140 16TH ST - DECK REPAIR C ��s
CITY OF ATLANTIC BEACH
IS-
?,
i"s� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
:3>>'' INSPECTION PHONE LINE 247-5814
RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 17-RAAR-3851
Description: DECK REPAIR
1 Estimated Value: 1800
Issue Date: 5/11/2017
Expiration Date: 11/7/2017
PROPERTY ADDRESS:
Address: 140 16TH ST
RE Number: 171878 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$7,500.
1-visr,e, City of Atlantic Beach APPLICATION NUMBER
rs rS'WI Building Department (To be assigned by the Building Department.)
800 Seminole Road 1 1\- PAR C
_ 3
�.. Atlantic Beach, Florida 32233-5445 �iZ
Phone(904)247-5826 • Fax(904)247-5845
"•�o;i�%- E-mail: building-dept@coab.us Date routed: `'-i/�
/ (17
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I 40 6(; = De ent review required Yes No
_ uilding_
Applicant: r`( t, C S(C k.) arming &Zoning
c Tree Administrator
Project: n J` jjN ��ECS D��' Public Works
Public Utilities
Re P c_ - e.- Public Safety •
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [ pproved. ❑Denied.
(Circle one.) Comments:
i BUILDING
PLANNING &ZONING
Reviewed by: /1n Date: s' 3' 7
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
• a
}�s Building Permit Application F,, 7 COPY
itii4.'r, City of Atlantic Beach AAA. .
5Y
800 Seminole Road,Atlantic Beach, FL 32233
an 9' Phone: (904) 247-5826 Fax: (904)247-5845
1 /4i' 0' ' 7-RAAR- �o5 (,Job Address: � Permit Number:
Legal Description 5 1-P '3-7 V11 as pee IAC RE# 17187 8-0060
Valuation of Work(Replacement Cost)$ I F3t0 f Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration a a' Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial si ential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes ' 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: �,( _Tir
12-66-Ate LE cK1NC_ ai (2) Tem. 7
ei/A 6c.K5 \U
Florida Product Approval# for multiple products use product approval form
Property Ow er Information
/ Name: ���7n�KLt �/ '�4✓ Address: a..i.
City State Zip Phone 1 Z S S,
E-Mail Ksat G 'r $.G-3�srfi 444- Z/C.- - - u ..c.cw
Owner or Agent If Agent, Power of Att ey or Agency Letter Required) (J
Contractor Information
Name of Company: m 112.i �), J r..1 Qualifying Agent: Ti W- I JABS I
Address 2.4210l\'-tpOi City JdrJ City /HE State FL Zip 322_33
Office Phone 0--, . 7 Lite. 3 -4o Job Site/Contact Number Ja 4 of • qaI-. ‘02-6,. 578(,
State Certification/Registration# Cgc 1257371 E-Mail ' @ r" ,i d.c 5i5 n . C.fv.
Architect Name&Phone#
Engineer's Name&Phone# Ty\ -- 30Z- - Z. 08 S
Workers Compensation 6,4.041� f
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 t1 L sspdrat-p7mit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS,HEATER , K ,and`Alf 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 Fci ,
l k ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD 0 NOT ' COMMENCEMENT.
,44(
-oar. .• A / .
(Sig .ture of Owner or A:-nt including Contra 'Signature of Contractor)
Sines and sw. to(• affirVed) •efore me this I7' "day of Signed and sworn to(or affirmed)before me this20 day of
4Y,l g by 1. a / a( ? 7n I ,.2.011 , by 1 1&' PeG,ncr .s .I
ERIN F.KELLY i AlIN Heather MOM, (teet
State of Florida
y - Notary Publlo,Stats of Florida 1 (S.natu f• o Notar • •mycommDoes (Signature of Notary)
it A Cotnn ssiona FF 910710 +"•°
me. My comm.iirpires Aug.18,MA Camm felon No.GG 68713
( ]Personally Known OR [ ]Pe onally Known OR
Produced Identification ( [ roduced Identification ,.,I + ��,��
Type of Identification:V Type of Identification: nor c O Dr1l�rs L�1LC.�L�7-e.,
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TIN THESE PLANS. THESE PLANS AND DRAWINGS ARE NOT TO BE REPRODUCED, CHANGED OR COPIED IN
ASSIGNED TO ANY PARTY WITHOUT FIRST OBTAINING SAID WRITTEN CONSENT.
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77 / 7 / 7 / 77 / 7 /1
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EXISTING 38" METAL i
RAILING -i i -
i EXISTING DECK i O
ELEVATED DECK i
II'-0" A.G. I
I I'-7"
PROJECT DETAILS:
REPLACE EXTERIOR DECK FLOORING
I - REMOVE EXISTING HANDRAILS RE-INSTALL EXISTING HANDRAIL N
- INSTALL TEMP. FALL PROTECTION
- REMOVE EXIST. TILE FLOORING TILE FLOORING (PROVIDE
- REMOVE SUB-FLOORING ADEQUATE SLOPE FOR RUNOFF) \
- INSTALL NEW SUB-FLOORING
- INSTALL FLASHING AND WATER-PROOFING
- INSTALL TILE FLOORING WATERPROOFING AND FLASHING
- RE-INSTALL HANDRAILS
3/4" CDX (OR SIMILAR) W/ 8D RINGSHANK (OR
EXT. SCREWS) 4" O.C. EDGES a 6" O.C. IN FIELD
EXISTING DECK /
(.0 COPYRIGHT 2017 TY BEDNARSKI, LICENSED CONTRACTOR, FL. CBCI257379 I CPCI457909, EXPRESSLY RESERVES HIS COPYRIGHT AND OTHER PROPERTY RIG
ANY FORM OR MANNER WHAT SO EVER WITHOUT FIRST OBTAINING THE EXPRESS WRITTEN CONSENT OF TY BEDNARSKI, CONTRACTOR, NOR ARE THEY TO BE