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348 Plaza ROOF19-0028 Roof repair %'S'"AN:0 ROOF NON SHINGLE PERMIT PERMIT NUMBER u CITY OF ATLANTIC BEACH ROOF19-0028 `" ISSUED: 4/9/2019 800 SEMINOLE ROAD 1'71-ur119r ATLANTIC BEACH. FL 32233 EXPIRES: 10/6/2019 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 348 PLAZA ROOF NON SHINGLE FLAT ROOF REPAIR $6500.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: • NUMBER: GROUP: 169968 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: BOSCO BUILDING CONTRACTORS 2158 MAYPORT RD ATLANTIC BEACH FL 32233 OWNER: ADDRESS: CITY: STATE: ZIP: CASSESE JOHN J 348 PLAZA ATLANTIC BEACH FL 32233-5442 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $85.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $131.50 Issued Date:4/9/2019 1 of 2 ft".tv ROOF NON SHINGLE PERMIT PERMIT NUMBER jROOF19-0028 CITY OF ATLANTIC BEACH800 SEMINOLE ROAD ISSUED: 4 9 2019 ATLANTIC BEACH. FL 32233 EXPIRES: 10/6/2019 • Issued Date:4/9/2019 2 of 2 .0-AN: f, City of Atlantic Beach APPLICATION NUMBER -, .; � Building Department (To be assigned by the Building Department.) t k A 800 Seminole Road F Atlantic Beach, Florida 32233-5445 ' \CSC OL Z S Phone(904)247-5826 • Fax(904)247-5845 i`7,:, 1.)% E-mail: building-dept@coab.us Date routed: 3(/ZQ7/I. int City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 34' PLS A Department review required I Yes N • o Building Applicant: `� USCOS V( L��!�� Planning &Zoning II e Tree Administrator 1 Project: I L Public Works � OSS Public Utilities RL P .( 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. ❑Denied. ❑Not applicable (Circle one.) Comments: UILDING PLANNING &ZONING Reviewed by: !i / Date: L/'g ./9 TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. [Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I /Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 S'l1''� Building Permit Application OFFICE COPY `J � S\ City of Atlantic Beach \ 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 3t QlO-2-a-- r,�' Ae - A C. �gcin Tl-- Permit Number: K(DO E: ( 9 coz F Legal Description S" CD' t .1 C P-S -- 2.9 £ tan- d &h LOT '23 21.1_14- 10 RE# ti6e19 "000(- Valuation of Work(Replacement Cost)41500 - Heated/Cooled SF 35B91 Non-Heated/Cooled 55�p • Class of Work(Circle one): New Addition Alterationepair. Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial �(�,� I=LAT • If an existing structure, is a fire sprinkler system installed?(Circle one 404 No N/A fit- ( C • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal A It Tribe in detail the type of work tobep�m��move- 12.c-4)4.43.e_ �rtcp Vie— ', P A-1. oJ' �'M4207,4-1 , f/ /h i�rslP�/L S tr)/ ww-Tt''t- p..c, , Li W_e. (ct d 126-Q(,n-ems--NLt~nJ rS '� �0o u- rte-- `przoop 17Cr_ ( ; Lf ) Florida Product Approval# ft, 4(2 -000-CO I for multiple products use product approval form Property Owner Information Name: cAo A- MAPA 1.-y1- 4 CUSSES€ Address: 31,1b P1-,4.7. . W ON l� City A tt-n-VA cr I'4 cin State `"1--- Zip,. ./---).-.. 7.1.• Phone"132-15'4 E-Mail SV10 CC 33 F't�M ai�A . torr, 'a i -1 Z 0• Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) d 0 51 a0 - Contractor Information``�� /� / � 2 W _ p ul Name of Company: Gn5r�o .dhl.l 1 C-c�c Cc&- SQualifying Agent.: ✓1 b t V 03 0 p d Address 2-l5P� ,�(-lc JJ City �,$oI )1j'. State ft Zip 32-•. , ill © 0 Office Phone qOU 2ld CJ32O Job Site/Con ct Number DA OOr, e,11 (kik-tta'? L.7-• State Certification/Registration# CCC (2So212- E-Mail (Jake boSGOGbC: . CUMV J ti < Architect Name& Phone# ViI•- NI- I Engineer's Name& Phone# 6/ 0 off Workers Compensation 8115\201`l L- 0 w Exempt/Insurer Lease Employees/Expiration Date ❑ a t:>: m Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or inst4abIr> w commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws rttl?iWffgu.l construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBINGMIGNS, w WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. CJ: LP 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 ATTORN Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. L_- (Sigture o wner or Agent including Contractor) . (Signature of Contractor) Signed and sworn to(or affirmed)before me thisZi day of Signed and sworn to(or affirmed)before me thisZ l day of Mn,('cdn , 2 V:i ,by clh n CgSse- e, ,2c�\9 , b- k duel -A. e)as (Signature of Notary) (Signature of Notary) �l . Denise A.Ennis NOTARY PUBUC �� Denise A.Ennis _: �� STATE OF FLORIDA � NOTARY PUBLIC � '''N1441 Personally Known OR 44+•:-0' Cann*FF966426 �')v]Personally Known OR - i, ` STATE OF FLORIDA [ ] Produced Identification I0e Expires 3/1/2020 [ ]Produced Identification • ....."' Comrit 3/1/2020426 Type of Identification: Type of Identification: /ice I� Expires jL. ,,,1r TREE & VEGETATION AFFIDAVIT � kik„ , t, City of Atlantic Beach OFFICE COPY s Department of Community Development 1 v' 2 Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 '4'40;30 (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I -APPLICANT INFORMATION Owner(s) fl Legal Authorized Agent* NAME OF APPLICANT (.._ )dV-, - ( c\'n f\n cot SSe Se. NAME OF COMPANY 6-01321-AA' 1 AA91 t.1. ' CO S ' t' L . ADDRESS OF COMPANY 2A,S00 frif 011'1” ( r'(,1 32,,--L - al � PHONE q0 2�-r1 ELL / Date.je-�0 2ti ��� EMAILV 65coGk.cavil CONTRACTOR CERTIFICATION NUMBER C Ci 1 Tic- O2I ?j ATLBCH BUSINESS TAX RECEIPT NUMBER 0 v77 2, SECTION II -SITE INFORMATION STREET ADDRESS OF PROPERTY 3 t$ P I 0.-�c..._ .ii_lq.rvinc__ &c_q Cn -C.-1_- If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION 5-6ct - \ss 2S -2_9 E A \0"-t4:Ac �RCyl LOT 2.3 BLOCK t p SUBDIVISION 030 41 wettni'LG rel REAL ESTATE NUMBER liGq 9 Co c6—000C) LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described or adjacent properties in conjunction with this project. -A- SI SI T REO OWNER cioN.A C-nssv E SIGNATURE OF MT"' ,' .1 LlA1JlJ C:bc� Signed and sworn before me on this 21 day of 11'ba,r-olrI , 201c:\ , by State ofT-1 ori da_. ()v t-4 w1 t - f\ANR-1 t_U,1.11� C �� County of f 11„V 0,,d Identification verified: Pa_irson J V i rl Oath sworn: (r-- Yes ``R. No : Denise A.Ennis NOTARY PUBLIC ' STATE OF FLORIDA �"•t.. • Goma FF9664 b Notary tune `�•"� et4► Expires 3/1/2020 REV-TVA-v10.12 My Commission expires: OFFICE COPY MAP SHOWING BOUNDARY SURVEY OF 23 BLOCK 10THE PLAT OF PLAT NO. LOT t SUBDI r/ISIONicc"A" ATLANTIC T ATLANTIC : ACH AS RECORDED IN PLAT BOOK 5 , PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: R. CASTRO, `` (�i OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY r 1 AND GIBRALTAR TITLE SERVICES. !7� ('� (Posr&o) PLAZA (80' RAI) (THE PLAZA BY PLAT) 50.15' �R) "ASSOC SURV.' P� . L s i2 '� 18 CONC. CURB & CUTTER "LB.5488" A 1 1/�•�' 25, • :•:'.�5' CONC. SIDEWALK''•`."i....„41„,--28' S5U' (R) C� � ve 550.00' (M) %��`� 1/2- i •.,�� l or 51Zr Soy i ,' W/ t/2' PIN 0 '�y 4` �— GUARD INSIDE '93., ..•,4. ..0,�7 /2 yriartY& 1 I GSoo., O.J3' E'LY, CONC. PAD r• N A/ Y 0.30' SAY X 5 a W/ 3 A/C UNITS WOOD STAIRS ,d N eAs2 Oid t & LANDING Nv 3 a 56 0. STUCCO WALL — �IIIUIIIIIIIIF'.., •:' G I a i 0 ^ •13.4,7"-----• ort Stmt PA�K�;_1C a �y\, m '.": c `t tJN JSP = 2-.W 2-3 Sv"7 tFT 5.2• n N 11.0' c . '.w,0 O O m bit,Jc...+� S.,OFwa.-tiS �: tt ILtr�Tu:�^> o O yNraS = 7o 4 S Pr �� 0 '. L%a �z" A y u .•c1N Y SRL of, LOT ..,St0 OJ �.` U <,m,, 1.3' O m Tn X 333 W n a aT' C ,� J 2-3 2.7 'So t'cr ,...._s- n ? w"o ,�T ; v� m (O� O g tet 2 r 5.7 1.'' • g ( V Fl *.ri i • • • = _ 32_ 5,3 Sarr ` 23 z7 SR�r N 7t-A'.., 3N • N , V I 5.3 C .r o yM �— • I Ll H Z'S S Fr AJC 1 L, p x--.x. ..,,,,_, 31 13. O rx \ ROOFED • :— Planning CONC. ._ Z City of Atlantic Beach v and Zoning Department Is, a,, resew MI, gp p 0 H • This approval verifies compliance }! le �' ►zx t 1 — d zoning, Subdivision and othe�F R►air J P• 1 . m * : • �� WA' it + a approval for the issuance of permits. CorA 1O = I• 0.8' i a ,. el 42- with Florida Building Code and alLother 'o'ica ie ..,y_0• I to va local, State and Federal permitting r a—o=-0--0 0 o— —t • . I'• Beach Building Official prior to the Issuance of a 50.00' (M) /2'. r VI' 3.4 - Building Permit. 50' I /k 1 I (ILLEGIBLE CAP) 0.85' S.'LY , a p • Approved By: A • LOT 24, LOT 22, • 1 01 ii- -- i BLOCK 10 I BLOCK 10 . t �' '.r vi • �U Date: __ • 5 COO L i'3- 2336 , . V 3 _ NOTE; 0 O O 0 DENOTES PLASTIC FENCE. $ �/ ro 0 n.000 ZONE'.X' . AREAS OEIERHINEO TO BE OUTSIDE TrIE O.2%ANNUAL CHANCE FLOOOPLAIN/FLOOD ZONE'X(SHADED)."-AREAS OF 0.2X ANNUAL CHANCE FL000; AREAS W IR ANNUAL CHANCE WTI AVERAGE DEPTHS Or LESS THAN 1 FOOT OR WIN DRAINAGE ARE A3 LL33 THAN I SQUARE WILL AND AREAS PROTECTED Br LEVEES MY 1%ANNUAL CHANCE FLOOD. V v R E Y p R."•..\,P . 1. ANGLES ARE SHOWN FOR 'MISN REAL NOTES. Y. 2.STRUCTURE NO. 348 SHOW HEREON UES WITHIN FLOOD ZONE x AS ASSOCIATED SURVEYORS INC • 3.BTHIST ISEAS RFFACFE�SURVEY ONLY. TNEP EXTENT OFUNDERGROUNO FOO11NCS, �����f /�//� u3846 BLANDINGND & I (NG BOULEVARD SURVEYS PIPES AND JURISDICTIONAL TI TMiL AES, IF ANY, NOT DETERMINED. 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. (6 ,t —c7 O State of ��or'%d o_, County of p is vial 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: S GCI (Q—2 S' -2.q E tar'ybG 13:0,C1/) LA 23 6aIk10 Address of property being improved:3'413 PI q-ZA- �•}`p.ry , Y p‘ch -f , 32133 General description of improvements: �/ 1 q1. `tDeCk- 4' Owner cjs r- n Cc• SSe s Address 2,L Plaza— a n4-'c �3cc�can 1 Owner's interest in site of the improvement a J( C '"/ee$79 91,r44." Fee Simple Titleholder(if other than owner) Name Address Contractor aaSCO atk.LA--DV")G ra -0.066c T-o a `/N\C, Address 2n 1 SB 1 ' `A�fo2:r P. - C.sc(v N/1 LL - -32333 Phone No. 10 -14I �_O Fax No. 0y---2-14 ( -C q) Surety(if any) yt u- Address Amount of bond$ Phone 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 Phone 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 Statutes.(Fill in at Owner's option). Name Address Phone 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 Signed: DATE Before me this L 21 day of t cl1- 11 _in the Cqunty of Duval.State of Florida,has personally appeared vi%n Cq herein by Doc#2019074941,OR BK 18741 Page 2375, himself!herself and affirms that all statements and declarations herein Number Pages 1 are true and accurate Recorded 04/04/2019 09:53 AM, Denise A.Ennis RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY NOTARY PUBLIC RECORDING $10.00 F41..) STATE OF FLORIDA No Public at Large.State of +'•' ('cnvn#FF966426 My commission expires: �fte Personally Knox m t Expire503/1/2020 Produced Identification