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1025 Snug Harbor Ct - COMM18-0007 11 ss� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ,, yr ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 COMMERCIAL - OTHER COMMERCIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: COMM18-0007 Description: OCEANSIDE CHURCH OF CHRIST Estimated Value: 10500 Issue Date: 4/26/2018 Expiration Date: 10/23/2018 PROPERTY ADDRESS: Address: 1025 SNUG HARBOR CT RE Number: 171088 0134 PROPERTY OWNER: Name: OCEANSIDE CHURCH OF CHRIST Address: 1025 SNUG HARBOR CT ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BOSCO BUILDING CONTRACTORS Address: 2158 MAYPORT RD ATLANTIC BEACH, FL 32233 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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. SyL�;yJCity of Atlantic Beach APPLICATION NUMBER rjs r Building Department (To be assigned by the Building Department.) 800 Seminole Road / Atlantic Beach, Florida 32233-5445C ©M /1n i s v/.n b Phone(904)247-5826 • Fax(904) 247-5845 //,, E-mail: building-dept@coab.us Date routed: `�f zS l City web-site: http://vmw.mab.us APPLICATION REVIEW AND TRACKING FORM 5 S N UC, L�2 DQ, Department review required Yes No Property Address: 10 2 ui ding Applicant: 13 l Lr lu C � _L2T n9 Tree Administrator Project: A-( E, Public Works Public Utilities l �RLQ_K WOOD ' ,t `BOO D L10 / AJr,)0LJ Public Safety I 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: Q pproved. []Denied. []Not applicable (Circle one.) Comments: UILDIN PLANNING & ZONING Reviewed by: Date:y'a S7 -2CA 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 OFFICE COPY Building Permit Application City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 / 7 Job Address: ld�s �!' dlLllo L�4�P�/i G T 4M 4, ermit Number: ©rV"N, Legal Description 'D ��$ -25 -Zrj� gE l�{ie80Z �� RE# 1710 gag--O/3 f- Valuati n o or Re la ems t Co41 sated Cooled SF y� Non-Heated Cooled • Class of Work(Circle one): New Addition Alteratio epai Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): qommeraa Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No /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: p '51���� �� �2 rz.�+r✓ in�D -4,yN-V / y'e-4 T" . ,QE/I�Az� / /.t�i../T pto../ S►_—Aw"L'7- l.'d-'Aalo le7e «.,�/e. Florida Product Approval# h D!'/ for multiple products use product approval form Property Owner Information Name: G'4t-!'4Z:.4" ay`Gh'1*Ze5T Address: /O 2-S- A1,401'e.02- city T;~, State-11' Zip ?2233 Phone E-Mail .'.4/1LL2S S� 1/•4 �,tea., Owner or Agent(If Agent,Pow/of Attorney or Agency Letter Required) Contractor Information Name of Company: 4r-0^17'_Qualif ging Agent: ;7,� iql �w Address 2/S$ 4-1 IrM-1- Ci State Zip 322 3� Office Phone ,>t' Z41- 432o Job Site/Col�ts�1Number State Certification/Registration# Z 01-11 E-Mail %I�iDSGo(�'aG ,Goy{ Architect Name&Phone# Engineer's Name&Phone# �/cl Workers Compensation W C PEO Qcg� %4r. o8 8 Exempt/Insurer/ ase Employee 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 w th 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. (Signature of Owner or Agent including Cont r) Signature of Contractor] Si ned? vorn to(nr affirmed)be ore me this a day of S' ned and sworn to or affi fore e t is day of �? by 0.f(os D Q.J r-) ► 2�1� ,bm J . �c�o (Signature of Notary) (Signature of Notary) Denise A.Ennis Denise A.Emus NOTARY PUBLIC NOTARY PUBLIC STATE OF FLORIDA STATE OF FLORIDA [ )Personally Known OR Cornm#FF9W26 [ ]Personally Known OR Cortxrt#FF986426 [ j Produced Identification Expires 3/1/2024 [ i Produced Identification Type of Identification: Type of Identification: I Expires 3/1/2020 syLyrf� TREE & VEGETATION AFFIDAVIT OFFICE ® � r City of Atlantic Beach c 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 r Owner(s) (— Legal Authorized Agent" NAME OF APPLICANT �t� �bl\1 NFiu NAME OF COMPANY 'j��,o I.t.�-ld l �tij flAC_'RaQ� ADDRESS OF COMPANY ?jl I�A'�pQNr (Itt. PHONE �,03LV CELL qZ'L,000 EMAIL CONTRACTOR CERTIFICATION NUMBER i 2520 tZ. ATLBCH BUSINESS TAX RECEIPT NUMBER WtC� �I'�?/ . X06 SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY [o2�;— c, �1�at-/ AT c- 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 D�7�j ?i SS'OCK �C- lNt1jorl 117V LOT CIl41gbI(AkI lb17 t � / 12-/A-1f t t � SUBDIVISION P/6l'Gl+f' a40D$' REAL ESTATE NUMBER '� �O ba- �T LOT OR PARCEL SIZE: g-'L zj SQ FT ' I r��,j AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) Yzc* 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 bove-described or a�pro2erties" unction with this project. R [z� SIGNATUREOPOWNf-R 5CRZt.,s;a4.D4 urs of ✓c Tr I Si ed anf3 II d sworn before me on this day of t ZO� ,by State of T lot,C0.. Count --.- -- Y of U ts.vaJ Identification verified: Oath sworn: r Yes "fZ No Denise A.Emus NOTARY PUBLIC STATE fltiYFr�vr IDA Notary Signa ure Comm#FF98647.8 My Commission expires: 41W Expires 3/1/2020 OFFICE COQ Y 2. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local # H. NEW EXTERIOR A / ENVELOPE PRODUCTS Ft7jj I. 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. (Contractor Name) (Print Name) (Signature) Company Name: VQ�� � � lL� �� G) Cd`J T4,TCT-0 C_. INCA �.. Mailing Address: y f� Y/�OR- City: 1471, ( ( (:Y+-c H State: FL_ Zip Code: 3 22 3 3 Telephone Number: 2 41 — 03 Z(� Fax Number: 0+ ) Z14 1 — 0:5 Z 40 Cell Phone Number: (���) Z33 — 0`'1��" - E-mail Address: add& baso 6c .Cori