50 Simmons Rd ACC20-0035 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
MCGURRIN JUSTIN A 7100 WILDER AVE JACKSONVILLE FL 32208
COMPANY:ADDRESS:CITY:STATE:ZIP:
BOSCO BUILDING
CONTRACTORS 2158 MAYPORT RD ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172173 0000 DONNERS R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
50 SIMMONS RD ACCESSORY SINGLE OR TWO
FAMILY ACCESSORY
DECK REPAIR, FLOORING &
CABINET REPAIR $2000.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off 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: 9/24/2020
PERMIT NUMBER
ACC20-0035
ISSUED: 9/24/2020
EXPIRES: 3/23/2021
ACCESSORY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $226.50
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
5 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
No additional impervious area is permitted. This approval is for the wood deck only.
2 of 2Issued Date: 9/24/2020
PERMIT NUMBER
ACC20-0035
ISSUED: 9/24/2020
EXPIRES: 3/23/2021
ACCESSORY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $226.50
ACC20-0035 Address: 50 SIMMONS RD APN: 172173 0000 $226.50
BUILDING $65.00
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN REVIEW $32.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING PLAN REVIEW $100.00
ZONING REVIEW SINGLE AND TWO FAMILY
USES 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R13396 $226.50
Printed: Thursday, September 24, 2020 1:19 PM
Date Paid: Thursday, September 24, 2020
Paid By: BOSCO BUILDING CONTRACTORS
Pay Method: CREDIT CARD 380955633
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13396
IAN r,., Revision Request/Correction to Comments ALL INFORMATION
g- HIGHLIGHTED IN
o City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Usi v%'
y
1 i / C
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:\(LC,ZO- DOE-5
0 Revision to Issued Permit OR Corrections to Comments Date: /a6/210A0
Project Address: 5 0 .AA,A/1Q41g e_0._ A 10-^t'tt- g,„..cl, .0 3.)),33
Contractor/Contact Name: _1 tci z rJ AA`G0-ae-Z-rJ
Contact Phone: Q\i^ 35Q — 1x,43 Email: Tut •I'irl 111 Ci 14 r rirl 0 lirt,1ail< CoA&.
Description of Proposed Revision/Corrections:
Debk, eQ.r Orcin Skp s SOC
I affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
roposed revision/corrections add additional square footage to original submittal?
FA q Q Yes(additional s.f.to be added:
0 • oposed revision/corrections add additional increase in building value to original submittal?
e 1.o Q*Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
1
L
Office Use Only)
LI Approved Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18