1825 Ocean Grove RESO18-0058 RESIDENTIAL OTHER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES018-0058
ISSUED: 10/31/2018
800 SEMINOLE ROAD EXPIRES:4/29/2019
ATLANTIC BEACH. FL 32233
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.
7 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 entiti s such as water management districts,state agencies,or federal agencies.
111120 AT0181:1011111
RESIDENTIAL OTHER SINGLE OR
1825 OCEAN GROVE DR TWO FAMILY RESIDENTIAL WDO $1800.00
OTHER
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
I CONSTRUCTION: NUMBER: GROUP: — —1
1696021000 OCEAN GROVE UNIT 02
— ADDRESS: CITY: STATE: ZIP:
COMPANY: —
BOSCO BUILDING 2158 MAYPORT RD ATLANTIC BEACH FL 32233
CONTRACTORS
OWNER: ADDRESS: CITY: STATE: ZIP:
JOSEPH NATALE 1825 OCEAN GROVE DR ATLANTIC BEACH FL Z233-5842
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
N OTICE I n add Ito n tothe requ rements of this PE
tha By be fo Ed I nthe u bile race rd 5 of th is col
t an g an
ten
governme ntal entities such as wa er ana e BIT
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.
FEES
DESCRIPTION
0
G G I
BUILDING PERMIT 455 GOOD322 1000 $3000
L". " M T
EU, 'LA H -0000-32 0
BUILDING PLAN CHECK 455
ECK
TAT DEEP SUR - 7
C AR
STATE DEEP SURCHARGE 455�00�2
STA, ECA SL'CNA -.-209 0
STATE DCA SURCHARGE 45S 60
issued Date: 10/31/2018 1 of 2
RESIDENTIAL OTHER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES018-0058
ISSUED: 10/31/2018
800 SEMINOLE ROAD EXPIRES:4/29/2019
ATLANTIC BEACH. FL 32233
issued Date;10/31/2018 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department Cru be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 Pces 0 ix
Phone(904)247-5826-Fax(904)247-5845
E-mail: building-dept@coaboa Date routed:
City web-site: http:1h�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 18 7-15 Nam C rb ve_ Ir YesTNO]
Applicant: 66'5co Planning&Zoning
Tree Administrator
Project: WDD Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Fie—view 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
1 Other. L
APPLICATION STATUS
Reviewing Department First Review: [-]Appmved. E]Denied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second Review: FlApproved as revised. E]Denled. [:]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: E]Appmveci as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date�
Revised OU1912017
Building Permit Application
City of Atlantic Beach RECOVED
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
JobAddress: 1825 Ocean Grove Dr. Permit Number:"Is-2605'?
Legal Description 20-20 jO9-2S-29E Ocean Grove Unit#2 W 83.35 FT Lot 6 RE# 169602-1000
Valuation of Work(Replacement Cost)$ � 4419 Heated/Cooled SF Wrtment
0 t antc each, FL
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool WmdGvv/Door
• Use ofexisting/proposed structure(s)Circle one); Commercial Residential y
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• Submit a-Free 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: WDO LIJ
0
Z
Florida Product Approval# for multiple products use product a Lortpq-&
Property Owner Information < 0 t:
t4
LU 0
Joe N 1825 Ocean Grove Dr 0 M Z
Name: atale Adore,: I
City Atlantic Beach —State FL zip 32233 Phone 484-886-6028 9 FJ 0
E-Mail Inataie@its.jnj.wm 1; 9
Owner or Agent(if Agent,Power ofAttomey or Agency Letter Required) .. <
Contractor Infonmation ir t: Z f
Name of Company- Bosco Building contractors, Inc. Qualifying Agent. Todd Bosco 0 W
City
Address 2158Mayport Rd. nvine state
- JaCKSonville zi
Office Phone 904-241-0320 Job Site/Contact Number 904-233-0904
State Certific Registration# CBC1250212 _E-Mail todd@bos cbc.corn
LLI W 3:
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Lease Employees re us
Uampt/insurer/wase Empk,easl Epicatcut 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Z� ;�?A� -
(Signature of Owner orAgent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmqd)before mq thiis25day of Signed and sworn to(or affir efore ethis_dayof
<)QJ0'Wf` by, 8xf III
(SigntW"kNgJW)
NOTARY PUBLIC &-&411 NOTARY PUBLIC
Personally Known OR STATE OF FLORIDA �N Personally Known OR STATE OF FLORIDA
I Produced Identi Conanif FF966426 I Produced Identification Corona FF966426
Type of Identificau Explers 31IL2020 Type of Identification: E'm'FW 3111202D —