177 PINE ST - DECK rs'A ".f�,� RESIDENTIAL OTHER PERMIT PERMIT NUMBER
RES018-0055
CITY OF ATLANTIC BEACH
\r
800 SEMINOLE ROAD ISSUED: 10/19/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 4/17/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
OB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
RESIDENTIAL OTHER SINGLE OR
177 PINE ST TWO FAMILY RESIDENTIAL Replace Small Deck in Back $800.00
OTHER Yard
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170635 0100 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: I STATE: ZIP:
DUTTER WILLIAM M 1742 OCEAN GROVE DR ATLANTIC BEACH FL 32233-5845
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
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.
Issued Date: 10/19/2018 1 of 2
,.S``',,p,:, RESIDENTIAL OTHER PERMIT PERMIT NUMBER
' ,� RESO18-0055
CITY OF ATLANTIC BEACH
,�, ='. 800 SEMINOLE ROAD ISSUED: 10/19/2018
't rri 'N ATLANTIC BEACH. FL 32233 EXPIRES:4/17/2019
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
ear ,. k, >., ,z :, 3 , y, .�
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking must be removed from job site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00
TOTAL:$136.50
Issued Date: 10/19/2018 2 of 2
•
slA :,-. City of Atlantic Beach
i
�s �,' BuildingDepartment APPLICATION NUMBER
�,� P (To be assigned by the Building Department.)
`,(i\• - 800 Seminole RoaC11210/18E
, _ )
si
�. _ -� Atlantic Beach, Florida 32233-5445 • �E ) o l O oSS
� V Phone(904)247-5826• Fax(904) 247-5845
I
,..........?:
�;�}>r E-mail: building-dept@coab.us
OCT 20ipflte routed: O f l ii
City web-site: http://www.coab.us 8
BY
•
APPLICATION REVIEW AND TR ING FORM
•
Property Address: I'1 �� n e. Department review required Yes No
Buildi g
thrvieo wnrApplicant: Planning &Zo in�
Tree Administrator
Project: a... kALjrct2:>?_Ck__ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
ei.(Y
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: I 'Approved. I 'Denied.
I Not applicable
(Circle one.) Comments:
BUILDING r4,
PLANNING
PLANNING &ZONING Reviewed by: Date:/9—Z-/J
TREE ADMIN.
Second Review: Approved as revised. I 'Denied. I 'Not applicable
PUBLIC WORKS Comments: ,
PUBLIC UTILITIES '
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. I 'Denied. f Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
s-=�`rw- Cityof Atlantic Beach
..a �, e.e,� APPLICATION NUMBER
d �� Building Department 8 �� be assigned by the Building Department.)
' 800 Seminole Road QCT
Atlantic Beach, Florida 32233-5445 � gESOl&--OOSS
v `- ° Phone(904)247-5826 • Fax(904) 247-58458)62�1g
j9'r E-mail: building-dept@coab.us Date routed: l( Ilk
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 117 �( n e. J Department review required Yes No
Buildi _
Applicant: f o me b tk ner Planning &Zonin
Tree Administrator
Project: . Public Works
Public 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:
APPLICATION STATUS
Reviewing Department First Review: FKApproved. I 'Denied. I Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by ___ZteeZjeilide...„,2Date: 7611/7/2
TREE ADMIN. Second Review: roved as revised.
I 'App I 'Denied. I INot applicable
PUBLIC WORKS Comments: .
PUBLIC UTILITIES '
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. Denied. I Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
1
rS'-L�1f,�, City of Atlantic Beach APPLICATION NUMBER
64 ttA.y, .) Building Department (To be assigned by the Building Department.)
i_-, (' • 800 Seminole Road
11
jc- >;-..•. -e Atlantic Beach, Florida 32233-5445 f ES o(&—O os
s
-' ' l
Phone(904)247-5826 • Fax(904) 247-5845
\\,,„...
::-.s.,,":",-;;10'. E-mail: building-dept@coab.us Date routed: / /k
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
•
Property Address: I'7 P . J Department review required Yes o
Buildi ._____
Applicant: 146rv►eo of ner Plannin &Zonin
Tree Administrator
Project:A Le Public Works
Public 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:
APPLICATION STATUS
Reviewing Department First Review: I 'Approved. 6nied. I Not applicable
(Circle one.) Comments:
(BUILDING
PLANNING &ZONING Reviewed by: Dater 0 -S- e-'
TREE ADMIN. Second Review: )([Approved as revised. I 'Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES Q�
PUBLIC SAFETY Reviewed by: Date: /0- p/ / -`O
FIRE SERVICES Third Review: ['Approved as revised. I 'Denied. [iNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,.
r rSy'1.1
�,� CITY OF ATLANTIC BEACH
i-- ' A � 800 Seminole Road
F,',., ' Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date / , ., Revision to Issued Permit Corrections to Comments Permit#gE5O N---oa s
Project Address • �>/'_ I� j:.,�t� � -, a I! _ Jr 6� _
Contractor/Contact Name • A ( , /e•
. — I
Phone 9)()1/- t.33 -��to 9 Email du ,-its i:, °ilia , ( I p,CJ-v,,
Description of Proposed Revision/Corrections: Permit Fee Due$
e _)amsp le 0 m , Tel mt-i- r A-12 e ryttSin
Additional Increase in Building Value$ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved \---- Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
Building iirk
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities /0--/q-/r
Public Safety Date
Fire Services
CITY OF ATLANTIC BEACH
J }
TSS
:J 800 SEMINOLE ROAD
S)
1r ATLANTIC BEACH, FL 32233
(904) 247-5800
J1119r
BUILDING REVIEW COMMENTS
Date: 10/5/2018
Permit#: RESO18-0055 Site Address: 177 PINE ST
Review Status: denied RE#: 170635 0100
Applicant: Property Owner: DUTTER WILLIAM M
Email: Email: duttsb@gmail.com
Phone: Phone:
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
1 Permit application is missing the Legal Description.
2. Permit application is missing the RE#
3. Application is considered incomplete, please return the Building Department to complete the
application.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5844
Email:mjones@coab.us
mg1/ed /2evi,ew..ev 10— S - 201 8' h'`Y
Resubmittal Notes:
All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of
completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by
indicating a triangle with the revision sequence number within it and located adjacent to the cloud. The revision date
and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which
a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with
1
SSL% City of Atlantic Beach APPLICATION NUMBER
6s Building Department (To be assigned bythe BuildingDe artment.
,J 800 Seminole Road410)
g _ Department.)
.� s Atlantic Beach, Florida 32233-5445 g 61 F�-O o S
' Phone(904)247 5826 Fax(904) 247 5845 j
s
\\,,,,_
gnicY> E-mail: building-dept@coab.us Date routed: 1 0/1 ii
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
•
Property Address: I. �( Ile- S'?' _Department review required Yes No
Buildi
Applicant: f6me,a JAM er Plannin &Zonin
Tree Administrator
(yk 'ci ji , � Public Works
Project:
Public 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:
APPLICATION STATUS
Reviewing Department First Review: Approved. I (Denied. I Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: i� — Date: /0-1— 1 Q p
TREE ADMIN.
Second Review: I !Approved as revised. I 'Denied. nNot applicable
PUBLIC WORKS Comments: .
PUBLIC UTILITIES '
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. nDenied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
1
v tor,
(-4N,
Building Permit Application Updated 12/8/17
City of-Atlantic Beach ,
800 Seminole Road,Atlantic Beach,FL 32233
/ Rne. hone:(904)247-5826 Fax:(904)247-5845Q, r�Job Address: ` 77 >�� Permit Number: RE5o/Ll vaSS
Legal Description We 6Ide,y41L1 RE#
Valuation of Work(Replacement Cost)$ see. e9G Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair ove Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): CommercialR,esidentiaD
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes o N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or A idavit of No Tree Removal
Describ in detail the type of work t be perfo med:: , n
R tati„ CL- S taw. 01 moik Iota.
Florida Product Approval# for multiple products use product approval form
Property owner Information.,, I
Name: �,�/% i i m A u • Address: /7'//L nt& N --trove a.
City ( C:, },a ' A .. State Zip 3.2,23 3 Phone 90 V—23 3 S6 L 9
E-Mail • IA. e b gylict. • CdTN
Owner or Agent(If Agent, POokr of Attorney or Agency Letter Required) 6tArhg
Contractor Information ci,V --s h G !Ym ct ( ..C—C) M
Name of Company: Qualifying Agent:
Address City State Zip
Office Phone Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
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.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.
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 OBT,. IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECO' ►ING YOUR N•�, CO L ENCEMENT.
P 5
IIV (Signatur:of Owner or Agent) —C (Signature of Contractor)
(inclu. :contractor) _
Signed and sworn to or affirmed) •e re me this., day of Signed and sworn to(or affirmed)before me this day of
.YpFY I
?o:.•.PNS• . a i•li • (, by ,lc, fine R Jq
'PXO by
-a_�
* * Y COMMISSION#FF 166995 /�
ail" EXPIRES:December 6,2016 `-k- -u- Utz)
N'+re()moo BcitAlk)IS
Thru Budget Notary Services Siggatua& f Not y4 GGlER0 (Signature of Notary)
9ARMY COMMISSION#FF 166995
[}Personally Known OR * ;t * EXPIRES;December 6,20 lb [ I Personally Known OR
[ ]1Droduced Identification d>4At rnee' Bonded ThruBudget Notary Servkes [ ]Produced Identification
Type of Identification: Type of Identification:
117
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MAP 'SHOWING BOUNDARY SURVEY OF
SOUTH 1/2 OF LOT 677, ACCORDING TO THh PLAT OF "SALTAIR SECTION 3"
AS RECORDED-IN PLAT BOOK 10, PAGE 16, OF nth CURRENT PUBLIC RECORDS
OF DUVAL COUNTY, FLORIDA. -
CERTIFIED TO: WILLIAM M. DUTTER, USIE D. HARRIS,
STEWART TITLE OF JACKSONVILLE, INC.,
WATSON & OSBORNE TITLE SERVICES, INC. ,
AND WELLS FARGO HOME MORTGAGE, INC.
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