630 ORCHID ST - SHED �s 41' tt, CITY OF ATLANTIC BEACH
�r
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ACCESSORY - SINGLE OR TWO FAMILY ACCESSORY
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 17-SHED-3527
Description: SHED
Estimated Value: 1200
Issue Date: 5/25/2017
Expiration Date: 11/21/2017
PROPERTY ADDRESS:
Address: 630 ORCHID ST
RE Number: 170910 0000
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
1..w.\ City of Atlantic Beach APPLICATION NUMBER
r) likaiktips, Building Department (To be assigned by the Building Department.)
` 800 Seminole Road
, : �.• Atlantic Beach, Florida 32233-5445 17- 5EO — 3S Z `]
Phone(904)247-5826 • Fax(904)247-5845
_o, > E-mail: building-dept@coab.us Date routed: 3 (1 7 ( 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6 30 ( ) C4 ( 0 S ( De artment review required Ye7 No
uildins) v
Applicant: CD (_),_ kD -2 _ (PLanning &Zonm
( Tree Administrator
Project: IC x in S k E. ` ublic Works
ublic Utilities)
Public Safety
Fire Services
M ,a"�yi t ;.?vA:EM.+. :" 0 ' ® 1 116..:.;::.. c s ¢s •_A5, %- 1..moi
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDIN �j��
PLANNING &ZONING Reviewed by: f / r Date: 5-7('17
TREE ADMIN. Second Review: ['Approved as revised. ❑Denie .
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
01.111;. City of Atlantic Beach APPLICATION NUMBER
rig s ' \� Building Department (To be assigned by the Building Department.)
800 Seminole Road
ov y Atlantic Beach, Florida 32233-5445 7—511EC) — 3S 2 7
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 3 / 7 ( ( 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Co 3O 5 RC -4. (0 S s( Department review required Yes No
Applicant: arming &Zonings
Tree Administrator
Project: I y 1 C)( S —(Cublic Work
ublic Utilities
SafetyPublic
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. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING l 0r
Reviewed by: � Date: .� l /
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑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
r�� aiyj_ City of Atlantic Beach APPLICATION NUMBER
" ,� Building Department (To be assigned by the Building Department.)
r 1 - \ 800 Seminole Road E
rj , Atlantic Beach, Florida 32233-5445 �� 17— S�'�F.(� — 3 S 7
Eil(9 04)ing24dept Fax(904)247-5 MAR 2 0 2017 Date routed: 7
�`-7%,0;110,. E-mail:mbuilding-dept@coab.us 7
City web-site: http://www.coab.us
BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: Co n0 (Th)Re,t4 (0 2 ( Department review required Yes No
(Buildin
Applicant: CD L- r-3E-re _ C�Prann'ngZ
Tree Administrator
Project: 1 0 ( X 1 C)( S E > ublic Works
ublic 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: VIApproved. ['Denied. 611212--/7
(Circle one.)
Comments: lee
ikel /� Co / 1
BUILDING �L
PLANNING & ZONING Reviewed by: i al Date:'3/ " ,47
TREE ADMIN. Second Review: ❑Approved as revised. ❑ nied.
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
r51_.,u;iry, City of Atlantic Beach APPLICATION NUMBER
' . Building Department ECEIVE (To be assigned by the Building Department.)
�--. 800 Seminole Road
jv,_,. ,. Atlantic Beach, Florida 32233-5445 1 7- S�(F_n - 352 7
Phone(904)247-5826 • Fax(904)247-5 MAR 2 0 2017
\ o;;l>r E-mail: building-dept@coab.us Date routed: 3 /1 7 ( ( 7
City web-site: http://www.coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: Co 3S 3 RC't-( (0 R ( Department review required Yes No
( din
Applicant: CD j,_ r.Dr.ie J arming &Z nanoZ nano g)
Tree Administrator
Project: 1 0 Y I C-) S H
ublic Utilities
Public y
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:
APPICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING N1/4
PLANNING &ZONING 6Reviewed by: )4,- 1 -
4...— Date: 7/z YI 7
TREE ADMIN. Second Review: A roved as revised.
❑ pp I Denied.
0 ' WORKlents:
PUBLIC UTILITIES
3 -zv -(7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION 11 )
Js
r ,^ ' 'fa" CITY OF ATLANTIC BEACH MAR 1 7 2017
800 Seminole Road,Atlantic Beach FL 32233
oal>'' Office: (904)247-5826 • Fax: (904)247-5845
Job Address: I,?)d G4 31. raA\c r 6�oic_A-) Permit Number: l
Legal Description RE#
Valuation of Work(Replacement Cost)$ / Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): •ddition Alteration Repair Mov- I-mo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial I'esidenti.
• 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 ree Removal
Describe in detail the type of work to be erformed: /0 X 10 5h(fade- ,17` L// mQc'e 0 J 0,0c.)
$+ee I PtuntilttM 9A // 'v '-
Florida Product Approval #_ for multiple products use product approval form
Property Owner Information
Name: e_ q• L vti2'e - 0o-4i-1v to 30 O(he- 0.1 '3+
City 1,GZr1•l--i c.. PDe H State l 9Zip ?)9e0.5 Phone q O U 51 g 51 ' -c1b'9O
E-Mail 1-01e rf~s . W,e lr-i a e
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company:hi 5Cf-turi+ 1-aPo ltd filar ldimpualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name & Phone#
Engineer's Name & Phone#
Worker's Compensation
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 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(6 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.
Signature of Property Owner: /'s,1 o 0U_ '" • Signature of Contractor:
Before me
this J Day of M.(L-CCA‘ Before me this Day of
Notary Public: \ .` .�� A ._��::�� Notary Public:
I hereby certib,that 1 ha > •' . I '"r r.. e .. d know the same to be true and correct. All provisions of laws and
ordinances governing th erle—; — i'mt y Orlil :��"� ';'hether specified herein or not. The granting of a permit does not
presume to give authorit i ;41'f% or 0 M! X• b4 ns o my other federal, state, or local law regulating construction or the
performance of construe • . Rev.3/14/16
ig EXPIRES:October 27,2020
• tr Bonded Thu Notary Public Underwriters
rsr,,,,;i TREE & r'
VEGETATION AFFIDAVIT R' , 7
-
�' •_;„ City of Atlantic Beach
I.
f Department of Community Development
' • -: Planning&Zoning Division
\ 800 Seminole Road Atlantic Beach,FL 32233
�� R19'"
(P)904 247-5800 (F)904 247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION E Owner(s) (- Legal Authorized Agent*
NAME OF APPLICANT IA e.A,i G, L.. 'o 1 e t t-3
NAME OF COMPANY
ADDRESS OF COMPANY
PHONE CELL ( 0k\ 511 Q -goolAIL IxA2Q-1�5, Ill e.1-ia Ya/11,VG
Coq
CONTRACTOR CERTIFICATION NUMBER ,
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION H-SITE INFORMATION
STREET ADDRESS OF PROPERTY 0.9,0ai ci, \ %`Q p}t VJ2c ,VI r I
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 U)i `qb 5heC,I .
LOT BLOCK SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE: 5Q FT AC
RESIDENTIAL 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 1 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 above-described or adjacent properties in conjunction with this project.
SIGNATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on this`l. day of K0.4-6,1 , aD`.,by State of
County of buN,,,1
Identification verified: art J kS vi L , I_
Oath sworn: r- Yes fl No
.'t11 . JENNIFER JOHNSTON
:4:"
: MY COMMISSION#GG 042864 �l I ��•: :' '* EXPIRES:October 27,2020 Notary Signt ure �� if
t: •••''.''''7.;P•' Bonded Thru Notary Public tindery/atmfcC/11i; 7i'71 - ---- `I
My Commission expires: ��—
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------
I I MAP SHOWING SURVEY OF
LOT 4, BLOCK 128, SEC11ON "H" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 18,.
PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
OCr1 O�I
ei, E?013
0 r-
--....„
i
w i LOT 31
GO Ai I GO
r °!
_ 1 1 1 r N88'56'00"E 153.64' ��
FOUND 1/2'IRON
I PIPE NO CM
Z I •t2 DRAINAGE EASED 1T 0 O 0
C) Ox I OFROAL RECCROS BOCK " W
; I 16162.PAGE 1261
' 1 /� ..-
44.5'
Nal J c� s\ ! ACV
x O II 1 STORY FRAME Q ,\ ! CONCRETE DRIVEt -9
o o 4 ' 6 g:co " N RESIDENCE zg\ ......
I� kI NUMBER 630 i+ :0.6:
A ` I • -C " ,� M o�to i � O `V teQ 'LZ 1. : -3 47.3' \ .Q•� JGfG _a L' ..I CONDI
, vf��I�o (/�
0.1 6' Y 6V W000�}]lCE Y..- .-'ft\I l 2 (/�vl Q4
I g N S88'56'00"W 134.02' FOUND�t672SON e Q
54- 1"K (S88.55.59'W 134.01' FIELD) I 8. 4e
1 Zto 1 d 0O'''o
LOT5 h�
---------------.-__._/
WEST SIXTH (6TH) STREET
50'RICHT OF WAY PAVED PUBLIC ROAD
?
1r--.D 1
SCALE: 1" = 20'
NOTES:
1. THIS IS A BOUNDARY SURVEY.
2. BEARINGS BASED ON THE NORTHERLY UNE OF LOT 4 BEING
N88'56'00`E AS PER PLAT.
3. NO BUILDING RESTRICTION UNES AS PER PLAT. •
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN
FLOOD ZONE "X" (AREA OUTSIDE THE 0.2% ANNUAL
CHANCE FLOODPLAIN) AS WELL AS CAN BE DETERMINED
FROM THE FLOOD INSURANCE RATE MAP NUMBER
12031C0408H, REVISED JUNE 3, 2013 FOR DUVAL
COUNTY, FLORIDA
SEE DRAWING 2013-0936TO FOR TOPOGRAPHIC SURVEY. ��' •'.t I i, �'t
.
"NOT VALID WITHOUT THE SIGNATURE AND `'-
DONN W. B•A�FII�JG(I'(, P.S.M.
THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER. FLORIDA LIO 1 SIMRVEYOR and MAPPER No. LS 3295
FLORIDA UC. SURVEYING & MAPPING BUSINESS No. LB 3672
CHECKED BY:
DRAWN BY: PGP BOATWRIGHT LAND SURVEYORS, INC. DAOCTOBER 3, 2013
FILE: 2013-0936 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1