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1249-1 BEACH AVE - INTERIOR REMODEL
rCITY'' \s ,G, , OF ATLANTIC BEACH — 4, J 800 SEMINOLE ROAD "" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 `401379'' RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 30B INFORMATION: Job ID: 16-RAAR-1782 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL - KITCHEN, BATH AND LAUNDRY ROOM, TRUSS CHANGES Estimated Value: $73,300.00 Issue Date: 9/9/2016 Expiration Date: 3/8/2017 PROPERTY ADDRESS: Address: 1249 BEACH AVE 1 RE Number: 170290-0500 PROPERTY OWNER: Name: Boeneke, Demory Address: 7093 Ox Bow RD GENERAL CONTRACTOR INFORMATION: Name: GRIDER CONSTRUCTION INC , CRC1328295 Address: 2057 VELA NORTE QA GARY C GRIDER Phone: 904-463-4606 ----------PERMIT INFORMATION: FEES:-- -- --- ----- PLAN CHECK FEES $186.60 BUILDING PERMIT FEE $373.20 BD PLAN REV. 2ND $50.00 SUBMITTAL STATE DCA SURCHARGE $5.60 STATE DBPR SURCHARGE $5.60 !TotallPayrnertxbs7:1$62LhOA; ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA R(11I.1)1N(:(OI)I;ti. �� .,v;�A CITY OF ATLANTIC BEACH y.! �` ` i f 800 SEMINOLE ROAD !!It �� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ' 4•0;319? PERMIT IS APPROVED ONLY IN ACCORDANCE W ITII ALL (ITT OF ATLANTIC LANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION FILE COP CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 pp Office (904) 247-5826 Fax (904) 247-5845 i(R — l`78 a Job Address: 1)141 1 — t 0 ( .14_, � mit Number: Legal Description6/÷C C hlF,7/ rt.. 2 233 Parcel # F oor Vea of Sq.Ft. Sq.Ft Valuation of Work $ 73,E Proposed Work heate /cooled non-heated/cooled ,vac y45 Class of Work(circle one): New Addition Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N/A Florida Product Approval# For multiple products use product approval form ,�l fJ� ' Describe in detail the type of work to be performed: Pe*zk.! OFe�i'sii kideino fksI doe kdi , Aso,, 1tr.65 c mp% Property Owner Information:clic Name: twiOr �j'to clic Address: 7093 61 &ow 'c City 1414.1no ee. State}-LZip 32311..Phone $50 to Go g-g qSi" E-Mail or Fax# (Optional) 4eN10 Sbe ADl•coM Contractor Information: `G, r,r/. „ COI S l✓v e 4 s ee. ;yt Le yo l oa. f_ory. Company Name: �j rider CM S�'r'(.4L ON1 ^C Qualifying A_ent: i ' ,• Address:20 5-7 lire•(/'► NOr4-+G Caick, City A. < ..: ' i State .4 Zip t Office Phone Job Site/ConIta�c Number m�•+j State Certification/Registration# CAC, / 3 2 Zttla HMV (_. I \/ n Architect Name& Phone# _ iK 'r.11 Jail Engineer's Name& Phone# i'4 T' i a • • a Fee Simple Title Holder Name and Address IlIII J ' ! IIIA Bonding Company Name and Address 11111 1 1 11N1 Mortgage Lender Name and Address /1/ ' Egi Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no It. . ' • , ' is commenced prior . the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. u. .' ' . . null and void if work is not commenced within six(6j 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 Electrica/'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 1 COMMENCEMENT. I hereby certify that/have read and examined this application and know the sane to he true and correct. All provisions of laws and ordinances governing this type o/ work will be comp '•d with wheth eci ted herein or not. The granting of•a permit does not presume to give authority to violate or c cel the provisions of any other fe rat st for to law regi acing construction or the performance of-construction. i / r Signature of Owner 1.4 1��4L . -fr Signature of Contractor Print Name 9l` 0, . D e Print ' : e .t_, I..LJ . t`i ,• 1 � Sworn t and subscribed b fore me Sw. and subsc''. • tore m; f this %Day ofc.- aAma,Act. 6 1-: -----cisat , 2016 this .4 Day of ` • I., �011 C:, Notary Public Notary Pub is ,:.4 ., TONIGINOt .:: 'sed 1.26.10 7i., IS` t MY COMMISSIO F 924951 �'_ ".°,: : = EXPIRES:October 6,2019 SANDRA CARROLL STRASEN ''t ' t' ' Banded Thru Notary Pubic Undervrtiters •': •'e MY COMMISSION M FF963686 a•••1• ir EXPIRES February 23,2020 1401;NO-a•W FioodoNourrSo,veco Lon, • o,aity.e, City of Atlantic Beach APPLICATION NUMBER Js ".1:- Building Department (To be assigned by the Building Department.) 800 Seminole Road I n 11 �r Atlantic Beach, Florida 32233-5445 I `TI R 1M 1 Phone(904)247-5826 • Fax(904)247-5845 ft_oll 0- E-mail: building-dept@coab.us Date routed: _cal_-_--.5__Ji (a City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 Z49" ( i36p,e.. . (�1/e__ Department review required Yes No uildir Applicant: C R.i n�a C."0 NS l , - :math. : Zo• ree Adminis ram Project: (D Y mal O 17 , �&Y\k 0 NG ( _ Public Works Public Utilities Public Safety Fire Services -I) C�rJ'visi`n C�vr1 Review fee $ - -2 1Z� Dept Signature nlY „ 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: Q pproved. . @Denied. (Circle one.) Comments: A 6 (-- BUILDING PLANNING & ZONINGReviewed by: Date: C —F 1 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 NOTICE OF COMMENCEMENT State o F�Or RaII Tax Folio No. Countyo f Du Ja.l To Wh m 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 ins IC CQM M ��T I Legal t escription of property being improved:Lief 'O=' I Address of property being improved: Coll 1. ! l General description of improvements: , 4' .1' LLT n L-, r U, 1 Demon' e7&K� , Owner:' �� Address: 1 / � I . .� • �-��JJ/ Owner's interest in site of the improvement: rj 3 z3 I 2... I Fee Simple Titleholder(if other than owner): IName: Con dtor: `i Co115►I-/'ut1'l7ri 1..e.... -vtic Address: /a o S V ala No r1 Ct r•at. 1.111/ , 4+.1dit'ktrj 6,04 4, 4, 3 z Z 33 Telephone No.: Fax No: Surety 'f any) Amount of Bond$ Address: Telephone No: Fax No: Named address of any person making a loan for the construction of the improvements li Name: Address: Phone No: Fax No: Namef person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: 1 Pt 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 er's option) Name: I 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): e THIS SPACE FOR RECORDER'S USE ONLY OWNER ii , (( Signed: O� II - L�� Date: 7 14)b4221) Before me this day of in the County of Duval,State > RA CARROLL STRASENE Of Florida,has personally appeared :♦ Notary Public at Large,State f Flo da,County of Duval. r[COMMISS�Ot't>M FF963686 lXF EB February 23.2020 My commission expires: ' 7-3 or ._.i .. _ _ .... _ Personally Known: j?.5 Doc#20 6186493,OR BK 17670 Page 1823, Produced Identificati Number ages:1 Record 08/12/2016 at 08:53 AM, Ronnie F ssell CLERK CIRCUIT COURT DUVAL COUNT � � `SS, CITY OF ATLANTIC BEACH ." 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 (904)247-5800 r J13,>'' FAL ' COPY BUILDING DEPARTMENT REVIEW COMMENTS Date: 8.11.2016 Permit#: 16-RAAR-1782 Site 2057 Vela Norte Circle,AB Site Address: 1249-1 Beach Ave.,AB Address: Review: 1 Phone: 463-4606 RE#: Email: griderconstructioninc@yahoo.c om Homeowner Demory Boeneke Applicant: Gary Grider,Inc. Email: demorysb@aol.com Correction Comments: These comments are from 1 of 5 Departments that are reviewing this application. Application is disa roved for the following issues: - Only one set of product approval sheets submitted,2 are required. Fill out the first ani W151/6st page of the one to be submitted and the one alread submi • 2. The design plans consisting of 2 pages have no title blocks or any kind of identification, contractor information and contact information,street address,homeowners name and contact information. These drawings need to be resubmitted with all this information on ‘ all the pages. 1`. 3. From the 2014 5th Edition Existing Building Code,Choose a method of construction �/ \ compliance and alteration level. This needs to be on both of the T-1 pages under design ', criteria. Mike Jones it Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax (904) 247-5845 1 ,42 ri r f MCAt I n, rw / ►y`4).tl ) *.,/ S -' 6 rr( 1 , 0 L''\'‘J:C/6 CITY OF ATLANTIC BEACH 1A-,le; 800 Seminole Road f Atlantic Beach, Florida 32233 re r) ':" Telephone(904)247-5800 J FAX (904)247-5845 1'1.0J31!* REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date;.�p'} 12014 Received by: Resubmitted: Permit Number: 1G - R i R"17 g Z Original Plans Examiner: Project Name: Pp e. RfilOgOgot Project Addre ik q ye Contractor: l� ider Contact Name: Contact Phone : 143 406 ..Contactemail:Gf j/1Om CO 1,51 -10#,Afoctryggio..a Revision/Plan Check/Permit Fee (s) De: $ 50 Description of Proposed Revision to Existi:n Permit: 4tie. Tr s Additional Increase in Building Value: $ 6$00 Additional S.F. Site Plan Revised: Public W/U Approval: By signing below. I (print name) P.4) a1 w' affirm that the above revision is inclusio- •fthe prop ed ch nges. 7//44 Signat 4.1Of Contractor/Agent(Contractor must sign if increase in valuation) Date Office Use Only E C E v a n Date: 47— /6 Approved: K Rejected: N a y -111,: SEP 1 2016 Plan Review Comments: L - ____.._______I LW, e S • 10eniO4,0 ent review required Yes No Buildingarming PT Tree Administrator Plans Examiner Public Works 7-S16 Public Utilities Public Safety Date Creased 4/13/16 Rev.3 Fire Services . / . . f - . . . . . | a° � � 0. X23 ' . ° $ 1.2 CI a O ƒ / � = m 0 / / k \ / ¢ \ƒ .0 U # : a # # § # % /94 § � + / 11111999.. !k / q � � ƒ \ \ . , - ... - =- / . \ § '0 2 V ° ^ G L, 2 • .� •99.• ' .919 n � �,, k . . , s 'C..) 0• © . . . . . . . .... . ar,s }' ` * z „ 11 010 i \ CA d «$ ;o \ Z � � � = ! . 3 .-1.-1 q § t \ £ = E ƒ 4 A , 41 R0 2 - . _ . . O -I ...., ,, k ,k . � ? e < 2 t '_ £ ' -0 / $ � . a o u . . o \'§ d G ƒ § Z 7 / _ % U � � 22 © - wo % ! 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