1142 Hibiscus St Permit ACC17-0055CITY 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 NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO:
Description:
Estimated Value:
Issue Date:
Expiration Date:
ACC17-0055
10'x 12' WOOD SHED
3251
10/20/2017
4/18/2018
PROPERTY ADDRESS:
Address: 1142 HIBISCUS ST
RE Number: 171012 0040
PROPERTY OWNER:
Name: MYERS ANNETTE M
Address: 1142 HIBISCUS ST
ATLANTIC BEACH, FL 32233-2657
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.
City of Atlantic Beach
Building Department
r 800 Seminole Road
Atlantic Beach, Florida 32233-5445T
Phone (904) 247-5826 • Fax (904) 247-5845 OCI 13 2�
�,3 9r E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
CO -3 7
R C _ Q OS5
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: k4 z 4&5 C_ U S
Applicant: w `, F� S t -1 E-0 c
c
Project:
Department review required Yes No
Building
anning & Zonin
Tree Administrator
1Pttr1C_W0_rFS__i:)
is 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:
Reviewing Department
First Review:
❑Approved.
❑Denied. Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
Date:
TREE ADMIN.
Second Review:A
❑ pp roved as revised.
Denied. ❑Not applicable
P WORK
Com nts:
UTILITIES
ve"14LIC
/v -17—i-7
PUBLIC SAFETY
Reviewed by:
Date:
FIRE SERVICES
Third Review:
❑Approved as revised.
❑Denied. ❑Not applicable
Comments:
Reviewed by:
Date:
Revised 05/19/2017
Sy��r,J City of Atlantic Beach
Building Department
TP 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
JE-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the
Building Department.)
{
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ) A z Ht &S c c s
Applicant: s EF S t-1 E0
t
Project: 17_ i J N�F)
Review fee $
Deartment review required Yes No
Building
anning & Zonin
Tree Administrator
,PtZri orics
Cis Utilities
Public Safety
Fire Services
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:
P'Approved. ❑Denied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed byAO:_ �/ii�'
Date: /0 —1�_` I %
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
TREE & VEGETATION AFFIDAVIT
City of Atlantic Beach
Department of Community Development
Planning & Zoning Division
800 Seminole Road Atlantic Beach, FL 32233
(P) 904 247-5800 (F) 904 247-5845 PERMIT #
SECTION I - APPLICANT INFORMATION
NAME OF APPLICANT n`I N KW_,"t_ m y m -c
NAME OF COMPANY "� S Ne_
r Owner(s) r Legal Authorized Agent*
ADDRESS OF COMPANY gL,(_ b `p^k<__
PHONE qoq_ 2'Z-0(S_,T(J CELL �� _ S7r-�(� EMAIL ha,�Ql_ TJA�` L 411.12 V
CONTRACTOR CERTIFICATION NUMBER Ck'ZS3w'��
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II - SITE INFORMATION
STREET ADDRESS OF PROPERTY I t' 'L S T. !rV�-1c��,�. &Ae),, Ft 32'2 33 -2(,S }
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 I ® - M 3�_ ZS _ 29 E ,
LOT '� BLOCK I �`Q SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE:
RESIDENTIAL ✓ COMMERCIAL OTHER (SPECIFY)
SQ FT
AC
1 affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of
Ordinan r the City of Atlantic Beach, FL and/or 1 have participated in a pre -application meeting with the Administrator of those
regula ons. ubsequentl , rm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed
from e ab� -des edMdjlt properties in conjunction with this project.
t
SIGNATURE OF OVAER SIGNATURE OF OWNER
Signed and sworn before me on this Q -day of
Identification verified:
Oath sworn: r•—Yes
REV -TVA -v 10.12
<,
My Corr , �&i'P! 5JPn%i*
by State of
County of
47, //v /I :Z
City of Atlantic Beach
Building Department
800 Seminole Road
�r Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
A U_r 7 - o OSS
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: J Az
Applicant: FE S 1 1E_f c
Project: d { x I7 S NEarl
Review fee $
Department review required Ye No
Building
anning & Zonin
Tree Administrator
'Pawl—C or s
is tilities
Public Safety
Fire Services
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:
Dater
TREE ADMIN.
Second Review:
❑Approved as revised.
oel
❑Denie
❑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
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
r ` Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: H47- Z Sl-. permit Number
OFFICE COPY
fAC,C 17 OOSS
Legal Description t9 3`r-38 LS -29 E,tq 40,,l,Z " Se -g P rioic- tj reit) o'I*Z RE#
rwn eur.-.iqle
Valuation of Work (Replacement Cost) $ 3ZSl -10 Heated/Cooled SF Non Heated/Cooled 11,10
• Class of Work (Circle one): New (Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial (�esidentia
• 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:
Florida Product Approval #
for multiple products use product approval form
Property Owner Information
Name: J)AJM-6Kk4e,<- Address: 1141 if bi&w�- S"r
City ( W V;X_ kru)" State R, Zip 32233 Phone `184-92;-Zc,4-7
E -Mail
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Tuff Shed, Inc. Qualifying Agent: Tom Saurey, President
Address 1116 Blanding Blvd. City Orange Park State FL Zip 32065
Office Phone 904-272-9586 Job Site/Contact Number 904-272-9586
State Certification/Registration # CBC1253645 E -Mail licenses(@tuffshed.com
Architect Name & Phone # N/A
Engineer's Name & Phone # Patrick Kessler, Mgr. of Product Engineering - 303.474.5617
Workers Compensation IMA, Inc., 1705 17th Street, Suite 100, Denver, CO 80202-1657 _
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' bUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAINFINANCIN
RECO�DI YOUR W'
(Signature of Ow
Signed and sworn to (or
CONSULT WITH YOUR LENDER OR
F COMMENCEMENT.
piing Lector)
re rhe t iN� day of
/ n-
[ ] Personally Known OR
(] Produced Identification�r�,��
Type of Identification:
Signature
ATTORNEY BEFORE
- Tom 5x rey President
Signed and sworn to (or affirmec tyre Mme this 23rd day of
March M17 by To ure
State of Colorado, Co ty of ve
Sig ure f NotarySt anie Butler
STEPHANIE BUTLER
[Personally Known OR NOTARY PUBLIC
[ ] Produced Identification STATE OF COLORADO
Type of Identification: A
W COMMISSION EVIRES OCTOBER 11, 2017
Doc p 2017234531, OR BK 18150 Page 741,
THIS INSTRUMENT PREPARED 6Y: Number Pages; 1
Name: �U"f Shed Recorded 10/1 2/201 7 01:37 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
Addross. 8524 E Colonial Drive Qrlando FL 32817 COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
ParwR n6moor;
ParCe1 ID Nl.:mber:
-he LMdersigrco hereby g;ves notice that improvement mil be madetoto Certain real property, and In accordance with Chapter 7.13, Fklr,da Sia u-,e:s, the
(oCo`aing inf,rtr,aticn is arcv.ced n tris Notice of Commencement.
r''SCRI!STION OF PROPERTY: (Legal description, of tr,e property and street address if avail
3: ie Famil r Residence 19 -34 — _L S — Z `I o9 I� t tg� b!e) c
�i�lwl�G +�lAty� mei. l� Qil-c /YCp
2. GENERAL DESCRIPT'ON, OF IMPROVEMENT; - -------_. �_
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LEOSEE CONTRACTED FOR THE IMPROVEMENT;
Name and address,
Interest in property: CWne;
Pea Simple Title Holder tit other than owner listed above) Name:-
�.Jorr;as:
,t. CONTRACTOR: Narne: Tuff Shed InC, License # CBC 1253845
(eP� Address 8524 E Colonial Drlva, Orlando FL 32817 Phone Number 407-282-2444
S. SURETY' (If appltcablo, a copy of tho Payment bond Is attached): `sme: N/A
6, .ENDER: Name: — Amount o` Bond
Phone Number: _
7, Perscns within the State of Florida Deslgnated by Owner upon whom notice or other documents may be aerveC as providayd ar SoctrCn
713.130)(s)7., Florida Statutes.
`:ari N/A
.Sz�dre95
Phone Number:
aooition, Owner Ormignates ---- -� _�
c receive a copy o` t,a Lienor'$ Notice ea provided in Section 713,13:1)(b), Florida Statutes•Phone num oar,
2- i:xbt'aticn Date Of Votice Of Commencement (The expiration is 1 year from cote Of recording unless a different date IS soeCified.�
Y_�A,_;ry�ld � Yo taw ` � ANy PAYMENTS MADE t3Y TM
�Of,:'»IG:.RIQD IMPROf� R o B OWNER AFTER THE EXPIRATION CF THE NOTICE OF G:OMtviEnG=:vltcNr .4 RE
m'AY.NC9 fyV t'O!t •h�Er-+f�OV EM@NTS-y TO �OUFi PROPERTY. A NOTICI+OP GOMMaN tM@vT`IM IIpTTO@ RTe s. ANO CAN
F: �i-L:C! ONotj,fz
JOB ST E RE THE FIRST INSPECTION. IF YOU IN7EN0 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OA AN ,%1`T0R14EY
3EFOR COM NCING WORK OR RECORDING YOUR NO-IC'c OF COMMENCEMENT.
"'•yZ;;; w .+wmarvr I ES1I1( or owners essee's
Authetiiotl Off100ar:cto(rPartner/Man er) (Print Name cru Provide Signatory
State of
by
who nac Prcducod ltl�n
County of _ NJ"I-i ^^��
Mlbf/
re me this +)H day of j2L, A SJD! u:3.1 1
Produced: r eaar, N't-'al
OFFICE COPY
PRODUCT APPROVAL COVER SHEET Permit#-,�44617 —0055
....... . ....
TUFF SHED INC -..- STATE OF FLORIDA -- CBC 1253645
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.
FL approved products
are listed on line at
ill'iblidding.of 1,,
or can be obtained from
the local product supplier.
Product Type
County use
Manufacturer
Model #/ Series
FL Product Appr. # or
�---XTISK
Siding
LP Corp
Panel
FI -9190.5
James L Hardie,
Panel
FL19477.1
Floor Vents
Flood Solutions LLC
Foundation
FL17588.2
Window — Single
Croft LLC
Series 96
FLISS85.1.
Z -7
-Fixed Tansom
Innovations Inc..
Roof underlayment
Woodland
FL17206.2
Industries
Metal Roofing
Thomas Arch Metal
TM Rib
FL5218.1
Company
(Metal Roofing
Thomas Arch Metal
SV Crimp
FL5218.2
Company
Asphalt Shingles
Owens Corning
Oakridge
FI -10674.1
All products listed are per Florida Building Code 2014
,-Z-3( -19
rs-0ifCity of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 }' ; 20V
Phone (904) 247-5826 • Fax (904) 247-5845 "
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
R CC17 -- 0 vs5
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: )A -z Hils(Scus
Applicant: ; FF S t -i �L�) c
Project: t d ' x
Review fee $
Department review required Yes No
Building
anning & Zonin
Tree Administrator
is or s
is Utilities
Public Safety
Fire Services
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
Revised 05/19/2017
Reviewing Department
First Review:
Approved.
❑Denied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
r
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
MAP SHOWING ' EURVEY OF
inki UL- LTi 4' i7_)'v'E_fHE9 WI`H THE NORTH 1/2 01 - LOT 5. 3LOCK 196, ATLANTIC 3EAC-"
cCT:CN "H" AS RECCRDED IN PLAT BOCK 18, PAGE : 54 OF THE CURRENT PUBJC RECC�RJS J=
;;'NAL ♦COUNTY, FLOR:DA,A BEING M^O�]RF rPA(RTICULAyRLr�Y DESCR;8ED�SAS FOLLtO.(Y6: �[FOR A x18'
PyON- U7
-T1 TRTL- k14" lKc! J 1 VV'RN_L'h "' R' -s A-,)-) l.V I',%; —.1'RL ,VL JviIH x18 00 -
EAST THE EAST LINE OF SAID LOT 4, A DISTA VCE OF .i1.88 FEET TO TH. PO�hT
Of
scG:NNTNG; THENCE CONTINUE SOUTH 00'18'00" WEST, ALONG `:AID EAST LINE OF SA;D LOTS 4 ANC
i; A DISTANCE CF 43-12 FEET; THENCE WEST, A DIST, 0.NCE OF 102.00 EEF7- To TIF .;O7ST,1.LJ X -P
SID LOT 5; THENCE NORTH 00-18'OC" EAST, ALONG `_ •A.D WEST LINE OF SAID LOTS 4 AND 5. A
STANCE CF 31.50 FEET; THENCE EAST, A DISTANCE OF 59.10 FEET; THENCE NORTH CO -:8'00 -
QST, A C:S7AN;,E OF 5.80 FEET; THENCE VES",ADI STANCE ;�F 3.50 FEET; THENCE NORTH
-a -5:80 -FEET; THENCE E AST, A DISTANCE OF 46-40 FEET TO TH.
'O.NT OF 3_73:NN:NG.
N
LOT 3
1T -A
C3 �
J .
W
W M 0.2•—__
JI
1p W
r> O u
o� nCk_ o
00 >^ 3
O
o O 0.1
)5 � Z
FOUND I/2' IRON
PIPE (NO READ)
I � J LOT 3_
I 102.00'
�— N0018'C VE7
0 5.80' "
n RESIDENCI • = N
LOT 4 EXCEPT A NO. 1144
FrM-F OF LOT 4 ///EAST
0
C,
C POINT 01
000
T' 3.50'
8'00'E BEGINNIN
46.40'
FOUND 1/2' R£8AR
RESID_NrE (LB 6085)
FAST. rlq 2 ENCROA6�ES 0.5' �.��
a
4' OLI RE9DENCE STEPS ENCROACHES O.S N p
♦' CJ+AIN LINK FENCE OVER LINE (14•
r J
FOL -NO I/2' IRON
APART OF LOT 4 42 s 23.6 M
PIPE (LB 3295) CONCRETE DRIVE CA
el
— v+
`A/c P.o f ONE SI�JR` ' FRAME.R. -1701
__ _ v
N STUCCO F_'ESIDENCE N I 0 0
T. h . I'fi NO. 1142_ ll pp_ n
.� OF L07 5 42 3' N O
0
r,srEPs o 23.9' O V)
P41k Jr J I� CONCRETE w1 LJC ►�
FOUND 1/2- PON
v)O.r V+dry 6, w0M FENCE
0.4' 4 w000 PIPE (µ0 CAP)
`.D zo WEST 102.00'
:.I 0 (102 -OT FI.FLM, o
LOT 5 EXCEPT THI = NORTH 1/2
1 11,IC. LILT' cv
ui
J6
1LVI V
W_
Of
m 1
V
V
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