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1270 OCEAN BLVD - PORCH ADDITION PERMIT, 6TT \ CITY OF ATLANTIC BEACH ji it 800 SEMINOLE ROAD 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-RAAR-642 Job Type: RESIDENTIAL ALTERATION Description: PORCH ADDITION Estimated Value: $60,000.00 Issue Date: 4/6/2016 Expiration Date: 10/3/2016 PROPERTY ADDRESS: Address: 1270 OCEAN BLVD RE Number: 171823-0000 PROPERTY OWNER: Name: STONE,MITCHELL A & CHRISTINE L, * Address: 1270 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: SIGNATURE HOMES & DEVELOPMENT Address: 731 DUVAL STATION RD QA REX JONATHAN WILLIAMS Phone: - - PERMIT INFORMATION: PUBLIC WORKS: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control Inspection prior to start of construction. All silt must remain on-site during construction. Roll off container company must be on City approved list and container cannot be placed on City Right- of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and Sunshine Recycling.) Full right-of-way restoration, including sod, is required. FEES: STATE DCA SURCHARGE $4.80 STATE DBPR SURCHARGE $4.80 BUILDING PERMIT FEE $320.00 FRAN GhiE846f6ELSILY IN ACCORDANCE slim cia CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. in- As 4- a ��`o CITY OF ATLANTIC BEACH Al :�' 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $489.60 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0t , �, City of Atlantic Beach APPLICATION NUMBER ,), .±�. . Building Department (To be assigned by the Building Depart rent.) At 800 Seminole Road /6- ed Ae— i/ . -. „ Atlantic Beach, Florida 32233-5445 ft W Phone(904)247-5826 • Fax(904)247-5845 2/��//ea 1-j E-mail: building-dept @coab.us Date routed: e1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /2 76 O e f Department review required Yes No ,�� '° 1 din• Applicant: ' /V Li,/�.C.; %�Lrs S: : ning &Zonjng7 / ' Tree Administrator Project: PO,Q eL - �1 P.• icw :01•:.s0illfiRs 7“(bVI -Xi5fn Torch A Public Safety Nd g ` 1 Fire Services Gq 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: BUILDING PLANNING &ZONING Reviewed by: 4,. (�/ Date: //i//( TREE ADMIN. 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: Revised 05/14/09 01.An-.,, City of Atlantic Beach APPLICATION NUMBER as Building Department (To be assigned by the Building Depa ent.) s800 Seminole Road - ed 4 6 z�� - -- � Atlantic Beach, Florida 32233-5445 /� Phone(904)247-5826 • Fax(904)247-5845 //�//&'-.U.r V. E-mail: building-dept @coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /2 70 C e f Department review required Yier No ildin• Applicant: /✓ �� ing &Zonis• ree Administrator Project: I)/2 tit. --1—; _P.• is W. .4-74Ovi 9 £X IJl hh porch t. Public Safety ` Fire Services e ,Na /f D. e46 J� 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: :UILDIN� It) 0 PLANNING &ZONING Reviewed b /1'� 1 Y Date: $1 z Z,/.6 TREE ADMIN. 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: Revised 05/14/09 • City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building De art ent. �, � Building Department , �;- _ (T g y g p ) 800 Seminole Road 'j // _ E',4'4E'- Phone 4hFlorida 32233-5445 + ) /(Q(904)247-5826 • Fax(904)247- 5 I $ 2016 LIr E-mail: building-dept @coab.us Date routed: %//6 //e0 City web-site: http://www.coab.us APPLICATION REVIEW AN ACKING FORM Property Address: /2 7o O e 4') Department review required Yes No /1 Applicant: /1/' % 5 ning &Zoning Tree Administrator Project: f tJ4 P is works £X,5 T7r) -porch Public 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: 424proved. ❑Denied. (Circle one.) Comments: ��, BUILDING'` l#ir a coda PLANNING &ZONING Reviewed by: Ni Date: 3/Z3 If TREE ADMIN. Second Review: nApproved 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 05/14/09 , • 1• A., City of Atlantic Beach ---_., APPLICATION NUMBER Building Department . - (To be assigned by the Building DepartJnent.) :Oh:Seminole Road 4,Jq � 2" � Z- .. tlntic Beach, Florida 32233-5445 45 R I s ne(904)247 5826 Fax(904). X1, //ea o• E-mail: building-dept @coab.us �'� / Date routed: City web-site: http://www.coab.us `. � APPLICATION REVIEW AND TRACKING FORM Property Address: /2 70 D e f 4-0 Department review required Yes No `�� ; idin• Applicant: ,..- ,`ML--i ILA %� ing &Zoni ree Administrator P.. is W. Project: �� k, � 19• iiin(iilt-Mow 7 4 OV, £X,5+1' To rch A Public Safety ND AD2'146 ` q lir9' Fire Services Review fee $ Dept Signature : .: Review or Receipt Date Other Agency Review or Permit Required 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: I Jproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: /z`` ? fir Y(-�"� Date: �i' l t4 TREE ADMIN. Second Review: Approved as revised. ❑Denied. I� .LIC W KS omments: 'PUBLIC UTILIT S 3-/41 4 PUBLIC SAF Y Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 FILE COPY Office (904)247-5826 Fax (904)247-5845 Job Address: / t / f r `"` Permit Number: L 6 - A�R J y 6 Legal Description '_ -� , . - ' (� , `""` i Parcel# Valuation of Work$ _ F oor • ea o q. t. q. t Proposed Work heated/cooled non-heated/cooled . , 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 ise denti If an existing structure,is a fire sprinkler system installed? (Circle one): Yes irT�i (N/A,/ Florida Product Approval# �/ For multiple products use product approvalform Describe in detail the type of work to be performed: ft` � -,,A, Property Owner Information: ,1��•,.:�, I Name: -i . �, i �, , ;._. City �{j { ��r _ Address: /,,2- t J Lirr�.K,r. 6 I 1/r,,. U. State\A Zip 3,>1):3-'5 Phone E-Mail or Fax#(Optional) • Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name 1. ,. 1 I , ' i x • I ,:e, , -k Qualifying Agent: k;y y I r „ Address: ... ._., � ' _-� , ` , Office Phone City State! Job Site/Contact Number Fax# Zip State Certification/Registration# - - Architect Name&Phone# Engineer's Name&Phone# ,; '--„I _ - 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. hereby certify that I have r'ad an• - amined this a•plication and know the same to be true and correct. All provisions of laws and ordinances governing this pe of work will be comp zed wit' /hether speci • -rein or not. The granting of a permit does not presume to give author o,"to violate or cancel the �•ovisions of any other fe.-ral,sta • or local law egulo ing construction or the performance of construction. i ,r1 , , ignature of Owner Signature of Contractor / int Name c, 1-10-3.tin2 si--0 'n E' Print Name ,fo :, e arc/-1 , Bd. - is ► , ay o At 20 thi* .y of I / (Ch 20 �7 ."��„- TT.„, TiRTT#1r 7...r. I. / .; - nary L1 ��JNO:� ,te of Florida Notary Public �► ' Y Pie, Notary Public State of Florida ` ^4v omm s ioo FF 088990 de b ,�'tl icy L Graham r/•04,6111,"E pima.02,1,/2018 tA 'y f+rsy C nmmrssrno FF 086990 •o+^�a - - . . 0 1 S. '6 ' ',.,,-rr,•.n',,en,^nsa LI 7 0 oted.4 141- 4 - /eV Woz L# 9- r x 4,2 9e/4,2 1/0 ve se % oe,a ciffle spay X ?o,x' itq' 2T7v fitivfla I Y G..$21- -a 144§017 21.r )1 10/ , „ : 4_lltv >r-17/Y W , • 402, > IT/ a rte` iliet4;1'. A ( AI/ \ 3y0 -411-44v4te 3 k I k 2.1 / .3691-717 171 t1`f8vi 1001 t 3 '�m it 3 -.21./4 - fh �o Ocean Blvd - Google Maps Page 1 of 1 Google Maps Ocean Blvd • h 1 i k w Google t; Image capture:Dec 2014 ©2016 Google Atlantic Beach,Florida Street View-Dec 2014 Q.b �a, t 5 1270ce 12th st F I l th St Google Maps https://www.google.com/maps/place/1270+Ocean+Blvd,+Atlantic+Beach,+... 3/17/2016 <13 -a - 0 Xk' r p O>N n ____ NW°O7'11"E 6277' < m iri - D o � O n s r _ =m O - 0 <o w - -- p 3 5'BRL , -- _ E c O m .c C - tj _m O O� O s m Z m I � z < g �` ; ° of T =m v o m „_,,----- m-,o <y > .i x -a , Z w fn m m t N C A:, a m _ ,'-� OT v m O D y v+ f'71 �`� T o i I 11 P� A JG-n b • T Z rit o• o n Ii' s 0006 `i) L I t( -T_. I I ... o o A A 8i; o o 7 v -, v v i w N m 9 $m $ I II O m CO m p O m '® ,,,,,, � N x3 w Z O �o 1 I 1 ' I I— 1 m C mr 3 Z o, WI C• w w N D <<n D O '� �' T T A O � � 0 Z Y M. r„ , m I n g Z + III T o 0 o O I • 000a I Li_ 000 I ri_ / BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904)247-5845 Job Address: / i r Permit Number: Legal Description J -�-- �' �-; (•, y : Parcel# oor A ea o q. t. t Valuation of Work$ j:. Proposed Work heated/cooled non-heated/cooled /' Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial c\Re is denti If an existing structure,is a fire sprinkler system installed? (Circle one):� Ye, 'N) <N/A;' Florida Product Approval# �// For multiple products use product approva orm Describe in detail the type of work to be performed: ft r;:1,, 2'AL.,',"rr J ,„ 7,-4;-; Property Owner Information: f l Name: �,, 1 r.,__ s, ■1 c 1 , -1 ;f- i-. i'., (i<t I City I ;• Address: �:� i.� 11r{ Ci i 4 i.,...1 (1,.t, State' -( Zip 3:,633 Phone l E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: ,, 1 Company Name '��; ,),P� ._ .: l I.VC i 0:e,.t.. l Qualifying Agent: k,F r• ! . J g g „ r Address: - ,( r -u- City ;%,,. State I- Office Phone - - Job Site/Contact Number Zip ` State Certification/Registration# - - r. Fax# Architect Name&Phone# Engineer's Name&Phone# „�_ _ , ': f<,; • , 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. hereby certify that I have r'ad an. • amined this a.plication and know the same to be true and correct. All provisions of laws and p,rdinances governing this pe of work will be comp ied wit hether speci. . -rein or not. The granting of a permit does not presume to give authoriq'to fiolate or cancel the -ovisions of any other fe.-ral,sta or I.cal law eguls ing construction or the performance of construction. 1/ ,r r/ , yi / ignature of Owner St1) Signature of Contractor `,�/.'"L /int Name e, J (1J4112 I) --`' , ; Print Name . ,� � / is :4, arch Bef. �/ , 0j 1 r Q is :ay o ark 20 thi� �.y of 1 l.fJ 20 1• ' 7'44 ` i1 l J p4^' + No. - to of Florida )tary a e Notary Public Wi• " • YNCS, Not?.ry Public State of Florida `-' '* ' �Ay Com 2/14/2 FF 080990 G ? ey Graham ''4-0';'(.0.:3 cxpiros02(14!2013 • :A . 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