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859 Ocean Blvd deck permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 -cot S) RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NE)IT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-RADD-2271 Job Type: RESIDENTIAL ADDITION Description: NOC REQUIRED - front deck addition Estimated Value: $33,871.00 Issue Date: 11/14/2016 Expiration Date: 5/13/2017 PROPERTY ADDRESS: Address: 859 OCEAN BLVD RE Number: 170246-0010 PROPERTYOWNER: Name: MURPHY, ALISON J & ROBERT, Address: 859 OCEAN BLVD GENERAL CONTRACrOR INFORMATION: Name: Raney Construction, Inc. ,CBC060368 Address: 19900 Independence Boulevard Groveland, FL 34736 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 runoff 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 Recycling, 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 $109.68 UTIL REV RESIDENTIAL BLDG $50.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILIHNG CODES. AML CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 BUILDING PERMIT FEE $219.36 DEV-REVIEW SFR UNIT $50.00 STATE DCA SURCHARGE $3.29 STATE DBPR SURCHARGE $3.29 Total Payments: $535.62 PEIINUT IS APPROVED ONLY IN ACCO11DANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLOIUDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER BwItUngElepartment—_ - (Tobe assigned by4he Building Department:) 800 Seminole Road Atlantic Beach,Florida 32233-5445 16-9-A06-Oalj Phone(904)247-5826 - Fax(904)247-51145 E-mail: building-dept@coab.us Date routed: Inbol 1(0 Cityweb-site: http:/Mow.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ISCI oc'tan B\'JA. Applicant: t-&A&N caftsk"'u) CPrtfinning &Zonin'bl Tree Administrator Project: ;rwj�- A�� OLitu�m Public Utilities Public Safety ire Services Dept Signature�. Other Agency Review or Permit Required Review of Pe 'it=PBY Date Fionda Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management Dstnct Amy Corps of Engineers Division of Hotels and Restaurants 15�lvlsion of Alcoholic Beverages and be= Other. APPYCATION STATUS Reviewing Department First Review- LyjApproved. ElDenled. (Circle one.) Comments: /VO & BUILDING PLANNING &ZONING Reviewed by: W�4 Datelo_71�G TREEADMIN. Second Review: ElApproved as revised. E]Denlal. PUBLIC WORKS Comments; PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ElDenled. Comments: Reviewed by: Date: Revised 05114109 k A- Ua BUILDING PERMIT APPLICATION 16-O&CK- 6 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 OFFICE COP Office(904)247-5826 Fax(904)247-5845 Job Address: 859 Ocean Blvd, Atlantic Beach, Fl 32233 PermitNumber: JlV_V-APO"�' Legal Description RES LD 3-7 UNT PER AC Parre # - !>1 Floor Area of SqXt. y(l Fft� Valuation of Work$ 33,871.00 Proposed Work heated/cooled 0 non-heated/cooled 154 Class of Work(circle one):<��ddition Alteration Repair Move Demolition poeil/spa(i� Use of existing/pro osed structure(s) circle one) Commercial esideati No N JA If an existing structure,is a fire spriWer system installed?(Circle onell: Eoi�� Florida Product A ,gproval# see attached For multiple pro nets use p`m_d_u­c_ta_p_pm­va_l fo—m— Describe in detail the type of work to be performed: R�goove existing multi-story wood dec replacewith eckat2 ad floor, add metal roof removing sliding g ass door on 3 story and replace with windows, ah privac at east side of 2'floor deck per variance approval. Property Owner Information: Name: Robert&Allison Murphy Address: 859 Occan Blvd City Atlantic Beach — ip-L2233 Pharie 303- E-Mail or Feet#(Optional) State FL Z Contractor Information. Company Name: Raney Construction Inc. Qualifying Agent: Arthur V. Ran Address:19900 Independence Blvd City ve d Office Phone 352-429-0304 Job Site/Contact Number 904-234-2891 3 577 - e.1Z q- OW& State Certifimtion/Resistration 0 CBC060368 Architect Name&Phone#Larry Willis&Associates Designers and Planters 904-268-381 Engineer's Name&Phone#Lee 1. Engineering, Inc. 9D4-519-1934, cell 904-234-3518 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Leader Name and Address Ou licahon is hereby made to obtain a punnit to do the work and as indunmed I ce?16 then no wm*or installation has mems;mWd u,r k 5 issuance of a remit and that all work will begelbrined to meet the standards of oil laws mgulafin§consm,,tion in this Jurisdiction. Posen becomes nulland wid Vwork is not commeoced wi in six(6)months,orloconel,wetion orwark issuspen edorab _I at.yame after work is commenced. I understand tharseparate,permits must be seeuredforE aadmw%.(;rawrfiodA.�,ixVmomh, Bodare,Heaters; Tanks andAhr Conditionem,de kauic;d Work;Pk-b-g 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. lhemby cerq&hhatlhme mad and esamened thes apphoo0on and know the suans,to be me and correet AllprmsumeoflaweandordammeregmememS this type ofworkmll be emeephedwith a adheminornot. The grooming ofaluesnut does notpresume to give authority to violate a,Cancel th, preansionsofanyotherjederal.. a constrecomartheperformanceofcomerucition SignatuiaofO er Signature of Contractor ue-- Print Name P e t" Print Name APjyr'� - - 4W� Swo d subscribed before me Swom to and subscribed before me Tl,,M!D,y of 20 1 TThis Day of 1;��Ik C BRrrrAXV N KEPP Mi ME=1.M, My COWISSION F My COWISSION F Notary Public 60 'y Public EXPIRES O�11. 11 WIcd 01.26.10 "MMW F�M - NOTICE OF COMMENCEMENT 11PREPARE N DUPLICATE) Permitnio. 149- 19&D0-=11 Tax Folio No. Sum�of Fc�da CMmy of D.1 To whom It may concern; The undersigned hereby Informs you that improvements will be made W 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 Ming impwvecl� RES LD 3-7 UN ITS PER AC Address of property using improvarl: 859 Orean Blvd, Atlantic Beach, FL 32233 glass door on 3rd story and replace with windows,add minsvoy scresn at east side of 2nd floor clsol,par varianoo al,soval. Owner Robert Murphy Address 859 0oaam Blvd,Atlantic Beach, FIL 32233 Owners interest In she of me impa"emeart Omer Fee simple Titsholder(9 miner than owner) Name Address Cori Imcbm.Raney Construction,Inc. Add,,, 19900 Independence Dr.,GmwIaM,FL�i?216 Prior,No.904 234 MI Fax No. st`1�2149 surely fit MY) Add.. Amount of bond$ phone No. —Fax No. Name and address of any person malkinga ban for Me construction dme improinariends. Name Address Phone No —Fax No. Name of person willun the StatevfFlorkla,otherthen himself.designated by omnar�pon-whom notices or Mier documents may M sa�d: N., Jerre Edwanis Address 378 Ahem St,Atlantic Beach, FL 32233 Plxbne No� an"�Ml Fa No,844-583-2149 In addition to himself,owner Mentmates the following person to receNe a copy of Me Lenora Notice as provided in Section 713.06(2)to),Florida Spatulas,(Fill in at Owners optbn). Name Address Phone No. Fee No. Expiration date of Notice of Ccrimmunceement(Me expiration date is we ll)year from the clate 0 recording wAfts a different date is sjueeffiern: THIS SPACE FOR RECORDER'S USE 0 NLY Q WE? I I , i In Number Pages 1 6 P-96219, 4 U 'er:' Doc a 2016261085 OR 13K 1777 Me.,Jus 9 hanen ft. nds 2 Recorded I I/15f�01 6 at 08 09 AM 0 Ronnie Fus,,,11 CLERK CIRCUIT 6OURT DUVAL COUNTY RECORDING$10.00 153= im OFFICE COPY Norsk. D �IGN 1011012016 RE:Deck Plans for 859 Ocean Blvd.,Atlantic Beach, FL 32233 To Whom It May Concern: Norsk Construction and Design,Inc.releases ownership of architectural plans/drawings to Raney Construction for the above mentioned property. If you have questions, please feel free to contact our office at 904-372-7166. I! Respectful Z le Edwards, President Norsk Construction and Design --- ---- - - - wo tz FD uUU1 'CA 'A W �o PC F. I 54 S. m m OR iA r. Fr MZ _7 .......... Lo 10 CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 Telephone(904)247-5800 REVISION REQUEST SHEET OR FAX(904)247-5845 CORRECTIONS TO REVIEW COMMENT Date: Received by:_ Resubmitted: 1-t 1!00 Ltt KADo- Permit NR r: I , - Original Plans Examiner: Project Name: Project Address: A Contractor:'2Affi,!J tact Con Name: Contwtft�a qd4. ,%Sq.2Gq, Contact c-rmul:J�Aww (?&T1SeAMJ�,6, LLS Revision I Plan Check/Pcmnit Fee(a)Due: S_ Descriltion of Proposed Revision to Existine Permit: 10 -1 ,Ai,j4kd An"J Additional increase in Building Value: $ Additional S.F. Site Plan Revised: b �&- --f—Public W I U Approval: By signing below.I qml—) :ran.%; L. "U.)"45 affirm,that the above revision is inclusive of the pMsed Chang". -J 1 1,0,10 0 1(0 G42� S—ignat Umf Cofftractor/Agent Wmmw�siP if in�in vWmim) offi.UR ly ApMr..d: Rdmw G W by: Plan Review ECotmnments7: --�o�U'�Y �01 NDo rhment rev aw to uIred Yos No Building Plannin orm Plans Examiner Tree nistrator Public Works d Public Utilities Public Safety Date Fire Services City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road "a-MOO-zatJ Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: —in Ltok City web-site: http:/Mr�wcoalous APPLICATION REVIEW AND TRACKING FORM Property Address: C6sci DuAll S\�A- DeLpartmentreviewrequired Yes No u, 7 Applicant: tanAN CbiNafwA�L)iri Id 05'.zoni-Rh T inistrator Project: �,Dm- A�LL alw-VAA (VUbric-Work L� - Public uvinies-) Public Safety Fire Services Other Agency Review or Permit Required --ke—view or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants DM(Ision of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: E]Approved. [&Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bv Date:Ay,� TREEADMIN. Second Review: ,gApproved as revised. [-]Denied. PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b 4A;;r'z 6'f_���!Daatee:�JLz FIRE SERVICES Third Review: ElApproved as revised. DDenied. Comments: Reviewed by: Date:— Revised GW1"9 BUILDING PERMIT APPLICATION CITY OF ATLANTTc BEACH 800 Seminole Road, Atlantic Beach, Fl, 32233 Office(904) 247-5826 Fax(904) 247-5845 Job Address: 859 Ocean Blvd, Atlantic Beach, F1 32233 —PermitNumber: Legal Description RES LD 3-7 UNER PER Parcel# our �rea of Valuation of Work$ 33,871.00 ProposeAcork heastlttcoolled 0 noEh"teated/cooled 154 Class of Work(circle one):<Z:�ddrtion Alteration Repair Move Demolition pool/spa Use of existing/pro osed structureQ) circle one): Commercial If an existing structure,is a fire spriWer system installed?(Circle one)q4&�� N/A Florida Product A.Sproval# see ch c�For multiple pro nets use pro ppd al form Describe in detail the type of work to be Ferformed: R�pove existing multi-story wood dec%repl;ce withAeck at 2� E I cN floor, add metal roof, removing sliding g ass door on 3 story and replace with ivindows, ad y L a east side of Zn' floor deck per variance approval. Property Owner Information: Name: Robert&Allison MuMhy Address: 859 Ocean Blvd City Atlantic Beach State FL Zip 32233 Phone 303- E-Mail or Fax#(Optional) Contractor Information: Company Name: Raney Construction Inc. Qualifying Agent: Arthur V.Ran Address:199001"dendence Blvd city cland Office Phone 352-429-0304 Job Site/Contact Number 904-234-2891 State CertificationfRegistinnion 4 CBC060368 Architect Name&Phone#Larry Willis&Associates Dmismers and Planners 904-268-3814 Engineer's Name&Phone#Lee J. Engineering,Inc. 9D4-519-1934. cell 904-234-3518 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A d 'a "'a 'am has commenced pnort, P 'e-by e d _,a. d 7'k be, o —e.' T d.oadA�C y es' W r AZON 'To OWN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN AT`TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby eerty�that I have mad and�wed thi,�ppfieatiaa aad knew efie e w be�a and carrect All p�isioas ofkms and orafinaa�es gmeming this fyN q(wk toll be—P ied ah eii,�, sl hereinornot. 7-hegrmdngofapemitd"sn�pm�metog�eauthopiiytowol�or�ith( P—Mon,Of--y arher�ideral.. g�Iru,fion or the pef�a qfc."Cilon Signature of Oviner Print Name f o * — Signature of Contractor Vic?"I Print Name K-,r-jVj_v V. Sworn to and subscribed before melf-Oftmaq Sworn to and subscribed before me Tbis_��D Day of .20 IL9 This_��Dax of 'SLL My= . , . �=NSKEO ao FF 7, z IMA Y C�SS"R"0 Notary Pubbc a�Public fio�!FMSqep.1.1 N Cdol.26.10 f TREE & VEGETATION AFFIDAVIT City of Atlantic Beach 0 Department of Community Development Zoning D"nlo' il le Road Atla' Planning&Zoning Division 8 800 005eminoleRwd Atlantic Beach,Fl. 32233 (P)904 247-5800 (F)904 2,47-5945 PERMIT# SECTION I-APPLICANT INFORMATION F Owner(s) Legal Authorized Agent' NAME OF APPLICANT j--jwi MAYO i NAMEOFCOMPANY ADDRESS OF COMPANY 1119W lhdozdaw A'A F1 904-934-Me"L %'4-ba--716.4 EMAIL CONTRACTOR CERTIFICATION NUMBER CR)CAU03Ld?> ATL8CH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION STREET ADDRESS OF PROPERTY ()C_eoy,) LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER no2*-poio LOTOR PARCEL SIZE: SO FIF AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I offirm that I have wiewed the Pr0VISIOns of Chapter 23, 'Protection of Imes and Native Vegetation'of the Municipal Code of Ordinances I'm the City of Atlantic Beach FL andlor I how participated in a pr"pplication meeting with the Administrator of those regulations. S land (hot no regulated trees and no regulated mgelation will be damaged destroyed and/m removed fromfheal,4- t ties in conjunction with this project SIGNATURE OF OWNER Zoned am=before me n this QL day of f,�Dqd" , %ko ,by Stateof R&id(A Countyof 7j�kWa Identification verified: Qc� Oath sworn: 1571 Yes F- Nor BRITTANY N KEPP t,,ySIgnature- ' j A My CONA $SIGN MFFa2W,6 'Ev EXPW&o�11.20" y Commission expirer. Q�plpnlr 11 , 1019 Ordered By f The Law Offices of Rod Schloth 2187 S Third St Jacksonvitte Bch, FL 32250 904-372-9351 beach@rod-law.com PROF'EM ADDRESS: 859 OCEAN BOULEVARD ATI-ANTIC BEACH, 32233 SURVEY NUMBER: FI-1 204 1982 FIELD WORK DAME:11�11 REVISION DATE(%(—c �ez 0 p 5 �E8 mq� IG 1271 -32'� r '2,Rm WmG�z R W.W or '.T I��L M-e',v, ec�) .11 C 102M 'e,.LL .111 `cr�Te`r. 2 15 SORURYSURVEY 0"2" 7�' 505-15M-f %.I�0) e bY32-1 F C 40..Q' ,e.".1. 1 1 ErOWIGW� %AW3 rl�.2'�t �40�.M DUVAL COUNTY 5m"We %.G5.) alt,I., 3,73M ?01- 90 5.W W LL 310 �37 Ee A� 7 C W W el le r,c �5eY NW. 4 ,�l NO.dc"Of 4 .QL6 -C-U5 MANOr I.,�.� .'. .4 cm�.m "..'2�.m e) I h�aty cetify:.t NOTEI W th� 51� �lml te 6,,.mpd� tlIat�e.br. Z.7.011L tl�19�ckm 0 20 �,d Of P.11, dc��r,let,d',, 0 �111 Ch.,W 5J�I GRAPtHC SCALr (I. Feet) I inch = 40' ft ZONING REVIEW COMMENTS City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 Email: dneves*coab.us Date: 10/31/16 Permit: 16-RADD-2271 Applicant: Raney Construction Review: pt Address: 19900 Independence Blvd, Groveland Site Address: 859 Ocean Blvd Phone: (352)429-0304 RE#: 170246-0010 Email: Not Provided Correction Comments 1. Variance: Plans show a spiral staircase that is in violation of the approved variance.Please revise plans accordingly. 2. Survey: Section 24-67(c)requires a certified survey. Please provide a certified survey. 3. Tree Removal: Please submit a Tree Removal Permit Application if any trees are to be removed. If no trees are to be 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 City of Atlantic Beach APPLICATION NUMBER B uticimnigDeparimment- (To be assigned by the Building Department) 800 Seminole Road Atlantic Beach, Florida 32233- 24 Phone(904)247-5826 Fax E-mail: building-dept@coab.0 Daterouted: IDLY011142 City web-site: http://�.coab us APPLICATION REVIEW AND TRACKING FORM Property Address: C%s oce-&t, mqA- De artment review required Yes No i0Rw11Nng`_-)1 Applicant: tAn;,,�J Ugrak"an 2ra-nning &Zonln�j Tree AdminisTrator Project: OUWA�on 'c a 4'�ubfi_cUbl tfis� Public Safety Fire Services —ileview or—Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept.of Environmental Protection Florida Dept.of Transportation St—Johns River Water ManagementD­,�nct Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages andio-bacm— Other: APPLICATION STATUS Reviewing Department First Review: OApproved. E]Demed (9/1) /Sp-/�W (Circle one.) Comments: Ju BUILDING PLANNING&ZONING Reviewed by: Date—AC11 "_ TREE ADMIN. Second Review: ElApproved as revised. E]Denief PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. [JDenied. Comments: Reviewed by: Date: Revised 0511W09 ______W1JUD_1NG_PERMIT—APPLICATION CITY OF ATLANTic BEACH 800 Seminole Road, Atlantic Beach,FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: 859 Oman Blvd. Atlantic Beach,F1 32233 PermitNumber: Ail_f-ADB- a�"tf Legal Description RES LD 3-Z UN PER AC -- - — -- - - Pargel# ipoor Area of Sq.Ft. Valuation of Work$ 33,871.00 Proposed Work heated/cooled 0 non-heated/cooled 154 Class of Work(circle one):(::�ddition Alteration Repair Move Demolition poolfspa(j�� Useofexisting/pro osedstructure(s) cireleone): Commercial eside If an"isting strucrure,is a fire spriWer system installed?(Circle one): es No N/A Florida Product A.Sproval#__ see attached For multiple pro ucts use product app"ovWrom— Describe in detail the type of work to be rerformed: Rpgnove eyisting multi-story wood dec replacewith eckat2a' floor, add metal roof removing sliding g ass door on 3 story and replace with windows, ah privac at east side of 2"'floor dec�per variance approval. Proputy O"er Information, Natne: Robert&Allisonlifurphy Address: 859 Occan Blvd city Beach State _ one 303- HL—Zip 2233 Ph E-Mail or F�#(Optional) K r3 Top Contractor Information: Company Name: Raley Construction Inc. Qualifying Agent: V Address:19900 Independence Blvd ity Groveland Office Phone 352-429-0304 Job Site/ContactNumber 9 -234-2891 State Certification/Registration# CBC060368 Architect Name&Phone# 68-3814 Engineer's Name&Phone 1 18 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A rlicationts he,eby mmic to obhoin apermit to do the wrk and installations,m moscausl Icer*ihano ok tall h hot t , ism,ence ofaPemit and that all em*will begerfonned to meet the sbandani, �fajl'j�jr I ,o o,,. a on unmencedpnorte becomet null andioul Vwrk is not commenced w bisix(6),nonthsoritcons truction in thisjurisdicifion. Thu= Ms;7 atanytimeafieric.okiscomenenced. lumims hniion o'Wm*is JeY��atom doncdX;a ciodAsix lend mat sepanne petmite mug be semoedfor ElectriaW--- Boiliff,Heaten, Tamb andAm Cond"t mtin�,me M, Kk boh, es, 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 WFM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMtENT. Iherebyeer*d�Ihavemadand�meddwapplg�mandkn�Aes=ewbe�mide�t Allpwnsems oflawn and ordmemcee gustming this type f",*.Il be comphed��4th s a edhereinornot. The iormfing ofaNmjtdm nonlnennu togree mohonly to wolom m-cameel d, P—Mons of my otherfedenti ni a cnm�c1bmorthmperfomanceofcom,,nbm Signature of 0 Signature of Print Name a e V f" Print Name Sworn to and subscribed before me Sworn to and su 7scribed�cfte rnu-_A� This *0 -,_Day of 20 1 Day of m I kin BRFrTANY N Notary Public W COWASSADN#F JAY�s"*Ff 40-W EXPREZOmteeti. I Public City of Atlantic Beach APPLICATION NUMBER ButIdhngDepartnmmt___–rCE1Vr7 (To be assigned by the Building Department.) 800 Seminole Road 16_ Atlantic Beach,Florida 32233-5445 9-A 0- 3a Phone(904)247-5826 Fax(904)24R84PCT 1 1 2016 E-mail: building-dept@coab.us D�to m,t�d: 10LIOL 11 Cityweb-site: 1,11p:/M�.mab.us BY.— APPLICATION REVIEW AND TRACKING FORM Property Address: IS61 oc-e-ao fsW. 4C y ,�aontmvrleWre wred Yes No Applicant: tAAAN biNfik"u) r_Pre–nning &Zonin% ee Administrator Project: �(Wk A�LL Ouim�m utrIc Works_:,I rPublic Utilitieo FP ublc��Sia�le� � IFireno S", Services M'Pept Signature OthorAgency Review or Permit Required Review t of Penmft=PBy Date Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco &her. APPLIOATION STATUS Reviewing Department First Review: 5/pproved. [–]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE Second Review: EIAPProved as revised. E]Denled. ?p W Comments: P ICU PUBLIC S Reviewed by: Date:— FIRE SERVICES Third Review: ElApproved as revised. ElDenied. Comments: Reviewed by: Date: Rwised 06114*9 BUILDING PERMIT APPLICATION CITY oF ATLANTic BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 859 Ocean Blvd, Atlantic Beach, Fl 32233 PermitNumber: LegaUDescription RES LD 3-7 UNT' PER AC Parcel 4 Floor Area of Sq.Ft. __Tq 7t Valuation of Work$ 33,871.00 Proposed Work heated/cooled 0 non-heated/cooled 154 Class of Work(circle one):(:�_ w dition Alteration Repair Move Demolition pool/spa �Ne Useofexisting/pro osed.structure(s) circleone): Commercial If an existing structure,is a fire spriler system installed? (Circle ole)1*11 � N/A Florida Product Asproval# see attached For multiple pro nets use_pn­duet_ap­p_ro­v@Tom— Describe in detail the type of work to be Ferformed: R%nove existing multi-story wood dec%replace vit kgta2al floor, add metal roof removing sliding g ass door on 3 story and replace with windows, adl privacy t&a t side of 2'floor de-ck per variance approval. Property O"er Information: Name: &bert&Allis;onMuEphy__.Address: 8590ceimBlvd City Atlartuc Beach State_EL Zip 32233 _. —Phone 303- E-Mail or Fax 4(Optional) Contractor Information: Company Name: Raney Construction Inc. Qualifying Agent: rV. Address:19900 independence Blvd City Groveland Office Phone 352-429-0304 Job Site/Contact Number 904-234-2891 State Cortification/Registration 4 CBC060368 Architect Name&Phone#Larry Willis&Associates Designers and Planners 904-268-3814 Engineer's Name&Phone#Lee J. Engineering,Inc. 904-519-1934, cell 904-234-3518 Fee Simple Title Holder Name and Address Bonding Company Name=it Address Mortgage Leader Name and Address 1pficadon is hereby made to obtain a permit to do the uork and installations at indavied I runty,dust no uark or imeallation has commen isdaince of a permit and that all wwrk utill be . wd.pnorzo ,rdbrmed to meet the dandants,of all Zows mgulah;3 construction in thisposde, 0. apermis becomes,null andwid jfuork is not commossoad wr h six(6)monda,orifcondruction orwarkissms orab at anytime afier war*m commenced. lonaternand thatsepanvelonmin mud be securedforElecirle p_e ad andonePr a modfifsir 9 months an B&AM,Heaters, ranks andAir Conefithmerv,da d Work Phunhing, Wm, igis, �mh, unorm 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 WrM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTTCE OF COMAIENCEMENT. Ihemby cerdy,that lhave read and esammed#as applicamon and Amuse the same m be true and corect Altionoodons,ofl"s and ordmanors gmerning thar ippe ofuork mil be complied with s q edheremormst. The gnmung ofateersoutdoe,notpredane ingive authority us violate or,docel sho Prenossone f."otherfederal r re a eamuuchnnortheperforousueofcou,naction. Signature of Ovine Signature of Contractor Print Name e V f" Print Name Nylitw&�WAI Sworn to and subscribed before me Sworn to and subscribed before me This Dayof 20 1 1 Day of �111_ mlo 8PJ"AUV UK MYCOWISS40NOF Notary Public s;� 4- W EXPRiEsoclabW11, Public T ed0l.26.10 1911�1. Ordered By: The Law Offices of Rod Schloth 2187 S Third St Jacksonville Bch, FL 32250 904-372-9351 beach@rod-law.com PROPERW AUDRESS: 3S9 OCEAN BOULEVARD ATI-ANTIC BEACH,Fl.,rd.32233 SURVEY NUM9ER: FLI 2NA 982 HELD WORK DATE:V2�MI2 KVISION DATE(S): -0 O.P 9B&4 �271 5 M-1 4.39,1 Gem S BOUNUARYARVEY 0" 105.3z'Tc .O=w Wsvlve 10.0'e. WVAL COUNTY W'5m MR.Pe,"eid 4"W7E 3.73W) 3'� ff le, er e:� -W erel" V. 2 41, A 1155-33 so B07M7 A .5.2 wile e.. OF L613 M.W.GOIL OF �12 �5�.. - I.A,..M,12. CWD OW& I fte,L�y deit".,ffythet F 5.,= F'tht,h1jii pileii,eeed, "Mn 'Fd -0'1'1�3 TO.e UIT,10er 1�01 Wilrrdr SEeIR. rid ''e'rei, e'rei, de A�'e re C C GRAMM SCAU (In Feet) AV AA Z.A-0-19414 Roof Framing Plan xy IA09AV, e*-OxAs Deck Framing Plan En 1+ rb Cf) 0 1+ 14 m a CD th < at tv N L�f-J to r-9 H7, L) jr;, 17 ........ --- Ordered By; The Law offices of Rod Schloth 2187 IS Third St JA, Jacksonvffle Bch, FL 32250 904-372-9351 beach@rod-law.com I NO .. I -- v I ws� PRCIPFR�ALORESS: 859 OCEAN BOULEVARD AT1-4NTIC BEACH, FID,Dde 32233 SURVEY NUMBER:FL12� 982 FlEl-DWORK DATE:4121.12 R�VISJON DATOS): �IDQI 1�16 B.985d L.1 14 F1 f`4 1982 1271 M-52-1!D C ll.�ml 5.G-,GW2 81 E .1.3IDIV, I II�3... BOUNV�RYSURVEY L.2 Is de�.Ier~. 5DIV;515'1! �Cln N 85-3Z'l 5-E 140 19UVAL COUNTY `DK` 5W �, 91-15T) . :,r 46'= aIIL PI e, 20.7 4�IsTr 9 3.73N) A 1,,,rtAX- 5.1 C) 3EDDI 4 A grew Q W7W7 LZ 2 .01 GLU5 DF._b'J-"IV MI 'DID D'eX3 p oa NMI.COII, D12 ,d,Le DIX, I 1 2%DG. a. -d�mmor MV& Me. .M. ED In �dm CE, GRAPIHC SCALE (I. Feet) "ere dcd "'I' co ------------ th 7 AN. Roof Framing Plan /'O;r ZY104-0 eA 7o Deck Framing Plan so b %IP 13 CD 0 X Z�