871 Ocean Blvd RESO20-0017 DeckOWNER:ADDRESS:CITY:STATE:ZIP:
POLANEC CONNIE ET AL 871 OCEAN BLVD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Mill Contracting and
Development 13504 Princess Kelly Dr Jacksonville FL 32225
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170236 0020 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
871 OCEAN BLVD
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
deck renovation $25000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $180.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $90.00
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.80
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 7/28/2020
PERMIT NUMBER
RESO20-0017
ISSUED: 7/28/2020
EXPIRES: 1/24/2021
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.20
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $428.00
2 of 2Issued Date: 7/28/2020
PERMIT NUMBER
RESO20-0017
ISSUED: 7/28/2020
EXPIRES: 1/24/2021
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $428.00
RESO20-0017 Address: 871 OCEAN BLVD APN: 170236 0020 $428.00
BUILDING $180.00
BUILDING PERMIT 455-0000-322-1000 0 $180.00
BUILDING PLAN REV RESUBMITTALS $50.00
BUILDING PLAN REVIEW RESUBMITTAL
SECOND 455-0000-322-1006 0 $50.00
BUILDING PLAN REVIEW $90.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $90.00
STATE SURCHARGES $8.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.80
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.20
ZONING PLAN REVIEW $100.00
ZONING REVIEW SINGLE AND TWO FAMILY
USES 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R12431 $428.00
Printed: Tuesday, July 28, 2020 8:10 AM
Date Paid: Tuesday, July 28, 2020
Paid By: Mill Contracting and Development
Pay Method: CREDIT CARD 348495980
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12431
DocuSign Envelope ID: 01967876-73B7-4FCD-90FF-ED7600B5CA60
DocuSign Envelope ID: 01967876-73B7-4FCD-90FF-ED7600B5CA60
Certificate Of Completion
Envelope Id: 0196787673B74FCD90FFED7600B5CA60 Status: Completed
Subject: Please DocuSign: MAST 20-0157-S1.pdf
Source Envelope:
Document Pages: 2 Signatures: 2 Envelope Originator:
Certificate Pages: 1 Initials: 0 Christopher Sabourin
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
1818 Sable Palm Ln
Jacksonville Beach, FL 32250
chris@saboeng.com
IP Address: 98.231.65.217
Record Tracking
Status: Original
5/19/2020 1:57:07 PM
Holder: Christopher Sabourin
chris@saboeng.com
Location: DocuSign
Signer Events Signature Timestamp
Christopher Sabourin
chris@saboeng.com
Owner
Sabo Structural Engineering
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 98.231.65.217
Sent: 5/19/2020 1:57:31 PM
Viewed: 5/19/2020 1:57:36 PM
Signed: 5/19/2020 1:57:52 PM
Freeform Signing
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/19/2020 1:57:31 PM
Certified Delivered Security Checked 5/19/2020 1:57:36 PM
Signing Complete Security Checked 5/19/2020 1:57:52 PM
Completed Security Checked 5/19/2020 1:57:52 PM
Payment Events Status Timestamps
RESO20-0017