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2293 FAIRWAY VILLAS LN N - SHED PERMIT r CITY OF ATLANTIC BEACH f800 SEMINOLE ROAD � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SHED PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-SHED-1475 Job Type: SHED PERMIT Description: SHED - 10' x 12' WOODEN Estimated Value: $3,100.00 Issue Date: 7/22/2016 Expiration Date: 1/18/2017 PROPERTY ADDRESS: Address: 2293 N FAIRWAY VILLAS LN RE Number: 169398-1098 PROPERTY OWNER: Name: CARROLL, WILLIAM Address: 2293 FAIRWAY VILLAS LN GENERAL CONTRACTOR INFORMATION: Name: BACKYARD STORAGE SOLUTIONS INC Address: 2450 S SMITH RD UNIT QA GARY D. WEST 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. Full right-of-way restoration, including sod, is required. FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $32.75 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $65.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. LAN tr. fel e, CITY OF ATLANTIC BEACH is 800 SEMINOLE ROAD j zr ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $248.25 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • r51av1/2, City of Atlantic Beach APPLICATION NUMBER v - - - Building Department (To be assigned by the Building Department.) r , 800 Seminole Road y . Atlantic Beach, Florida 32233-5445 CO—S R 0- ( !s V Phone(904)247-5826 • Fax(904)247-5845 E-mail:vz '�a;i�-j E-mail: building-dept@coab.us Date routed: t 2 Mit o City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z Z ai3 F'4/fZkJAc/ Vr ( S Department review required Yes No Buildi a� Applicant: 6 e(� i,qt�-UJ STOWt66.-- �boLt)ll tanning &Zoning� Tree Administrator Project: S HErn - 1c) X 1 I Z u Iic Work � blic Utilitii 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ,04/ TREE ADMIN. Second Review: ❑Approved as revised. nDenied. 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 • S �`rri„ Cityof Atlantic Beach APPLICATION NUMBER dr _ • Building Department (To be assigned by the Building Department.) ti `s 800 Seminole RoadCo--Si-- • r, Atlantic Beach, Florida 32233 1 Phone(904)247-5826 • Fax 4)1.0f4-5845 / 7 ft o;i�jr E-mail: building-dept@coati. 2 8 2016 Date routed: tD G. co City web-site: http:// .coa s BY: APPLICATION REVIEWAMXTRACKING FORM Property Address: z z9.3 Fiil2tt4( V( L.( S Department review required Yes No Buildi� Applicant: PDAeKy ) SI-0246G SOL0c70 ' 'anning &Zonin� Tree Administrator Project: HE—r — ICc x Z ( u lic Words obi lic U i itie 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: [Approved. ❑Denied. (Circle one.) Comments: fee Altdd LOx�xlP�rl BUILDING , PLANNING &ZONING Reviewed • i / mpr 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 . ( g?) City of Atlantic Beach APPLICATION NUMBER Building Department r F '�/ (To be assigned by the Building Department.) sal `V 'i: '.,,', ? 800 Seminole Road GO— c H 0^ i 41 "75 � Atlantic Beach, Florida 32233-5 fI'Af �J v~ Phone(904)247-5826 • Fax(TI )241J 42 8 2016 // ' /.7.01119%- E-mail: building-dept@coab.us Date routed: Ca mri i City web-site: http://www.coab.uty: APPLICATION REVIEW AND TRACKING FORM Property Address: ZZ 93 F4i113#c11 'Lo-5 Department review required Yes No riuildi Applicant: eacte,Kyop_i) S"---(bP46;GSOLLyri lanning &Zoning Tree Administrator Project: S Her) - ICY x 1 Z ( ` ublic Worr-ki) �u is Utilitie Public Safety Fire Services Review fee $ P.- Dept Signature .n,\ 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: APPyCATION STATUS Reviewing Department First Review: I Approved. ['Denied. (Circle one.)) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: ‘40t TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ca.C..:Wt:::fy Comments: /� UTILITIES PUBLIC SA ETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: 2evised 05/14/09 I 'rt�:�,�t;yf, City of Atlantic Beach APPLICATION NUMBER �• ;. '. f� Building Department (To be assigned by the Building Department.) W `� 800 Seminole Road / _S�{ '_ 7s ; ' '- . r, Atlantic Beach, Florida 32233-5445 lD �, Phone(904)247-5826 • Fax(904)247-5845 / \-4:-)72-19%- c0 E-mail: building-dept@coab.us Date routed: MI City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z Z 93 F4IIzLkJcy L S De•artment review required V f 4-Build `�- Applicant: 6Pt�Ky�� STOP 6 SoL077 •.:��lannin. &Zoning _ Tree Administrator Project: S HE--,--r) - (L) x 1 Z ` ! c Wor s 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: roved. ❑Denied. (Circle one.) Comments: BUILDING � PLANNING &ZONING Reviewed by: /�/i ' Date: 7 ' ' 16, TREE ADMIN. Second Review: Approved as revised. ❑Deni . 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 PY • OFFICE CO >Jv - BUILDING PERMIT_APPLICATION1--------- r CITY OF ATLANTIC BEACH Jv 800 Seminole Road,Atlantic Beach FL 32233 "AZ tui>r Office: (904)247-5826 • Fax: (904)247-5845 (0—SHEo— I 4 `75 Job Address: g2 '3 / ,Y�/��`` L4Y/ 1 �/Y Permit Number: Legal Descriptionp /I-7- !/ibis RE# 4 T9 7c 7g Valuation of Work(Replacement Cost) $ 9/©0 OD Heated/Cooled SF C Non-Heated/Cooled /-:2t, • Class of Work(Circle one): Nes Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residents • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: g�,(71, 5 d‘ l d 1 z d130)A/1 /U1."G/ 8‘.(o (c 1 Florida Product Approval# for multiple products use product approval form Property Owner Information Name: !?)a f,4 ,W ea_ /Z Address: Z29-91";. 'r-(44-1/ k//As 24 TV. City AAs/ �/.G /iia ac / State, Zip 1 ZZ3.3 Phone SG 5 ,5`17,5-" E-Mail Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) 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. �f �j Contractor Information: v ( l B --Z9 Name of Company" 4' d5_ fetf Xchtewf Qualifying Agen . Got.i"y Address:/Y/2hf f tJ'. ZO/`4.2.o/W`e►'/� f City 7L, Pc/g2 State Zip /Z 3'276 Office Phone•O7' .-57 ` Job Site/Contact Number 19'LP 7/g re 3 State Certification/Registration# G 2I' E-Mail Architect Name & Phone #/f'c a e fro z-/e) 225 z7 C g Az Engineer's Name &Phone# Worker's Compensation - �CS� - 359 -54 7 3 Exempt / Insurer / ase Emp oyees / .:Lxpiratton Date 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 o jsix(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells, ools, Furnaces,Boilers,Heaters, Tanks and Air Condi' ners,etc. Signature of Property Owner:: Signature of Contractor: 24rio r /4/.�! Before me thisZ/ Day of tJG/d ZD 16 , Refore me this Zen Day of 'W' ie 20(6 Agit 4%1,...,0 BY PA�D•JOE MOEQE atrAGE 1MY COMM SSION f EE 868561 " �' COMMIS EE968561 Notary Publicai-y) e '�' EXPIRES:May 25,4 ry Public. , / ,c 25 2017 PIES: y , ' of i#wk4 mow RA*dewy Swimst , E ttw But twari Send ' I hereby certify that I have read and examined this application and know the same to be true and correct. All protons 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.fecleral, state, or local law regulating construction or the performance of construction. Rev.3/14/16 111111, TREE & VEGETATION AFFIDAVIT 31.=,,,,r OFFICE COPY A , to�< , City of Atlantic Beach - it Department of Community Development D 7 4 :, Planning&Zoning Division 4.,„..4-.L-- 800 Seminole Road Atlantic Beach,FL 32233 J'3 (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION r Owner(s) r Legal Authorized Agent* NAME OF APPLICANT // Geae470 NAME OF COMPANY ADDRESS OF COMPANY 2g 7 I; t?-fGe/� V// .-r 4/J/ X PHONE CELL EMAIL CONTRACTOR CERTIFICATION NUMBER c `,,Z ggIJV ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 2Z' 3 / ,K1-Z-" 7..ac //a J! LAK /L 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 S BLOCK SUBDIVISION E0/•;" G>/gr ///tc L PARCEL SIZE: � REAL ESTATE NUMBER I�73 zr /p v, OT OR ARC S : 51 /e c) SQ FT AC RESIDENTIAL V COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above-de cribed or adjacent properties in onjunction with this project. ., 4_ SIGNATURE OF OWNER SIGNATURE OF OWNER Signed // and sworn before me on this at day of <./u`L�, , 20// ,by State of /---1-Z CV i'/`%GZ Ig Li;a1,4ro LCounty of )0Gt vz.„ / Identification verified: •'';° ,. . DAVID JOE PAGE * s, MYCOMMISSIONSEE868561 Oath sworn: r Yes E No /� s,�' 01._\o: EXPIRES:May 25,2017 �] �� ( / For r,os Bonded TAru Budget Notary Strikes i--411- ' e...e__ i&I.-/(/ Notary Signatu REV-TVA-v10.12 My Commission expires: Doc # 2016140700, OR BK 17605 Page 983, Number Pages: 1, Recorded 06/21/2016 at 11:43 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 169398-1098 State of Florida County of Duval To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: 39-22 08-2S-29E Fairway Villas Lot 49 0/R BK 6020-428 Address of property being improved: 2293 Fairway Villas LN N Atlantic Beach,FL 32233-4407 General description of improvements: Building a 10x 12 wooden storage building. Owner i-tA//•ct,i KjGt,rr-EJ 1/ Address 2293 Fairway Villas LN N Atlantic Beach,FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Gary West Address 1724 W.Broadway St.Oviedo.Fl 32765 Phone No. 407-359-5437 Fax No. 407-359-5478 Surety(if any) Address Amount of bond$ 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 Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b).Florida Statutes.(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 from the date of recording unless a different date is specified): 7/3/2016 THIS SPACE FOR RECORDER'S USE ONLY OWN / Signed:t / DATE fn,�//2 Before me th 21 day of der SLG At" In thiX County of Duval.State of bide,rhas personally appeared 1,,//,'4;a../47 strip/l herein by himself/herself and affirms that all statements and declarations herein are true and accurate ' ";<• , 11 DAVIDJOE PAGE p � 'r tYcoM141$1 <'E866561 ( EXp., ,52017Pam/i tr e- ReallweNheury8ada Notary Public gfLarge.S ' County of_/,i4 My commission expires: Personally Knownor Produced Identification '06'cS A•a f .c e I a-z7f Ati/1/44e7 if`iki ---- 16-,-1-‘41. P17... 1I La A , b F�.7 X 3 r r- 4 4 4100,,ri X --rr .;-‘2 = Li) - 0z-1-- iC it %0,Z )02r iris' -- /0 !0 :1 t ,() up, 0 ,,, / A ,r • :-. rlL X /f, 3 - f00l Alp is kf Po 04.2f li c II( 4 1 1 ‘ w 34_ 411 1 krh(yet4944, /42 x 1. 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