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1964 SEVILLA BLVD W - SCREEN ENCLOSURE � , CITY OF ATLANTIC BEACH �� ss 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-SCRN-1514 Job Type: SCREENED ENCLOSURE Description: SCREEN ENCLOSURE WITH COMPOSITE ROOF Estimated Value: $9,224.00 Issue Date: 7/27/2016 Expiration Date: 1/23/2017 PROPERTY ADDRESS: Address: 1964 W SEVILLA BLVD RE Number: 169462-0415 PROPERTY OWNER: Name: BROCKWELL, PAUL HEATH Address: 1964 W SEVILLA BLVD GENERAL CONTRACTOR INFORMATION: Name: 5 STAR GROUP Address: 3740 ST JOHNS BLUFF RD S Unit S UNIT 4 Phone: 904-214-6866 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, Shapell's, Sunshine Recycling and Waste Pro). Full right-of-way restoration, including sod, is required. FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $48.06 iltItlE+1U-,/, giPgj..)ITIAL- 444. AN,( 1;Stt'IQ1PQ1.1. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA [WILDING CODES. mil �;' , ,.JJ� , CITY OF ATLANTIC BEACH =, '� 1SJ800 SEMINOLE ROAD 0 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ../ Jiil9r BUILDING PERMIT FEE $96.12 Total Payments: $294.18 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER A Building Department (To be assigned by the Building Department.) r �l 800 Seminole Road _SC p C 4- Atlantic Beach, Florida 32233-5445 Var / I� J Phone(904)247-5826 • Fax(904)247-5845 `<o;i1>%- E-mail: building-dept@coab.us Date routed: ©� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1964 V I u.. c 8(43\4 De. .rtment review required Yes No Applicant: S S i P-2 e(21J v P LLQ fnanning &Zoning _- /� -- A dminls ra or _- Project: �CC„'�-� �L.7c�LOS 0 rPublic Works • 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: 111 BUILDING PLANNING &ZONING Reviewed by:��s.--,rel L/�� Date: Z7irt)// 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 i.Anri,, City of Atlantic Beach APPLICATION NUMBER , �1 Building Department ' ECE1 E (To be assigned by the Building Department.) rjiS• iAtla tic Beac Road �I ' 1��C cKN) -154- �r Atlantic Beach, Florida 32233-5445 J Phone(904)247-5826 • Fax(904)11584LJL 13 2016 •' usilEP- E-mail: building-dept@coab.us Date routed: 7/ // i web-site: htt ://www. YY Cityp coab.us BY: APPLICATION REVIEW AND TRACKING FORM � Property Address: 19(A 1/'I l (..{a. LAA(A1/4 Department review required Yes No :.' .',. Applicant: S S T Pc2 C;2.a 0 p L-Lc elanning &Zoning � ,^� eeAdmiriisfrator � Project: x`2� C,ADc_f_DS 0 G (rublic Works ..., ie. . le i. is afety 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: See #044-Vi ��/�G/� /r„�� � �J BUILDING �7f/ ` (.V t�L�/ PLANNING &ZONING �X,-� / Reviewed by:_la) Date: .6 TREE ADMIN. Second Review: DApproved as revised. [1]De led. PUBLIC WORKS Comments: PUBLIC UTILITIES 0 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: • Reviewed by: Date: 0 Revised 05/14/09 i ■ r51.m;7 City of Atlantic Beach APPLICATION NUMBER \ BuildingDepartment RECEIVE!-�`', ��.' p 1 (To be assigned by the Building Department.) i< ,) 800 Seminole Road JUL 13 2016 i f�j--SC(�Ki AS �-. err:;: /: s� 4 . Atlantic Beach, Florida 32233-5445 .� Phone(904)247-5826 • Fax(904)247 5 • 0109,- E-mail: building-dept@coab.us BY: Date routed: / S i (j, City web-site: http://www.coab.us — APPLICATION REVIEW AND TRACKING FORM Q, Property Address: 19(04-- v I u, ot.(fj Department review required Yes No Applicant: S S( 2 Gt�.ocp L al_ tanning &Zoning ee Adminis ra or Project: gCC. ...> C„ O5 U 2.c Public Works r""Ol1s -le 1• is Safety Fire Services Review fee $ , Dept Signature 5z.,. 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. I 'Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: t,/ V 1� Date: 7 /1 I �� TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. 9 PgUTlWl WORKS�. Comments: !ice/ P ES PUBLICS FET iP Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 s�:Lv;,, City of Atlantic Beach APPLICATION NUMBER :Js r • Building Department (To be assigned by the Building Department.) ` 800 Seminole Road C p N) 45 ,J Atlantic Beach, Florida 32233-5445 1� y— Phone(904)247-5826 • Fax(904)247-5845 l':!..91/19',' E-mail: building-dept@coab.us Date routed: I _ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 19(64-- V I l.cc4 C3L10-)Q Department review required YleisC No Applicant: S S(pr12. C-N-NiaoopL L Q.. fanning &Zoning e_Adminisfrator Project: C.2;t`�OS(fie Public Works .,Elf .1e 8. afety 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: I roved. (Denied. Ci - . e Comments: BUILDING / ) / PLANNING &ZONING Reviewed by: ill Date: TREE ADMIN. Second Review: ['Approved as revised. I IDe d. 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233I t 4_, Office(904)247-5826 Fax(904)247-5845 f (67 C N s Job Address: 1(1 Vt." Sevit a -S\vd w • _Permit Number: _ Legal Description �s-� 0 '�- +lI�E,A-riS Uhrfi2 Par el# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 122-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 estdentia If an existing structure,is a fire sprinlder system installed?(Circle one): es o Florida Product Approval# For multiple products use product approval-form Describe in detail the type of work to be performed_,,1'ee eVtAoS '. jeoinfar r OSIE Property Owner Information: Name: l )Ve &U AA ner Address U(;` •�1VCA• W• Citytir-t & State Zip 3Z23i3 Phone Gly-$fly--3g E-Mail or Fax#(Optional) �S Contractor Information: Company Name: 5 Star Group,LLC Address: 3740 St.Johns Bluff Rd S Ste 4_City Jacksonville Agent: Benjamin Walters Office Phone 904.215.6866 J b te/Contact Number State FL Zip 32225_61 State Certification/Registration#� 13 Fax# 904.619.8373 Architect Name&Phone# — _ Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage t.coder Name and Address_ -- — Application is hereby made to nhta;., pe,•,,,,r to do the work c opermitand t allo obtain will bem f °k acrd installations a indicated. I certin,that no work and void if work is not commenced within sir(6j months, or if consstrcuctrion or work is sus ended or abandoned/o, o Period work is commenced. I understand that separate permitsOnrteet�a etando�do of all regulating const uction in this juris �ionG�Thr- Piet ui anecom t 17e n or installation has commencedpermit prior so the mat nf bc Tanks awl Air Conditioners,etc. M, going,signs, ells, Pools, Furnaces,Boilers,!Heaters, WARNING TO OWNER: YOUR FAILURE TO COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE A NOTICE OF TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN YOUR LENDER OR AN ATTORNEY BEFORE RECORDING CE FOR IMPROVEMENTS O'(TR ®TILE OF COMMENCEMENT. I hereby f cert that 1 have read and whether this application and/o:ow the same to be tare and correct. All rov Ih e of work witcompliedave e,gmine s Bis red herein or not. The grantin p i 'tons oflaws and ordinances provisions o a k any other federal,state, or local law re ulatin construction or the g g gfol a permit does not presumes'to gree outhoriw to violate�orvconce/tike per performance of constrtretion. Signature'of Own,;-. /, Print Name Signature of Contractor ' Swo o and subscribed Print Name Y-1lo this Day o f Ty fore me Sworn(O and subscribed 4------4. this . a. Notary Pubidro, Da _ fore me �� ,aP: i^Y COMMISSION#FF � i� ,+ot'f� Aw 1 060698 Notary p .! 1 N ALYSON ,a R,. EXPIRES October 7,2077 �, 0 - wi:EFI (ao7)aft-m.3 FioritlaNnrary3ervlCe.COm .... _. _ . A•.. `•.s;� 0a�� I:XPIB�S O � - - µ•„iii..• � -i (eon)y , evi }i,QNQfctaoa��ber 7,2017 `rQWICe.cpm NOTICE OF COMMENCEMENT State of l9, t i Tax Folio No. —_ --- County of-buva..A 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:L P ._s-- .1 1 0 c_ t et1'-E a_alt 02 Lot Address of property being improved: I-1(P • I i 3-4 z General description of improvements:` e 1 ,ppb• .roC' _— Owner: L7�IS�L In�.lr — Address:I el 04 Sevilla. 11I va• W • '32223_ Owner's interest in site of the improvement: S1d0.'Ce. (Z e.ALtSt dY1 —__ Fee Simple Titleholder(ifother than owner): — — — — — Name: , OJMd In NE1/4,A,lt S — — Contractor. •(L __ Address:31 al t? Si -"CY1Yl$ ZIa+ 126- S- STE '- T ati-CCNv(IR s22 24 Telephone No.S„?y.2.15• (p 43(oeP Fax No:C(Oy. l0g3.7 • Surety(if any) —_--- — Address: _ - Amount of Bond$_ — Telephone 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: — — — Telephone 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(2Xb),Florida Statues. (Fill in at Owner's option) Name: Address: — — - Telephone 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): —.—. THIS SPACE FOR RECORDER'S USE ONLY OWNER — — VINOC— Date: 6((M I IS. Before me this_-(� day of in the County of Duval.State Of Florida has personally appeared Doc#2016151137,OR BK 17620 Page 229, Notary Public at Large,State of Florida,County• Duval. Number Pages:1 My commission expires: ___ ��^ Recorded 07/01;2016 at 10:00 AM, so lly Know�i'� r";�'J�r _ YGON WAILER or Ronnie Fussell CLERK CIRCUIT COURT DUVAL -( .::.,•. : 20,-"," on: r'! " �_,� X CO,, COUNTYEXPIRES October 7,2017 RECORDING$10.00 *"^°=•'-`•"' (407)399.0153 Florida •:.com /94, y _ieiv;4_ 04. Lo7L- ACD .490 /480_0 kaad 3.r x ,1623,z two 24.3 X /0 d .Z b3 > 244/1 Botth 31 X 6..r' y -11011 arimai /6 +1-2- / f,,Z1 /6 z- 1Y. .z.27 '// ,e if k r z e 9 d _fib t,. TREE & VEGETATION AFFIDAVIT \ ,' City of Atlantic Beach i� _ _..4v-w,_. Department of Community Development \, .. Planning&Zoning Division :-, 800 Seminole Road Atlantic Beach,FL 32233 JjisS) (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION Vner(s) Legal Authorized Agent' i /' NAME OF APPLICANT ' rg L�,/�fl/N e_ NAME OF COMPANY i t)(9g 6 ��,LF/,, _p�t3ct rpm/ LG r� i ADDRESS OF COMPANY '7�t" 3-r:, l;7 4A� -86,4,q-V5• !/U�_iI / PHONE 192f,.G,If.)` ,81/00ELL got 2,5/'?/04,v EMAIL � tt° ttilo>`T�(�� sC74L-( CONTRACTOR CERTIFICATION NUMBER eAC /)3i & (1 ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY /fr I 5 Ux(f, 3(y - !' � lao i C- CGS 1 �7 3 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 31 BLOCK £ Lt.11-:__l` SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL / 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 Reach,FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,1 affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above-described� or adjacent properties in conjunction with this project. �—'� ... -- _ SIGNATURE OF OWNER SIGNATURE OF OWNER Signed and sworn before__me on this O day of 3--u.,[4,6- , 20 by State of 171— Salm l County of /CIA Identification verified: f Iry- Oath sworn: its No ''''' °°B''.. or AWN ALYSON WALLERi '4 ►. w., ! MY COMMISSION#FF060698 /._. S'�}. .l 'mac Notary Signature `' I ..', •;;d!;" EXXPME3 0eteb'jr 7,ant 7I. (407)398.0153 FloridallotaryService.com My Commission expires: MAP SHOWING BOUNDARY SURVEY OF LOT 32, AS SHOWN ON MAP OF SEVILLA GARDENS UNIT TWO AS RECORDED IN PLAT BOOK 45, PAGES 7 & 7A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA. CERTIFIED TO: NANCY SUMNER; CHRISTOPHER BRETT SUMNER; WATSON TITLE SERVICES OF N. FL., INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; COLE TAYLOR BANK SCALE: 1"=30' DATE: 02/25/14 CURVE C-1(ACT) G• S43 57'58"E Q�_ CH=80.05' A=80.05' 9�s�� R=3919.72 - •1, 6=110'12" - rAJ Tan=40.02' _ _ ,..S, CURVE C-1(P) = " / �4 S42'02'52"E / <<'9 CH=80.00' 6`�/,.. ,' (3' �� A=80.00' R=3919.72' 4G�1 0 n6.0pe. 'P !yam A=1'10'10" p°°'LP V. 0 ' Iv `° 1 ` ' d ... ;•. 2 WATER METER �4' P ` '�.P�' % ...% �?IV. • FIRE HYDRANT •1�tiy� 9Q C;., 0 dQvo.,j.•i. : a. 1 \- .O \ `L� I uB l� \ .54 •?•• 00 "P� Asa •� FLOOD ZONE 'A• \ \ �\ °`� ?'� lF<FO -c RSG Fy ry S I BASE FLOOD (8) \ \\ , 6' METAL FENCE o �•04'3^ ,,.. O o , , (TYPICAL) 'Po `•v t / QG \+ °'• LOT 32 -.�'5� i 4q;!'" o s, tib I\h p�j`, \ •/ ' O } FLOOD ZONE "X- SHADED /�' �) �� /0,_ ��ti�P .o CURVE C-2(ACT) l C�� _ ----------- < ��\�G N44'10'22"W 'PF —'� FLOOD ZONE -AE" C !vQ' CH=79.96' C - BASE FLOOD (6) L`-_- o'Pos, + / -----_ A=79.96' , ss Q / R=4069.72 A 'o..:'.,.. 6=1'07'33" •16, -0. + ` '„. Tan=39.98' �sr \� Q CURVE C-2(P) \ N44'02'19"W \ CH=80.00' A=80.00' R=4069.72' A 1'07'35" THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS BASED ON PLAT AS SHOWN ON THIS MAP THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. UNDERGROUND FOUNDATIONS/UTILITIES NOT LOCATED THE LOT SHOWN HEREON IS IN THE SPECIAL. El OOD HAZARD ZONE "X” & "AF"(FI 61 AS SHOWN ON FI OOf) Gindlesperger,Toni From: Dawn Hambaugh [dawn@workwithcore.com] Sent: Wednesday, July 06, 2016 1:40 PM To: Gindlesperger,Toni Subject: Sumner Survey 1964 Sevilla Blvd W. Attachments: sumner survey.pdf Ms. Tony, We've been playing a little phone tag. I dropped off the packet for the above address last week and owed you a few docs, which I also sent the same day, except the Survey. Survey is now attached. You left me a vmail and mentioned a Tree Affidavit. I went online and found a few tree related forms. Trying to find out which one and what it is needed for. We are doing a screen room, not affecting any trees. If required though, I will print and send your way and also ensure it is included in all future submissions. I can be reached via email or my cell ph at 858-353-8000. R/ Dawn Hambaugh 5 Star Design, LLC Core Outdoor Design 904.215.6866 1 HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence. The table below,Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing. The property owner is hereby notified that should they make changes to the sunroom which could include,but not be limited to,addition of any form of temperature control system or removal of the doors/windows separating the sunroom from the host structure,the room may become non-compliant with the requirements as mandated by the Florida Building Code,the Florida Model Energy Code and State Statutes. OWNER I have read this complete form and �unydeersstand I am receiving a Category- Sunroom(.(t-V)�p�� ( R �p� � ) z? Printed Name N w !f Address 1 q `►' I )Atte ` 1 v4 ' "v ' 3+2w t'SI$eed: .r(f� `.,� !7 /, Date: 0 / l St / l0 Before me this ecI ( day of mt IC �V 1 Yp in the County of Duval,State of Honda,has personally appeared s�WU/ter herein by himsclf/herself and affirms all statements and declarations herein are true and accurate. ',., IL" s-!I :s.DAWN ALYSON WALLER Notary Public at Lege ate of r County of v ` :• MY COMMISSION#FF060698 PersonallyKnown or Produced Identification '4,-:'‘-',C4 , oFEXPIRES October 7,2017 ID Type (407)-398 o ry rvtce.com Sunroom and Screen Enclosure Requirements Category I I ii III IV V Habitable Space No ( No No Yes Yes Foundation Walls<200plf Walls<200plf Walls<200plf can Walls<200plf Walls<200plf can can have can have have 8"Wx12"D ftg can have have 8"Wx12"D ftg 8"Wx12"D ftg or 8"Wx12"D ftg or or 3-1/2"slab if no 8"Wx12"D ftg 3-1/2"slab if no 3-1/2"slab if no concentrated load concentrated concentrated >7501b load>750Ib load>7501b Existing exterior Relocate to Relocate to Relocate to Relocate to Relocate to OR Breaker exterior if exterior if exterior if enclosed exterior if exterior if enclosed enclosed enclosed I enclosed Exit Lighting Not Required Required Required Required Required interior Electric Not R Outlets equired Not Required Not Required Required Required Emergency Egress from Egress and Exit Egress and Exit Egress and Egress and Exit Escape exist.structure must meet code must meet code. Exit must meet must meet code. Openings allowed if open to code. atmosphere and has screen door I leading away from residence. Misc.Window Host structure Windows must Windows may be Host structure Host structure and Door windows/doors be removable fixed or windows& windows&doors Requirements shall not be Host structure removable. Host doors shall not may be removed. removed. windows/doors I structure windows be removed. Forced entry,air shall not be I and doors shall not Forced entry, leakage and water removed. be removed. air leakage penetration Forced entry, air and water requirements leakage and water penetration apply. penetration requirements requirements apply. • apply- Wind Eorne } Required, Required, can be Debris Opening Not Required if unless built ora host structure, Not Required Not Required frost structure is Protection under an if built ander protected existing roof existing root Energy Sheets Not Required Not Required Not Required Required Required AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE TO: Building Inspection Division,City of Jacksonville,214 North Hogan Street Home Owner:Sre,-4—S'uiMner Name I _1 I„1 1 sek• ua �1vd' ni - lV�'l Street Address r-t- 'jC `r-t_ 3223 City. State and Zip Code Contractor:5Si re UJ l 1)J 02c)33004 Permit Number B- - As the Contractor for the proposed new structure located at the above address,I have personally viewed with the above named home owner those portions of the existing structure on whit portions of the proposed new structure are to be attached for structural support.I am confident t the drawings and details included with this permit application depict the existing conditions of the host s c re,and the members of the existing structure upon which the new structure are to be attached are sound i no rot or deterioration The home owner has been advised by me that,in my best judgment based on experience and knowledge of structural adequacy,the members of the existing structure upon which the new structure are to be attached are sound with no rot or deterioration and will support all structural loads and forces imposed on them. By signing below,I hereby declare that I will hold the City of Jacksonville harmless and release it from any responsibility and liability for any adverse consequences or failures resulting from this work,and further that I will not initiate,execute or enjoin any legal action against the City of Jacksonville for such consequences or failures. A copy of this document will be recorded as an official record with the Building Inspection Division permit history so that any and all future buyers/owners of this property may be made aware of the status of work performed on this structure. Signed Date CQ //st/f�P Before me this y of ---uoe 1016 In�the ,County of Duval,State of Florida,has personally appeared ^-"e",JIA✓1 1/U&I C herein by himself/herself a_d.,•;�:-., Affirms all statements and declarations herein are true and accurate. / ,,,w`6\DAWN ALYSON WALLER ""E MY COMMISSION#FF060696 Alik ?a' ' e ES October 7,2017 Notary Public at Large,State of ,County of V X 39e-015` F1or allo�ry�N1Ce•�m Personally Known 1--"Or Produced Identification ID Type . LAE . I .N-t c r S-(73 -" c7.-- x ‘\. E r3 a tn 7‘5'-'-'''' a ..z. L s . ci 4 '- _,_, ct) ....Z. r """ — ''' -..* """ --. — — \".1.N CI ) 4= C1 T 1 t., .x wi ......z. qc. t..) _..t... _..1 7,c1 x. r, ..1. f A z1 _. A--N N It! Ir.? 5 S. c'ft r, u.t S' p / N, „..:, . t--. V. E � � _ — �i�" ee� ..,, I\--- rg = ....W ".•1 Fl:"ii 1 0CT �°�� : gal '.1-i (,1 . V► O w •� 9� ((:)) . ..1 (..) 4 T e. 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N A !�a Edge Beam Spans for carports,patio covers, screen and glass rooms with solid roofs. 2014 FBC, Category I, 130 wind, Exposure B and C Roof Spans w/12"overhang 10' 12' 14' 16' 18' Maximum Post Spacing Edge Beam Size • 2"x3"Patio, SMB 6' 5' 4' • 2"x4"Patio, SMB 7' 6' 5' 4' 2"x5" SMB 8' 7' 6' 5' 4' 2"x6"SMB 10' 8' 7' 6' 5' 2"x7" SMB 12' 10' 8' 7' 6' 2"x8" SMB 16' 14' 12' 10' 8' 2"x9" SMB j r 2"x10" SMB 1 g' 1 T 15' 14' 13' 22' 20' 18' 17' 16' Maximum Post Heights Exposure B Post Size 2"x3"Patio 7'6" 3"x3"x .090" 8' 7'6" 2"x4"SMB, Patio 10' 9'6" 9' 8'6" 8' 3"x3"x.125", 2"x5" SMB 11 10'6" 10' 9'6" 9' 4"x4"x.125", 2"x6"SMB 14' 13'6" ,1•i 13' 12'6" 12'6" j Maximum Post Heights Exposure C 2"x4" SMB,Patio 9' 8'6" 8' 7'6" 3"x3"x .125", 2"x5" SMB 10' 9'6" 9' 8'6" 9' `", 4"x4"x .125 SMB 12'6" 12' 11'6" 11' 10' Harold W. Coffield, PE pd.* 2743-1 Anniston Rd co��,�.= .. .... Jacksonville, FL 32246 . 50407 904 343 3052 `� '