The URL can be used to link to this page

386 2nd St - 10 x 12 Shed '' ` S, CITY OF ATLANTIC BEACH I mo ) 800 SEMINOLE ROAD x. / — v ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 SHED PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16- SHED -150 Job Type: SHED PERMIT Description: 10 x 12 shed Estimated Value: $3,464.00 Issue Date: 2/9/2016 Expiration Date: 8/7/2016 PROPERTY ADDRESS: Address: 386 2ND ST RE Number: 169793 -0000 PROPERTY OWNER: Name: ROSS, XAVIER & JILL, * Address: 902 THOMPSON DR GENERAL CONTRACTOR INFORMATION: Name: TUFF SHED INC Address: 1777 S HARRISON ST STE 600 QA TOM SAUREY Phone: - - PERMIT INFORMATION: PUBLIC WORKS: All silt must remain on -site during construction. Full right -of -way restoration, including sod, is required. FEES: PLAN CHECK FEES $33.66 BUILDING PERMIT FEE $67.32 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.98 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 3 e ?, 4 St e, -`c cci, , Ft 302.03 Permit Number: /16 SNZ- — %SO f) y d . C� is /P �t 7 Legal Description S K len`, ciyG SD\e 2a g /b-2S- a9F- Parcel # /69 -o0 loor Area of Sq.lit. Sq.Ft Valuation of Work $ 5 1 x-00 Proposed Work heated /cooled /a0 r pr. non - heated /cooled /ego 4.-Pe Class of Work (circle one): 1110 Addition Alteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial t -sidenti. If an existing structure, is a fire sprinkler system installed? (Circle one): ' es No N /A Florida Product Approval # For multiple products use product approval form I Describe in detail the type of work to be performed: 10 s./c2 Sfv�9e S &ex Property Owner Information: Name: 5Co-f-f Sklen,t Address: 3/S Yiti St City A.-f •(e.tt I c lam. at StateF Zip 3.,133 Phone 90(- 3✓Y- 3976 E -Mail or Fax # (Optional) Contractor Information: N" il Company Name: L UPT lo le 0 . Qualifying Agent: VI (b e'/ Address: Lt °. ), 1-tr rcmtsvv 8j.*c-k.c ) City 1)f X1. X State CO Zip Phone(O3 --? _- Job Site/ Contact Numbe 3 1-(7 1 Fax # ( L)) i _' State Certification/Registration # CV taj Architect Name & Phone # , , Engineer's Name & Phone # IL . �T t/jg►t�alfi`/ Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS I TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws a .J ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to iv . the to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. f , r Signature of Owner Si of Contractor �,� Print Name y - 1`, S c Print Name VA/ ' ? �e f l :1( ,f-K- Sworn to and subscrib before me Sworn ��topa�nd subscri. --• before me this /'j Day of 4/44,1 s , 20 / h' /' Bay of _Wait s i ,s : 20 • ro. Notary Put P , ali otary • TIFFANY BENISCHECK , _. :x Commission #EE203662 MAEGAN JOHNSON �" i ' "` ; Expires Ma 30, 2016 NOTARY PUBLIC % .�o +�.` Bonded ThnTmyFalnkeuraaa✓ 7Q1i STATE OF COLORADO NOTARY ID # 20144042043 Revised 01.26.10 MY COMMISSION EXPIRES OCTOBER 29, 2018 NOTICE OF COMMENCEMENT OFFICE COPY / (PREPARE IN DUPLICATE) Permit No. /6 Sf'1 f S0 Tax Folio No. State of County of /,J(/ V ,9L 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. 1 Legal description of property being improved: v, G & o / " 2s - o[ /'< � o .y Address of property being improved: 35 .21-ta St / Ic,•1 t c AgeeiCI1 ,CL_ General description of improvements: fl/CLtJ ( 0 )(Li Sivevi , S Red Owner 5co -ft --Sh ey ■ cke, / / � Address 3 2.4 St. fHt 1-b Cite-c t. / -c A.233 Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address Contractor Tu 4 Skt.ci Address S 7 a Te'ffpi Si-, T a p , r 3361 9 Phone No. S1 63 - 6 D Q/ Fax No. �Y Surety (if any) �,/ 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 ,n Name !t' h 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 I �/ �j/J OWNER c' Signed: 'n(1 / DATE I" t� "(J Before me this II' day of c.IG(,igULEti/L 00 1(.5' In the Doc # 201 601 41 28, OR BK 17434 Page 1747, Coun of Duv I. State of Florida, has personally appeared Number Pages: 1 CDT S K74 herein by Recorded 01/21/2016 at 09:01 AM, himself/ herself and affirms that all statements are true and accurate •., TIFFANY BENISCHECK Ronnie Fussell CLERK CIRCUIT COURT DUVAL iiy� ry ¢ c. COUNTY = Commission # EE 203662 RECORDING $10.00 -. ;F p .� oQ E xp i re, May 30, 2016 ; � .,`' Bonded Thru Troy Fain Insurance 800-385 -7019 Notaryr?; . — - t Large, State of 1 ' ' 1 Coyam 0- y of 5,8 My con, ission expires: M4i-j Re.1 / cp Personally Known X t or Produced Identification f • lit .. a0 22 y A ,131 i 2 i f `; ii ,s. . /i). a R 1 1 *� Q z V =:aQ' , , GI a I - 'Tt I K) 1 ii- i I i .....L i 1 ez . 2 I aLl i i f u.i' ' rt : i ' 1 /. I . c — g a 0 0 P' 1 ° ' A • ' al, g :15 43 ° 7:4 ,1 . ' • n 1 a D i. 2 . - 1 q 8 IF . ' t • a 5 a- . 1 -, , P- o I. C i R N 7 _*.. 5 1 g ; - I i 111r[ I O m 7 g .0 0. 0 - o :::. 43 a - a - ) X 9 0 *c ,.. cl i l — a g a ' ' , .. . .m 4 m. . M j N � � � � V * � g. 3 N 1 V N 3 fan ii z n rn - 1 -. Fri C w .< r y .4,s .0 ° )00 1, frti `�r„ City of Atlantic Beach APPLICATION NUMBER ` - a Building Department - �'. s 800 Seminole Road CEIVEI� (To be assigned by the Building Department.) 9. s Atlantic Beach, Florida 32233 -5445 \ — \ — \ — \ lo Phone (904) 247 -5826 • Fax (904) 2 - 5845JAN 2 1 2016 "�o;t1s%' E -mail: building- dept @coab.us Date routed: Q) 1.. `CO City web -site: http: / /www.coab.us SY. APPLICATION REVIEW AND TRACKING FORM Property Address: p y Y6(0 ‘ S' - C 'e- -'e.�� 9 - artm - nt review required Yes No : liming Applicant: \ itj �, Planning & Zoning Tree Administrator Project: 1,0 . _ 5\ 1 Public-Work.s Public r t't Y•-- hi 4 s 0 q IN =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: [pproved. ❑Denied. (Circle one.) Comments: fe € O� 4WIi/f � BUILDING PLANNING &ZONING Reviewed b / : /�� e `te: -�� TREE ADMIN. Second Review: 1 Approved as revised. pp nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES • PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10 ,,t ot.A..►r City of Atlantic Beach APPLICATION NUMBER J 411,, 2 i Building Department (To be assigned by the Building Department.) 800 Seminole Road -y � Atlantic Beach, Florida 32233 544 Aim Phone (904) 247 -5826 • Fax (904) 24 - 8EI�ED oloo E -mail: building- dept @coab.us d Date routed: web -site: http://www.coab.ul I t \' l City p: � JA 21 2016 APPLICATION R - : ACKING FORM Property Address: p y 36 1p i ' '\--- C 'Q—'22\ ! - • - + II -nt review required Yes No il. ing Applicant: \ ki,c• \''\`e._& Planning & Zoning Tree Administrator Project: 1,0 ,X ■_ S\N $ Public Works Public Utilities_ ' 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: APP ATION STATUS Reviewing Department First Review: Ap proved. 1 Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Yet C )1 ,6 ✓ — pate: Z TREE ADMIN. Second Review: Approved as revised. Denied. • +' WORKS Comments: (' • BLIC UTILITIES / -2/ f PUBLIC SAFE Y • Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑ Denied. Comments: Reviewed by: Date: Revised 07/27/10 .-s-.u./r;; City of Atlantic Beach a � Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) . , Atlantic Beach, Florida 32233 -5445 S 1 (� Phone (904) 247 -5826 • Fax (904) 247 -5845 \ �� _ 4 '`;ilvr E-mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us O �t I, Co APPLICATION REVIEW AND TRACKING FORM Property Address: 'alp d �� & S�c C Departeview required Yes No Efajacting Applicant: `u,,c� c.`e,A. E annig&zg Tree Administrator Project: I, 1, C f ■ r(PublicWorks Public Utilities 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: glApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: �� -mate: //g0‘ TREE ADMIN. Second Review: Approved as revised. 1 Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: l (Approved as revised. I Denied. Comments: Reviewed by: Date: Revised 07/27/10 t!. -�vr City of Atlantic Beach APPLICATION NUMBER r , ? ri % Building Department (To be assigned by the Building Department.) 800 Seminole Road i s Atlantic Beach, Florida 32233 -5445 \(0 _ S\� �_ i 4 s o Phone (904) 247 -5826 • Fax (904) 247 -5845 1 \ :r�g0>%- E -mail: building- dept @coab.us Date routed: 1 CO City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 `J t-� J- c'e --t.- B - artm - nt review required Ye No . : il. ing Applicant: `U, - R - j o r Planning & Zoning Tree Administrator Project: VC )C, a 5\r. Public Works _Public Utilities 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: APPLIC TION STATUS Reviewing Department First Review: pproved. ( 'Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: / "p� /--4 TREE ADMIN. Second Review: Approved as revised. ❑Denie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: 4 Revised 07/27/10