1390 BEGONIA ST - SCREEN ENCLOSURE rAF �`
}� CITY� OF ATLANTIC BEACH
iii
\\„__,
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;i>> 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: RESO17-0037
Description: construct aluminum screened enclosure
Estimated Value: 3600
Issue Date: 10/4/2017
Expiration Date: 4/2/2018
PROPERTY ADDRESS:
Address: 1390 BEGONIA ST
RE Number: 171040 0000
PROPERTY OWNER:
Name: THORLAKSON DALE A
Address: 1390 BEGONIA ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: KMS SYSTEMS INC
Address: 1301 PENMAN RD STE C KEVIN FITZGERALD
JACKSONVILLE BEACH, FL 32250
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.
-5LAI/rl.) City of Atlantic Beach APPLICATION NUMBER
J� 4 Building Department (To be assigned by the Building Department.)
7, iii - 800 Seminole Road p e, I'4 — 003
r Atlantic Beach, Florida 32233-5445 F—
Phone(904)247-5826 • Fax(904)247-5845 Id r
Lo,3 c) E-mail: building-dept@coab.us Date routed: t
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 13 q 0 & j Opt Gl Sf ' _Department review required Yifslo
,,AA n Bui dins
Applicant: \CP` S S j Skr�_► 5 PI_nning &Zoning
Tree Administrator
Project: e-OASAfLtOc ( .L,t Mt,fv_ttyl SC 1I A 4 public w rl<s
e_auLO5 f L Public Utilitie
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: I— proved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILD C c3
PLANNING &ZONING Reviewed by: / / n Date: ` c) /17
TREE ADMIN. Second Review: El 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
-0.„tvi:r City of Atlantic Beach APPLICATION NUMBER
, Building Department (To be assigned by the Building Department.)
800 Seminole Road F—p C O ' _ oO.
r� Atlantic Beach, Florida 32233-5445 w
Phone(904)247-5826 • Fax(904)247-5845 p� h I
E-mail: building-dept@coab.us Date routed: `39 (
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 13 q 0 -1 Ont a.,S.1- Department review required Yes No
/A
1 n "l a (Bui din
Applicant: 'I& S S 4 S P ng &Zoning
Tree Administrator
Project: -ASVIA,0 lA k.0 Ml,RL( (W i4 �Pu licsworks
er1UOSU f
Public Utilities
Public 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
Reviewing Department First Review: roved. Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed bye/-7.-"L--- j Date:( J 2 l
TREE ADMIN. Second Review: ❑Approved as revised. uDenied. ❑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
r �vi-,4, City of Atlantic Beach APPLICATION NUMBER
c ,%\ Building Department (To be assigned by the Building Department.)
800 Seminole Road p o 1 —
b®?
u F—- ;, Atlantic Beach, Florida 32233-5445 `S8 Z���r J
� Phone(904)247-5826 • Fax(904) 247 5
_
�,;;lr„)r E-mail: building-dept@coab.us Date routed: lc) Co l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 139 0 6,,.1 oat' a. 1 ° Department review required Yes No
1 n _a BuI diny��
Applicant: S S S . Fling &Zoning.)
Tree Administrator
____.,
Project: -AS t1LuJ (A4 Ml,R(nn SC.(;Qp,1\,2d ul �
e_r1�OSL1f L Cblic 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: Approved. ['Denied. fNot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by• Date: /E4--;2`y 7
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
51-tvi �� City of Atlantic Beach APPLICATION NUMBER
;jS r k Building Department (To be assigned by the Building Department.)
tla Seminolec Road p 6SO I'4 _ OO�
-i--
'
;� �� Atlantic Beach, Florida 32233-5445
F–
Phone(904)247 5826 Fax(904)247-55;' ��„ ( \ f
0100— E-mail: building-dept@coab.us Date routed: Iv l
9.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 13 q 0 69 0(11 ct„St ° Department review required Yes No
,,AA Bui do
Applicant: -I4 S S ynS rei S PI nning &Zonin)
Tree Administrator
Project: nd15 Lic.'t ( t.tlMl,nAkM SCfW _d �ubli orlfs
e_r1LtoSkf L c PuWic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature X
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 > �j ` "' Date: 7/2,011
Reviewed by: 'w
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. ['Not applicable
P. WOR S Comments:
•I:LICTtJTILITIES
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
City fA Atlantic SEP 6 2017 6
t, -- OFFICE COPY tY o tlant c Beach •
800 Seminole Road, Atlantic Beach, FL 32233 J
`J Phone: (904)247-5826 Fax: (904) 247-5845
lob \ddre�s: 1390 BEGONIA ST ATLANTIC BEACH, FL 32233 Permit Number:_eLSO (1--
Legal Description 18-34 17-2S-29E SEC H ATLANTIC BEACH LOT 1 BLK 220 RE# !17f d 91O —d000
Valuation of Work(Replacement Cost)$3,600.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): NewCdditio' 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 the type of work to be performed:
9'x13'Aluminum Screen Enclosure with 3"Composite Elite Roof System
I-iortd,r Product Approval#Elite Roof: 7561.1 for multiple products use product approval form
Property Owner Information
Name: Dale A Thorlakson Address: 1390 BEGONIA ST
bity ATLANTIC BEACH State FL 7ip 32233 Phone 904-254-2591
I fod l the rlakson dale@gmail.com
,_,,, ., or Agent;It Agent, Power of Attorney or Agency Letter Required) Dale A Thorlakson
Contractor Information
i t:,rne of Company: KMS SYSTEMS, INC. _ Qualifying Agent: Kevin P Fitzgerald
".ddne;s1.301-C PENMAN ROAD — City Jax Bch State FL Zip 32250
Office Phone 904-435-5018 Job Site/Contact Number 904-568-4211
State Certification/Registration# CBC1258387 E-mail kevin@kmssystemsinc.com
}rchitect Name Yx Phone#_
rep ineer's Name& Phone# VINCENT SEIBOLD 904-568-4112
,,- <.r;t ,:,,t,„, :I, ,n Exempt 1/25/2019 —
Exenip:/insu er/tease Employees/Expiration Gate
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 lawsi 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
RECORDI G YOUR NOTICE OF COMMENCEMENT.
C\P,LakligiALAA3r ._____ . #
' #0
(Signature of Owner or Agent including Contractor) Sign x 9e IEr.ntractorl �h
',tarred alri o. tri(or affirmed',bitc--•re ',:.this, tZ day of Signed and sworn to(or affirmed)before me thi day of
S teal o1011, by j.)ot_le Tinos 4on If__kw -3011 , by
iAlq V AJ -7 Fi126:, Gil
'JQQiC_® ` 1(- — . ,lief is",,,,,//
....0_,_!,. ME):Ae1IE DELIC
H�°-� ��r rl (Si•nature of Notary)
' 1 , Notary Public-State of Florida
Commission#GG 034668
"':;l.;� My Comm.Expires Sap 28,2020
I Dersor:all Known OP ”"�r�"'� v ELIZABETH k RICKERTSEN
V J Personal) Known QR ti'�r'�a'..
!Al 1, IdemIfi, T "' "'+ 7" i 1 Produced Identificatic,., h*-
;4 ,a ;Commission#GG075763
tific.at, T./L Type ,*,z Expires May 16,2021
of Identification
�''%fip f f>"' Bolted Thu Troy Filo Insurance 800485-7019
MAP SHOWING SURVEY 01
LOT 1, BLOCK 220. .ALTANTIC BEACH SECTION "H",.ACCORDING TO THE PLAT THEREOF
RECORDED IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA
CERTIFIED TO: DALE A. THORL.AKSON, JACQCIEY INE L. THORLAKSON
EVERBANK ISAO h,/ATIMA
GUARDIAN TITLE & TRUST, INC.
CHICAGO TITLE INSURANCE COMPA..1•.1
I' END. C: •
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AMENDED: DECEMBER 15, 2015.
FOR REFERENCE SEE SURVEYS BY: ECK LAND SURVEYORS, INC
W.O.#13-214; DATED 12/4/13 AND W.0.#15-194-2; DATED 9/23/15. I
LEGEND; E1
0 CONCRETE MONUMENT
1 ECK LAND SURVEYORS, INC.
O IRON PIPE OR ROO —
.0334
0/E OVERHEAD ELECTRIC 1600 EMERSON STREET
PUBLIC 0 rimEAO TELEPHONE I
'A'�:.:5.."'?04) 396..^.,^TELE. FLOPirk 32207
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1 �CENERAL NgTES; !
{ }APPROVED As best determined from an ; 1. This is a: Boundary vun•o ca n0 arta 328E
<r�.c+Ion f Flood Ina,rance Ruts i21 No abstract of Title fu ni hed. LOUIS.t. EVERETT
{ }DENIED Mop: 120075 0408 H 3.) Not abstracted for eaaerndru,. riot Vurld unb•4o
{ } NOT A�PLICA � �� he Londa/house . Sbossed s eerfssolo No. 4clyo
na "X" & AE". t 4•) oasis of Beorings: N/A Officio! Sooi is embossed Profaratonal Pio,1441. Aiappere
«..-..,._..e 1''6'°Oq. State of h'orfdo
re
DATE: 1.?..7..4:-i FA„
f'Fl n 800K 1 L. �_, ._ ::w�FiSMn.N• •;.,,A o
_ _ ORDER 15-276 - A
1.111/1111MRIFIIIIII•
••••....:" .I.V......ireir .11•01111....0110.46.11•111••••101,..111,S
MAP SHQW1NG SURVEY QE
LOT 1, BLOCK 220 .ALTANTIC BEACH SECTION "H",.Acc )RpiNG TO THE PLAT THEREOF
RECORDED IN PLAT BOOK 18 PAGE 34, OF THE CURkIi NIT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
CERTIFIED TO: DALE A. THORLAKSON, JACQUE,'INE L. THORLAKSON
EVERBANK ISA0A/ATIM.A
GUARDIAN TITLE & TRUST, INC_
CHICAGO TITLE INSURANCE COMPAT:.f
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AMENDED: DECEMBER ^..5, 2015.
FOR REFERENCE SEE SURVEYS BY: ECK LAND SURVEYORS, INC
W.0.#13-214; DATED 12/4/13 AND W.0.#15-194-.2; DATED 9/23/15.
LEGEND ,--
v.: - TTV1611PALIZIP
; 1
o CONCRETE MONUMENT 1 ECK AND SURVEYORS, INC- . .
; ____.
o IRON PIPE OR ROD
1 I 660 EMERSON STREET '_______
PUBLIC UT LtrIETE'ITE,:
HI:NE ! ,..4.:..:, m,... FLOPP.14, 32207
r,,.?04) 396-6334
X CROSS-CUT IN CONCRETE I FA.< 004) 396-.:3997
()l .,",i,;,,., :::
( }APPROVED X—X FENCE
j §ENERAL NQTES;
( ,}DENIED As best determined from an
i n,,,,.. 4d8Inauronce Rute i 1 ' ! unda . • ,
1 21 No la ab'gstraa C'9,.Of nal f UTT:Ya ad. LOUIS.1. EVE2E1T •
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f/}NOT APPLICA: Cip2pOisto H
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surveyed as in Zone "X" & ^A.E.. I
SCALEL1 20' DATE: 1274-1 r--.. .3: Not abstracted for easornerlia. Not .4116d 1)n4.19 StliVeYOr'S Certificate No- 4099 -
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MAP SHOWING SURVEY 01
LOT 1, BLOCK 220 .ALTANTIC BEACH SECTION "H",. ACCORDING TO THE PLAT THEREOF
RECORDED IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
CERTIFEE I:•, TO: DALE A. THORLAKSON,. JACQUE1 INE L. THORLAKSON
EVERBANK ISAOA/ATIMA
GUARDIAN TITLE & TRUST, INC.
CHICAGO TITLE INSURANCE COMFAT- '
1
END.CJrc; MONT
—x x (NO I.D.) MITERED END
SECTION...
8't DITCH .........................
•
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WEST 14th STREET
(50.0 FOOT RIGHT--.1&---WAY) 0
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(LB 5231) I 1
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(RLS 3129)
AMENDED: DECEMBER 15, 2015.
FOR REFERENCE SEE SURVEYS BY: ECK LAND SURVEYORS, INC
W.O.#13-214; DATED 12/4/13 AND W.0.#15-194-2; DATED 9/23/15.
•
LEGEND; 1
❑ CONCRETE MONUMENT �r
O IRON PIPE OR ROD ECK _LAND SUR Y EYORS, INC.
O/E OVERHEAD ELECTRIC 1660 EMERSON STREET
'A;;.!°;0MiLLE. F10RiC.a 32207
0/T OV�iHEAD TELEPHONE j r'.1:34) 39G-63:,4
=Ai( (904) 596-9397
X CROSS-cur IN CONCRETE
X-X FENCE
- GENERAL NQTES; _
As best determined from an 1. This Is a: Bounds
wnwetlen f Flood Inauronco Rute Boundary ourvq LoursToliM.J. . r .
Map: 120075 0408 H 2 No obstruct of Title furnished. tAtl15.?. EVE7ER ,
dated 7 , the nds hour« 3. Not abstracted for easements. Not valid unings Surveyor's Certlficete No. 4099 -
dated surveyed Ile in Zone "X" do/AE" 4.) Basis of Bearings: N/A Official Seal is embossed Proteeaional sun^:yors& Alappsrs
1---- I.euc. State of P;o,Ha, ,
SCALE' "720' DATE: 12-4`1 1'710 ROOK LL.
PAGE___ LAAFI&MAN• .,_A B _ ORDER i 15-276 - A
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