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10 10th #5 RES19-0286 Enlarge Opening, Replace Beam r S % RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0286 V 800 SEMINOLE ROAD ISSUED: 10/4/2019 " usii>r ATLANTIC BEACH. FL 32233 EXPIRES: 4/1/2020 � 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: 10 10TH ST 5 RESIDENTIAL ALTERATION ENLARGE OPENING - $1900.00 RESIDENTIAL REPLACE BEAM TYPE OF REAL ESTATE ZONING: BUILDING USE i SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170237 0022 THE CLOISTER CONDOMINIUM COMPANY: ADDRESS: CITY: STATE: ZIP: JLC Construction, Inc 2983 Selma Street Jacksonville FI 32205 OWNER: ADDRESS: CITY: STATE: ZIP: JAMES TODD L LIVING 10 10TH ST 5 ATLANTIC BEACH FL 32233 TRUST ET AL 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 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 1 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 L STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 10/4/2019 1 of 2 OA' . RESIDENTIAL PERMIT PERMIT NUMBER 34 *t0RES19-0286 t, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 10/4/2019 �`''3 9` ATLANTIC BEACH. FL 32233 EXPIRES: 4/1/2020 TOTAL: $94.00 Issued Date: 10/4/2019 2 of 2 .11-4.a;,,,,, City of Atlantic Beach APPLICATION NUMBER j3 �`` Building Department (To be assigned by the Building Department.) 'i 800 Seminole Road ��/_-- l _/1� � r' Atlantic Beach, Florida 32233-5445 l� �,,� � r Phone(904)247-5826 • Fax(904)247-5845 moa 9:- v E-mail: building-dept@coab.us Date routed: q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Lo 1 L`- S 5 A De moment review required Y VNo uildingD (/ Applicant: 3 L. C© , ( Planning &Zoning � � �yTree Administrator Project: Cful..(� 2.__C-,L DP Cly( t._D c Public Works Public Utilities 1)Evv (EEA rl 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 \ / i 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: BUILD! t PLANNING &ZONING Reviewed by: m Date:/0")-19 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 ,-,11'=,'"f,,,,,,;., Building Permit Application Updated 10/9/18 OFFICE COPY r : " , . City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY - °ily:r IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: j p IO +� Gvf- c z -1'- 1 S A Permit Number: e5�.`( " oze3 Legal Description TrI G C I 0,0-31.er S D-..-)0,y1 k. ,,3,1 <--- 0/e gK S°11413 -`S 16 RE# 110 2 3-7 0 a 2. 'i. Valuation of Work(Replacement Cost)$ 1 a10 0 '� Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition IgAlteration ❑Repair ❑Move :Memo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial L Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes IYrNo • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) IXJNo Describe in detail the type of work to be performed: < ,,1i(b. 'gam.... / �,--, /At i.e 41--,, •k — i Florida Product Approval# for multiple products use product approval form Property Owner Information Name ' 0 15 t 5 I\N+ 'S Address t D l G .$ 41-f e..J- 4 C 4 City AAt.k,.3-'Cr c c-i-( State r%( Zip - 'ZZ gxj Phone LON1 3'17„ - Ocd ?1 E-Mail �-ed.ICagS (t. a hel ,.....4. . . el G --- Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 'S 4-c e---. -r 0---,-d-.• XN t Qualifying Agent S.ri0 (:. [-Gi NQS Address 2143 SeL.a, St rcd-S- City -5 AG14-40.,. t k State 1%( Zip 3 7.1. ,a Office Phone 'OLA 'Sig vr.4-1 S Job Site Contact Number 41 0 Li "-,-c a. d 9f7 State Certification/Registration#L6G 1 SZ- f 6-1 E-Mail fat.A ie1 e‘1& e ' ri �,. ) . l_o,..` Architect Name& Phone# Engineer's Name&Phone# '5 c+WGr�`I P. A.r IA's S.1-1 40 LI t A A - 46451 Workers Compensation Insurer OR Exempt KI Expiration Date 17/2 • 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 t ls.�E� permit,there may be additional restrictions applicable to this property that may be found in the public recor s cy�l 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 compliano�Firith2al0 2019 applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE-OF COMMENCENTElinfiWilepartmei RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.440VIKLITINEBeach TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER R N ATTORNEY BEFORE RECORDING YOUR NOT, "QF COMMENCEMENT. c--= dt,,l . - a .� L____---. Signature of• ner o Agent) (Signature of Contractor) i/ Signed and sworn to(or affirmed)before me this day of /Signed and sworn to(or of it led)bef. e m- his 2' ay of 1,4YYYN, , by 'SMO 1-J00/ALS J lip'°0Mc! , ?a i `1 b, c L�g• 1-e N `1h 1/ 4\Lk. i, v>� ` _ M MARY BRANHAM (Signature of Notary) ,Dig1- ure of Notary) y P .F•... aazv.'s.zz .a.w_ o • G' Notary Public,State of Florida r-?'-`"':';';;.,;;;---- Tr�NIGINJ RGER ,,.�,, Commission#GG 238078 . I.P - MY COMMISSION a FF 924951 "mil'Pe•sdht�ad',jnikr�ewpir�eekug.24,2022 [ 1 PPersona;l]y .9+ f�,ctober6,2019 [ 1 Ilu fu cd l }enil(I au,it {_/ k---, [ 1 Produced Iceastific tt`lol'�Pn�cu d"--5 t Type of Identification: 1 L L— Ty'pevf Idefifffi�'tft h"�`-& -4-1 [ `C,9"3 of The Cloister of Atlantic Beach Condominium Association,Inc. CIO: Stellar Properties 10151 Deerwood Park Blvd. Bldg 200 Suite 250 OFFICE COPY Jacksonville,Fl. 32256 (904)886-1789 Office& (904) 886-1798 Fax Architectural Review Request for Alteration or Additions �-f d Owner's Name: d � 27�- d .J Lt,4 v�—Y►�'`��3 Unit Number: ,�,�' Owner's Mailing Address: �� I 1 " 6-4 �`l"L � �Gri�Qr � �i7i��✓ Date Submitted: /� $- ? d-�-' C Daytime Phone:- XJ,172, if) 77 Home/Cell Phone: ge/4. 7 z ,24 77 SPECIFICATIONS OF WORK TO BE ACCOMPLISHED: &_yy (442 { e---LA-S;) - r,E ARC ATI 1Y bp40( You MUST provide the following information: 1. Complete description,including plans,of alterations or additions. 2. Type of materials to be used and a sample of colors. 3. Drawings and specifications prepared by a registered engineer for these alterations and a statement that the proposed work will not jeopardize or compromise the safety,structural integrity and soundness of the building Contractor Information(If usinu a licensed Contractor—License will be verified):L Contractor Name: 2X i 1 F o .T T Address: l VI '}5 Lo \,4./cot. C..1— City: 3 AL o h v+ ( l e State: F L zip Code: Z Z Z i� t -743t5i�D`1v Phone number: �o it• t i j�3� j License Number: Contractor Signature: L.Up i Date: S ' ,21 • Z o i ? 1k-149-1146J w ARCHITECTURAL REVIEW Approved: Denied: Date of review: Approved by: Conditions of Approval: Reason for Disapproval: 1 OFFICE COPY Note: Only tj owner listed oh the i le ting property may regpest architectural approvals.If a.contractor is hired,they mast provide the Association with proof of licensing and insurance prior to commencing work. -They must also provide copies of City of Jacksonville/Atlantic Beach building permits and final inspection reports. • Note: As per the Structural Analysis performed by Dole Kelley(5/19/2008),the following data will be considered when introducing additional dead load to the floors of the second and third floor units: 1. Maximum additional dead load per square foot in four bedroom units: a. Living Room: 62.4 lbs/sq.fl b. Master Bedroom 62.4 lbs/sq.ft C. Bedrooms 2,3,4 77 lbs/sq.ft 2. Maximum additional dead load per square foot in three bedroom units a. Living Room: 31.5 lbs/sq.ft b. Master Bedroom 53.2 lbs/sq.ft C. Bedrooms 2,3 80 lbs/sq.ft Note: This approval is for architectural review purpose only.This approval does not overrule any Federal,State or Local governing agencies regulations, permit requirements, etc., for the desired construction.It is the responsibility of the lot owner to obtain and comply with such. NOTE: Project must be completed within three (3) months from the date of this approval or this approval will be considered null and void req_airing a resubmission of another package for approval Additionally,the ARB has 30-days from the date this request is received to act on this request. DO NOT START WORK WITHOUT AN APPROVAL AND OR DENIAL. Please retake note of this requirement. File Date: Final Inspection Date: Did improvement comply with approved ARC Request: YFS NO,if no,action taken? 111. . F.40(/), 4 -1 7 MARY BRANHAM pOH Notary Public,State of Florida _° ,;g2n" Commission#GG 238078 r My comm.expires Aug.24,20227r'ui4 K— t�� �0 IC'( OFFICE COPY A , 6 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j� .. ,. .:_. ATLANTIC BEACH, FL 32233 l D (904) 247-5800 BUILDING REVIEW COMMENTS Date: /17/201• Per it#: RES19-0277 Site Address: 10 10TH ST 5 Revi• Status: denie• RE#: 170237 0022 Applicant: Property Owner:JAMES TODD L LIVING TRUST ET AL Email: Email: TODDJAMES@BELLSOUTH.NET Phone: Phone: 9043720877 9047282447 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 Cert�ents: , 1<--"As a homeowner you are not allowed to pull a permit for construction at this address. The Usend Occupancy Class of the Cloisters Condominiums is Residential Group R-2. This type of occupation class is considered to be a commercial building and only a Certified or General Building contractor may pull the permit to work on this building. Building ema i lec) --tom wt-04 4-1 9 - /7--/9 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. .4' '; J" s Cash Register Receipt Receipt Number '� v City of Atlantic Beach R10723 -on �� DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $55.00 RES19-0286 Address: 10 10TH ST 5 APN: 170237 0022 $55.00 BUILDING FRAMING ROUGH 10/10/2019 DA $55.00 BUILDING FRAMING ROUGH 10/10/2019 DA 455-0000-322-1002 0 $55.00 TOTAL FEES PAID BY RECEIPT: R10723 $55.00 Date Paid: Friday, October 11, 2019 Paid By: JLC Construction, Inc Cashier: CB Pay Method: CREDIT CARD 3 I Printed: Friday, October 11, 2019 3:01 PM 1 of 1 0