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633 STOCKS ST - SHED rt 6I CITY OF ATLANTIC BEACH :+ O. 800 SEMINOLE ROAD .5 �v z ATLANTIC BEACH, FL 32233 on 9 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: ACC17-0060 Description: 10' x 14' SHED Estimated Value: 3876.61 Issue Date: 11/21/2017 Expiration Date: 5/20/2018 PROPERTY ADDRESS: Address: 633 STOCKS ST RE Number: 170913 0700 PROPERTY OWNER: Name: PETTIT JUNE GAGE Address: 917 ARTHUR MOORE DR GREENCOVE SPRINGS, FL 32043 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: TUFF SHED INC Address: 1777 S HARRISON ST STE 600 QA TOM SAUREY DENVER, CO 80246 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. (5"--,0...A.P.t, 'IP' Permit Conditions s) .. 1Vz City of Atlantic Beach Permit Number:ACC17-0060 Description: 10'x 14' SHED Applied: 11/7/2017 Approved: 11/14/2017 Site Address:633 STOCKS ST Issued: Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status:APPROVED Applicant: <NONE> Parent Permit: Owner: PETTIT JUNE GAGE Parent Project: Contractor: <NONE> Details: LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 11/9/2017 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 2 11/9/2017 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 3 11/9/2017 ROLL OFF CONTAINER INFORMATIONAL 1 • PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell's,Inc.,Republic Services). Container cannot Ibe placed on City right-of-way. Printed:Tuesday, 21 November,2017 1 of 1 • �>>vfi,,; City of Atlantic Beach APPLICATION NUMBER `.r. Id Building Department (To be assigned by the Building Department.) i 800 Seminole Road �'1 (� Q+7 " 0 0 / 0 Atlantic Beach, Florida 32233-5445 't ` 1 \J`J�j '� V \ Phone(904)247-5826• Fax(904)247-5845 ."- 01119%' E-mail: building-dept@coab.us Date routed: I i 7 '( City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (,33 S l OAKS & Department review required Yes No I uilding Applicant: 1 0 P-(- S G C nen &Zonin Tree Administrator Project: X (� S H blic Works ublic Utile ie 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. (Denied. I !Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: i".. ....—___ Date: fi' dc"—( 7 TREE ADMIN. �j Second Review: A roved as revised. ❑ pp ['Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. Denied. I INot applicable Comments: Reviewed by Date: Revised 05/19/2017 , p:% ‘ ,,• , Building Permit Application • 1, City of Atlantic Beach %Mgr 800 Seminole Road, Atlantic Beach, FL 32233 f Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 233 �[�CIS*` Permit Number: R Q C 7O( G 0 Legal Description/VIM&6cd__C i a5& y N 4/01a�/U� 5 A61,3.'4 RE# ,C�Valuation of Work(Replacement Cost)$387k, j &/ Heated/Cooled SF �on-Heated�Cooled / Oy ► / ' • Class of Work(Circle on:tl 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 tLytpDe.q1f1-w11 ktviapeermc 10• aild (vac-Ye-4e- / 0k 14 ' Florida Product Approval# S for multiple products use product approval form Propert Owner Information Name. 1 19'• T , Address: 335/04.5 S1—' City 0 /. i / i•'.. ,% . StaA Zip ,'3 d Phone (314i)1 -i E-Mail .1�i ° 7' (',`r -14 `� � - Owner or Agent(If Agent, Powe of Attorney or Agency Letter Required) Contractor Information Name of Company: Tuff Shed, Inc. Qualifying Agent: Tom Saurey Address 8524 E. Colonial Drive City Orlando State FL Zip 32817 Office Phone (407)985-2990 Job Site/Contact Number State Certification/Registration# CBC1253645 E-Mail tuffshed@permit-it.com Architect Name&Phone# Richard Wills 1777 S. Harrison St. Ste 600 Denver, CO 80210 (30-3) 753 .8833 Engineer's Name& Phone# tr 11Q 3 3s Workers 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 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. r,'nV 717 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 OF COMMENCEMENT. Ofaitsi_ Pllig ri ignature of Owner or Agent including Contractor) (Signa .re • . ractor) Signed and sworn to(or affirmed)bstaffig this 33 day of Signed and sworn to(or affirmed)before me this 20th day of 00,0L++s , 2b11 , by\\\` O * d fri�/ August , 2017 , by Tom Saurey USN. . \RES ..f.41, (I ' k. rcr v- 4#iaturf c� N (Signature of Not ) +�99:`�6,', �e uJ �LVYLAX• i7%,"ry ..4.—..Vis- PUBLIC [ ]Personally Known OR /�i�i 'Q ��.` [x]Personally Known OR STATE OF COLORADO [�],Droduced Identification iii,,,,* NcaPF;�%.% [ ]Produced Identification NOTARY ID 20074042573 Type of Identification: Ft `brilliSi ta 1-Z"^-'1_ Type of IdentificaliM .COhM ASSION EXPIRES NOVEMBER 14,2019 O=A,yri, TREE & VEGETATION AFFIDAVIT is .,„, City of Atlantic Beach Ay Department of Community Development t....)---1, ze Planning&Zoning Division l'.401119'?' 800 Seminole Road Atlantic Beach,FL 32233 (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION r---Owner(s) r Legal Authorized Agent* NAME OF APPLICANT J o m- R,n►r NAME OF COMPANY ` o c SNC-1) ADDRESS OF COMPANY ) \l toexANh rv4 /3 0 04aJLE ()AAC ct,_ 3Lo6 7 PHONE goy 2'71_ C25,7 CELL )oy --70s--.-1) c,GEMAIL 0(._;;I( i4,4450 (v Slk"b-(:),4` CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 6 33 -1 i c fC 5 Sq -TL, fGlf (Lt._ 51.7.33 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 /T LAcvTic !c It St.-7c. IA- 4 1--/k5 FT 0 F Loi S /3 t-)L 12.1 LOT 5 BLOCK 17.t SUBDIVISION ow\ PTL&J SEC 14 REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ 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 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 adja�centtQproperties in conjunction with this project. tAIK l SIGNAT E OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this 30 day of Cabticr , 2.01'7 ,by State of Obtu OA— _ County of Dv`- -k_ \\\\�oNmtnliiip�i Identification verified: FOA-Ve- v+�_t,;Ca �� � \Q�'r��XP�gEQ*.d0% ���O� 2017 b! Oath sworn: r Yes r Nou,...) : c, -o " AN &L (( , .&; Notary Signature S ••:4, �� eek-t; �. t {•r�V REV-TVA-v10.12 My Commission expires: \��Z N•Of9Rt', � yr '� rS� J1rir, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r r J 800 Seminole Road R Q,Q' ` 006 0 '"""`-- '' Atlantic Beach, Florida 32233-5445 7 l!7 L/ \ANN Phone(904)247-5826 • Fax(904)247-5845 -```J,3 � E-mail: building-dept@coab.us Date routed: I k / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6033 S T CQKS S( Department review required Y7--No ...(Briildingl) e o ildingl) Applicant: I IJ p-1 S i Q nir & Zonm Tree Administrator Project: 1 ( X (q" S E--1 &� ublic Works ublic-Utili ie ublic Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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 I Reviewing Department First Review: oved. I 'Denied. ['Not applicable (Circle one.) Comments: UILDING PLANNING &ZONING Reviewed by: rY1 Date://— P-001- TREE c /7'TREE ADMIN. Second Review: ['Approved as revised. Denied. ❑ pp ❑ ['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 Building Permit Application ��`� ,° OFFICE COPY City of Atlantic Beach t)tifir 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 33 5 nn `` �Si-= / q /,,/ Permit Number: R a�t'7 6060 Legal Descriptionkikt/7//C&etch, 5e t1/V 7/)''U(7th ' lj' ,a'(3- RE# Valuation of Work(Replacement Cost)$367& ` &/ Heated/Cooled SF Con-Heated�'Cooled Aida/ • Class of Work(Circle on : New)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 it the type,of work to be performed:. • ed tuft) ripek_c_11104-el ethd no (cricir-cdc- - Florida Product Approval# ` for multiple products use product approval form Propert Owner Information i, 7 j� Name;i J / 0..�I.'r (UJ, SIU_ , Address: City 4 r ' d/ yr 1 Ste- Zip - x�. Phone 711 i !f /• E-Mail ' J I P i 00'f` 1T 14 r _1 Owner or Agent(If Agent, Powe of Attorney or Agency Letter Required) Contractor Information Name of Company: Tuff Shed, Inc. Qualifying Agent: Tom Saurey Address 8524 E.Colonial Drive Orlando Office Phone (407)985-2990 City State FL Zip 32817 Job Site/Contact Number State Certification/Registration# CBC1253645 E-Mail tuffshed@permit-it.com Architect Name&Phone# Richard Wills 1777 S. Harrison St. Ste 600 Denver, CO 80210 (303)-753..6633 Engineer's Name&Phone# It 1490 36 Workers 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 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. NOV OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliaanc�017 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 A TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. atUtst P.12- _,, Lignature of Owner or Agent including Contractor) (Signa . - . ractor) Signed and sworn to(or affirmed) b e this 3- dayof Signed and sworn to(or affirmed)before me this 20th day of Ucko�+.r Z o it . by •\�\������t�RfP�������� `y g August 2017 by Tom Saurey \‘...N.11Wir, ...b:er rip 3.,ck-A„ ..„.. __...- �i,i�iatur�cN • _Q•v,2 I c (G (Signature of Not ) Sir-i-,: %1.„o m 1 cc:ti o�°m m��.�` JANE L.UYLAKI •.•'o ,,,;;\tee. NOTARY PUBLIC [ ]Personally Known OR '�i�. �' ***�' [x]Personally Known OR STATE OF COLORADO (LJ,Woduced Identification s *./4,�*�NOjPR`���`' [ ]Produced Iden:ification NOTARY ID 20074042573 Type of Identification: T leo a`�ra'"' �.2)1 L c-4-"-N._ Type of IdentificatidlY:CO1, ISSION EXPIRES NOVEMBER 14,2019 Property Appraiser- Property Details Page 1 of 2 PETTIT JUNE GAGE Primary Site Address Official Record Book/Page Tile# 917 ARTHUR MOORE DR 633 STOCKS ST 17775-01139 OFFICE O 9417 GREENCOVE SPRINGS, FL 32043 Atlantic Beach FL 32233 633 STOCKS ST Property Detail Value Summary RE# 170913-0700 2017 Certified 2018 In Proaress Tax District USD3 Value Method CAMA CAMA Property Use 0100 Single Family Total Building Value $95,012.00 $94,148.00 #of Buildings 1 Extra Feature Value $3,474.00 $3,140.00 For full legal description see Land Value(Market) $23,140.00 $23,140.00 Legal Desc. Land&Legal section below Land ValuelAgricl $0.00 $0.00 Subdivision 03119 ATLANTIC BEACH SEC H Just(Market)Value $121,626.00 $120,428.00 Total Area 4069 Assessed Value $121,626.00 $120,428.00 The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $0.00/$0.00 $0.00/$0.00 to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exemptions $0.00 See below exemptions and 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 Taxable Value $121,626.00 See below certified in October,but may include any official changes made after certification Learn how the Property Appraiser's Office values orooertv. Taxable Values and Exemptions—In Progress 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 SJRWMD/FIND Taxable Value School Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions Sales History Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved 17775-01139 11/4/2016 $125,000.00 WD-Warranty Deed Qualified Improved 12631-00241 7/20/2005 $162,000.00 WD-Warranty Deed Qualified Improved 08843-00777 1/30/1998 $69,900.00 WD-Warranty Deed Qualified Improved 08504-00781 12/9/1996 $69,900.00 WD-Warranty Deed Unqualified Vacant " Extra Features LN Feature Code Feature Description Bldg. Length Width Total Units Value 1 FPPR7 Fireplace Prefab 1 0 0 1.00 $1,269.00 2 SCPR2 Screen Porch 1 10 17 170.00 $1,871.00 Land&Legal Land Legal _ LN Code Use Description Zoning Front Depth Category Land —' Land Type Land LN Legal Description Units Value 1 18-34 17-2S-29E.094 Front 1 0101 ACS MD 8 19 UNITS PER ARG 40.00 102.00 Common 40.00 Footage $23,140.00 11 2 ATLANTIC BEACH SEC H 3 N 40FT OF LOT 5 BLK 129 Buildings Building 1 Building 1 Site AddressElement Code Detail 1 r r 633 STOCKS ST Unit Atlantic Beach FL 32233 Exterior Wall 16 16 Frame Stucco hi Roof Struct 3 3 Gable or Hip Building Type 0101-SFR 1 STORY Roofing Cover 3 3 Asph/Comp Shng1LI L Year Built 1997 Interior Wall 5 5 Drywall liras Building Value $94,148.00 Int Flooring 14 14 Carpet p Int Flooring 11 11 Cer Clay Tile Tym Gross Heated Effective Heating Fuel 4 4 Electric _ _I Area Area Area Heating Type 4 4 Forced-Ducted Fin Screened 16 0 6 Air Cond 3 3 Central Porch Finished Storage 20 0 10 Element Code Base Area 1144 1144 1144 Stories 1.000 http://apps.coj.net/pao propertySearchBasic/Detail.aspx?RE=1709130700 10/24/2017 Property Appraiser- Property Details Page 2 of 2 PorchFinished Open 112 I 0 14 Bedrooms 1 3.3.00 I 1 Total 1192 1144 1164 Rooms/Units 1.000 OFFICE F F I 1/1_E C( f r 6 2017 Notice of Proposed Property Taxes Notice(TRIM Noticed Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back Gen Govt Beaches $121,626.00 $0.00 $121,626.00 $882.70 $991.40 $940.46 Public Schools:By State Law $121,626.00 $0.00 $121,626.00 $528.67 $515.33 $525.24 By Local Board $121,626.00 $0.00 $121,626.00 $260.97 $273.42 $259.28 FL Inland Navigation Dist. $121,626.00 $0.00 $121,626.00 $3.47 $3.89 $3.65 Atlantic Beach $121,626.00 $0.00 $121,626.00 $349.62 $392.67 $373.17 Water Mgmt Dist.SJRWMD $121,626.00 $0.00 $121,626.00 $31.24 $33.13 $33.13 Gen Gov Voted $121,626.00 $0.00 $121,626.00 $0.00 $0.00 $0.00 School Board Voted $121,626.00 $0.00 $121,626.00 $0.00 $0.00 $0.00 Urban Service Dist3 $121,626.00 $0.00 $121,626.00 $0.00 $0.00 $0.00 Totals $2,056.67 $2,209.84 $2,134.93 lust Value Assessed Value Exemptions Taxable Value Last Year $116,089.00 $108,291.00 $0.00 $108,291.00 Current Year $121,626.00 $121,626.00 $0.00 $121,626.00 ;017 TRIM Property Record Card fPRCl 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. 2017 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 Map I Map this property on Google Maps I City Fees Record http://apps.coj.net/pao propertySearchBasic/Detail.aspx?RE=1709130700 10/24/2017 THIS INSTRUMENT PREPARED BY: Name: Tu`f Shed Addl'ese. 3524E Colonial Drive, Orlando, FL 32817 -� OFFICE COPY NOTICE OF/ COMMENCEMENT Perm,t I�umoer: /9&•(2...006 Parcel ID Number: The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 7.13,Florida Sta':utes, the following inf:nat!en is prcv:ded n th;s Notice of Commencement. CESCRIPTION OF PROPERTY: (Legal description of the property and street address If available) Si-Idle Family Residence 6;5 'roceS S r— ATL 1541+Fc 3-z a 3 3 Ai.LAee I� �./ L/Ar� OF L 4'1' �S[K /� ____,...._.`._._,._.,.,....•....,_. 2. GENERAL DESCRIPTION OF IMPROVEMENT: ------•--_ __�.____......__ .__ _Jdxiy t.O <lk> 3. OWNER INFORMATION OR LES EE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:~ Name arid address: —1 1"-e* rt if iY` 63 Sf'Ca5 51 fit U&14" 3133 Interest In property: Owner —.—.—._._..___.__,._ __ Fee Simple Title Holder(If other than owner listed above) Name: Address: 4. CONTRACTOR:Name: Tuff Shed Inc, License# CBC 1253645 Phone Number: 407-282-2444 Address: 8524 E Colonial Drive, Orlando, FL 328175. suRE (If applicable,a copy of the payment bond Is attached): Name: N/A Address _.. ..._ _. .,.».. _.,..__ — - - Amount o`Bond B. LENDER: Name:_` Phone Number: Adorass MilleioNieraftwbor ....+.r.,.+r aiinlY....,u,awir..u,n..x�>f,w,wuwncuu.uurrIl 7, Person€within the State of Florida Designated by Owner upon whom notice or other documents may be sorvcC as provided a'/Sect.icn 711"3(1)(07.,Florida Statutes. yam.=: (VA `'— Phone Number: Address S. .n addition,Owner designates W ofto receive a copy of he Lienors Notice as provided in Section 713,13;1)(b),Florida Statutes.Phone number:9. xpirat cn Date of Notice of Commencement(The expiration Is 1 year from date of recording unless a different date is specified; W.613NIN.:3 TO awisact ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OP COMMENc M}_N'r ARE .AOI.NC3'rrwiDe POR .MPMOOPER VYE'MeNTS TO YOUR PROPERTYNTS UNDER CHAPTER .A NOTICE OP OOMMMNOCMGNT IMUOTTB E'Recoi'tD D I.:EULT IN rs ED cNOLyU. JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND ''O OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r __ Gr/►1Q, iTic t� III-1/7" (Signature of Owner or Lessee,or Owner's or Lessee's (Print Name and Provide Signatory'sTiIie/Qmea)Authorized OlYicer/Dirsclor/Panner/Manager) State of rIOti - County of Tho foregoing instrument wee acknowledged before me this _ �% day of © �� <Irl 11 by......�ti�w► � !4(,,L, N ...._..._.._...._„_....___ ,,....�.,.,,__, Name r,r Pers 'twang statement "-���--- -- • who is personally known to rne'� 0-R who has producod Iden Iflcaaon L.141yam pe of Identification t� 10( 00A•-P41M40j�y ��-e+�'SL '� IL(/q���ie� Doc#2017252098,OR BK 18172 Page 1858, • 4 . y�O .......... ? Number Pages:1A l0; �ss�; Recorded 11/03/2017 01:31 PM, �/'� RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY tg. E , `, • y slc�iure RECORDING $10.00 + " ems 5�J OFFICE COPY PRODUCT/ APPROVAL/ INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA Pe,Project Name: �/\7" Permit # Project Address: /3 ( S 4 . A.i..._. i jar- g 40 4 /4, • 33 As required by Florida Statute 553.842 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 roduct approval may be obtained at: www.floridabuilding.o. Category/Subcategory Product Description j Limitation of Use State# Local# A. EXTERIOR DOORS 1. Swinging 7105nai fa: i-)r / &nrir FL WD2` 2. Sliding 3. Sectional 4. Roll up 5. Automatic 6. Other 4tdo�� jy-1el l ii Pr ' pFL.• Nii 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 I11.Dual action OFFICE COPY 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use 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 Tuff Shed, Inc. OFFICE Cpppustomer Name: June Pettit State of Florida License #CBC1253645 Address: 633 Stocks St Product Approval Cover Sheet Permit# OCC `7 — 0060 As required by Florida Statue 553.842 and Florida Administrative Code 9B-72m. Please provide the information an approval numbers for the building components listed below if they will be utilized on the building or structure. Florida approved products are listed on line at www.floridabuilding.org or can be obtained from the local product supplier. All Products listed are per Florida Building Code 2014 5th Edition Standard Shed Materials X Product Type Manufacturer Model#/ FL product HVHZ x Siding (Panel) LP Corp Panel FL9190.6-R4 YES Siding (Lap) James L Hardie Lap FL10477.1-R5 YES Window - Single Croft LLC Series 96 FL15585.1-R4 NO Window - Sliding Tafco Corp Series 82000 FL20743.1 NO Fixed Tansom Innovations Inc. Transom FL17667 NO x Roof underlayment Woodland industries 15Ib Felt FL17206.1-R3 YES x Asphalt Shingles Owens Corning Oakridge FL10674.1-R12 NO x Door (Double) Tuff Shed, Inc. Premier - Double Door FL22202.1 YES x Door (Single) Tuff Shed, Inc. Premier - Single Door FL22202.2 YES Door (Double) Tuff Shed, Inc. Sundance - Double Door FL22202.3 YES Door (Single) Tuff Shed, Inc. Sundance - Single Door FL22202.4 YES Custom Materials Used Steel Door - Inswing JELD-WEN 6 panel / 3068 / Inswing FL11136.1-R5 YES Steel Door - Outswing JELD-WEN 6 panel / 3068 / Outswing FL11136.2-R5 YES Full lite Door JELD-WEN 3068 FL17454.1 NO _ Full lite Door JELD-WEN 6068 9 lite Door JELD-WEN 3068 Metal Roofing Thompson Arch Metal Company 5V Crimp FL5218.2-R2 NO Metal Roofing Thompson Arch Metal Company TM Rib FL5218.1-R2 NO Flood Vents Flood Solutions LLC Foundation FL17588 NO 2. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS OFFICE (;OP" 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. Tom Saurey X (Contractor Name) (Print Name) (Signature) Company Name: Tuff Shed, Inc. Mailing Address: 1777 S. Harrison St., Suite 600 city: Denver State: CO Zip Code: 80210 Telephone Number: ( 407> 985-2990 Fax Number: ( 360 ) 998-3228 Cell Phone Number: ( ) N/A E-mail Address: Licenses@tuffshed.com 12. Other Category/Subcategory Manufacturer Product Description 1Limitation of Use State# Local# C. PANEL WALL �y 1. Siding LP LUrf Pamgl'L ��Jd'ly 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers OFF r F ^ C'QPY 7. Glass block �f" 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D. ROOFING PRODUCTS 1. Asphalt shingles odic S y / 1 /1' G�d r//. 9441 � 2. Underlayments l/li'� l6 lb Fe-i4 fL//i ' 1 3. Roofing fasteners 4.Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof s�L��r City of Atlantic Beach APPLICATION NUMBER ��s rs� Building Department (To be assigned by the Building Department.) 800 Seminole Road R (1 Q l'7 ` 0 0 / 0 �u ., ;, Atlantic Beach, Florida 32233-5445 L V`/(V • Phone(904)247-5826 • Fax(904)247-584NOV 0 7 2017 j;11>r E-mail: building-dept@coab.us Date routed: I i �t City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (03.3 S j OC.KSS Department review required Yes No uilding Applicant: 1 u P-(- •G Q P nine&Zonin 1 Tree Administrator Project: 1 0( x (4-t- S t-t (--clic Works ublic i i les ublic Safety Fire Services Review fee $ , Dept Signature --ice 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. plot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ki il/t''r -------Date: f/7/) c 7 TREE ADMIN. Second Review: ❑Approved as revised. nDenied. I 'Not applicable i%f WORKS1ments: B IC 7ILITIES 'I - - / 7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rL.Jui;74., City of Atlantic Beach APPLICATION NUMBER (S , - , Building Department (To be assigned by the Building Department.) -' ri 800 Seminole Road R ea�'y ` 0060 h 6 0 -e Atlantic Beach, Florida 32233-5445 / lJ`/ Phone(904)247-5826 • Fax(904)247-5845 L !.} E-mail: building-dept@coab.us Date routed: i . City web-site: http://www.coab.us NOV 0 7 2017 APPLICATION REVIEW AND TRACKING FORM Property Address: (-0,3_. S ( C. C.KS ,S-i-- Department review required Yes No :uilding Applicant: I V PF -e Q . r_L-91 &Zonin.r t Tree Administrator 1 Project: I C r )< ('' S (--t �( /Frublic works ublic i i les ublic 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. ❑Denied. [Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:, ..aeisv_Date: /1-f-/7 TREE ADMIN. Second Review: Approved as revised. I 'Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 MAP SHOWING BOUNDARY SURVEY OF NORTH 40 FEET OF LOT 5, BLOCK 129, ATLANTIC BEACH SECTION H, AS RECORDED IN PLAT BOOK 18, PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. / CERTIFIED TO: ti IN' it , o LOT 5 BLOCK 128 LOT 4 S 01'22'00" E LOT 6 BLOCK 128 40.00' (PLAT) BLOCK 128 S 00'34'00" E _XB 5189 0.6' ' (MEASURED) r02, • 0.2- ,o.00' 0.2!, I 5��1 (PLAT) % h —)f)1a„:9 iLOT 5 {BLOCK 129 0 .-. w 0 ct w m ^ m ¢ a (n ), w d Qw N14.2' / „ �� O o_M SCREENED o v 0.5; ENCLOSURE _o 1I N CO O COV. A/C`"•". 0 in PATIO/ \PAD' 0 CV N. /���� 0 28.1' -7.3'� Q O 0 //�� 4.2 < /�z a of LOT 6 X � I�3 LOT 4 /7 L " BLOCK 129 BLOCK 129 0 % 4.4 ONE STORY 3 0 FRAME W U POSTED # 633 iv a � r)di- . LJ r., % N ° 0— X O • M % N , CO H— co Zao W W CO U) V1CC � 14.0' (f) CZ z / 07,5F� 3 M,_ 4.2' ,4.2' r P 0.7'x_ f_ p �Nl�.y DE3. - ' LO 0 re fir/ ' ° 4 i VE o A N NI . • ' W js/�of I a ° 10.00' • + • (PLAT) I • N 01'22'00" W 78.87' (MEASURED) COLOCK O ER 40.02' (MEASURED) 80.00' (PLAT) N 01'22'00" W 40.00' (PLAT) STOCKS STREET (50' RIGHT OF WAY) LEGEND: —x— - FENCE O - CONCRETE O - SET 1/2"REBAR STAMPED PSM/6146 • = FOUND 1/2"IRON PIPE NO IDENTIFICATION (UNLESS OTHERWISE NOTED) • = 4"x4" CONCRETE MONUMENT PC = POINT OF CURVATURE PRC - POINT OF REVERSE CURVATURE A/C - AIR CONDITIONER PT = POINT OF TANGENCY PCC = POINT OF COMPOUND CURVATURE NOTES: REVISIONS 1. BEARINGS ARE BASED ON THE __ PLAT____ BEARING OF __N�1_ Q0 W ALONG THE EASTERLY RIGHT OF WAY LINE OF STOCKS STREET DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ___" X_" AS SHOWN ON THE 1 NATIONAL FLOOD INSURANCE MAP DATED JUNE 3, 2013, COMMUNITY NUMBER 120075, PANEL _44Q&H . 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL. JOB # 33845 DATE OF FIELD SURVEY: 10-6-17 SCALE: 1" = 20' Ray Thompson CERTIFICATE I HEREBY CERTIFY THAT THIS DE UNDER MY RESPONSIBLE CHARGE SURVEYING Inc. AND MEETS THE STANDARDS y °* '., T FORTH BY THE FLORIDA 1 BOARD OF PROFESSION_LAN . A 'ION 4�+ �C ORIDARSTATUTES FLORIDA Going the DISTANCE for You ADMINISTRATIVE Co: W. �F1T 1825 University Boulevard West — iti ,t\l: L Jacksonville, Florida 32217 RAYMOND THOMPSI (Phone)904-448-5125 REGISTERED SUR OR AtgATtlePPER 146 STATE OF FLORIDA (Fax) 904-448-5178 LW4':s SEF BUUSINE S •g:7469 LAND SURVEYS 0 CONSTRUCTION SURVEYS u`RVEY•'- BDIVISIONS