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RESO18-0023 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER- SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR INE)IT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES018-0023 Description: replace 12'x 26'wood deck Estimated Value: 25000 Issue Date: 6/21/2018 Expiration Date: 12118/2018 PROPERTY ADDRESS: Address: 1250 SIELVA MARINA CIR RE Number: 1719140000 PROPERTY OWNER: Name: Jessica Wynne Address: 1250 Salve Marina Circle Atlantic Beach, FL 32233 GENERAL CONTRACrOR INFORMATION! Name: Address: Phone: Nam: Core Outdoors Inc. Address: 134 Poole Boulevard St. Augustine, FL 32095 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 my 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$7,500. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826- Fax(904)247-5845 E-mail: building-dept@coab.us Date muted: City web-site: http://�.mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: cA Ka(',m �J, De artment review require —Y-88�wo t/ Applicant: UIL- oa� dmf-��' 7�'\C - Tree Administrator Project: LA 0,C k kcv— — Ql'y Well 10&.A �`Pu c a Public Safety Fire Services R-e—view or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept.of Environmental Protection Florida Dept.of Transportation St—Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS_ Reviewing Department First Review: E(Approved. E]Denied. E]Not applicable (Circle one.) Comments: 0 oc� PLANNING &ZONING Reviewed by: Date S' -g9ip-dot TREEADMIN. Second Review: []Approved as revised. ElDenived. ONot applicable PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERVICES Third Review: DApproved as revised. DDenied. E]Not applicable Comments: Reviewed by: Date:— Revised 0511912017 RECEIVED OFFICECORding Permit Application Updated 12/8/17 City of Atlantic Beach 900 Seminole Road,Atlantic Beach,Fl.32233 MAY 10 2018 Phone:(904)247-5826 Fax:(904)247-5845 Job Address:--17.5L) Ve_%ft M'r m� C-A-- -PermitNumber- Legal Description �1,y us^iiudu iu%;obsidlu I. rL Valuation of Work(Replacement Cost)$ (25'Ct,.3 Hearted/Cooled SIF_Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed strucrture(s)(Circle one): Commercial Residential • If an existing structure,is afire 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: *T�' =)��4�:%. — To 1 51rti 'j,va 'A000 izyzLp Dc_'� V7,�L 7�re�0&4 J�V' ?e-e a '00' . Florida Product Approval# for multiple products use product approval form property Owner nformation Name 16— Address:�IQ50 �A40Lrin,-L�GF .ity 'sste� State ft_zip AI 7 :?a Phone `76 4 —1-0 7— 4,,�54/ p E-Mail Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) Contractor Information NameofCompany: CORECUMODIRS, (W— QuaIIfvingAgent: AArd:aA L VICAS Address /.31/ 415L? Al'vb —City j�f.�,IMMState f-f zip .11096, Office Phone q I)IJ— 0/,6-lgk&It, _JobSite/Conta Numb vnit R0VnddhjqbV— %3 State Certification/Registration# 4,tc 131t74(0 E-Mail Architect Name&Phone# �V14- Engineer's Name&Phone# 111,gllienf -S:'Js601.d Pf C??q_ -%9-41#19- — Workers Compensation aazlbAeusae(�* - Exempt/insurer I Wase 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 thisjurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements of this permit,there maybe additional restrictions applicable to this property that maybe found in the public records of this county,and there maybe additional permits required from other governmental entities such as water management districts,state agencies,or federal 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING UR NOTICE OF COMMENCEMENT. MAI_ -1 1 A V--,— / / (Signature of Owner or Agent) V (Signature ofContractor) LI-1 (including contractor) S ad and sworn to(or affirmqd)befoDa is'/t dayof Signed and sworn to(or affirmed)before me this 6dayof C0J by by (Signature of Notary) (Signature ad Notary) Ann PunmW Sandsvi Am Purseley 144ersonahy Kno OR NO, PUBLIC I e".—nal IV Kn o!n OR )TARY PUBLIC ST wn TATE OF FLORIDA [ I Produced Idendfics on NO Produced Identification STATE OF FLORIDA Type of Identification: If COMINFIF9311740 Type of Identificat "a"M93mo I Expires;11/30/20 9 1 Expires 11 f301201 9 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road P-&,Sg % Atlantic Beach, Florida 32233-6445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coalous Date routed: City web-site: htP:/�www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Wtj QKaj�,M C:,[, De F partment review re uIred Yes No Applicant: Nf_ Wn Tree Administrator Project: ')DtA <'Fu S C Public Utilitieb Public Safety Fire Services Review fee $ Dept Signature Rev=PB'Z Date Other Agency Review or Permit Required Of Pe Flonda Dept,of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corp.of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco 76theri APPLICATION STATUS JNot applicable Reviewing Department First Review: "Approved. E]Denied. (Circle one.) Comments: BUILDING Reviewed by: .10 AO—= Date:_E_/L__10_0 _ TREEADMIN. Second Review: ElApproved as revised. E]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: OApproved as revised. []Denied. E]Not applicable Comments: Reviewed by: Date:— RwisedOS11912017 MAP SHOVANG SURVEY OF ALL OF LOT SO ANN THAT PART OF LIST 31,LONG HOPI OF A STRAIGHT ME SLAKING PIONTHRESTENT,REEN, A PUNT IN THE DST UNDST)ME OF GAP LOT Ji USLANT 31 I'll FORTHIPPI AlP AND EAST ME UPON N, NEAHETT GUARPER OF SAID LOT AN M k FIGHT IN THE REFITUR-1(11AI)LNE-- LOT DI EIRTANT PPI ED SOUTHRESTER-Y ALONG'AD WGFEF.Y UNE POOR NE HCANST TORN.OF SAID .TO. ALL IN N.S.1. PLASTRA,U.,N, 1. AS RECORDED IN KAT HGOR GD. LACE H.OF TH,PUPPRETT FUEL. F.D.P., UMA THI PLANTS DIESTINSEDS IN OFFROAL GG E.1ADDI,PA. NUG REUNION OF NI CAI 0 OT T T3 .,UI I'D —N HAD"'. E AP- LOT I IS LET .44vi� FOAD t ON F" #0 WITHE 47-W 61 (FLES.) CHORD BEAR 8 ...T111,1I 11,111) 3.64' RADIUS-45,00- A 04-o' LENGTH-70.69' ID PIPES LOT A LOT TO E 0 ,A,, 41 PAN U, DID, t A0 N.,AS 1)THR IS A II.NOAAI EMPNCL �D,UPPERS. =ON THE CANDRUL,U.OF.1 x.1. ED A PER PLAT COMMUNITY DEVELOPMENT T P S)PLUNING APPROACH!THUS PER PLA7 THE PROPERTY SHOWN HEREON LIM IN FLOOD ZONE �X- APPROVED (AREA OUTSIDE 0I ANNUAL CHANCE ROSSI AS WELL AS CAN BE DETERMINED FIRM THE FLESH) INSURANCE RAM MAP NUMBER 12031004KNEA. REVISED JUNE 3, 2013 FOR THE aW UP ARANDC BEACH. THIS SURWY WAS MADE FOR THE SENJEFIT OF CUVAIL CCUI FILDRID& NINE PHILWIPS. COUTRANY NUGI-1 AFFEARTMENT, W AT..�,Nl PRE SIGNATURE UP.11 IDERIDA Ut SURRIEPAWR arml MA&PER IN. US 3"S THIF ORIGINAL RAGGEN REAL OF A FLUNDA G., HANDED ELI AND RANGES' ....RUNI PAY ILIKEREASKOHN ISIST,.1 STOP AI AEPI TRAPPREURG..US D. ANN,NP.. NRIGHT LAND SURVE M EMPIRE MAN, at < I r---T cc Tt-7 zz 10 -goo �e lol\\ 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)247-5945 E-mail: building-dept@wab.us Date muted: City web-site: http://�.mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: IaSD �&PJ� Ck Kai-,M C, , M �marrt review required Yes No Applicant: C4� dw S (_Elarifflng &Zoning Project: —ftpk 4_1�4 Jif:4— ')bLd A Tree Administrator Pub�.Ufift.� Public Safety F�re Sewices Review fee $ Dept Signature Other Agency Review or Permit Required Review or.R f Permit V r scalp Date 0 tied By Florida Dept.of Environmental Protection Florida Dept.of Transportaflon St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [dApproved. [-]Denied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by��2;0� Date: TREEADMIN. Second Review: E]Approved as revised. E]Denied. ONot applicable �11111W Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. ElDenied. E]Notapplicable Comments: Reviewed by: Date:— Revised 06119/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road MA Y I c I Atlantic Beach, Florida 32233-5,45 Phone(904)247-5826 Fax(904)247-5845 City web-site: http:/�www.coalbus JJ 5 E-mail: building-dept@coab.us Date routed APPLICATION REVIEW AND TRACKING FORM Property Address: ID-,'VO &e-UQK0i*tMCJ, fta ment review required Yes No , in =7 Applicant: Lfp-- (4� dwfs 4.Llanfiing &Zoning Tree Administrator Project: Pubtc—Wdrks) Public Safety Fire Services Review fee $—_7i2�— Dept Signature , 4pv\— Other Agency Review or Permit Required Revrew or.R9 e'Pt f Pe It V 'If 0 Date 0 ad By Florida Dept.of Environmental Protection Merida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers DM.ion of H.W.and Restaurants Division of Alcoholic Beverages and Tabs= Other: APPLICATION STATUS Reviewing Department First Review: ElApproved. E]Denied. [2Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREEADMIN. SeconclReview: ElApproveclasrevised. E]Denied. E]Not applicable PU WORKS Comments: PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DDenied. FINot applicable Comments: Reviewed by: Date: Revised 0511912017