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1980 MIPAULA CT - PERMIT ACC18-0020 CITY 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: ACC18-0020 Description: PATIO COVER Estimated Value: 18000 Issue Date: 3/19/2018 Expiration Date: 9/15/2018 PROPERTY ADDRESS: Address: 1980 MI PAU LA CT RE Number: 169506 1018 PROPERTY OWNER: Name: JOHNSON PATRICK M Address: 1980 MIPAULA CT ATLANTIC BEACH, FL 32233-4555 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CENTRAL ALUMINUM, INC Address: P.O.BOX 14177 JACKSONVILLE, FL 32238 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. int PermitConditions City J ofAtlanticBeach M,f. Permit Number:ACC18-0020 Description: PATIO COVER Applied:3/12/2018 Approved:3/14/2018 Site Address: 1980 MIPAULA CT Issued:3/19/2018 Finaled: City,State Zip Code:Atlantic Beach, FI 32233 Status: ISSUED Applicant:<NONE> Parent Permit: Owner:JOHNSON PATRICK M Parent Project: Contractor:<NONE> Details: LIST OF • • SEQ N­Or ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS -DEPARTMENT , CONTACT REMARKS 1 3/14/2018 EROSION CONTROL INSTALLATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: _. Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(247- 5814)to request an Erosion and Sediment Control Inspection prior to start of construction. 2 3/14/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes. All runoff must remain.,on-site during construction. - r 3 3/14/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes Roll off container company must be on City approved'list(Advanced Disposal,Realco Recycling,Shapell's,,Inc.,Republic Services,Donovan Dumpsters). Container_cannot be placed on City right-of-way. 4 3/14/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes:, Full right-of-way restoration,including sod;is required . 5 3/14/2018 CONSTRUCTION SITE INFORMATIONAL MANAGEMENT PUBLIC WORKS Scott Williams Notes: _ Provide construction;site managementplan,including location of silt fence,dumpster,portable toilet.1ight-of-Way Permit is required if using right of-way for construction'parking. Printed: Monday, 19 March,2018 1 of 2 1� �r i v1 til 'jr Permit Conditions . :- ofAtlanticBeach 6 3/14/2018 RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: . All runoffimust remain onsite: Cannot lot elevation'.. 7 3/14/2018 DECKING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Alhold decking must beremoved,from job site by Contractor. Printed: Monday, 19 March,2018 2 of 2 City of Atlantic Beach APPLICATION. NUMBER Building Department (To be'assigned by the Building Department.) <s 800 Seminole Road wr Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 22 E-mail: building-dept@coab.us Date routed: .J' j 1 City web-site: hftp://wm.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ' 1 t'� (,,. C: Department review required Yes No Applicant: ���7�z�<✓ Crn(,y( �m tanning &Zoning e- minis ra or Project: pi2-t( C) CCjV --(F, Public Works ublicti i i Public Sae y 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: roved. []Denied. [-]Not applicable (Circle one.) Comments: I7 PL[?I� PLANNING &ZONING Reviewed by: Date: AV TREE ADMIN. Second Review: A roved as revised. ❑ pp [-]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 vf�k � 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 LtJi,,�ar E-mail: building-dept@coab.us Date routed: - City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 I PAUt.4 C_ - Department review required Yes No Buildin Applicant: �a �(mSYyI�,L� lannirig&Zoning_ re 6-7 7d minis ra or Project: ��-` j (� C�j�/(—�, Public Works ublic U iTffii Public Sa e y _ 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. [—]Not applicable (Circle one.) Comments: BUILDING � (-/Ved - — _ ULA_NNING-&-ZONING_- , 3 , Reviewed by��''�!� Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑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 +! �'•ylrCity of Atlantic Beach APPLICATION NUMBER BuildingDepartment { - S p j (To be assigned by the.Building Department.) , 800 Seminole Road e g /� r.� Atlantic Beach, Florida 32233-5445 LIAR 12 NO � � `8 cm y 0 x� Phone(904)247-5826 - Fax(904)247 5145 E-mail: building-dept@coab.us a1o, Date routed: I 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t C)R ` 1 j PAUL �—L Department review required Yes No ! Buildin Applicant: tanning(��}L (}rn�, m tanning &Zoning ee minis ra or Project: Gp_� `t j C) C0y , Public Woks ublic UfiTitis Public Sae y 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 bemv; Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable `TPURR FE-2NORKS 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 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 cells G -0 47"58 Phone(904)247-5826 - Fax(904)2i' MAR 12 2010 E-mail: building-dept@coab.usR Date routed: City web-site: http://www.coab.usY' BY:- APPLICATION REVIEW AND TRACKING FORM Property Address: Y ' 1 I plquw. , Department review required Yes No lannin &Zon7in -. Applicant: PLb-fy)1./a )43 g g rre_e_- minis rr-aTo-r Project: C0��--�_, (,Public Works ti- i►bhcjUtlities� Public Sae-Fy--- 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: E]Approved. OlDenied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: s/A" Date: L TREE ADMIN. Second Review: F J� ]Approved as revised, FIDenied. DNot applicable PUBLIC WORKS Comments: RLMTJQTlLQ_T_t_Sn PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. []Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: D (L I j Permit Number: /jumber: � 1. oz/� Legal Description — d — )S--),9F Valuation of Work(Replacement Cost)$� 00 t. 0'5Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): Ne Addition Iteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercia identiaa -Y • 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 NoTree Re Describe in detail the type of work to be performed: Florida Product Approval# F—C R 1 9 f for multiple products use product approva- rm Property Owner Information Name: '6 h 1,1cein Address: City State Zip '2)_)T2-Phone r C I-1-71 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter equired) Contractor Information��'ll ,�+ / Name of C mpany: C RAA t-i6 l(I-1,, a.wn. „1 i„�. qualifying Agent: ��� 1,c��Ll�t j Address C? City )0.X, State _Zip 2)i2 Z 38 Office Phone — Job Site/Contact Num e )51A I— '/-51316 State Certification/Registration# "C 3, '0 E-Mail Qg�tfr�r Architect Name&Phone# Engineer's Name&Phone# Workers Compensation ao �'D Exempt nsurer/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,j ;, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,et NOTICE:In addition to the requirements ofthi ermit,there may be additional re"strictions applicafale to this property that,may be found in the public records of this county,and here maybe additional permts.required from otherf,;go9ernmental enfiities uch as water management districts,state agencies,o ederal agencies 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 INT -ND' TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT. 1�5i natu of Owner or Agent) (Signature of ontractor) (including contractor) Si n©ed and sworn to(or affirmed)before me this day of Sind and orr�;to7or afiFjLq&1WW LQ66ka eday of bk / •.4 1�: {yam OMMISSy �VIYIIYIIJ�I 6 4 711 Y COMMISSIO #GG061371 XPIRES Ja 2021 [ ]Personally Known OR [ ]Personally Known OR [ ]Produced Identification [ ]Produced Identification Type of Identification: Type of Identification: W, Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 /� Job Address: (d.l Permit Number: e�� �I(� 0Vzo Legal Description — — 0-Y �� f7 .0 RE# Valuation of Work(Replacement Cost)$ Heated/Cooled SF_tvl.L Non-Heated/Cooled • Class of Work(Circle one): Nev<Addition>Iteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercia identical • 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 NoTree Re Describe in detail the type of work to be performed: Vey Pc,4b CU& e- U4, Ply Florida Product Approval# F—C 011 9 ( for multiple products use product approva rm Property Owner Information Name: Address: City State Zip ?,,?,-7, Phone _ ') E-Mail ►� Owner or Agent(If Agent,Po er of Attorney or Agency Letter equired) Contractor Information/l 1 / / II Name ofC mpany: CeA t-v6 11�� ;✓Lr� „/_tAC Qualifying Agent: �� Lawtdtt Address C) _ -)- City .)QX' ,State EL Zip 3 2 oZ 3 Office Phone Job Site/Contact Numper ti State Certification/Registration# CC 13 1 144R30ErMail C�e�h�! �c��i:�1�.°�•r lSU� �t .,1���1� Architect Name&Phone# Engineer's Name&Phone# q— Workers Compensation — C) 6 Exempt t nsurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to doa 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,et NOTICE:In addition to the requirements of thi errnit,there ay be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional ermits required from other governmental entities such as wafter management districts,state agencies,o ederai agencies 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 INT D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR-AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT. i natu of Owner or Agent) (Signature of ontractor) (including contractor) Signe and sworn to(or affirmed)before me thisliv day of Siped and q,��o, orklgmw L616day of e b :tea t•: Y COMMISSIO 61371#GG0 ?a ~ XPIRES Ja 20 1 [ J Personally Known OR [ ]Personally Known OR [ ]Produced Identification [ ]Produced Identification Type of Identification: f✓ Type of Identification: V TREE & VEGETATION AFFIDAVITMy of Aflantk Beach Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P)904 247-5800 (F) 904 247-5845 ;7Legal # SECTIONI-APPLICANT INFORMATIONf— Owners) Authorized Agenthi ' i NAME OF APPLICANT �(o l i 4 i NAME OF COMPANY 1 � vt 1 ADDRESS OF COMPANY D 1-72 7 rQ � O f ` � I PHONE CELL�D ,.. � EMAIL fry f�/u�f����o� f CONTRACTOR CERTIFICATION NUMBER I ATLBCH BUSINESS TAX RECEIPT NUMBER ` SECTION II-SITE INFORMATION i o i STREET ADDRESS OF PROPERTY Ifan address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. i LEGAL DESCRIPTION LOT BLOCK SUBDIVISION ON REAL ESTATE NUMBER LOT OR PARCEL SIZE: D �� SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) f i 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,!affirm that no re ulated trees6regulated vegetation will be damaged, destroyed and/or removed from the above-described or adjacent p ties' on• cti with this project. SIGNATURE OF OWNER SIGNATURE OF OWNER I Si=sworn and sworn before me on this day of �.C`.� Zi /Q.by State of -� 0.nCJl N C y of Count Identification verified: L S3 as --2 Oath sworn: �J Yes f— No I � f �g YrPy _ TONI�INDLESPERGI i MYCOMMISSION#FF924951 Notary Signature +; *' ES:October 6,2019 ' oma` 6oadedThNNo�rypubGcUnderwriters:' My Commission expires: MAS' SHOWING. BOUNDARY SURVEY OF LOT 4 BL0 AS SHOWN ON W OF 9 64-VAI /�: a" ZIAII T 0A/8_ AS RE'CaWD IN PLAT BOOK PAQM 94-=94 8 OF THE CoRREn1T Rustic REco ems 6 , W 41- e4. FtA.. CE1F71M® TQ: SANtAsomu GA2fc"T JaAtS J014usota MILLS S.ROWLAVA 0,V ISSce.L,, 'P.VOWLnlao - t ' -OStzb�u T SHfCmrFLD TIILE 5-eMtt4eS-, LC,1FtlSs� At•tEtLtcwt.! MILS -1L,JWZey $e-S 46"PAW( - - MEQs� Soteel.'f AS ty=>SEE FaE TO 1$SW1 uA _ s e0411? F4 atRli. f'ouvn »,aeon GV 1 ei ' r . yy.. IIID i.D.� Gq s •to cvPJ , � �, - gli. P.C.pi NZYDEVELOPMENT 0 V ED }} * c 1-STaRY M o Mo• /960 M CPO 4 N io Jc u � 8 s � . ', , . _ 12.2 •�� � WdeD pEw[CB:' �.�J �t /p0Cfl9)