINIS1RA1tpE Ct;DE PUS Awl TO SEC, ON F IDA STATUTES.
•
M ■ �� �al i' U ' { U CHARLES K. McINTOSH
• UCENSED BUSINESS # 6702 REGISTERED SURVEYOR AND MAPPER # 5502 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
1
01 `.-,),; City of Atlantic Beach APPLICATION NUMBER
J Building Department (To be assigned by the Building Department. ,
; i 800 Seminole Road // . SC , J V ! - 2 �
5i s Atlantic Beach, Florida 32233 -5445 �P /
Phone (904) 247 -5826 • Fax (904) 247 -5845
E -mail: building- dept @coab.us Date routed: 2 /c/ /0
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l(0 27 ' $ 4 et. 15 Department review required Yes No
:u
Applicant: WrDAdA)gii f,�� �� • ning & Zoni�
-e A dministrator
Project: <Se e / 1/6 /'6 C / fblic Work
,i c Utilities
e
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: Approved. Denied.
(Circle one.) Comments:
u ,mil l�.t.0'►
BUILDING
PLANNING & ZONING
Reviewed by: _ Date: 7.
TREE ADMIN.
Second Review: ,G Approved as revised. 'Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by� Date: ,7/3�1
FIRE SERVICES Third Review: 1 (Approved as revised. 1 Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
1!J j n
Phone (904) 247 - 5826 • Fax (904) 24 -584 City of Atlantic Beach DDr�y 5 APPLICATION NUMBER
�S , * ; Buildin Department I�
n� 9 Ej ��+ (To be assigned by the Building Department.
� .
800 Seminole Road FEB 0 / V _ P " Se,e 2 6 ,
-6v' - . Atlantic Beach, Florida 32233 -5445 4 2D 16
\Jsii E -mail: building- dept @coab.us By Date routed: 2 el /�
City web -site: http: / /www.coab.us _
APPLICATION REVIEW AND TRACKING FORM
Property Address: 162 7 `J ‘,.. D 4.1.6 Department review required Yes No
uildias)
Applicant: :; did4 ping & Zonin
ree Administrator
Project: te ei /ve ( e /i.. ublic Work
Utilities
At# i ,J 1/l III-1-6 f 7 Y
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: 1 (Approved. Denied.
(Circle one.) Comments: ye, ' 4 ,ta W..
BUILDING "
PLANNING & ZONING
Reviewed by: *e.-- L_ � f' ��'' �-- ` " Date: 21/4
TREE ADMIN.
Second Review: Approved as revised. 1 (Denied.
PUBLIC WORKS Comments: ✓Q� /'2'/A G /_ / /„ .
PUBLIC UTILITIES 1���7�/ f� !,(� c
PUBLIC SAFETY Reviewed b : ■ ,i / , : ae. ''
FIRE SERVICES Third Review: 1 (Approved as revised. 1 'Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
-sr 4,. - City of Atlantic Beach APPLICATION NUMBER
l� Building Department REC V ,D
(To be assigned by the Building Department.
800 Seminole Road // _ � n ,e� - 2 6 si
j Atlantic Beach, Florida 32233- 5445 4 ZDj6 �P (�
Phone (904) 247 5826 Fax (904) 2417 584
E -mail: building- dept @coab.us 1 Date routed: z c3 /7
City web -site: http: / /www.coab.us
...mow -;
APPLICATION REVIEW AND TRACKING FORM
Property Address: J(i 7 ' g 4_ 4 Department review required Yes No
ildin
Applicant: g',OptdA)gn 4,1/ U l o s Wing g & Zonin
administrator
Project: ,Seet i v6. 1e C L -ublic Works
... Utilities
-1. _ ey
Fire Services
Review fee $ 21' Dept Signature X
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:
APPLI ATION STATUS
Reviewing Department First Review: pproved. 1 ]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: ' ' Date: 2 4j 1
TREE ADMIN. Second Review: 1 (Approved as revised. I 'Denied.
LIt. /yRRKS Comments:
PUBLIC U (CITIES
2 — ii,
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I (Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
rs�= L�;,, City of Atlantic Beach
s Building Department APPLICATION NUMBER
(To be assigned by the Building Department.)
800 Seminole Road // I SC � _ /V �
/_ 2'
4 ' ��` „ Atlantic Beach, Florida 32233 -5445 �P
Phone (904) 247 -5826 • Fax (904) 247 -5845 /
�,0 ;WY/' E -mail: building- dept @coab.us Date routed: 2 /c� /'
City web -site: http: / /www.coab.us /
APPLICATION REVIEW AND TRACKING FORM
Property Address: A 2 7 `,J g Department review required Ye No
uilding
Applicant: &Ad /) /f 4, /(.4 es Wing & Zoning
dministrator
Project: ,e t /V,. /d C /L - ublic Works
Utilities
-y
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 J
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: proved. ❑Denied.
(Circle one.) Comments:
UILDIN
PLANNING & ZONING
Date: / Jj //6
Reviewed by: /� %
TREE ADMIN. Second Review: J Approved as revised. 1 ID led.
PUBLIC WORKS Comments:
PUBLIC UTILITIES • PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: 1 'Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10