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2233 Seminole Rd Unit 28 RES19-0356 Wood Deck on Roof >11-t1.''f�� RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0356 800 SEMINOLE ROAD ISSUED: 12/17/2019 =us5' ATLANTIC BEACH. FL 32233 EXPIRES: 6/14/2020 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: 2233 SEMINOLE RD UNIT 28 RESIDENTIAL ALTERATION WOOD DECK ON ROOF $10000.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169519 0154 OCEAN VILLAGE ONE CONDO COMPANY: ADDRESS: CITY: STATE: ZIP: MICROTECH 11235 St Johns Ind Pkwy N #5 JACKSONVILLE FL 32233 OWNER: ADDRESS: CITY: STATE: ZIP: LUCKIE DAVID M 2233 SEMINOLE RD #28 ATLANTIC BEACH FL 32233 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. «ate DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $105.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $161.86 Issued Date: 12/17/2019 1 of 2 _, RESIDENTIAL PERMIT PERMIT NUMBER 1 4. � jCITY OF ATLANTIC BEACH RES19-0356 'v �" ISSUED: 12/17/2019 800 SEMINOLE ROAD `'';}�` ATLANTIC BEACH. FL 32233 EXPIRES: 6/14/2020 Issued Date: 12/17/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER /� >> Building Department (To be assigned by the Building Department.) 800 Seminole Road Esj 9 — 0 Atlantic Beach, Florida 32233-5445 1 Phone(904)247-5826 • Fax(904)247-5845 411 010%4 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: G Z- J 3 `,eir\(Ade Department review required Yes No (\ Buildin Applicant: I V I CRO`(GL Planning &Zoning p (,\_=>- Tree Administrator Project: 1-,) CL �� ��T Al f2 , � Public Works Public Utilities R,cs F 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 Q/ Florida Dept. of Transportation (\S 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: roved. ❑Denied. ❑Not applicable (Circle one.) Comments: �f BUILDING ," 0 PLANNING &ZONING Reviewed by: �� Date:/a"?^/9' TREE ADMIN. Second Review: ['Approved as revised. ['Denied. / 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 OFFICE COPY Revision Request/Correction to Comments **HIGHLIALL HIED I ON r,:~Sj'�''%� HIGHLIGHTED IN _ - City of Atlantic Beach Building Department GRAY IS REQUIRED. � r` 800 Seminole Rd, Atlantic Beach, FL 32233 ,n97- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RE.Sl R 0 t, LTJ Revision to Issued Permit OR ❑ Corrections to Comments Date: /2/( /f Project Address: Ra 3 3 S011'4,61.e, 1 Contractor/Contact Name: //erO'f'eGh Contact Phone: /Oy 90211 61 9 ) Email: S C( 4lc--e 6\ l'ic y r�-P 4 (c lr4 Description of Proposed Revision/Corrections: lie-4. , ij CalI I S`f`nc.0-11`P W (/a Lam- affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? o ❑ Yes (additional s.f.to be added: ) • Will proposed revision/corrections add additional increase in bui ding value to original 2flo ❑*Yes (additional increase in building value: • ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: i i (Office Use Only) LIQ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ — O Revision/Plan Review Comments Department Review Required: Buildi � .7 7 Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities /2'.. GT d a/9 Public Safety Date Fire Services Updated 10/17/18 s'-J'i-4" Building Permit Application OFFICE COPY Updated 10/9/18 ' City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Se ' RES(9o3 ,lob Address: �,�,j t7j f ►yp�e, (Jyl 11(' ,Z Permit Number:�` OCc_4,.: Y<U t(-G } /� Legal Description Pepii,-(- Ail UA C1 1 G(C e�;v;c-, - C-©I.O C)RE# ` G.79 S t 9 -C) 1 C -) Valuation of Work(Replacement Cost)$ /4,v06 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New DAddition ❑Alteration 'Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): DCommercial eftesidential • If an existing structure, is a fire sprinkler system installed?: DYes 7N • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) 7No Describe in detail the type of work to be performed: e, cki f De_ ;�f, �1,Cr\crCi -` W Ct C 1 � U t O Florida Product Approval# for multiple products use product appmv fcgrrF- '— Property Owner Information ^� Qg IJJ r_ o uj Name -r-17ltI/L) c it t Address d 3 SGMI jie- Ack , y U V p O Q City AdA 'c. IBS J State fi Zip ?42#) Phone 9o4 9.4Lici71 Q ¢ p $ /wce..Ar hi 46wl a Z Owner or Agent(If Agent, Pow r of Attorney or Agency Letter Required) LL Q I- H ~ Contractor Information Q Z Name of Company r Ino c)ref it Qualifying Agent D4 V'i 0 ..14.(9 n.44 LL u. Q LI Address I)' -�c• c .To \ 40. y fP \ \Ill TV 5(1,t- City 5:44X.iohJ,i(• State rt, Zip .i� G� n. CC m Office Phone 4oyssi 2.591 IV Site Contact Number Sou �ayu q1 1,- u m W State Certification/Registration#OSC.625(73 ci 3 E-Mail r,. earn u ` 4c. . , - C,) Cl) W Architect Name&Phone# W W Engineer's Name& Phone# CC Q Workers Compensation Insurer ECC OR Exempt 0 Expiration Date I/ ' /2020 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 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:'.`-'-''s2- * RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE D M P. -o TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE §8 Z1) . RECORDING �OU ' •QTI E F - *M ENCEMENT. gr": -,Z S e moo -) (Signature ,f Owne or Agent) (Signature of Contractor) m 0 1-i . U �, Signed and sworn to(or affirmed)before me this 2 day of Signed and sworn to (or affirmed)before me this 5 day f 7- ap 1DE6- , O!z1 , by �`l- nCc t 1(1 ) -- E4' ,a-°1 t , bye d-c.ca Ft1c5 . "''«'.;:- �� 1• A -_• ,411I LLISON (Signature of Notary) �� -, . I 4/.., _‘ MY COMMISSION#GG 187327 , PersonallyKnown � 1 r:: EXPIRES:June 2,2022 _�_ [ ] OR ;•,�;a7;tY [,(]Personally Known OR fqF�° BondedThruNotatYP�blkundenrrinn �to'•., TRENAELLISON b (.(Produced Identification - [ ]Produced Identificati iso?• ,- �. M :,_ MY COMMISSION#GG 1873: , Type of Identification: _ ME t& 113 53 26 I Type of Identification: .. ,-.__„ 1 aciqw-i 1-(qii OFFICE COPY S-- -e- c3',/‘;‘-c._ vicA-1\4-(---e-- SS S c C1c1/1/4)) iVaer SN kKO n ?gP\ i 3 ), SS sc.Cc) as oq-- ) „to 00 / i l 1_71, I ---,_t t-.- — 6-ficci -/ / SeiA1')(\( ---------_[ 1/ N.,--- mr... 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