1771 BEACH AVE WOODEN DECK PERM f
ACCESSORY PERMIT PERMIT NUMBER
r } CITY OF ATLANTIC BEACH ACC19-0008
V 800 SEMINOLE ROAD ISSUED: 3/4/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 8/31/2019
CODE,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
• OF iNTIC 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1771 BEACH AVE ACCESSORY SINGLE OR TWO OUTSIDE WOODEN DECK $12500.00
FAMILY ACCESSORY
TYPE OF
ZONING: :D •
CONSTRUCTION: NUMBER: GROUP:
169675 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: ADDRESS:
MCANENY BUILDERS LLC 1010 EAST ADAMS ST JACKSONVILLE FL 32202
•
ADDRESS:
TRAGER MITCHELL 1771 BEACH AVE ATLANTIC BEACH FL 32233-5838
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 • r •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247
-5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 3/4/2019 1 of 2
ACCESSORY PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ACC19-0008
w ISSUED: 3/4/2019
800 SEMINOLE ROAD
EXPIRES: 8/31/2019
ATLANTIC BEACH. FL 32233
3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking must be removed from job site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 45S-0000-322-1000 0 $115.00
BUILDING PLAN CHECK 45S-0000-322-1001 0 $57.50
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.59
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:$252.09
Issued Date: 3/4/2019 2 of 2
i'rt_IVJ ;+ City of Atlantic Beach APPLICATION NUMBER
6 � Building Department (To be assigned by the Building Department.)
800 Seminole Road j1 Q_o � _ oo
Atlantic Beach, Florida 32233-5445 J,_'� v
Phone(904)247-5826• Fax(904)247-5845 -7
x!+Jiil�' E-mail: building-dept@coab.us Date routed: L l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 7 l r` ,����� (f Department review required Yes No
Buifdin '
n(�
Applicant: ,�C!`� t--)GADy U l LDE�LS Planning &Zoning
�� � Tree- ministrator
Project: C�_) L—C_K _ o D is Works
u6Tic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: R p roved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDI
PLANNING &ZONING Reviewed by: Date: 012-61261_7
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:
i
Reviewed by: Date:
Revised 05/19/2017
1y'�% Building Permit Application OFFICE COPY Updated 10/9/18
ry_ City of Atlantic Beach Building Department "ALL INFORMATION
v 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`of31��
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 71 �
_] " AVC Permit Number: I`1 CC.( � 00c)
Legal Description 1L6r 3G ri AnAdx,c t5k ArIJ i-r II RE#
Valuation of Work(Replacement Cost)$_17, SdQ Heated/Cooled SF Non-Heated/Cooled
r /
• Class of Work: ❑New ❑Addition ❑Alteration 41 epair��❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial 2 Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes Ao
• Will trees be removed in association with proposed ro'ect? Dyes must submit separate Tree Removal Permit) ixo
Describe in detail the type of work to be performed: tMat1,665i,� � �aF*ro oa
A�P2oit. lyX ZO' '(�4�otLE N 'TILE RAiP T rST S&S`F�M- . 7,,,�t0 5A+h4 acZbA Prc�ID
< L c (-t ks- Lt ke-
Florida Product Approval# for multiple products use product approval form
PropertV Owner Information
Name M i TG•( 43 --FQ,p,46 TZ Address 1:7*7 1
City A L LA gm c !`��(%cJA State r_Zip 3 Z Z- 33 Phone 9 p L(- 5711 — 9030
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company-tel LAy(k_tJ 4 rgu t('b" LLL_ Qualifying Agent Ly—OwAn �IY�t YaaV�,VIJy
Address p 1L city3WI► IC State sZip3226H
Office Phone Job Site Contact Number ( OA)i 7,1k- ^.(4
State Certification/Registration# E-Mail.��VIF � (�(Ir✓A1VAM��� Q��C(�/�
Architect Name&Phone# 0�4
Engineer's Name&Phone# 1A
Workers Compensation Insurer hUI CD OR Exempt❑ Expiration Date 7i0
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal ation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
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 ORNEY BEFORE
RECO G YOUR NOTI OF COMMENCEMENT.
(Signature of Owner or gent) (Sig2ftirmed)
of Contractor)
Signed and sworn to(or affirmed)before me this day of Si ned and sworn to(or before C1
(Signature
day of
by �✓L( Gr �I.�a ��,by VC M �
(Signature of Notary) (Signature of Notary)
ti►"*.: MILDRED REYES MORENO tiSY' MILDRED REYES MORENO
[vf Personal) = '
v Known 0 c MY COMMISSION#FF905780 [ ersonally Known OR :+? :
[ ]Produced Identificat of [ ]Produced Identification MY COMMISSION#FF905780
Tyre of Identification: ' EXPIRES August 03.2118 ! i EXPIRES August 03,2019 of Identification:
(4071 M-0'53 FloridallourySrvim.com
Army / -t- ,0CC/9'-0008'
NOTICE OF COMMENCEMENT OFFICE COPY
State of &44T)f� Tax Folio No.
County of XyAt—
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: LoT :i�2 pn-wTic s uur- I
Address of property being improved: I�� I RL!1� P�1F_• l��S� ��
General description of improvements: rrl�l�
iy Vzo (;S-g o- � -p("�c. AND mis 515, y= ry1 : L3u'IL;2�m� A�c>G� 3 fid
Owner: fCR -3 '9�� VeAI '(Fu. Address: gF�O AVE. AAj"VIC_ �L 32235
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
n A� Name: _
Contractor:
Address:- (46P VW-Y,
Telephone No.: OEM) v-AA- Fax No��1T�j
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2019036120,OR BK 18691 Page 522, Signed: Date:'—eh 0 tq
Number Pages:1 Before me this day of the County of Duval,State
Recorded 02/13/2019 02:41 PM, Of Florida,has personally appeared V-
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida,County of
COUNTY My commission expires: S Y�`" �M�RED REYES MORENO
RECORDING $10.00 Personally Known: 'c MY COMMISSION R FF005M
Produced Identification: EXPIRES AUVal 0& 19
(4071392-0`53 FbrfOanlpu yServte.co m
s rs,a,y; City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r 800 Seminole Road
r., Atlantic Beach,Florida 32233-544541, LCA ly a� V
Phone(904)247-5826• Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: Z 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
n 6, olLpus�
Applicant: hi�GA7y 'Planning &Zoning
Tree c ministrator
Project: -,picab W
4�1-dulic Utilities
Public Safety
Fire Services
(Review fee $ Dept Signature ' 4 `
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 by:IOAF— Date:1-1 5-- fC,
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
i rty1,`Jr� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 R oo V
Phone(904)247-5826• Fax(904)247-5845 `
E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 � ��� (�& Department review required Yes No
i din
(� Nanning &Zoning
Applicant: �!'�
Tree minis rator
Project: F(�K �V r��`l D Public W`- oaks
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 y
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 b Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑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
City of Atlantic Beach ll,! APPLICATION NUMBER
Building Department To be assigned by the Building Department.)
800 Seminole Road FEB 15 2019
Atlantic Beach, Florida 32233-5445 L l ' o C-) V
Phone(904)247-5826 • Fax(904)247-5845
U319 E-mail: building-dept@coab.us - _ Date routed: l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 7 l EGP,0_�( (�� Department review required Yes No
Applicant: NNCP tj&Qy ( 6L2iLC)CkS Planning &Zoning
I Cde'Administrator
Project: &Q*, QQ D Public Works
ublic Utilities a
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: �pproved. []Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed 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
~ ` > Building Permit Application Updated 101-9118
City of Atlantic Beach Building Department **ALL INFORMATION
JN
� )9 800 Seminole Road, Atlantic Beach/ FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address:-177-7 6&pjc-�t M 4E Permit Number: e� (DOC)
Legal Description 1.6T- 34 N ATIAr%f{'iC RE#
Valuation of Work(Replacement Cost)$_J Z�Q ° Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration 5 epair��❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial QResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes Ei do
• Will trees be removed in association with proposedproject?❑Yes must submit separate Tree Removal Permit) f;4
Describe in detail the type of work to be performed: —9,GrAO 04 �ut5 j t� 534470.1-( 113g"LAIC! J Z6�,,po6
A-t>P20y . ►y x 20' t'3aolc4E N '(LC RN v ,s-rS�s�M- . R� lit v 59",4 RNfl
c L=1 kd--- L k
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name M t TCS•{ 4 3471U-73Zc Yz -- Addres:>
City P Litt- ic- ISr-Ae-" State ELZip 3ZZ 2 ; _Phone 571 --ciolia
-
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) _
Contractor Information
Name of Company i LA Jf 0 4 LILC Qualifying Agent f(AWW�
Address CQCD wt City U( J Statert— _Zip32261{
Office Phone Job Site Contact Number (t((i`�� 9-IR "
State Certification/Registration# C4,P, E-MailCt,(Vt
Architect Name&Phone# N/4
Engineer's Name&Phone# ri 1A
Workers Compensation Insurer V% 15VI �� OR Exempt❑ Expiration Date 7iO
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal ation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
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 ORNEY BEFORE
RECORMIG YOUR NOTI OF COMMENCEMENT.
(Signature of Owner or gent)
(Signat of Contractor)
Signed and sworn to(or affirmed)before me this day of Si ned and sworn to(or fir ed) before me this day of
j[,by �✓LL (jV pl c a l�,by
9�
(Signature of Notary) (Signature of Notary)
;�'•'. MILDRED REYES MORENO MILDRED REYES MORENO
�k:
[ Personally Known 0 :+?'- , [ ersonally Known OR :+?•' �":
MY COMMISSION#;:F905780 MY COMMISSION#FF905780
[ ]Produced Identificat o1 . [ ]Produced Identification .
?o:- EXPIRES A Lk 03,2019 +
Type of Identification: Type of Identification: ��aL EXPIRES August 03,2019
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