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258 Pine St - Shed 15-SHED-1737 _ st, CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD ay) j= . ATLANTIC BEACH, FL 32233 x INSPECTION PHONE LINE 247-5814 SHED PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SHED-1737 Job Type: SHED PERMIT Description: replacement shed Estimated Value: $10,000.00 Issue Date: 8/10/2015 Expiration Date: 2/6/2016 PROPERTY ADDRESS: Address: 258 PINE ST RE Number: 170553-0000 - — -------------------- -- PROPERTY OWNER: Name: DEL GALLOWAY, CHARLES Address: 912 NW F ST APT 700 GENERAL CONTRACTOR INFORMATION: Name: FLA DESIGN BUILD INC Address: 5 GUANO DR JOHN W ROWAN Phone: - - PERMIT INFORMATION: PUBLIC WORKS: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. Silt fence must completely surround work areas. ' All silt must remain on-site during construction. j/I Z, 1,-5-- Roll Roll off Container Company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and Waste Pro.) Full right-of-way restoration, including sod, is required. Right-of-way Permit required if parking construction vehicles in right-of-way. FEES: gilfia " )Y.k.lt%NIA IN ACCORDANCE$\ LTI,O%LL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ' BUILDING PERMIT FEE $100 00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $154.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAP SHOWING BOUNDARY SURVEY OF LOT 519, SECTION NO. THREE, SALTAIR, AS RECORDED IN PLAT BOOK 10 PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: FILE COPY CHARLES DEL GALLOWAY JOEL R. LAVENDER, PA OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY /3.6l ' LOT 508 I 'LOT 507 LOT 506 I ! ' 1 50.00' (PLAT) I ‘ N! 2315'36" E 0.0.-..\ Ljl 49. 6' (MEASURED) •} 0.3' i J ....*\ .{ p 6' FRAME N (' W' O.6' '0 - SHED ' ' ' r SHED O t 0 SH£/J Not., b L C/1/ 1•-j _ oa LOT 519 RCmov£O. `ter .-. `1.4F 1 Li, s.7 • x :.i;. W Q W •• v 34.3' W Q FOR A-�O I / 0// L J -8.7'� 7.0'— / a_M A PAD n' O . o DATA/LS. o • O o o v _ O O N TWO STORY O - • FRAME POSTED #258 LOT 518 LOT 520COVERED N 6 - .8'r 14.5 i ENTRY ,d 3 ;X'. ,, 6.7' W a woo() — M S STEPS = O W 1N 17 O Z (Co - . W} to Q Z 1, .' 13.1' 7.0'x. U) 0 Q= 0 fl-o n n (1)- a n"Q W 250.00'1(PLAT) S 23'05'36" WBLOCK V 50.18' (MEASURED) CORNER ORNE R 50.00' (PLAT) PINE STREET (50' RIGHT OF WAY) LEGEND: —X— = FENCE O = CONCRETE O= SET 1/2'REBAR STAMPED PSM#6146 • = FOUND 1/2' IRON PIPE NO IDENTIFICATION IAN;1' CITY OF ATLANTIC BEACH d Building Department FILE COnY 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 PLAN REVIEW COMMENTS Permit Application # /5-- S h ea/ — 17 3 7 Property Address: 5-$ F, h .e S f Applicant: rya !fieSi')yi Project: GC 2 /ac e rn e/l 7 A-eal This permit application has been: 1;11 Approved— C(j' ^ t El Reviewed and the following items need attention: S'tibm,71 lenactt survey Shoa,e n 64,her2 Shy Lv? I b.e iccQ1ed S'A0Gv S Se - bach �I�Pt�tyic,2 r)'► re ja►rod / proper 17 Iifie QneaPloy lrvcly r�S. - -0),R-/5" J Qec i even 3 r e,S -IA est- were Alpt St:I y‘•e lSI n ed / Seo/A/ by /A.( IQPTr '�t r�� 3urve)•0 . Proffer' Sifin y /n/i iC a 14/rord a it,01- \ i TC;t'-v o1 /Cave'c'P J (51.7- Please re-submit your application when these items have been completed. Reviewed By: 1/4 • Date: 7'a 4'.-15— IITIL,MINO PERMIT APPLICATION CHY OF ATLANTIC :EACH RLE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Office (904) 247-5826 Fax(904)247-5845 r�� a 5' /5 SI) ed— (2 3? Job Address: > _ �tne �I ► ,T u�-h� t, ermntNumber: Legal Description /D t5/ISQC-7D#1 A/o.�iree sa_Hzz. i^Parcel# / '7°. .3 --- U40O / Floor Area of Sq.Ft. Sq.Ft r Valuation of Work S /Of ' Proposed Work heated/cooled non-heated/cooled / 7.3 Class of Work(circle one): ew Addition Alteration Repair Move Demolition poollspa ;r+dow/door Use of existing/proposed structure(s)(circle one): Commercial . '1 If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A �� Florida Product Approval# O ;�or multiple products use product approval-form Cl /(/ Describe in detail the e of work to beKilo/gel.»9 formed: t ,,e s!7 1 �y l 2, <%-A,'... . Property Owner Information:: �� !, / Name: ( `)a t-/P 5, D I .( C./ oU.I./� Address: -rU Pl 0 e C/r e4L City f}t•I a l+tc �et_c,, State FL Zip 3:123 3 Phone (404) 36 0- 0,2 19 E-Mail or Fax#(Optional) de/ . JCj a //ot a jj @',,)@',,) C-^ m ac_c./ /IF+ Contractor Information: j Olt t) /-d c, tsil d 4..f r�;-iJce Q C/czmn• Company Name: F-2_J4. J).UIn /a..0 ktQ ;•1-�LC• Qualifying Agent: 3:-.;X n iA `Jl F�-►� &ki, State k. Zip_. Address: j c J Sig a,`j4' �u. (���t"n e}'S• b✓'i Ve �l Dl City ciry fz ilei - !' ?4-.0 2- Office Phone ')o y- Jin-I-'7061 Job Site/Contact Number 61o4 ri,9-q o b)/<7 Fax# State Certification/Registration# CR-Ci t'3 i'I kt Architect Name&Phone# _ ` Engineer's Name&Phone# ,Lu("0 S anel SCC ft Eli ;/1(ieein.�'� •7�C:. ( 7e(i) gt O--��1 Fee Simple Title Holder Name and Address Chccl^/e,S 0 I ��(f/a,Y.-i'/ a lit tl e ( Y{-,j' /4/ s i 4r P- Bonding Company Name and Address ✓ 2 1--)--2 Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certifi'that no work or installation has commenced prior to the issuance of a permit and that all work will be pe,formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within sir(6)months, or if construction or work is suspended or abandoned for a pperiod of six(6)months at_any time after work is commnenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, ./ells,Pools,Furnaces, Bolers,Heaters, Tanks and Air Conditioners,etc. WARNING Tl O OBER: YOUR FAILURE TO RECORD A NOTICiE OF COMNaNCEMENT MAY RESULT IN- YOUR PAS' IG TWICE FO i': IMPROVEMENTS TO YOUR PROPERTY. W YOU INTEND TO OBTAIN FINANCING, CONSULT W foil YOUR iLENIDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF �C®I� I INC IN MEN 1T. I hereby certify that I have read and examined r a plication mrd knnou the sa ne t. ret rte and correct. All provisions of laws and ordinances governing this type of work will be complied with 1 hether s ci fed herein or nnot. he o a•ti . a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,stale, or lo'al w regulating constt on o the .• • mance of construction. Signature of Owner TD I/b v ature of Contractor /� Print Name Cil tr/eS1) ij (�u//oiD ' Print Name O/l/ �t'1fOtaLLt- Swornto and subscribed .- :re me - Sworn tno and subscribed or me this `I, Day of 20 this J Day of �ti1 -70 ' .)�. Notary Public Not: Pu is 374 ail-ti S �`e, jo,M:°u„c JUDITH STEEG *Ny " �` E�XPCOMM IRES:ISFSebruONayF1F09201289 18 �iu r l y -2-7- :9 00” °u� ev - 11 x6.10 JUDITH STEEG * ,sl4,i * MY COMMISSION tFF 0 91299 Ea R� Ba+dedhru Bud Notary Sutik.$ , ~ EXPIRES:February 10,2018 •F,,,„0 Bonded Th.,r,c...et Nancy servos giti .ri..Ail,, City of Atlantic Beach APPLICATION NUMBER ,r;.,.'. ',• , Building Department (To be assigned b the Building Department.) 1 800 Seminole Road x \ ` Atlantic Beach, Florida 32233-5445 /I--_Chi 7d 7 `, Phone(904) 247 5826 • Fax x(904)247-5845��;t; ,' / /, E-mail:Email: building-dept@coab.us Date routed: /`+' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c")(31 ,,,--1. .:S T I - : . • ent review required �r o � [Bui s 611FA- Applicant: / ` DeSiiyA/ 7?4/LQ/ running &Zoni .43 IIIM'll. istrator Project: ___/Pyhc • �- .s kit Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt 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: pproved. I 'Denied. (Circle one.) Comments: r BUILDING / ) (-- PLANNING &ZONING I ilk ---7• / Reviewed by: Date TREE ADMIN. Second Review: I 'Approved as revised. I 'Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. I 'Denied. Comments: Reviewed by: Date: Revised 07/27/10 , ___ City of Atlantic Beach /1ECfBuilding DepartmentRS Vf APPLICATION NUMBER Ee. 800 Seminole Road JUL (To be assignedj,41( the Building Department) ,' ) Atlantic Beach, Florida 32233-5445 2 1 2015 / – /73 7Phone(904)247-5826 - Fax(904)247- ti5�,: E-mail: building-dept@coab.us Date routed: A4,, City web-site: http://www.coab.us — AIMINIII APPUCATIIONI REVIEW AND TRACKING FORM I /• Property Address: I — .e ent review required Yes No �u / Ls Buil....lnin Applicant: �L � c� � �C �-tanning&Zoni Tree " istrator Project: _ N/Minien_T_ZH_1_41 ublic s u tic Utilities u Fire Services Review fee $ Dept Signature LiiiIIIiiiiiiLIIiIIII± DatiJ Agency Review or Permit Required Review or Receipt of Permit Verified By DateDept. of Environmental Protection Dept. of Transportation s River Water Management District ps of Engineersf Hotels and Restaurantsf Alcoholic Beverages and Tobacco APP CATION STATUS Reviewing Department First Review: prApproved. ['Denied. (Circle one.) Comments: dee Alta 4 11j eiT_Lk BUILDING ? PLANNING&ZONING Reviewed by: OP S_____ Date: 3 l TREE ADMIN. Second Review: []Approved as revised. FjD- ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach r. APPLICATION NUMBER ` RECEIVED° Building Department � CjJjV Ej7 (To be assigned by the Building Department.) (".... I 800 Seminole Road Atlantic Beach, Florida 32233-544. �U� 2 2015 `� ��� /7� / Phone(904)247-5826 - Fax(•1 )247-5845 _ E-mail: building-dept@coab.us BY: Date routed: 7 02 / 4, City web-site: http://www.coab.us ---L=7---------_, APPLICATION REVIEW AND TRACKING FORM Property Address: _4"-1?_aJr I - : - . ent review re.aired Yes No '&� ,fid rj nnin Applicant: 1.0 it %y/� '&4/ZS &oni �`` ' ••!' istrator -- _- Project: _ /Mi C _ Ai Public A A . s _ Fire Services _ Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. -1 (Circle one.) Comments: BUILDING PLANNING&ZONING ___45 t/� / Reviewed by: Date: �/ ���� TREE ADMIN. Second Review: QApproved as revised. ❑Denied. ', •..:LIC WOKS Comments: ' •N: I UTILITIES BLIICSAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach ` Building Department APPLICATION NUMBER `' (To be assigned b the Building Department) 800 Seminole Road Phontic Beach,e(904)24715826 32233-5445orida Fax(904)247-584 SA _ 73 7 5 E-mail: building-dept@coab.us Date routed: 7 y"5 City web-site: http://www.coab.us APPLJCATION REVIEW AND TRACKING FORM Property Address: (--)ci //-7) jir Be: . • ent review required Yes NoN h .D.-Sly/17 4 � �Applicant: �` // �lan-ing &Zoni 1='rrajecr. ____Xybk,einienTIZA6 ` •ublic A A . _- Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt 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: ['Approved. Denied. (Circle one.) Comments: (,Lt Avk BUILDING PLANNING&ZONING Reviewed by:-4. ./ C Date: 7 d TREE ADMIN. Second Review: InApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:� , FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 FILE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: ( JS ( (C) ,r�fJ CEJ Permit # / SA'g-01— /7 3 Project Address: (LSE Pm e .cf�'Q ,40 As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabyildins.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS •7'herm&=�r-id, t‘j be)-..0 SSr' Cj/ 1. Swinging U11)45414-t: 5LtVAS +.6707-69,0 • '- Sy9i. 2. Sliding b 1'611. 1 3. Sectional 4.Roll up 5.Automatic 6. Other B. WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4.Double hung 5.Fixed 6.Awning 7. Pass-through 8. Projected 9.Mullion 10.Wind breaker 11.Dual action 12. Other Category/Subcategory jManufacturer Product Description ILimitation of Use State# Local # C. PANEL WALL 1. Siding 1� Sidir —r-// l ,i �' A-4ektd-ffits ?�1 f _4.2d2. So ✓v��'l(?� . 3.EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8.Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1.Asphalt shingles 2.Underlayments 3.Roofing fasteners 8( / 4.Nonstructural metal roof ftG Vtu lc um. �7�,N/h(t�t le Pant] / f . :, 5.Built-up roofing 104/h iN �G r l /lul. vta5l= / 7� , 6.Modified bitumen - 7. Single ply roofing 8.Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12.Roofing slate 13.Liquid applied roofing 14. Cement-adhesive coats 15.Roof tile adhesive 16. Spray applied polyurethane roof 17. Other 1111111111111. Category/Subcategory Product Description 1 imitation of Use E.SHUTTERS State# Local# 111111.111111 1.Accordion 2.Bahama 3. Storm panels 111111.11. 4.Colonial 5.Roll-up 6.Equipment 7. Other F.STRUCTURAL, COMPONENTS 1. Wood connector/anchor IIIIIIIIIIIIIIII 2.Truss plates 3.Engineered lumber 111111111111.1 4.Railing L _ 5. Coolers-freezers 11111111111 1111111111111 6. Concrete admixtures 7.Material11.11111111111111111111111 1111111111111111 m......niuw...m.....IIIIIIIIIIIIIMIIIIIIIIIIMNMIMMM 8.Insulation forms 9.Plastics1111111111.11 IMIIIIIIIIIMIIIIIIIM 10.Deck-roof IIIIIIIIIII 11. Wall 12. Sheds IIIIIIIIMIIIIIIIIIIIIIMIIIMIIIMMIIIIIIIIIIIIIIIIIII 13. Other IMIIIIIIIIIIIIIMIMIIIIIIIIIIIIMIIIIIIIIIIIIII G. SKYLIGHTS IIIIII 1. Skylight 2. Other - Category/Subcategory Manufacturer Product Description 1 imitation of Use State# II. NEW EXTERIOR Local# ENVELOPE PRODUCTS 1. 2. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMII In addition to completing the above list of manufacturers, product description and State approval Contractor shall maintain on the job site and available to the Inspector, a legible pp al number forr' the products specificationsused on this project, then instructions along with this Product Approval Sheet. g copy of each manufacturers printed and installation I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of listed in this document must be approved by the Building Official. different components other than the ones (Contractor Name) (Print Name) s-/ ,4 K © &1') (Signature) Company Name: Gil, / . i I Mailing Address: 4 City: owe Ve ra_ r , / State: ,g� "� Zip Code. 3Z� � Telephone Number: (99 ) I.3 q '�,, 1 ci Fax Number: ( ) 6Cell Phone Number: ( %0 SW— 17c98 �-7 / E-mail Address: vWO� �, �` 6.°7) Cell