1611 FRANCIS SHED 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ACCESSORY- SINGLE OR TWO FAMILY ACCESSORY
MUST CALL BY 4PM FOR NEAT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 17-SHED-3847
Description: 10 x 12 wooden storage building
Estimated Value: 3500
Issue Date: 5/15/2017
Expiration Date: 11/11/2017
PROPERTY ADDRESS:
Address: 1611 FRANCIS AVE
RE Number: 172285 0040
PROPERTY OWNER:
Name: Alberto&Sabogal MARISSA
Address: 1611 FRANCIS AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BACKYARD STORAGE SOLUTIONS INC
Address: 2450 S SMITH RD UNIT QA GARY D. WEST
KISSIMMEE, FL 34744
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.
4f i City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
606 Seminole Road y 'V__S _ 3
n -
Atlantic Beach, Florida 32233-5445 L t r �-lJ
Phone(904)247-5826 Fax(964)247-5845
E-mail: building-dept@wab.us Date routed:
City web-site: hap:1Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (0 �1 FYO-Ilfv S IwA- Dealiment review required Yes o
QI, A ,t,, ",.1�' W
Applicant: V�lC t_ C"A 1 \k R/'� SDl�.L�wll S Planning &Zoning
1.,� ree or
Project: ��Xl� �) pQd1 5\u(k(j(( �L,IG�
� Public Utilaie
Public Safety
Fire Services
Review fee w
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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
Omer.
APPLICATION STATUS
Reviewing Department First Review: [Kpproved. ❑Denied.
(Circle one.) Comments:
BUILDING �-y�
PLANNING&ZONING Reviewed by: � / r Date:
TREEADMIN. 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 6511009
-sCity of Atlantic Beach APPLICATION NUMBER
:f Building Department (ro be assigned by the Building Department.)
n 800 Seminole Road
Atlantic Beach, Florida 32233-5445 [�_S Hfp- 3 8"fq
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@mab.us Date routed: I a�0I I�
City web-site: hdp://www.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �0 [` \- "u S hit- Department review required Yes No
Applicant: CIJ 5w' CI1� alailn
ning&Zoning
Tree—ATMIMstrffor
Project: O"AQA
Public Utiliti
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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 Reviewed by: v✓ Date: ON—01
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 05174/09
City of Atlantic Beach APPLICATION NUMBER
Building Department
(To be assigned by the Building DepammentJ
^ 800 Seminole Road � EIV'.i ' I
Atlantic Beach,Florida 322335445
Phone(904)247-5826 - Fax(904)247 5A�PR 2 7 2017
E-mail: building-dept@wab.us Date routed:
City web-site: hdp://www.coab.us
BY:_
APPLICATION REVIEW AND TRACKING FORM
Property Address: I t 1L,Au S IwA_ De attrnent review re uired Yes No
Q � I,. ^ uil '
Applicant: fJal.C-1�C4r/Y \W U/'� �1 ` Planning &Zoning
ree or
Project: p
Public Utiliti
Public Safety
Fire Services
Review fee $ Dept Signature'"
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineer;
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
rReviewing Department First Review: Approved. ❑Denied.
ircle one.) Comments:
UILDING
ING &ZONING
Reviewed bi _Date:
EE 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
City of Atlantic Beach APPLICATION NUMBER
Building Department � '^ "^-VE c CC (To be assigned by the Building Department.)
800 Seminole Road CI�
° I
Atlantic Beach, Florida 32233-5495
Phone(904)247-5826 Fax(904)24 APR 2 7 2017 6 ) t(. I a I I�
"y y' E-mail: building-dept@coab.us Date muted:
City web-site: http:1lwww.coab.us By;
APPLICATION REVIEW AND TRACKING FORM
Property Address: I (1 V loAU S Q- De artment review required Yes No
Applicant: (LfA �`� ��-- W�t Planning&Zoning
1 1
_Mee or
Project: tDKl-<)r- � OndQn S�fagtL�at IGl
Public Utilitie
Public Safety
Fire Services
Stevie ,fee:$ Dept Signature 7[ P
Other Agency Review or Permit Required Review of Receipt Date
of Permit Verified B
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 Reviewed by: ✓ Date: 2 f 7
TREE DMIN. Second Review:
❑Approved as revised. ❑Denied.
P _ WORKS) Comments:
PUBLI UTILITIES
-Z7-/-7
PU LIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
OFFICE COPYlr
Building Permit Application
le City of Atlantic Beach APR 2 5 2017
800 Seminole Road,Atlantic Beach, FL 32233
Phone:(904)247-5826 Fax: (904)247-5845
Job Address: /C// /,/—lYApe- Permit Number.
Legal Description Z6-s"O / //// jVSnr,i44 s/o RE# l�,Z•28S=0o nfo
r
Valuation of Work(Replacement Cost)$ 3 SO.O 0 Heated/Coded SF Non-HINIF"C0014A
• Class of Work(Circle one): eO�Addition Alteration Repair Move Demo Pool Window/Door
• use of existing/proposed structure(s)(Circle ons): Commercial c6ille
• N an existing structure,is a fire sprinkler system installed?(Circle one): yes No V9/
• Submit a Tree Removal Permit Application If any trees are to be removed or Affidavit of No Tree Removal
Describe In ds��aIl the type of work to be performetl: nJ�/dlQ b4�� •/
/3a /d,iryf ,- /oX/2 v/ t'
eur
Florida Product Approval# for multiple products use product approval form
Pinopeft Owner
Namf0 �Q_�A7 ' Address:e(�' /1GE-i (�U�
C1ty�ti'tn 7PazC State f zip -ff,2Z'-f--f Phone
E-Mail
Owner or Agent jlf Agent,Power of Attorney or Agency Letter Required)
Contract"Infirm I /""
Name of Name of Co -sO�i�( lualifying Agent' yf(�'/ L1�G�-S
Addmcc /, `l'2br 7 , .^m u.;,a v S" Ckv !7i ��� s e zip
Office Phone_ rJ' ?di! 4-7 Job Ske/Contact Numbr7--','
��
State Certification/Re
gstratio # W d_E-Mag
Architect Name&Phone# � �S G ;d CAAr 4 ,2e, a 15 ;r y_ _
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/lease EmPlayees/EFPlraeon mre
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 UR NOTICE OF COMMENCEMENT.
'��V� �P
Signature of Owner or Agent including Contractor (Signature of contractor)
Signed and sworn to(or affirmed)before me this day of Si edarld swum to(or affirmed)before me thLs�a day of
14/Yby r>lbg"ln C_' L_ '/ Zvi by (s- n sr/
DQ:L`aJ of Note ry) i""'°:Wt, DAVID D GE(SIgRgurs of Nobry)
• MY COMMISSION I EESSENI
r
DAVID JOE PAGE EXPIRES:May25,2017
F� `P • awdplrrva rE
• • MY COMMISSION#EEN856i oars wNl xoM Nmrp
IIP17
RV, R�pry� yj � Permnally Known OR
Leroduced I V c!ti I I Produced Identificatirn
Type of ldentifiution: J-(ri 01'/.S �l c e''re Type of ldentlRcatbn: i
d
TREE & VEGETATION AFFIDAVIT
City of Atlantic Beach
Department of Community Development
Planning&Zoning Division
l s V 800 Seminole Road Atlantic Beach,FL 32233
(P)904247-5800 (F)904247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION r Owner(s) r Legal Authorized Agent-
NAME OF APPLICANT X112e FPD'ad
NAME OF COMPANY
ADDRESS OF COMPANY
PHONE �Q'J�-f'4�3}" CELL EMAIL
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SITE INFORMATION �� /
STREET ADDRESS OF PROPERTY /��j ',7&1e �U/a �7�(rG Ae
Nan aNNress has rwtbeen assgrrMroHrlsgapeay,amroa HKAB 9ulMing Deparhnmtaf ryW)N1-5916,trorequestLanaOdress.
LEGAL DESCRIPTION
LOT /f BLOCK SUBDIVISION
REAL ESTATE NUMBER /�'�aAg:OpuQ LOT OR PARCEL SIZE:, oo0 SOFT AC
RESIDENTIAL COMMERCIAL OTHER(SPECIFY)
I affirm that 1 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
from the above-described or adjacentproperhes in conjunction with this project.
SIGNATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on this 2 rday of ri l , /y ,by State of r//h
/ Counryof 'Poco,"
Identification verified: ��-, j7e/S F--rG P✓/.S P
Oath sworn: F- Yes F- No
Notary Signature yj°:CC;wr DAVID,pEPADE
My Commission expires: . MVC0MM9I0N A EE*%I
REV IVA-v 1O.i2 EXPIRES:jk m 8M7
'armor a!'� BwMt6ulwRlNday6wkr
MAP SHOWING BOUNDARY SURVEY OF
THE SOUTH 50.0 FEET OF THE NORTH 54.0 FEET OF LOT 4, BLOCK 1, ED SMITH SUBDIVISION, AS RECORDED
IN PLAT BOOK 26, PACES 50, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
ALBERTO SAS GOAL
N MARISSA SABOGAL FILE COPY
PENNYMaLOAN SERVICES, LLC
�- AMERICA'S CHOICE TITLE COMPANY
CHICAGO TITLE INSURANCE COMPANY
LOT 10 LOT 11
BLOCK 1 BLOCK 1 LOT 12
BLOCK 1
S 00'15'00" E
50.00' (DEED)
S 00'76'57" E
50.05' (MEASURED)
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Doc M 2017095267, OR HK 17958 Page 41, Number Pages: 1, Recorded 04/25/2017
at 02:46 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
FILE C077 P1.rwir L �tp- 1-7- s/lefp/ — 3 ky7
NOTICE OF COMMENCEMENT
State of 10,:�Ierl LL Tax Folio No.1l'Z29.S�^U'OAfb
Contyof 1-7alia/
To Whom 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 stared in this NOTICE QQF COMMENCEMENT.
Legal Description ofproperty being improved: 26 '^.Srd /T-.35'29�6 .//d�4
,oo f o a B/
Address ofproperty being improved: 6 �
General description ofimprovements: 10/11Mr14"
/ I21
Arne'1a=T r
owner:fll6<�r'`o Su c�w1 Address:_,/'(o//F-.Aywi'f A,/� nta/�aw1,
Owner's interest in site of the improvement: 22
Fee Simple Titleholder(if other than owner):
Name: L
Contractor: �aa Nlil S% ��RG1�/A/ S�iarm Sm�iifonsGG�
r41(f Address: J726e FL 3,2 ``/'GSA
Telephono No.: Fant Nov. 'el0,�' za 5�lry'S�
Surety(if my)
Address: Amount of Bond S
Telephone No; Fax No:
Name and address of any person making a loss for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the Stare of Florida,other than himselI,designated by mover upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition m himself, owner designates We following person he receive a copy of the Lienor's Notice as provided in Section
713.06(2x6),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration dare of Notice of Conunevicerrtent(the expiration dam is one(1)year from the data of recording unless a different dam iso
specifled): �
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed, Date: 2.6- ;YD/f'
Bon Muds ?-V of '1 20s iv theC tyof pl,Siete
Of Florida has personally appeared ei7a a ,ze /
Notary Public a Large,g of F(Oq'd ,rCounty uvaV;�••. NOA ,:PAGE
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Myconayssioveaphea: L ti B
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