1768 PARK TERR W - AWNING ri \ CITYCOF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
_ INSPECTION PHONE LINE 247-5814
J;;19`'
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-1844
Job Type: RESIDENTIAL ALTERATION
Description: one (1) stationary awning installed
Estimated Value: $1,560.00
Issue Date: 8/30/2016
Expiration Date: 2/26/2017
PROPERTY ADDRESS:
Address: 1768 W PARK TER
RE Number: 172020-0358
PROPERTY OWNER:
Name: LANIER, MICHAEL W
Address: 1768 W PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: THOMPSON AWNING & SHUTTER CO
, CGC062935
Address: 2036 EVERGREEN AVE QA ANTHONY ERNEST
CIMAGLIA JR
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $28.90
BUILDING PERMIT FEE $57.80
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $90.70
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
?sLy City of Atlantic Beach APPLICATION NUMBER
\mss ; Building Department (To be assigned by the Building Department.)
4 s) 800 Seminole Road _ ►,t1_ ,t
�., Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 I I
-'�o;;j0• E-mail: building-dept@coab.us Date routed: 0T` I• l lb
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: V k0 t 'N O iVJ(.Lg fitLt De artment review required Yes No
uilding
Applicant: Thorp?son r \c & Shat a Planning &
Tree dministrator
Project: DR L C.1' s- -{i G./y a,t,J R.015 ‘Asfia►kk ublic orks
Public Utilities
1 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:
1 APPLICATION STATUS
Reviewing Department First Review: / . ,pproved. 'Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed
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
s��,,;� City of Atlantic Beach APPLICATION NUMBER
cs r Building Department , (To be assigned by the Building Department.)
i 800 Seminole Road i `'^-F' �'+I �iT F.1 `t
- --, Atlantic Beach, Florida 32233-5445 tb'C-AA-R- IILN
Phone(904) 247-5826 • Fax(904)24 - 84AUG 1 5 2016 I II
.P- < r E-mail: buildin de t coab.us ii
Date routed: Dt` (x"6110
City web-site: http://www.coab.us
BY:.
APPLICATION REVIEW AND TRACKING FORM
1
Property Address: r i V t VO P 41 Vl..il(tat De•artment review required Yes No
:uilding
Applicant: Thorp?Scan N't N c$ Shunt.( Planning &Zoning
Tree Administrator
Project: Dt\Ul) S -k„J,l\(a-/y A .JNtrlf5inSki1Iltdublic orks
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:
l APPLICATION STATUS / -4Reviewing Department First Review: Approved. ❑Denied. ���` 1�
(Circle one.) Comments: -lee
L1�` /0,A�1,0
BUILDING �y' (�
PLANNING & ZONING / 1-72_3—n c4
Reviewed by: 1 Date:
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
�t'a,% �• City of Atlantic Beach APPLICATION NUMBER
r s'' � �5\ Building Department (To be assigned by the Building Department.)
800 Seminole Road l l
k _ . Atlantic Beach, Florida 32233-5445 b �� li�'t
Phone(904)247-5826 • Fax(904)247-5845
0;�1 jr Email: building-dept@coab.us Date routed: O 11�-1.(Ib
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11- kP t f 41VL:14_4(tat De•artment review required Yes No
:uilding
Applicant: T v\OPt1faDIN JINtf\ * Shutt Planning &Zoning
Tree-Administrator
Project: 0I L. Lt' Siloti>JO-/y q,..) t1
t\� 6 i A5 OltkPubliclrk
los
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
I Other Agency Review or Permit Required Review Receipt Date
of Permit or 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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
_.........)
PLANNING &ZONING Reviewed by: Date: P./G'it7
TREE ADMIN. Second Review: Approved as revised. Deni .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. Denied.
Comments:
Reviewed by: Date:
L
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1768 PARK TERRACE WEST,ATLANTIC BEACH,FL 32233 Permit Number: Pe—
Legal Description 34-85 09-2S-29E SELVA MARINA UNIT 8 LOT 10 BLK 10 Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 1,560.00 Proposed Work heated/cooled non-heated/cooled X
Class of Work(circle one): New
Use of existing/proposed structures)(circle one): Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): N/A
Florida Product Approval#
For multiple products use proms approval form -
Describe in detail the type of work to be performed: One(1) Stationary awning installed
Property Owner Information:
Name: Linda M.Lanier Address: 1768 Park Terrace West
City Atlantic Beach State FL Zip 32233 Phone (904)246-9678 E-Mail: Linda.Lanier@hotmail.com
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#J904)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 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 16)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.
l herebycertt&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
type ofworkwill be complied with whether specified herein or not. The granting of a permit does not presume to gi thority to violate or cancel the
provisions of any other federal,st or local law egulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name Robert F. O'Brien Print Name Robert F.O'Brien•
Sworn to zd subscribed before me Sworn to and subscribed before me
this 2_Day of 2016. this // Day of / ' • 2016.
/
No ublic `Alh. �� '� No' t' Publi. — — — - —
,o`i V,V4,„ OLGA TSUKANOVA ti' �'
. pv a ���
, =o o e OLGA TSUKANOVA
?: , .�c Notary Public -State of Florida =`. '. ? Notary Public- State of Florida
` o •
Commission # FF 994527 0 ;sem n Commission # FF 994527
'%',Fo�� �'� My Comm.Expires May 19,2020 ` "';eo�, My Comm.Expires May 19,2020
OFFICE COPY
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: A-fit.anFnc $Eq«+
Property Address: 016 -PA 121L i212AC"6 wFL. 32 ).33
Company Name: Phone Number: q04 -2 Lau:,78
Name: 1,i/U0/4. M G.. A N t r'L Title: OW W i:12 ' DLG U-PA IV -r—
Address: five -PA/24 f212A-CE W 55-1—) A-1-L A &li`it, 2:00341-1
FL 32233
SI ATURE OF OPERTY OWNER / AGENT
R1",,e,,, TREBOR M.DEVERTER
STATE OF FL , _° `� Notary Public-State of Florida
Nom, -` My Comm.Expires Mar 30,2018 '
COUNTY OF vw I t "°••,,,,;,,,,, Commission FF 101621
Sworn to and subscribed before me this c.t1�, day of A j s+ , 20 1
Signature of Notary State of FL Commission Expires MA, 30. :Z vi 8
rel,or 711 Oe(Ark er
Print or Type Commissioned Name of Notary Public
Personally Known ( ) OR Produced Identification (
Type of Identification Produced: Di_
(Notary Stamp or Seal Required)
I MAP SHOWING BOUNDARY SURVEY OF
LOT 10 BLOCK I0 AS SHOWN ON MAP OF
SEL.vA NA rf ..R ( PIA UN1 VT- \ 0 . 8
AS RECORDED IN PLAT BOOK 3q PAGES 8S OF THE CUROENf PUgJc ' cOoRDS of WVAC co, >✓c.,A
1
CERTIFIED TO: MIcH4EL- W. (_As.l41E21 L/NLf1 m• LAN IER1 JAY t=i=Deg-Ac1r iz.>En1Y UWION-1,
cU)4 -$ -€. —Trr- --isti ST (T) rNc.1Comivio q 4LT?4 LAN-b1-1-1-1, IN4viZAKIGE COMP=ANS,
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FERRET AND ASSOCIATES, INC
1614 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FLORIDA, 32207 PHONE: (904) 805-0030 FAX: (904) 805-9888
GENERAL NOTES ' P.C. POINT OF CURVATURE LEGEND R RADIUS _.II
P.
P.T. POINT OF TANGENCY A DELTA (INTERIOR ANGLE)
(1)BEARINGS SHOWN HEREON ARE BASED ON P.R.C. POINT OF REVERSE CURVE ��C LENGTH ','
•
5.03°03.10"w•'O g-14-tc, W•L'/ 0/W P.O.C. POINT ON CURVE P.C.C. POINT OF ND CURVE
OFFICE CC P !`'"ORD
E O AR BEARING r!•
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F �Af21L T�KfZ-AGE WEST B.R.L. BUILDING RESTRICTION LINE A/C AIRCONDITIONER 1I7!
(2)THIS PROPERTY HAS NOT BEEN ABSTRACTED c. CENTER UNE CONC. CONCRETE
FOR EASEMENTS, COVENANTS, RESTRICTIONS I.P. IRON PIPE R/W RIGHT-OF-WAY
FD. FOUND O.R.V. OFFICIAL RECORDS VOLUME
(3)UNDERGROUND ENCROACHMENTS AND UTILITIES
SERVING THIS PROPERTY HAVE NOT BEEN
LOCATED OR SHOWN
(4)THIS PROPERTY APPEARS TO LIE WITHIN SCALE / =20 " / -
FLOOD ZONE " X '. AS SCALED FROM /O-//-Zoo z,
F.E.M.A- FLOOD INSURANCE RATE MAP, PANEL
120075-o00 1 L1, DATED `i_17'g9 DATE OF FIELD SURVEY NATN.A E. PERRET, FLA. CERT. NO. 5732
CARL S. COURSON, FLA. CERT. NO. 3129 LB 671.5
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_ $ v n If: 2036 EVERGREEN AVENUE
ITT
El II' n LTL ASSOCIATES, INC. '�G004)35`5-1F e
1.— —9-, i-61 D• CONSULTING ENGINEERS 'llss.poAw LICENSE:-
N mer ' .
r W5725 Corporate Way,Suite 202,West Pete Beach,FbrMa 33407
N (561)478-1845 Fax:(561)478-6881 LINDA LANIER RESIDENCE ,
•
1768 PARK TERRACE WEST
ATLANTIC BEACH,FL 32233