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1026 BIG PINE KEY - DECK ,�� ,�v' , CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD s) j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ''...4.01119,- RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-DECK-3711 Job Type: DECK/PATIO Description: add 226 s.f. of pavers to backyard for patio Estimated Value: $1,800.00 Issue Date: 4/28/2017 Expiration Date: 10/25/2017 PROPERTY ADDRESS: Address: 1026 BIG PINE KEY RE Number: 172027-5060 PROPERTY OWNER: Name: Stegall, Kathryn Steece Ginn Address: GENERAL CONTRACTOR INFORMATION: Name: RANDY & RAY'S LLC , N/A SPECIALITY MASONRY Address: 10631 SQUIRES CT HENRY PROCTOR Phone: - - PERMIT INFORMATION: PUBLIC WORKS: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (247-5814) to request an inspection from Public Works 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(Advanced Disposal, Realco Recycling, Shapell's Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. Any plan change must be submitted as a Revision to the Building Department. FEES: PLAN CHECK FEES $29.50 BUILDING PERMIT FEE $59.00 PERMIT IS APPROVED ONLY IN :1C('ORD.-AN('E WITII :U.1. CI'11' OF A7 LAN"I'I(' BE:1('ll ORDINANCES AND TIIE FLORIDA 131II.DINC('ODES. \. \ \\ ,/ ''. -'—= MAP SHOWING SURVEY OF LOT 29, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. • • 4,4>, Z o i _i.3 - a I . �=•ems•, � . V�iEs ' e/� s'i o ` I : mss. i ?x,73., Aad 202.. 27.06 .'•- m s irt 0 \itir,Cid,‘ ! 3. � $ `� , �Q✓ n • �l I A13.1tr. . 11' 4,x.1° f "is (...\ , ;i *-1/ • t r Di h h •k q v � ' �� I 14.1' r m4 0 \` 4 ♦`i. I l , ,..,:, , car A7o,��4 - J,.. N / 1 ; �2L, ,,••••1 I 4 I .. 9 n II Ili �r%Ce Ov ' a • c"G. ./ ,�n.18 g'4-pl / •I . • A'''' 2�/ 1. 10erW 4 -i-6 5 '3w5 E/i ew .''i4.Qi /` j /7 --- fo`let`f 14' fitid( C RIWTSF,t) 2/201/87 1 f��'jam, fr— • YH4S . n !A 8ouAa+a.ry ine 'Zv. ��/ G- '�T B[f'(_p/Nj RESTR/Cr7p�/ '0. fL4r. U/v� hl' ..r+•+r1 tT' 11�TY L/Es /-/ FL'2 D Tq•�/E---------� ;14-'"1,7,Cf •.'> !.U,'I.G.4'Y/4, /7,57,-n, t ron/ c.. •3 r t f.ISnu�r� fc v.:t�i, /� 140u,S E 4- Ce „ter PRaf ,Z I J /.� 0 �bz�� a gh � Q �k P� L,E S 4- o 45a-) 0 1 mi Vis, CITY OF ATLANTIC BEACH - } 800 SEMINOLE ROAD „J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 STATE DBPR SURCHARGE $2.00 STATE DCA SURCHARGE $2.00 Total Payments: $92.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s=Llr� City of Atlantic Beach APPLICATION NUMBER - Building Department (To be assigned by the Building Department.) 800 Seminole Road r) Atlantic Beach4, Florida 32233-5445 I� DEL t J �Y Phone(904)247-5826 • Fax(904)247-5845 Jf P_01110- E-mail: building-dept@coab.us Date routed: 0"(.(D4 l(C 4 [t 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1, a �P a k (\k _ V Q N Department review required Yes No Building Applicant: '06N -1�� 5 LLL (—Planning &Zonin� �pp �1 Tree Administrator Project: (X CSL l4 33 lo S•V . v-c CPublic Work Public Utiliti � fC- 1�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: APPLICATION STATUS Reviewing Department First Review: ['Approved. r .Denied. (Circle one.) Comments: t4// �L/ BUILDING PLANNING &ZONING 01‘0**, Date: Date:jArrAz__ Reviewed by: TREE ADMIN. Second Review: 5dApproved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed byA "v t"— Date: VZVJI FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 0rvi:rjf, City of Atlantic Beach APPLICATION NUMBER `J441104:-, Building Department (To be assigned by the Building Department.) 1- 800 Seminole Road . , CE V ri--pecK.- 39 � Atlantic Beach, Florida 32233-544 Phone(904)247-5826 Fax(90 47t34fi 10 2017 O �''Lr, E-mail: building-dept@coab.us P Date routed: W,(0�"111 City web-site: http://www.coab.us - BY: APPLICATION REVIEW AND TRACKING FORM Property Address: 1--°o� �P \ - 11.e__ F-N Department review required Yes No Building Applicant: 1-41-64:4 V\t, LLLPlanning &Zonini Tree Administrator Project: acid 33 lo s- . 0--C Pay -6( (Public WQr. �� A �( _`(J� f� � _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: pproved. Deni / ✓(" 7 (Circle one.) Comments: /a "44 441104offBUILDINGv S PLANNING & ZONING 7 6/7 Reviewed b //' - 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 S1.1-wr City of Atlantic Beach APPLICATION NUMBER S ifprBuilding Department (To be assigned by the Building Department.) 111 800 Seminole Road CEI Atlantic Beach, Florida 32233-54 SCE IE, Phone(904)247-5826 • Fax(9 47-5845 J1319r E-mail: building-dept@coab.us APR b 0 2017 Date routed: 0"(,(O City web-site: http://www.coab.0 APPLICATION REfliEW AND RACKING FORM Property Address: !V\ 'Pi (lk_ F-Q Department review required Yes No `' (\( Building 1` Applicant: L\1"� Q-A 1 15 L� �Ptanning &Zoning acid Administrator Project: Cti�.d 3 3 (p S , UV Pct JL-j -�r ( (Public Works �� " fttl.l� _Public Utilities+ 'L (_`� ` Public Safety Fire Services Review fee $ Q� 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"pproved. I JDenied. (Circle one.) Comments: / BUILDING �/1 PLANNING &ZONING Reviewed by: w, �te: 1 l �. TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. :de WORKS Comments: 'UBLI UTILITIES SA PUBS / LIC FETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 • `t `, <,''�a Building Permit Application A 1 City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 `''j ... Phone: (904)247-5826 Fax:(904)247-5845 Job Address: l o a co ()Ds.(, r L o E (k,E ..1 Permit Number: )1 6 6= c r---- 3.1 (f Legal Description LOT 2.9 1 SEAA/Pt ldOelGE.S RE# Valuation of Work(Replacement Cost)$ 180042-? Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): NG Addition Alteration Repair Move Demo Pool 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 No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: A\70 aa 6 s Q C-&Pi O F ?(0./E.AeS 70 LPr 64,4_ cl lar2D F Q K. PA-TCO Florida Product Approval# for multiple products use product approval form Property Owner Information C Name: S1-eec e- G - S'keJJ d1--( ( Address: 1 02-c•-• (6) A In City J11 alt-I-h c Beach\ State `r-'t/ Zip 322;3 3 Phone 70y'• e L(-U/ - S (`4E - E-Mail s- ee c e 5 s4-eq a-I 1 Gj n14-/ I .. C orYk Owner or Agent(If Agent, Power of gttorney ofAgency Letter Required) OW(1 C Contractor Information Name of Company: q At NQ L•tr�pr 1/4..\`,...5 LLQ Qualifying Agent: q,Ac N0 Ake T 2--&-tie Address %OCo S l 5a U ,,Q..ES CCity SAG{GSJIWX(.(.State L Zip 322-6-1 Office Phone °i'014 5114 6-BOO Job Site/Contact Number 904 Sto 1-1 6-ca 3 State Certification/Registration# E-Mail R A-NO9 F!<AM ILAt1/4.iS ezo 0-44 A y L .COrvl Architect Name&Phone# Engineer's Name&Phone# Workers Compensation L„EA-1 E. / 50644-4 E..k S i ( 50,0 EA- Exempt/Insurer/Lease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 YR NOTICE OF COMMENCEMENT. Qs, j '- ,k/), ..40 14 (Signature of Own r or Agent•• cluding Contractor) (Si �y •• actor) S' ned and sworn o(or affirmed)�/ before me\ w&V\ is�jqr°p day of Signed Signed and sworn to(o .ilrr ed)before me this3-day of ( ( , �� by \MCA 1 Qnc--A ,--2......, ,by c\j-...,s.c-ri.e�zo�aL--- 1\A14- nature of Notary) (Signature of Notary) , ROW 11111111 /♦ w♦ A r 1101 +"'v a s� KS g- MEAGAN C.HEINEMAN y..rP.r HENRY R.PROCTOR • = MY COMMISSION N GG 048648 l';'', ? MY COMMISSION#i GG 027339 [ rsonally Known OR =« •'- .: EXPIRES:Fetrua 10.'467 41j• ,2021 Personally Known 0 :r 6. ;•_ Produced Identification ;�o P pow[ T4;f mac' EXPIRES:December 10,2020 [ J „ BorwMdThruN ProducTdenti icatio p;= '�.........o.��,.• Bonded Thru Notary Public Un' Type of Identification: pe of Identification: _ _ 11141 it .1 ,` -...."--i.1,--411.1 t �k.• 1 ., ,.,.:::. ''4'::7).. . .'''Uj. ,\.p __ 411 •••• to Ai r'44°:;(*i. , TT,.,,,.. n D -75 CI CO 11 lir. ;..: •,' � �, : ,(,,,,j4py ,.. D �_i •j,i tip ..,`' - �:t ' .6.r, ;.. • Q i - ,` •1' '..../.....--'`:`4,ist 7`5' - 2 • 1 •• . z % ' iter i.. • ,, . % .001 . 7 -......,..........,....r..:/:., ....4.:.T.t.,.......sL,....;,...‘...;,,:..............f.„:;.-.....,.....‘:-......:::::::,„;....:.......:,....i.....:...,.. I, ...."''. _, V. 0 Op , 11?.,,„„„,,,„ , ... . . ......„_. :......... • , . . . . ... .,„ a, 4, . 4 €1010:0 A ,c� ccsc ,gfy • 11 )41111, 4.. %NV. d.c.*437"11) 1 f . 4111411 I 44 fl A M, o ZONING REVIEW COMMENTS • City of Atlantic Beach �. ." r) Building and Zoning Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 Email: dreeves@coab.us Date: 04/18/17 Permit: 17-DECK-3711 Applicant: Randy&Ray's LLC Review: 1'` Address: 10631 Squires Court Site Address: 1026 Big Pine Key Phone: (904) 874-5800 RE#: 172027-5060 Email: randyandrays@gmail.com Correction Comments 1. 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 clreeves@coab.us TREE & VEGETATION AFFIDAVIT as 4City of Atlantic Beach rDepartment of Community Development r " Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 '**1-cm (P)904 247-5800 (F)904 247-5845 PERMIT# 11-- 0 6c K - 3- -ii SECTION I-APPLICANT INFORMATION / v Owner(s) 1 Legal Authorized Agent* NAME OF APPLICANT 4-\IAVA V kcec 6-1-) -/1,l" Sre d NAME OF COMPANY ?1=‘,00%,‘ + p,LAt s LLC ADDRESS OF COMPANY lO(p e2. l Jc?tA. ,R-E S eA PHONE 90t4 $?4580) CELL q0gcio46-a3 EMAIL Vf}i✓oy #fitio gmist 6,0,/Azt 40,44 CONTRACTOR CERTIFICATION NUMBER � �`�:;,- �' � j ATLBCH BUSINESS TAX RECEIPT NUMBER I V 111 APR 1 9 2017 SECTION II-SITE INFORMATION 1 id J STREET ADDRESS OF PROPERTY 10 a (p i C. 'Gro€ V,£.41 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 99 BLOCK SUBDIVISION 5544/4 £A & REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL )Q COMMERCIAL OTHER(SPECIFY) 1 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 fro; the above-i cribe, o 'djace •ro,erties in conjunction with this project. ..11,x&..1111 14': ATU 1 OF OWN'R SIGNATURE OF OWNER Signed and sworn before me on this (q day of - kr1 , 20`, ,by State of .9Ori(1 Oi Yt � 1steed e--6 y n steelI y I'• 51i-9011 I County of Dl\vo Identification verified: ��t y- las Di•I ars 11 ce c Oath sworn: [ Yes 7i o I Heather MOM,/ Iv �� Stated Florida Notary Signature � O1 • *Cormi88iof1 No,GG 68713 My Commission expires: 02 I O 1 12 02 I REV TVA-v10.12 boa b Q; /14c /T ',Og — 7�� L ,'1- foz ��xNzI z = d ?d y38, 217 x z - e2I0 ilocue,ts x -21 112 7 k3 = ai �3 K ? rz fps 1 f r e:- x .20 -d; y.2,0 ) y.2 0 uglimprzrx. 3 _444.6,44_2&__L16 y 1,tm .r o � r 1-1441•-i /Aro ,zz Pie Al 2.24. Z��