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720 Aquatic Dr screened room permit r j If CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �~ ATLANTIC BEACH, FL 32233 Lo,3 9" INSPECTION PHONE LINE 247-5814 RESIDENTIAL ADDITION - SINGLE OR TWO FAMILY RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESA17-0015 Description: SCREEN ROOM Estimated Value: 2400 Issue Date: 12/5/2017 Expiration Date: 6/3/2018 PROPERTY ADDRESS: Address: 720 AQUATIC DR RE Number: 171818 5240 PROPERTY OWNER: Name: SIM KAYLA Address: 720 AQUATIC DR ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: G & T CONTRACTOR SERVICES LLC Address: 8480 Manresa AVE JACKSONVILLE, FL 32244 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. rs.-VyjlJ, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: ( 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �zO C `r t C �� Department review required Yes No uildin Applicant: �O )Ye—AC 1 C� anning &Zoning Tree Administrator Project: R"_©0✓Yx P`u61ic or f i 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: OApproved. (Denied. ❑Not applicable (Circle one.) Comments: r" BUILDING / avS e ��'�tC."r-erew -5 PLANNING &ZONING -- Reviewed by: Date:�Z'7 TREE ADMIN. wA porved as revised. ODenied. ONot applicableSecond Review: PUBLIC WORKS Comments: 'V. ( ' PUBLIC UTILITIES V r Cre<�� ( �(�G�� Z VAR17.—QX5— PUBLIC SAFETY Reviewed bye z � Date: —I C-1'7 FIRE SERVICES Third Review: ❑Approved as revised. ODenied. ONot applicable Comments: Reviewed by: Date: Revised 05/19/2017 s y1�lr City of Atlantic Beach p ' r APPLICATION NUMBER o ;a Building Department (To be assigned by the Building Department.) r 800 Seminole Road AUG 18 ���� _ ��` x Atlantic Beach, Florida 32233-544 �� V d Phone(904)247-5826 • Fax(904)24y; 45 y i9' E-mail: building-dept@coab.us Date routed: i / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '77r----, RQp,-,( C,t� ��. Department review required Yes No uildin , Applicant: G �C��`t!Z�C�-U� anning & Zoning Tree Administrator Project: 2) C��� �©C7✓Y� u6 is or IU �liti 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. El-Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: l �'% — Date: � r (7 TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. ❑Not applicable P WORKS Comments: �C UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. [-]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 MAP SHOWING BOUNDARY SURVEY OF.- LOT 17—D, AQUATIC GARDENS, AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 54' RIGHT OF WAY FOR DRAINGE AND UTILITIES PER PIAT OF REPLAT OF ROYAL PALMS UNIT TWO A" AS RECORDED IN PLAT BOOK 31, PAGES 16-16D D I T C H TOP OF BANK c FOUND 1/2" IRON PIPE H S07"16'02 G SIT 112" IRON PIPE CORP 11704 45. DURDEN L.B. 16696 $ 0.6' 7.7' I n 0.2' 6' W00D 36'SMH 15' EASEMENT FOR DRAINAGE, =' UTILITIES AND SEWERS P.V.C. FENCE — STORAGE _ o w g 3' VINYL — 3 W FENCE CONC. w {PAVERS 7.5' 7.5' a Lu OV 0 3 P 1510' 0 w D) o 17.5 On > FRAME c6 UD 012.2 STORAGE 0 2 a 2 STORY 07 LOT 17-c 00 Q FRAME & e I p0 I o; 18-n _ �STOW couuu COQUINA �, AEsMWE/,as RESIDENCE r7 0) #720 U � N 15.0' 6' 10.1" OO 0.6' 1.0' .h 1.0' o .. � 0.5' `4 5' z 2 U rn ¢ m RADIUS=25.00' N �: I I .1t •N y-lr, City of Atlantic BeachAUG 18 20� APPLICATION NUMBER Building Department (To be assigned bty1) y the Building Department.) 800 Seminole Road `4 �S� (-7 V(� Atlantic Beach, Florida 32233-544.;'`;_..__ _ Phone(904)247-5826 • Fax(904)247-5845 y E-mail: building-dept@coab.us Date routed: I / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '77r'-", 0FCTi C, ��. Department review required Yes No uildin Applicant: `�--O�72A(=1 pZ_ anning &Zoning Tree Administrator Project: P'u6fic or I' U 'li i 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. [—]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by; Date: TREE ADMIN. ' Second Review: []Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 '.5-1 �iCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) # 800 Seminole Road RCS /i 0 S �r Atlantic Beach, Florida 32233-5445 !_ V Phone(904)247-5826 - Fax(904) 247-5845 ' f `_01H �� E-mail: building-dept@coab.us Date routed: City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: !z.Q [AQL)P'T' 0_ Department review required Yes No uiIdin Applicant: �ply`t(L,gi?�z U(� anniri &Zoning Tree Administrator Project: 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. E�Denied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: tF/27/17 TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [—]Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 x.11 " - Building Permit Application OFFICE COPY - City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 - of Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: LA Permit Number: R�5A17- 0OtE_S Legal Description-01 (✓ qU4ZAL Valuation of Work(Replacement Cost)$ ai Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial CEesidential • 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: 5Cxee_4-1 pom LA-)i VC AUA rn, an Florida Product Approval# r76L 1. l for multiple products use product approval form PropertV Owner Information Name: 1 Aft Address:rr;aCZ �,C City State 11.�Zip :J ne E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Qualifying Agent: Address D r e 20 City u ate a Zip a� Office Phone q C) Job Site/Contact Nurnb6r OState Certification/Registration# 1 Sq E-Mail gjovCl Architect Name& Phone# Engineer's Name&Phone# Workers Compensation 1 C;(AQ,L 'e-_ 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 YOUR NOTICE OFCOMMENCEMENT. (Signature of O ner or Agent inc uding Contractor) (Signature of Contractor) JJ ned and sworn to(or affirm d)before me this�day of 'gne and sworn to(or affirm before me t id day of ' J r by 104—lk. o a ) re tary) , '•'Ff"x4�: OANNE C MOLD MY COMMISSION#GG044737 _ COMMISSION#GG044737 [ ]Personally Known OR ,• EXPIRES November 03,2020 ersonally Known OR °9 EXPIRES November 03,2020 �4roduced Identific tim 41produced Identification Type of Identification: Type of Identification: CITY OF ATLANTIC BEACH 800 Seminole Road OFFICE COPY J Atlantic Beach,Florida 32233 r Telephone(904)247-5800 J FAX(904)247-5845 REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: 11-I q-Zv 17 Received by: Resubmitted: Permit Number: R FA I �O Original Plans Examiner: Project Name: Project Address:U-1 20 c, C Contractor: t tL� r Sec-,i\ce.S Cont t Name: nne, Contact Pho o t ^3,5 iF t Co e-mat . •to o\ a`7 tv\q' a Revision / lan Chee Permit Fee(s)Due: Sd•D Descri tion of Pro os d Revision to Existing Permit: -)- - -------- -- 2017 G \Ger Additional Increase in Building Value: $ cl� Additional S.F. Site Plan Revised: r Public W/U Approval: By signing below. I(print name) �tS _� _ _ _ all firm that the above revision is inclusive o c proposed changes. l 1 1q-201-7 Signature of Contractor/Agent(comract st sign irincrense Date Office Ilse Only Date: f/�" Z t Appn)%rcd: Rejected: Notified by:____----_-__-- Plan Review Comments: DODIdment review required Yes No -Building ------ a Zoning v Tree Administrator Plans Examiner Public Works Public Utilities — -- —— Public Safety Date f cakd Ji13 16 Ra 3 Fire Services CITY OF ATLANTIC BEACH f) 800 SEMINOLE ROAD OFFICE C O P Y ATLANTIC BEACH,FL 32233 (904)247-5800 BUILDING DEPARTMENT REVIEW COMMENTS Date: 8.23.2017 Permit#: RESA17-0015 Applicant: G&T Contractor Site Address: 720 Aquatic Dr. Services, LLC Review: 1 Site Address: 8480 Manresa Ave.,JAX RE#: 171818-5 Phone: 771.3588 Email------. 'mold t mail.com Homeowner: im CW RECTION COMMENTS: These are plan review comments from 1 of 4 departmen 1. 2 affidavits are needed. One for a screen enclosure and the other for attaching a structure to an existing structure. I will attach the forms for these affidavits to the email I send you. I need them completely filled out and 2 copies each. i . Aluminum structure plans are site specific and need to be signed and s ed n engineer. m� Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax (904) 247-5845 E ma,I-eI 1 P-erM9� 44--�--- )eES q /7 — 0o15- NOTICE OF COMMENCEMENT OFFICE COPY State of l ^''Tax Folio No. County of hx-V ILL 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 stated in this NOTICE OF QDMI ENCEM�NT` i,. S _ Legal Description of property being improved:,v —? s^cQqC.. `_ ( __1 L,4- Address of property being improved: Q� General description of improvements: Owner: Address: a Q Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: 1 ntractor: \\ Address: Telephone No.. D�' 1. I . g Fax No: C) Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No- Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): Doc#2017193624, OR BK 18092 Page 2427, Number Pages: 1 NLY OWNER Recorded 08/17/2017 at 01:22 PM, r Ronnie Fussell CLERK CIRCUIT COURT DUVAL Signed: Q Ito 1,)n �COUNTY Before me this Date: [ 1(J / RECORDING$10-00 ay of I in the County of Duval,State -- Of Florida,has personally ap JOANNE C MOLDlersonally otary Public at arge, of u al. MY COMMISSION#GGW• Kn EXPIRES November 03,2020 F roduced Ide or ison: 8/16/2017 Property Appraiser-Property Details AM KAYLA+-' Primary Site Address Official Record Book/Page rle# < 720 AQUATIC DR 720 AQUATIC DR 16982-01956 OFFICE C 0 PY 9417 ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 720 AQUATIC DR Property Detail Value Summary RE# 171818-5240 2016 Certified 2017 In Progress Tax District USD3 Value Method CAMA CAMA Property Use 0100 Single Family Total Building Value $81,597.00 $85,415.00 #of Buildings 1 Extra Feature Value $607.00 $547.00 Legal DesG For full legal description see Land Value(Market) $25,000.00 $25,000.00 Land&Legal section below Land Value(Aeric.) $0.00 $0.00 Subdivision 03761 AQUATIC GARDENS Just(Market)Value $107,204.00 $110,962.00 Total Area 4229 Assessed Value $107,204.00 $109,455.00 The sale of this property may result in higher property taxes.For more information go to Save Cap Diff/Portability Amt $0.00/$0.00 $1,507.00/$0.00 Our Homes and our Property Tax Estimator.'In Progress'property values,exemptions and Exemptions $50,000.00 See below other supporting information on this page are part of the working tax roll and are subject to change.Certified values listed in the Value Summary are those certified in October,but may Taxable Value 1$57,204.00 See below include any official changes made after certification Learn how the Property Appraiser's Office values property. Taxable Values and Exemptions—In Progress -3 If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value S)RWMD/FIND Taxable Value School Taxable Value Assessed Value $109,455.00 Assessed Value $109,455.00 Assessed Value $109,455.00 ........................................................................................................._........ ...............................__..__........................................ .._.........._.._.._..-- ......................................................._.........._......_.._...................._..--- Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00 Homestead Banding 196.031(1)(b)(HB) -$25,000.00 Homestead Banding 196.031(1',,b)(HB) -$2500000 Taxable Value $84,455.00 Taxable Value $59,455.00 Taxable Value $59,455.00 a Sales History Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved 16982-01956 f 11/17/2014 $140,000.00 WD-Warranty Deed Qualified Improved 14126-02052 i 7/17/2007 $46,000.00 WD-Warranty Deed Unqualified Improved 09834-00048 12/20/2000 $77,000.00 WD-Warranty Deed Qualified Improved 06564-00229 8/8/1988 $100.00 QC-Quit Claim Unqualified Improved 06113-00317 4/4/1986 $199,200.00 WD-Warranty Deed Unqualified Improved 05935-02186 3/28/1985 $100.00 WD-Warranty Deed Unqualified Vacant 05935-02177 2/12/1985 $691,200.00 QC-Quit Claim Unqualified Vacant Extra Features - LN Feature Code Feature Description Bldg. Length Width Total Units Value 1 FPPR7 Fireplace Prefab 1 0 0 1.00 $547.00 Land&Legal Land L al LN I Code Use Description 2onlng Front Depth ,Category Land Units Land Tvpe Land Value LN Legal Description _.. _ 1 C 0101 RES MD 8 19 UNITS PER AC ARG M ! 0.00 (0.00 Common 1.00 Lot $25,000.00 1 38-71 17-2S-29E 2 AQUATIC GARDENS 3 LOT 17-D Buildings!--J Building 1 Building 1 Site Address Element Code Detail 720 AQUATIC DR Unit Atlantic Beach FL 32233 Exterior Wall 8 8 Horizontal Lap I FF— Exterior Wall 16 16 Frame Stucco L.; Building Type 0105-TOWNHOUSE Roof Struct 3 3 Gable or HipFF!' BAS FUA' Year Built 1986 Roofing Cover 3 3 Asph/Comp Shng Building Value $85,415.00 Interior Wall 5 5 Drywall Int Flooring 11 11 Cer Clay Tile I Type Gross Heated ;Eff=ecttiv7e Int Flooring 12 12 Hardwood Area Area Heating Fuel 4 4 Electric r ,.. .e Unfin Open Porch t`+ 150 0 30 I Heating Type 4 4 Forced-Ducted L��' Finished upper 1360 360 342 I Air Cond 3 3 Central story 1 Base Area 1968 968 968 Unfinished 24 0 10 Element Code Storage I Stories 2.000 Finished Open 4 0 1 I Bedrooms 3.000 http://apps.coj.net/PAO_PropertySearch/Basic/Detail.aspx?RE=1718185240 1/2 8/16/2017 Property Appraiser-Property Details Dorch 2.000 Total 1506 ( 1328 1351 Roohms/Units 1.000 I OFFICE I r1 r"r ICE COPY 2016 Notice of Proposed Prooerty Taxes Notice TRIM Notice Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-bad* County $109,455.00 $50,000 00 $59,455.00 $466.28 $484.63 $459.73 Public Schools:By State Law $109,455.00 $25,000.00 $84,455.00 $374.36 $357.84 $364.72 By Local Board $109,455.00 $25,000.00 $84,455.00 $184.79 $189.85 $180.04 FL Inland Navigation Dist. $109,455.00 $50,000.00 $59,455.00 $1.83 $1.90 $1.78 Atlantic Beach $109,455.00 $50,000.00 $59,455.00 $184.68 $191.95 $182.42 Water Mgmt Dist.S]RWMD $109,455.00 $50,000.00 $59,455.00 $16.50 $16.20 $16.20 Gen Gov Voted $109,455.00 $50,000.00 $59,455.00 $0.00 $0.00 $0.00 School Board Voted $109,455.00 $25,000.00 $84,455.00 $0.00 $0.00 $0.00 Urban Service Dist3 $109,455.00 $50,000.00 $59,455.00 $0.00 $0.00 $0.00 Totals 1$1,228.44 1$1,242.37 $1,204.89 lust Value Assessed Value Exemptions Taxable Value Last Year $107,204.00 $107,204.00 $50,000.00 $57,204.00 Current Year $110,962.00 $109,455.00 $50,000.00 $59,455.00 2016 TRIM Property Record Card(PRC) This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM Notices) in August. Property Record Card(PRC) The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed. 2016 2015 2014 •To obtain a historic Property Record Card (PRC)from the Property Appraiser's Office,submit your request here: More Information ontact Us I Parcel Tax Record I GIS Mao I Mao this property on Google Maps I City Fees Record http://apps.coj.net/PAO_PropertySearch/Basic/Detaii.aspx?RE=1718185240 2/2 OFFICE COPY MAP SHOWING BOUNDARY SURVEY OF.- LOT 17-D, AQUATIC GARDENS, AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 54' RIGHT OF WAY FOR DRAINGE AND UTILJTIES PER PLAT OF REPLAT OF ROYAL PALMS UNIT TWO "A" AS RECORDED IN PLAT BOOK 31, PAGES 16-16D D I T C H TOP OF BANK FOUND 1/2" IRON PIPE m SO7.16'02 E * SET 1/2" IRON PIPE CORP X1704 45,On' a DURDEN L.B. J6696 8 0.6' 7.7' n 0.2' 6' WOOD 30.SMH 15' EASEMENT FOR DRAINAGE, UTILITIES AND SEWERS P.V.C. FENCE SSI STORAGE _ o w 6' 3' VINYL 3 W FENCE CONC. PAVERS 7.5' 7.5' Zo o . W c)) P 1 1510' 0 17.5 I o Fy 012.2 FRAME STORAGE 0z a 2 STORY LOT 17—C LOT 18—A FRAME & �, I DO = Fn w2 S coRY COQUINA O� Ln Q RESIMNce#726 RESIDENCE J � #720 o.e' U o % N 15.0' s' 10.1' N '" o.s' 1.0 1.0' b .5' 0.5 5 2 U m '• a m RADIUS=25.00' N 06 I I ado ado ' •N — • CONCRETE • DRIVE o 0 500.00' N.T.S. 30.00' 0.1 .2' 45.00' • ° 9 • 4-0NGHLIL • FOUND i/2" IRON 1 SIDEWALK FOUND 1/2" IRON PIPE CORP #1704 07.16,02„ CORP 11704 45.00' 0 AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE "Tl C—) M TO: Building Inspection Division,City of Jacksonville,214 North Hogan Street n Home Owner: Name -�2-0 � �Stre ddress City. State and Zip Code Contractor: r:2 Permit Number As the Contractor for the proposed new structure located at the above address, I have personally viewed with the above named home owner those portions of the existing structure on which portions of the proposed new structure are to be attached for structural support. I am confident that the drawings and details included with this pen-nit application depict the existing conditions of the host structure,and the members of the existing structure upon which the new structure are to be attached are sound with no rot or deterioration The home owner has been advised by me that,in my best judgment based on experience and knowledge of structural adequacy,the members of the existing structure upon which the new structure are to be attached are sound with no rot or deterioration and will support all structural loads and forces imposed on them. By signing below, I hereby declare that I will hold the City of Jacksonville harmless and release it from any responsibility and liability for any adverse consequences or failures resulting from this work,and further that I will not initiate,execute or enjoin any legal action against the City of Jacksonville for such consequences or failures. A copy of this document will be recorded as an official record with the Building Inspection Division permit history so that any and all future buyers/owners of this property may be made aware of the status of work performed on this structure. Signed Date // /ID Before me this day of �`zo Int County of Duval,State of tforida,has personally appeared herein by himself/herself and Affirm all is an l cl ti rein are true and accurate. Notary P t L g , to of�_,County of / Persona y ownx or Produced Identification ID Ty '•."' JOANNE C MOLD MY COMMISSION*GG044737 Wa EXPIRES November 03,2020 OFFICE COPY SUNROOM, SCREEN ENCLOSURE,AND/OR SCREEN ROOM AFFIDAVIT CITY OF ATLANTIC BEACH .TOB ADDRESS: �/�' Dc PERMIT# A5#1 7 - INSPECTION REQUEST PHONE LINE(904)247-5826 The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence. The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing. The property owner is hereby notified that should any form of temperature control system be added to a Category 1, II, or Ili Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur, the room shall become non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces as mandated by the Florida Building Code,The Florida Model Energy Code and State Statutes. Scree u Room Sunroom and Screen Enclosure Rea uirements _ Category I II III IV V_ Habitable Space No No No Yes Yes Foundation Walls<200plf can Walls<200plf can Walls<200plf can Walls<200plf can have Walls<200plf can have have 8"Wx12"D ftg have 8"Wxl2"D ftg have 8"Wx12"D ftg "Wx12"D ftg 8"Wxl2"D ftg r 3-1/2"slab if no or 3-1/2"slab if no or 3-1/2"slab if no concentrated load concentrated load concentrated load >7501b >7501b >7501b Exit Lighting Not Required Required Required Required Required Interior Electric Not Required Not Required Not Required Required Required Outlets Emergency Escape Egress from exist. Egress and Exit must Egress and Exit must Egress and Exit must Egress and Exit must Openings structure allowed if meet code neet code. Other neet code. Other meet code. Other open to atmosphere or esistance esistance requirements resistance requirements considered screen -equirements for 'or forced entry,air for forced entry,air enclosure and has orced entry,air eakage and water leakage and water Green door leading eakage and water )enetration also apply. enetration also apply. way from residence. enetration also apply. Mise.Window and Host structure Removable windows Removable windows -lost structure windows Host structure windows Door Requirements windows/doors shall allowed in sunroom. Alowed in Sunroom. 4c doors shall not be &doors may be not be removed. Host structure Host structure -emoved. removed. windows/doors shallwindows/doors shall �riot be removed. not be removed. Wind Borne Debris Not Required Not Required Not Required Not Required Not Required Ppening Protection Energy Sheets I Not Required Not Required Not Required I Required Required I hereby acknowledge tha I have read and understand all the above on this Day of ,ZO(� . Home w er's Signat r Pant am STATE OF FLORIDA, COUNTY OF DUVAL: l ris' NN MOLD The regoin instru was ackno ged before me this ay of .r ' 1, 0 ,�f M ISS #GG0447; herein by hims v �ar 03,20 2( State rx ,n ddeojilrations herein are true and accur e. T_ A .. A') � � //131 OFFICE COPY �PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: Permit # 7 Gloms Project Address: As required by Florida Statute 553. 2 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuildin .or . Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6. Other B.WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4.Double hung 5.Fixed 6.Awning 7.Pass-through 8. Projected 9.Mullion 10.Wind breaker 11.Dual action 17. Other Category/Subcategory Manufacturer Product Descriphon Fimitation of Us State# Local# E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2. Truss plates 3.Engineered lumber 4.Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9.Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight _ OFFICE COPS' 2. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. a�7O ✓ LIS M'4p��(� (Contractor Name) (Print Name) t' (Si ature) Company Name: 4— Mailing A ess:jo� o'�" City: S 8-3n U t State: _ Zip Code: Telephone Number: ( ) (J8 Fax Number: Cell Phone Number: ( ) E-mail Address: MAP SHOWING BOUNDARY SURVEY OF.- LOT 17-D, AQUATIC GARDENS, AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 54' RIGHT OF WAY FOR ORANGE AND UTILITIES PER PLAT OF REPLAT OF ROYAL PALMS UNIT TWO "A" AS RECORDED IN PLAT BOOK 31, PAGES 16-16D D I T C H TOP OF BANK FOUND 1/2"IRON PIPE a SO716 E mSET 1/2" IRON PIPE CORP X1704 DURDEN L.B. 16696 8 o.s' 7.T I o.z' COMMUNITY DE 6' WOOD 36'SM 15 EASEMENT FOR DRAINAGE, P.V.C. FENCE UTILITIES AND SEWERS STORAGE _ APPRpV 3' VINYL E D 3 W FENCE CONC. W PAVERS 7.5" 7.5' OW LLJ U- P 1510' 0 17.5 I Q W1 130� 12.2' FRAME STORAGE o 0 U2 2 STORY LOT 17—C (n I Q FRAME & , I 00 I) = ECOQ I Lor 1a—A ( F+.Mc oDwA � COQUINA '0 Q RESIDENCE 0726 ro RESIDENCE 1� J 720 o.s' N (� o 00 15.0' 10.1' 0.6' 1.0' 1.0' - , 0.5' .5 5. ZLU • I a a1 RADIUS=25.00' W N �: m oo N •t LL • •CONCRETE• I I o 0 A DRIVE J J 500.00' � N.T.S. 30.00' 45.00' 9 4 sloEwAL 0 1/2" IRON PIPE FOUND 1/2" IR I CORP 11704 CORP 11704 0 716'02" 45.00' AQUATIC DRIVE 50' RIGHT—OF—WAY NUTESI THIS PROPERTY UES IN FLOOD ZONE AE(BFE=6)'PER FLOOD INSURANCE RATE MAP(FIRM), CITY OF ATLANTIC BEACH, COMMUNITY No. 120075, MAP/PANEL No. 12031C-0408—H, REVISED JUNE 3, 2013. BEARINGS BASEDON THE EAST RICHT—OF—WAY LINE OF AQUATIC DRIVE AS BEING N 07'16'02'W,AS PER PLAT. NO BUILDING RESTRICTION LINE BY PIAT. N.T.S. DENOTES NOT TO SCALE. CONC. DENOTES CONCRETE. sMH DENOTES SANITARY MANHOLE. CERTIFIED TO: P.V.C. DENOTES POLYVINYL CHLORIDE(PLASTIC). KAYLA S. SIM THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON BRANCH BANKING AND TRUST COMPANY THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF CHICAGO TITLE INSURANCE COMPANY DUVAL COUNTY, FLORIDA. PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, PA. I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant to D R D E N Section 472.027 Florida Statutes and Chapter 5,117 Florida Adm'nistrative C SURVEYING AND MAPPING, INC. 1825—B 3RD STREET NORTH JACKSONVILLE BEACH, FLORIDA 32250 (904) 853-6822 Fax 853-6825 FLORIDA REGISTERED SURVEYOR No. 4707 LICENSED BUSINESS NO. 6696 H. BRUCE DURDEN, Jr. SIGNED OCTOBER 23. 2014 SCALE: 1" = 20' WORK ORDER NUMBER: 14410 B-8607 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. MAP SHOWING BOUNDARY SURVEY OF.- LOT 17—D, AQUATIC GARDENS, AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 54' RIGHT OF WAY FOR DRAINGE AND UTILITIES PER PLAT OF REPLAT OF ROYAL PALMS UNIT TWO "A" AS RECORDED IN PLAT BOOK 31, PAGES 16-16D D I T C H TOP OF BANKC FOUND 1/2"IRON PIPE a S07"1 602 E q SET 1/2" IRON PIPE CORP /1704 45. DURDEN L.B. 16696 g 0.6' 7.7' I 0.2' " 6' WOOD 36"SMH 15' EASEMENT FOR DRAINAGE, UTILITIES AND SEWERS P.V.C. FENCE SD STORAGE _ o w .6' 3' VINYL — 3 z FENCE CONC. LZ L- ��PAVERS 7.5' 7.5' OW 0) M P % 15I0' O) LSI } 0 0 17.5 FRAME c6 � 012.2' STORAGE 0 Z a 2 STORY LOT 17-C Q FRAME & I 00 I LOT 18–A (f) = z s<o:rcn COQUINA 0 FRAME&COQUII4A n RESIDENCE/726 RESIDENCE f ) ') #720 �� o.a �► ~o � N U % N 15.0' 10.1' 14I8-.. c 0.5' `l 5 ^ : 2U 0) " I I < m rn I I IUS=25.00' N ad: ro •N "CONCRETE• I I o 0 • DRIVE 500.00' N.T.S. 30.00' p.1T inw L- 0.2' 45.00' ° 9 4 CONCRETE " SIDEWALK F 1/2" IRON PIP FOUND 1/2"1R , „ CORP /1704 CORP 11704 07"16 02 45.00' AQUATIC DRIVE 50' RIGHT-OF-WAY PUBLIC UTILITIES NOTES, THIS PROPERTY LIES IN FLOOD ZONE AE(BFE=6)'PER FLOOD } PROVED INSURANCE RATE MAP(FIRM), CRY OF ATLANTIC BEACH, COMMUNITY No. 120075, MAP/PANEL No. 12031C-0408—H, REVISED JUNE J. 2013. { ENIED BEARINGS BASEDON THE EAST RICHT—OF—WAY LINE OF AQUA77C OR" AS BEING N 0716'02'W. 'IS PER PUT. N APPLICABLE TO DEPT NO BUILDING RESTRICTION LINE BY PLAT. N.T.S. DENOTES NOT TO SCALE. GONG. DENOTES CONCRETE. SMH DENOTES SANITARY MANHOLE. CERTIFIED TO: P.V.C. DEN07ES POLYVINYL CHLORIDE(PLASTIC). KAYLA S. SIM BRANCH BANKING AND TRUST COMPANY THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON CHICAGO TITLE INSURANCE COMPANY THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLOPoDA PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, P.A. I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant to D U R D E N Section 472.027 Florida Statutes and Chapter 5J17 Florida Administrative C SURVEYING AND MAPPING, INC. 1825–B 3RD STREET NORTH JACKSONVILLE BEACH, FLORIDA 32250 (904) 853-6822 Fax 853-6825 FLORIDA REGISTERED SURVEYOR No. 4707 LICENSED BUSINESS NO. 6696 H. BRUCE DURDEN, Jr. SIGNED OCTOBER 23 2014 SCALE: 1" = 20' WORK ORDER NUMBER: 14410 B-8607 -86O7 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.