190 SEMINOLE RD - AWNING DRAWINGS '401P.:4,2\
CITY OF ATLANTIC BEACH
111
A J 800 SEMINOLE ROAD
J ) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-1691
Job Type: WINDOW AND/OR DOOR
Description: install 2 stationary awnings
Estimated Value: $5,200.00
Issue Date: 8/12/2016
Expiration Date: 2/8/2017
PROPERTY ADDRESS:
Address: 190 SEMINOLE RD
RE Number: 170593-0000
PROPERTY OWNER:
Name: LAWHUN ET AL, SHERI L
Address: 190 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: THOMPSON AWNING & SHUTTER CO
Address: 2036 EVERGREEN AVE QA ANTHONY ERNEST
CIMAGLIA JR
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $38.00
BUILDING PERMIT FEE $76.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $118.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ots y;, City of Atlantic Beach APPLICATION NUMBER
/ - Building Department (To be assigned by the Building Department.)
• JW
800 Seminole Road _
�� Atlantic Beach, Florida 32233-5445 �0 VJ�./J 6 1,b CI
J* V Phone(904)247-5826 • Fax(904)247-5845 `
0;;>>%- E-mail: building-dept@coab.us Date routed: 01.- (
a a) 110
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 0 SP,r'n,tl O`k C1.Dt&G De• . ent review required Yes No
:•n•
Applicant: TA04-Y- Or A-1-3A-‘15 4-SVtu to . Plannin• &Zoning
Tree Administra or
Project: "N t7La" S Jn049 awn%n�S Public Works
(15\--61L` Public Utilities
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: DApproved. Denied.
(Circle one.) Comments: S f4 i L Gf(
fit- _V'C
BUILDING
PLANNING &ZONING Reviewed by:!004 t Date: rht
TREE ADMIN. Second Review: ,A roved as revised.
pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. t .- Date: 0/7/Z
FIRE SERVICES Third Review: DApproved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
rSrjrIis1 `V. j ZONING REVIEW COMMENTS
' S City of Atlantic Beach
!r Community Development Department
800 Seminole Road Atlantic Beach,Florida 32233-5445
i j f Phone: (904)247-5826 Fax: (904)247-5845 Email: dreeves@coab.us
Date: 08/09/16
Permit: 16-WIND-1691 Applicant: Thompson Awning and Shutter Company
Review: 1st Address: 2036 Evergreen Ave, Jacksonville,FL 32206
Site Address: 190 Seminole Road Phone: (904) 355-1616
RE#: 170593-0000 Email Not Provided
Correction Comments
1. Setbacks: Section 24-67(c) requires a site plan showing setbacks. Please provide a site plan showing
setbacks from all new elements to property lines.
2. Tree Removal: Section 23-21 requires a Tree Removal Permit for any trees removed within 2 years of
this project. Please submit a Tree Removal Permit Application if any trees are to be removed or were
removed in the last 2 years. If no trees are to be removed or were removed, then please fill out an
, Affidavit of No Tree Removal. Both forms are available on the city website under "Planning and
Zoning" and at City Hall.
Derek W. Reeves
Planner
dreeves@coab.us
410 (03
t'=y'�'r,., City of Atlantic Beach APPLICATION NUMBER
s r •"� Building Department
`'/t ,,i (To be assigned by the Building Department.)
-i: .y 800 Seminole Road
�� Atlantic Beach, Florida 32233-5445 1 (p W�,�0_ tloet I
Phone(904)247-5826 • Fax(904)247-5845
'\o;i J� E-mail: building-dept@coab.us Date routed: al'la-41W I'O
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I 9 0 Stm't n pk;L CL-Dud De•artment review required Yes No
,;u- .•
Applicant: TADYnPS01
, Ja t rN,5 4-Sh.0 ,( CD. Plannin. &Zoning
Tree Administrator
Project: AIN) 0(-. V OA i!NLI awn,n1/45 S Public Works
ns 0 Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other A• gency 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:
APPL15,510N STATUS
Reviewing Department First Review: IApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING t�
Reviewed by: Date: a (0 3 ( 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:
ised 05/14/09
1
From: 06/22/2016 10:24 #077 P.001 /002
LETTER OF AUTHORIZATION
Affidavit
To Whom It May Concern:
This Letter authorizes Thompson Awning and Shutter Company (or their Agents
or Subcontractors) to act as Agent, to secure permits or variances required by the
local governing body, and to perform sign or awning installations, removals, or
maintenance at the property located at: 3 a a33
Property Address: C SE�"c\; `N''' c- c.k. , C1s/A-rC—B Qc4.(_\3 L
Company Name: Phone Number: o`k at-{-(o- ag a
Name: S\MA)—(5v LQ AkuA Title:
Address: 6 1 C SjN,4\ d t-e l'e-d ck-k-lc -t L 6' ecid, IF L- 3 -..1_a3
N„..%..O 4c.„..,L.a,L,0
\
SIGNATURE OF PROPERTY OWNER/ AGENT
STATE OF F( c),
COUNTY OF U VO✓c
Sworn to and subscribed before me this 27.— day of U n e , 201(e
Signature of Notary State of �'( Commission Expires dG4 6 z_Ol`i
1 o n i glivaLeSpepiEr"
Print or Type Commissioned Nance of Nry Public
Personally Known V4.OR Produced Identification ( )
Type of Identification Produced:
11 :%4,, TONIGINDLESPERGER
( a,.,j art @3E+6 1'IE@lore
;�,��,.:o: E PIREs:October 6, 19
'�..:# ed' Bonder Tbav Nolay PubSC Und .eters
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 190 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 Permit Number: PO—VJ IN b—Ibq
Legal Description 10-8 17-2S-29E SALTAIR SEC 1 LOT 611 Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 5,200.00 Proposed Work heated/cooled non-heated/cooled X
Class of Work(circle one): New
Use of existing/proposed structure(s)(circle one): Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): No
Florida Product Approval# N/A
For multiple products use product approvalorm
Describe in detail the type of work to be performed: Two (2) Stationary awnings installed
Property Owner Information:
Name: Sheri Lawhun Address: 190 Seminole Road
City Atlantic Beach State FL Zip 32233 Phone (904)246-6282 E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Thompson Awning and Shutter Company Qualifying Agent: Robert F. O'Brien
Address: 2036 Evergreen Avenue City Jacksonville State FL Zip 32206
Office Phone (904)355-1616 Job Site/Contact Number_(904)355-1616 Fax# (904) 355-1617
State Certification/Registration# AC04
Architect Name&Phone#
Engineer's Name&Phone# LTL&Associates—Len Tylka (561)478-1845
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 ofa 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 rf 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 'Fork, Plumbing,Signs, Wells, Pools, urnaces, 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.
r hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
vpe of work will be complied with w,•ther sppeci red herein or not. The granting of a permit does not presume to give authority to violat or cancel the
7rovisions of any other federal,staiplocal law regulating onstruction or the performance of construction.
Signature of Owner `,14 Signature of Contractor -
Print Name Robert F. O'Brien Print Name Robert F. O'Brien
Sworn to and subscribed before me Sworn to and subscribed before me
this 26th Da of July,2016. this 26th Day of ly,2016.
/ i y /
iihah.dhobAhotary •ublic p,,,,,, otary Pu. is
1►R ,, OLGA TSUKANOVA
„,,,,, "i,;4, OLGA TSUKANOVA
,o
° 4111°� Notary Public•State of Florida :a° `�
Commission#FF 994527 ( .� Notary Public•State of Florida
' �''-0:01"-c9.4),$' My Comm.Expires May 19.2020 's;T� �,c Commission# FF 994527
4 .°F,,,,,, ,,, 1 � %t r�cA`;:' My Comm.Expires May 19,2020
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No.
County of DUVAL
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated phis NOVICE OF_CQ N MENT. ./
Legal Description of property being improved: IV '0 �'(• A - .7�j SaiTa1 r Se I 1. ex 1 1
Address of property being improved: 190 SEMINOLE ROAD,ATLANTIC BEACH FL 32233
General description of improvements: TWO(2)STATIONARY AWNINGS INSTALLED
Owner: SHERI LAWHUN Address: 190 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: THOMPSON AWNING AND SHUTTER COMPANY
Address: 2036 EVERGREEN AVENUE,JACKSONVILLE,FL 32206
Telephone No.:_(904)355-1616 Fax No: (904)355-1617
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the im Doc#2016172523,OR BK 17649 Page 2361,
Name: Number Pages:1
Recorded 07/27/2016 at 03:19 PM,
Address: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Phone No: RECORDING$10.00
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: ROBERT F.O'BRIEN
Address: 2036 EVERGREEN AVENUE,JACKSONVILLE,FL 32206
Telephone No.:_,(904)355-1616 Fax No: (904)355-1617
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 Statues. (Fill in at Owner's option)
Name: ROBERT F.O'BRIEN
Address: 2036 EVERGREEN AVENUE,JACKSONVILLE,FL 32206
Telephone No.:—(904)355-1616 Fax No: (904)355-1617
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
Signed: Date: 07/26/2016
�� Before me this 26th day of July in the County of Duval,State Of Florida,
"" has personally appeared Robert F.O'Brien
4`;:1"1'1"<';',, OLGA TSUKANOVA
f. Notary Public at Large,State of Florida,County of Duval
�1 Notary Public •State 9f Florida My commission expires: May 19,2020
Commission * FF 994527 PersonallyKnown: Yes
%',',E'�`,°?'s My Comm.Expires May 19,2020 or
Produced Identification: none
S 1,r �J j J(
\,P CITY OF ATLANTIC BEACH
_ \S) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
t� /v (904)247-5800
-0131)
August
August 12,2016
Re: 190 Seminole Road
Awning permit
This building permit is for two (2)fixed awnings as originally applied for.
A third awning, (retractable)was recently added to this application, but no additional information was
provided. This third awning cannot be approved at this time. It is possible that a later revision to this
permit, or a new separate permit can be applied for, at a later date,adding the third awning.
The third awning appears to be of a different type (retractable as opposed to fixed) and will require it's
own engineering. Also,please be advised that the awning must meet minimum setbacks when in the
fully extended position.
I apologize for the delay in processing this permit. Good luck with your project.
Sincere,y,
Dan Arlington, CBO
1
Nov 08 07 01:43p Guy & Misty Wells (904)291-8822 p2
(---- .
MAP OF BOUNDARY SURVEY
DESCRIPTION:
INT PLAT 800KT10, PAGET8, OON FOTHE CURRENT PUBLO_ 1, ACCORDING DICTHE PLAT RECORDS OFEREOF AS RECORDED
DUVAL
COUNTY, FLORIDA.
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o � S
FENCE 2" N.M. • \,. .,. •AD Ip
if LOT 610
6' M.F. (1 YAICAII— ....0— -
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Cityof Atlantic Beach •Rl' �' ;`' :A
�' ° ti:'::
Planning and Zoning DepartrnetttT 612 LAIC o F•t g �' Q v
This approval verities compliance with appllcabte t3'd` ^d fp4" o G6tF ao�t
zoning, subdivision and other local land / `$
development regulations, but does not constitute -
approval for the issuance qf permits. Compliance ` . :•;'per
with Florida Building Code and all other applicable .!�
local, State and Federal permitting requirements v
must be verified by signature of the City of Atlantic -
Beach Building ()Hi ial prior to the issuance of a
Building Permit. /
a t0
Approved By: Commu evelopment Director
Date: C/6 — r .3 _/) V 0
)0-.
SURVEY NOTES 04th
/1 (LEFT BLOW IhTENTIONALI.Y1
n trivgr046Fruurro UTILITIES. FOUNDATIONS CN pniteR N
It6'Ft1YEHENTS MERE NOT LOCATED 6Y THIS sta WEY.
/3 ACCORDIMS TO TIE FEL'ERAL CmOVEtiCY MANAy1 A6Ericr
FIRM MAP PAIR. MO. MOOTS 000] D. trrttrl 10/07/89.
TPE PROPERTY L CRT8E0 HEREON APPEAAs TO LIE IN SONE -x-- STREET AOl]FrES
rt TRIG I TvEY PE FOWIL OP NXr BENEFIT OF AN ABSTRACT. ,5o SEHIl•�OLE ROAD
TITLE SEARCIL TITLE GtPlniOM OR TITLE Ir41iNNGE. ATLANTIC BEACH. FL. 32233
n 15 oTA ME PLAT mom/
PE4S W I ESSfs�*) °ma se. SCALE: 1 = 30 CERTIFIED TO AND FOR THE
EXCLUSTYE BENEFIT OR
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A7 WOE HAY BE ADDITIONAL CAN FW$3 MAT APPLY RECORDS
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FLOfiIDA�ELOCATI0fQ0N MORTGAGE TSt3TVZCES
8 O TNl5 SURVEY DOES NOT G/AAANTEE OHIF7t4NIP• cENSTAR_TITLE IIPSrW _��S14
//i'•/moi ._
Yj ,,yl,Js TREE & VEGETATION AFFIDAVIT
c) i, City of Atlantic Beach
_ Department of Community Development
D �" Planning(As,
Zoning Division
'yam UH,>?
800 Seminole Road Atlantic Beach,FL 32233
(P)904 247-5800 (F)904 247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION rg Owner(s) r" Legal Authorized Agent*
NAME OF APPLICANT S\\� --\. \ cj \
NAME OF COMPANY
ADDRESS OF COMPANY C::::\ 0 S Qom,4\o�e �S.
PHONE ,1A. - a%a CELL _ EMAIL 5 LLc). w.,\-\V.x,\ U\_CQo
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SITE INFORMATION
STREET ADDRESS OF PROPERTY 1 c\Q Q,(-`X01 Q a O
If an oddress has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
LEGAL DESCRIPTION Loi- L20\\. S Q\�.�,- Sec -g‘t.._ N ..\ `
LOT ��\ BLOCK SUBDIVISION Sc\'cCt, T-'
REAL ESTATE NUMBER LOT OR PARCEL SIZE: .a., SQ FT AC
9
RESIDENTIAL \7 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 a e-described or adjacent properties in conjunction with this project.
\,\._ _.s.21...- rc.._\2->,_f---\-,,' ‘
SIGNATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on this 11 day of aK`� ,by State of
County of �\..),_
Identification verified: L S 0 0- z (O J o-s`�
Oath sworn: r- No
t{ ' ry , MYjCOMM acN7 F 92495, 9- CaA .j.• (( 0
..
EXPIRES:October 6,2019
j4otarY Signature
••R6`;k', 3ond d Tb:u Notary Pubfic Underwriters
REV-fl/A-v10.12 My Commission expires:
From: 06/22/2016 10:24 #077 P.002/002
Nov 08 07 01:43p Guy & Misty Wells (904)291-8822 P2
-------------
MAP OF BOUNDARY SURVEY
DESCRIPTION:
LOT LT2
SECTION
NO.
THE PLAT
THEREOF AS RECORDED
IN PLAT BOOK0, PAGE 8. OFTHE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
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MAP OF BOUNDARY SURVEY
DESCRIPTION:
LOT 619, SAL7AIA, SECTION OFOTNE CURF?EN�rNG PUBL�GTREC�RDS OFHE PLAT �DIJ�F AS RECORDED
INCO PLAT BOOK JO, PAGE 8,FLORIDA. 1 k� G Q� -� `,,�
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SURVEY NOTES:
F1 (LEFT MANX INTENTIONALLY)
02 UNpr-RGRouND UTILITIES. FOUNDATIONS GR OTHER
IMPROVEMENTS MERE NOT LOCATED 6Y THIS SURVEY.
Ncr
i3 ACCORDING TPANEL N0. 120013 000] D. EFFGSNCY ECT-1K 10/07/09. STREET ADDRESS:
THE MAP PROJCRT}•DESCRIBED HEREON APPEARS TO LIE IN ZONE 'x'.
190 SET A.DOR P. :
NOLE
sa THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT. OAD
ATLANTIC BEACH, FL. 32233
TITLE SEARCH TITLE OFEETA OR TITLE INSURANCE. SCALE: 1 = 30 CERTIFIED TO ANO FOR THE
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