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1946 BEACH AVE ACC19-0016 RET WALL,PATIO, STAIRS 1S RESIDENTIAL OTHER PERMIT PERMIT NUMBER ' CITY OF ATLANTIC BEACH ACC19-0016 800 SEMINOLE ROAD ISSUED: 3/21/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 9/17/2019 MUST CALL INSPECTION • • (9 04) ' BY 4 PM FORiINSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE NEC, IPMC, AND CITY OF 1CH CODE OF ORDINANCES . ALL CONDITIONS OF PERMITAPPLY, PLEASE , 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: RESIDENTIAL OTHER SINGLE OR RETAINING WALL, PATIO 1946 BEACH AVE TWO FAMILY RESIDENTIAL AND STAIRS WITH LANDING $2800.00 OTHER TYPE OF ZONING: :D • CONSTRUCTION: GROUP: 169542 0598 BEACHSIDE --------------COMPANY:- -------ADDRESS:------ CITY: STATE: ZIP: FERGUSON BUILDERS INC. 317 3RD STREET ATLANTIC BEACH FL 32233 ! ADDRESS: TRUB RICHARD GIBSON 1946 BEACH AVE ATLANTIC BEACH FL 32233-5937 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. 41, (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:3/21/2019 1 of 2 RESIDENTIAL OTHER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC19-0016 800 SEMINOLE ROAD ISSUED: 3/21/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 9/17/2019 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 CONSTRUCTION SITE MANAGEMENT INFORMATIONAL Notes: Provide construction site management plan,including location of silt fence,dumpster,portable toilet. Right-of-Way Permit is required if using right- of-way for construction parking. 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 455-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.21 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: $226.71 Issued Date:3/21/2019 2 of 2 s1Z, City of Atlantic Beach APPLICATION NUMBER it r Building Department (To be assigned by the Building Department.) r 800 Seminole Road (� I� _ C)C) I �I Atlantic Beach, Florida 32233-5445 N Phone(904)247-5826 - Fax(904)247-5845 :Crjit E-mail: building-dept@coab.us Date routed: Z_Z zc' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 194r, Department review required Yes No uildin Applicant: (�� S_uiu__�C_ anning &Zoning Tree Adminis ra r Project: L (,� —f O �Public JJ c J C Ade u is aety 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. [:]Not applicable (Circle one.) Comments: ) Denied. BUILDING PLANNING &ZONING Reviewed by: Date:,? 7� TREE ADMIN. Second Review: Approved as revised. pp []Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES c^s'ed Gr- FtGcr PUBLIC SAFETY Reviewed by:�� Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Revision Request/Correction to Comments "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. l tl 800 Seminole Rd, Atlantic Beach, FL 32233 n rl Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ('1V` -0 C) f ❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: .3 Project Address: Contractor/Contact Name: �i% R(c U S 0 Contact Phone: 90L1-2-3f-3&61C- Email: Description of Proposed Revision/Corrections: I affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) r,. • )AKproposed revision/corrections add additional square footage to original submittal? i1 No ❑ Yes(additional s.f.to be added: ) • eroposed revision/corrections add additional increase in building value to original submittal? []*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation) *Signature of Contra for/Agent: �- (Office Use Only) Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building canning&Zones Reviewed By Tree Administrator /P0-- lic'Works tt Pu lic Utilities Public Safety Date Fire Services Updoted10/17/18 rf�.::,5j , City of Atlantic Beach ,,x.,.. . . APPLICATION NUMBER �s � Building Department .0 '.; 1, (To be assigned by the Building Department.) y 800 Seminole Road ; ,� � Atlantic Beach, Florida 32233-5445 FEB 2 5 20� ' , `� - aG Phone(904)247-5826 - Fax(904)247-5 �o; 9 E-mail: building-dept@coab.us Date routed: Z-12-9 City web-site: http://www.coab.us BY.-. - APPLICATION REVIEW AND TRACKING FORM Property Address: 1�W C2 i3�cHDepartment review required Yes No uildin Applicant: 1 (�S so , Ll� anning &Zoning ❑� ID Tree Adminis ra r Project: RL L ( ; vt 0is Works Public Utilities AD c, JCA Hu is a ety 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. Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b Date: FIRE SERVICES Third Review: []Approved as revised. -1 Ilof ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 1019118 s City of Atlantic Beach Building Department "ALL INFORMATION .%�.t1J5, 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Buildin -Ue t a)COab.us IS REQUIRED. Job Address: toLq At/ "Y�* / 322.x,.3 PermrCNumber: D I (42 Legal Descripti(�?,,/4"/'4 04 ---z X25 S Z) MX ic- otV& 3 /_ver t-c?14f RE#; Valuation of Work(Replacement Cost)$ bn ,tom Heated/Cooled SF Non-Heated/Cooled �T • Class of Work: ❑New ❑Addition ❑Alteration VRepair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No • Will trees be removed in association with proposed project? ❑Yes ust submit separate Tree Removal Permit ❑No Describe in d tail the t e rk to b d: .44,4�, 4- � tc,^FF 3,p 4L V,�� � YP � LoWt���1f'� ©Nb Ifi7 �.9' ZFz ��, Florida Product Approval# for multiple products use product approval form Propertv Owner Information Name i -T-RL) :K -4(6 ff E A Arl city t_ N rLc_ State 1-- Zip 322,33 Phone E-Mail 1 C.—& /$ (�D, Cir-M e-/,-J 5 lC-1+-r6 k�u M q►b+rN.b a 5VA0Y C w. Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information // Name of Compan �t33o� ����( Qualifying Agent L;S6/% Address ©e__ Vp, CityT�� j , ii x,233 Office Phone 3 f3/cam Job Site Contact Number State Certification/Registration# C- b2 3E-Mail Architect Name&Phone# A)15 / L/e¢�1'(� 3 •�' L GS Engineer's Name&Phone# �- Workers Compensation Insurer OR Exempt Expiration Date d (� 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 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 beet,.ewarlkr !s76nIF -egunty,and there may be additional permits required from other governmental entities such as*va%e er r tkl*ic e. gencies,or federal agencies. OWNER'S AFFIDAVIT:1 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. F E g 2 � 2019 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TOY(��JA'*110I R'F`, 11IFYDAJ INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR£`AIV`AkTTORN't-Y'BEFORE RECO DING YOURJYPTICE F COMMENCEMENT. , (Signa 're of Owner or Agent) (Signature of Contractor) SiSi a worn to or affirmed before me is_ a of Si ne and sworn to(or affirme jbefore m day of g 1�: bj y X41�1 by v7T2 r ' [Signature otary ipr;Q3: o o o Nf i�& IEC.PERRY '� MY COMMISSION N FF 941898 .. ;.: .= titer► LORI DIAZ s' a EXPIRES:January 5,2020 [ ] ersonally Known OR "� ° MY COMMISSION#I GG 276336 [ �rsonally Known OR '� %�' bonded Thni Notary Public Undenr tars Produced Identificati w,. EXP ES:Noverr>ber 13,2022 [ )Produced Identification ': ?"p� Type of Identification: Type of Identification: UVG ft LV I�:PVNJOJL,VR Dr, ioiw rayr ao4, Number Pages: 1 Recorded 02/25/2019 04:21 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY NOTICE OF COMMENCEMENT RECORDING $10.00 State of 1 ��' t�/� Tax Folio No. County of J �— 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 st ted in this NOTICEF COMMENCEME T. Legal Description of property being improved: Y-2,/ q 8! :2 ) 8 i57ttoz ..3 ) Zq Z L K 1 _ Address of property being improved: `tel $Qz L,= V- General description of improvements: �� ►�J/N� 004'` q �c�( r`�J a �WVD U�r P/ 4 l R GAN d\-)� Owner: Address: ) � Owner's interest in site of the improvement: 1 Fee Simple Titleholder(if other than owner): I Name: _ Contractor:��aru-,�oN �cJ�Lp$�,S /N� — � 2�L>SoiJ"C�C 'o�(j(-a, Address: X761 $t JQ, /�TL/��►T[� Ott. �.�; • �322_� Telephone No( 1 � 1 ��3 ' Fax No: / Surety(if any) Address: Amount of Bond$ _ Telephone No: Z 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): A — THIS SPACE FOR RECORDER'S USE ONLY OWNER \ X Signed: Date:. Before me this day of t in the County of Duval,State Of Florida,has personally appeared ..........' LORI 1:13. Notary Public at Large,State of Florida,C unty of Duval. `== IrtN CO��l&& :=] My commission expires: _EXPM-NovePersonally Known: or BMW Thru HataProduced Identification: 1/,..zc Hatay � �n,.n.;!r•"�,:�i"•wMwf.�4liraY.w ro:sr�...x . .,.,.off �� .. '� CITY OF ATLANTIC BEACH SS'\ Department of Public Works r� 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 PUBLIC WORKS PLAN REVIEW (AND REVISION) COMMENTS Date: 3/11/19 Applicant: Ferguson Builders, Inc. Permit#: ACC19-0016 Email: gregferguson123@gmail.com Review Status: DENIED Property Owner: R.G. &Sydnee Trub Site Address: 1946 Beach Avenue Email: gibtrub@gmail.com THIS PLAN REVIEW (AND REVISION) IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Road. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to EACH department review. PUBLIC WORKS CORRECTION ITEMS: J ' RO E® • Provide impervious surface calculations for entire lot (exis 'ng and post construction). ��,/�� • Documentation shows impervious areas are over the % allowed by City code. (REVSION 7 PUBLIC WORKS CONDITIONS OF APPROVAL: 40�e A4're (The following comments will be printed on your permit as Conditions of Approval) • Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (247-5814) to request an Erosion and Sediment Control Inspection prior to start of construction. • All runoff must remain on-site during construction. • 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. • Full right-of-way restoration, including sod, is required. • Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of-way for construction parking. • All old decking must be removed from job site by Contractor. Scott Williams, Public Works Director swilliams@coab.us/904-247-5834 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 revisions shall be inserted into each set of drawings. The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 1 of 1 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\ACC19-0016&Revision(Ferguson).docx 1 Revision Request/Correction to Comments "ALL INFORMATION p HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: �V•. ❑ Revision to Issued Permit OR ❑ Corrections to Comments Date:_ '3 / l Project Address: /J / Contractor/Contact Name: /— RQ V so V Contact Phone: �'--� 3G,�{� Email: !(7/0A.)Dl�� Description of Proposed Revision/Corrections: I affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • W'f'proposed revision/corrections add additional square footage to original submittal? 9No ❑ Yes(additional s.f.to be added: ) • Wi /proposed revision/corrections add additional increase in building value to original submittal? Y No ❑*Yes (additional increase in building value:$ )(contractor must sign if increase in valuation) *Signature of Contra for/Agent: _ � (Office Use Only) ❑ Approved Denied El Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments �(! N�izo D ent Review Required: W.- Building .=GEIVE arming&Zomn Reviewe By Tree Administrator MAR U 7 '2019 " lic Works Public Utilities 'Jy: O Public Safety Date Fire Se ices � � Upd ced10/17/18 -sL`Jr,� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ( ec i C1 Atlantic Beach, Florida 32233-5445 1`-���..., Phone(904)247-5826 • Fax(904)247-5845 z z E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 194c' B(S_7Ae_Li �I�tU Department review required Ye No uildin Applicant: FE a GI�SC�)I� U I L ' anning &Zoning Tree Adminis r r Project: L(` f is Works J c Public Utiliti Les-R N (AD C, �- JCA ( P_� Public a ety 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. Denied. []Not applicable (Circle one.) Comments: (B:U::lLDING PLANNING &ZONING3 6 a o/ Reviewed by: Date: TREE ADMIN. Second Review: HApproved as revised. ❑Denie . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:or fid/ FIRE SERVICES Third Review: ❑Approved as revised. On—ie ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 twIE COPY Revision Request/Correction to Comments **HIGHLIALL HIGHLIGHTED IN t � HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. x I' 800 Seminole Rd, Atlantic Beach, FL 32233 l �bQ J Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: A�,C. f ❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: Project Address: i l �� t' ( 7 Contractor/Contact Name: i�`% RC, ell s Contact Phone: 90L/.-L/.- S � G'`7`� Email: Description of Proposed Revision/Corrections: I affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • proposed revision/corrections add additional square footage to original submittal? 9WJ'N'o ❑ Yes(additional s.f.to be added: ) • g/proposed revision/corrections add additional increase in building value to original submittal? o ❑*Yes (additional increase in building value:$ ) (contractor must sign if increase in valuation) *Signature of Contrafor/Agent: n- ` (Office Use Only) ISI Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ ' 0— Revision/Plan Review Comments D� /U D ent Review Required: Building,) amm�g&Zoe viewed By Tree Administrator u lic Works� 1l / / 2 c) Pu lic Utilities (� L Public Safety Date Fire Services Updated 16117118 OFFICE COPY �� ; ' ' `SS CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 (904) 247-5800 BUILDING REVIEW COMMENTS Date: 3/6/2019 Permit#: ACC19-0016 Site Address: 1946 BEACH AVE Review Status: denied RE#: 169542 0598 Applicant: FERGUSON BUILDERS INC. Property Owner: TRUB RICHARD GIBSON Email: gregferguson123@gmail.com Email: gibtrub@gmail.com Phone: 9049931315 Phone: 6178035214 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. Submit 2 copies of legal certified survey, showing where proposed work will take plac&-� 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 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 revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. OFFICE COPY Revision Request/Correction to Comments "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ❑ Revision to Issued Permit OR Corrections to Comments V /T,Vl f(olJ Date: Project Address: /% C.t+rz • &'r - Contractor/Contact Name: (-Ca9O.J ASytz-,Pd,2J Contact Phone: cjDY-�S J-364�j Email: /34V7WC/,VD&LL�f`� eed k(C ,Coit( Description of Proposed Revision/Corrections: �Q D%/0�Ca S teal, pas Lin.AJ F c CL C1 AL�C �D .filo T7 4J--S I �,) o r=20 affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Wproposed revision/corrections add additional square footage to original submittal? No ❑ Yes(additional s.f.to be added: ) • NN proposed revision/corrections add additional increase in building value to original submittal? o LI*Yes(additional increase in building value:$ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: X' (Office Use Only) 13J Approved ❑ Denied ❑ Not Applicable to Department Permit�e Due$-5 c)o Revision/Plan Review Comments De nt Review Required: uilding Planning&Zoning Reviewed By Tree Administrator Public Works ? / Public Utilities Public Safety Date Fire Services Updated 10/17/18 fAmIffe oil xS f + tic t -t,. , 4 .t rt IN 3 r If ate' MIS 41 took , ,r ��e � n aKD Ywrs°4 �i;:T�Y•. a �vY "'"'� ,D 6 $ �.`=rR mow.. t�.`;ri r - a ' r. xa.. •�` y _ .� 3 ? a All 70-:1 WCUST IV a * k� l i F � }�r t. is `Fs x�'` 0 � ► yW, X x tiv� � t 4 Too: t. :�,>�, _ �t �� ¢,•t,�� py. .�'�e:•-do- '�.. Inv Il r Fiy `�/ F-� 4•, 3! D syqZ Y 010 0-4 rh q x $P ,M AMA£ a .k� On 0 a 1 .1 � � "l 4 �, k,s r � .� �•Y F 1. �^ - .G "K '� F § �J 3 y 010011 r aY:- .,.�,''F+'8 i. 'tt'. i��,�s ry+�A � at. f^ �e•i �k� - ham, �$€a �f 4R`� � a,. ,02 , - r�r �.-,`;i. _4u._ w a"s.'. 'k:' ..,v, „'•;-., ��.y ..�•. ,. _f...ix ,�.! _a�..'i.sN'.,. ,...'fid.. .�-rk �..�: �:' �`..}:.,t.-.Vii-a'�3.'�.;•Sd�.... .a�i:'�.�is=a:v�'. UWUL COPY Building Permit Application Updated 10/9/18 a, City of Atlantic Beach Building Department "ALL INFORMATION V 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us !S REQUIRE©. Job Address: rM� PermiNumber: _ C) I �Q Legal Descdpti x"1'4 04 -=y t—'?t4k f RE# ��s el f ' "� 'y v Valuation of Work(Replacement Cost) Heated/Cooled SF ' Non-Heated/Cooled W _ N • Class of Work: ❑New ❑Addition ❑Alteration N Repair ❑Move ❑Demo ❑Pool ❑Window/Door ZVf `J Z • Use of existing/proposed structure(s): ❑Commercial ❑Residential a U Z 0 M • If an existing structure,is a fire sprinkler system installed?: Dyes []No W O 0 • Will trees be removed in association with proposed roiect? Dyes ust submit separate Tree Removal Perm' Rai Z Q Describe in d tail the type r to b p d: �-�f�tnJ iaS L 2 tca 41 O va U. Florida Florida Product Approval# for multiple products use product apgo l fer= Propertv Owner Information LL 0 Name Address t::"L qk ff>Z�E Am-, 93 - -n m City State Zip -3 23 Phone LU H- Its a LU E-Mail Cil`g (9 CL f-te /�1.5 lCcl{�S 4�u{�t U to Q ?� Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) w Contractor Informationw W > � Name of Company J 1',D XA"Z1 l/A/:%Qualifying Agent Address s`� Oe-Fes.¢ Vp, City Office Phone 13/5— Job Site Contact Number �z f /S- State Certification/Registration# C- 62 E-Mail Architect Name&Phone# VAJ A)/.S [ 1 iL l4f 15 3 ` L Engineer's Name&Phone# �- Workers Compensation Insurer OR Exempt.„ 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 aliwork 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 maybe additional restrictions applicable to this property that may be ound:ir4'tFie Pub 1&re�onr&%TfWg county,and there maybe additional permits required from other governmental entities such as(watekwW4e4itkiiAric ej gencies,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. FFR 2 R 2019 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y(l1R P'F(OPERTY.'.IFYOIJ INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN'ATTORNEY`BEFORC RECO. DING YOUR O,TICE F COMMENCEMENT. r, (Signa 're of Owner or Agent) / I (Signature of Contractor) r Si�wor�o(rr affirmed before me is day of Si ne and sworn to(or affirme before m 2� day of g c ' bi ^ dol (Signature o Notary SO ot Not0bMIEC.PERRY MY COMMISSION N FF 941898 LORI DIAZ n EXPIRES.January 5,2020 [ ] ersonally Known OR "� ;; MY COMMISSION#GG 276336 ( I ersonally Known OR ?�:'r; Donned ThN wan Pubrc underwriters • 13,2022 �roduced Identificati i!,;. �t EXP ES:November [ ]Produced Identification Type of Identification: ��po oPpr Type of Identification: U�-I U �UF'Y y Number Pages:1 Recorded 02/25/2019 04:21 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY NOTICE OF COMMENCEMENT RECORDING $10.00 State of �'' /� Tax Folio No. County of `I) J V Pr L To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is st ted in this NOTICE OF COMMENCEMEINJ. Legal Description of property being improved: t �/.`z / Address of property being improved: r.( General description of improvements: if loC" w4 t Owner: Address: tQ e4<,� l 14 1v) 1'�Z/ice' Owner's interest in site of the improvement: , i � - Fee Simple Titleholder(if other than owner): Name: Contractor: roti ?Cj!<DV-2,S t/�C✓' Address: � c Telephone NoC -1� /cI-t'--;3 r Fax No: / Surety(if any) Address: Amount of Bond$ _ 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): A ( _ THIS SPACE FOR RECORDER'S USE ONLY OWNER Xr` Signed: Date: U Before me this day of ' i in the County of Duval,State Of Florida,has personally appearedp.� i�u '*,10 7w," LOW DIAZ Notary Public at Large,State of Florida,C u6my of Duval. " W COMMIs M#GG 276336 My commission expires: WgW.Novw9w 13,2022 Personally Known: . or "'•�,os F��� B=W Tha Notavry Pubk WMw IIs Produced Identification:���/_� i l✓ jir S.c� 1946 BEACH AVE. POST AND FOOTING DETAIL MITER POST ANCHOR PA44E-TZ Posts must be a, centered on footings ., r-J r 4 FOOTINGS MUST -1 • , a G f BEAR ONSOLID GROUND a ; 12 t s + r 3000 PSI CONN. R 6" ANCHOR BOLT SUBMITTED BY FEGLI.SON BUILDERS CBC -021113 REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL. REQUIREMENTS AND CONDITIONS REVIEWED BY:__11/ DATE: .) L 2 , ORDERED BY: The Law Offices of Rod Schloth r 2187 S Third St Jacksonville Bch, FL 32250 z 904-372-9351 beach@rod-law.com i.. PROPERTY ADDRESS:1946 BEACH AVENUE ATLANTIC BEACH,FLORIDA 32233 Fs URVEY NUMBER FL1d12,1920 C RELD`NORK DATE 12119,7014 REVISION DATE(S .v2 IRe/.t 12119/20141 FL1412.1920 BOUNDARYSURVEY DUVAL COUNTY I gTt l 5 T RfET N 89'29'00'E 100.04(PIC) a D.C. TABLE: L-15 89°29'00'W 25.03'(F4Q z L-2 5 03°19'00"E 200.24'(P) w 5 03°OT30'E 200.13'(C) cu L3 5 03119'00*E 60.96'(P) 5 03'29'2 I•E 61.14'(M) iu L-4 5 89°29'00"W 50.00'(PC) ro N ? BA.(PER PLAT) _ 9 N 89°29100'E 99.71•(M) b t po> N 89°29E 100.00 C) '00" toy _ p]o cW o4 I °r�.2 3 —max — 39.F U�T 2 9 _ S ; 1 �+ 3 STY. {^ {V .3:J I - X 4 T m� 3.3 00 OQ 1 OrRT n ,rote 588'1•T31•w49.%'(P) 5z.e 5 W28'55'W 49.90'(C) COEtiE? n ST--5 _- - •- - I hey certiFj�tl1Tioimd(y r ekof the hereon . .. described has IxepyQade tildar 1py direc im and to Me DF of RdoWedgeand bpJ�f;jt is a true / _ and repr�Yetrt orinfa suryrythatlrneeIs the I - _ __ _ -- ."'v.'� standards o pkac�•k SktT Ure Fbritla�6oard of t ._ .... Professional 3efireyors$rhfdtttlCrs in Cher SJ-tl of the Florida Ad trafW1. al SI.RWImley \E � � t GRAPt11C SCALE P.1—.Haas 1 Star d aaida Pd+ssbnal S.I.Y.abyapper + i I inch=30 feet Uk -Na3700 1{ J_c nrTh:s SwYtr by P.upvcn aclerRun IKz19M,Mitlwuc Jfrr<xn Ya�ficv.wn adl tv ac 719 Jam.:Svlc Risk 411E Y/G.^.o1 Lddiry so•M Ssvvepr. ra:stvy hereon:hall:s ions+e to Gne.NT Rignrs wa_ m ar-.aca Od-9+an It—C—fm d FLOOD INFORMATION:' 'CtNTS OF INTEREST BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING (1)PAVERS OVER 15'PRIVATE EASEMENT.(2)STEPS OVER 15'PRIVATE MUNICIPALITY OR WWW.FEMAGOV,THE PROPERTY APPEARS TO BE EASE'YtENT.(3) Ci'A;Jt'NZ fEFdCE O:•=Rli'??tVATE:�Sc?dE�l1. _ LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF ATLANTIC BEACH,COMMUNITY NUMBER 121075,DATED O& /i/13. .JAN SHIELDS MARGI PETITT&TOM GIBBON CLIENT NUMBER-RS14-2559 I DATE:12/19/2014 11s,f. IWP BUYER:DANIEL PORTNOY �!}a iJ11S]2x1 901571 9E2; SELLER:DENNIS L MATHEWS&DONNA S MATHEWS XA1111F?AtiSOAAEY.T1{OR!1:OM !UP.GIF'TR'---,C7NCAT1 CERTIFlED 70:DANIEL PORTNOY;THE LAW OFFICES OF ROD SCHLOTH,PA.;OLD REPUBLIC NATIONAL TITLE f. INSURANCE COMPANY Land Survevors, Inc. er°°�° 1 This s page 1 of 2 and Is not �a vithout all cages- rgaT937 It9+0040M�.aknblr..iWlet•FI.y>M.f113913 rte DCity of Atlantic Beach iAPPLICATION NUMBER ,. } 9�� Building Department (To be assigned by the Building Department.) 800 Seminole Road (� ' Atlantic Beach, Florida 32233-5445 (c � c I� ' GG Phone(904)247-5826 • Fax(904)247-5845 `LJ;i19' E-mail: building-dept@coab.us Date routed: Z Zc' City web-site: ht7""Ww oab.us APPLICA'T'ION REVIEW AND TRACKING FORM Property Address: � (� r� Department review required Yes No I uildin Applicant: u!s S u i L� anning &Zoning FTree Adminis r Project: LL of O is Works JJ Public Utilities u is a ety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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. fNot applicable (Circle one.) Comments: BUILDING r 1� lba `oLV—( ^1�6r Lt-90- PLANNING &ZONING ✓ �_ ¢� Reviewed by: 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 05/11912017