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648 AQUATIC DR RFNC25-0080
��_,r,,, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY �l i- ,�',,iv,', City of Atlantic Beach Building Department PERMIT# � ���z� Qoc� 800 Seminole Road, Atlantic Beach, FL 32233 mtomlation required to Process "' .; 0 Phone: (904) 247-5826 Email: Building-Deptcoab.us Job Address 648 Aquatic Drive, Atlantic Beach, FL 32233-3841 RE# cif c -.r2__1(„, Legal Description LOT 14D,AQUATIC GARDENS,ACCORDING TO PLAT BOOK 38, PAGES 71 AND 71A, CURRENT Valuation of Work(Replacement Cost) $200041 Heated/Cooled SF Non-Heated/Cooled SF •Class of Work: ❑X New ❑Addition ❑Alteration ❑Repair (Move ❑Demo (-- Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑X Residential • If existing structure, is a fire sprinkler system installed?:EYes fi No •Will tree(s) be removed in association with proposed project? ❑ Yes (Must submit separate Tree Removal Permit) (X No Describe in detail the type of work to be performed: Install new wooden fence posts. Install new wooden fence boards. Install new wooden gate. Florida Product Approval# (For multiple products use Product Approval Information Sheet) PROPERTY OWNER Name Turner Houston Phone 904-246-2164 Address 648 Aquatic Drive City Atlantic Beach State FL Zip 32233 Email archriker1@comcast.net Owner or Agent Turner Houston CONTRACTOR Name of Company Phone Address City State Zip Qualifying Agent State Certification/Registration# Email Job Site Contact Number Worker's Compensation Insurer OR Exempt ❑ Expiration Date Engineer of Record Architect of Record 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. In addition to the requirements of this pe-mit, there may be additional restrictions applicable to this property that may be found in the public records of this city/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. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. "In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of perjury, I declare that I have read and examined the foregoing application and that the facts stated in it a.r e an , rect." SIGNATURE OF CONTRACTOR PRINT OR TYPE NAME OF CONTRACTOR DATE --17)Vrt-3 ,—.ir • Turner Houston •--.lo k 2DZC SIGNATURE OF OW R OR AGENT PRINT OR TYPE NAME OF OWNER OR AGENT DATE rS ri�`lrf,. Fence Addendum Updated l/14/2021 / f - ir)ll City of Atlantic Beach Building Department — 7 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-582,5 Email: Building-Dept@coab.us N. Job Address: Date: U-kB uu _ Dr C-) _Prciperty Type: Lot Type/ Features: Residential One Street frontage (interior lot) ❑ Commercial ❑ More than one street frontage (corner lot, through lot, etc.) El Swimming Pooi Fence Material: Fen a Height (select all that apply): ' Wood Four Foot(4ft) ❑*Chain Link Six Foot (6ft) El Vinyl ❑ Other ❑ Block/Stone (Plan details required for footings and/or retaining walls) ❑ • . Fence Location: Please submi - accurate and current boundary survey showing all existing improvements (including building footprint, • .,- .y, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or retaining walls and any portion or fencing above 6ft in height. Will the fence be built in an easement? 7 - El Yes(must submit separate Revocable Encroachment Agreement) X(1\--lo Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) Conditions of Approval: • Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way. • All old fencing and debris must be removed from job site by contractor or homeowner. . WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I d -A/ v� OWNER BUILDER AFFIDAVIT City of Atlantic Beach Building Department JOB ADDRESS: 800 Seminole Road, Atlantic Beach, FL 32233 //( n Phone: (904) G� Building-Dept@coab.us 247-5826 Email: Buildin -De t@coab.us &) U"" 'Q.' r **OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DEPARTMENT TO SIGN THIS DOCUMENT** I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW: To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application and must satisfy local permitting agency requirements, if any, proving that the owner has a complete understanding of the owner's obligations under the law as specified in the disclosure statement in this section. However, for purposes of implementing a "United States Department of Energy SunShot Initiative: Rooftop Solar Challenge" grant and the participation of county and municipal governments, including local permitting agencies under the jurisdiction of such county and municipal governments, an owner's notarized signature or personal appearance to sign the permit application is not required for a solar project, as described in subparagraph (a)3., if the building permit application is submitted electronically to the permitting agency and the owner certifies the application and disclosure statement using the permitting agency's electronic confirmation system. If any person violates the requirements of this subsection, the local permitting agency shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. The local permitting agency shall provide the person with a disclosure statement in substantially the following form: DISCLOSURE STATEMENT- Please initial Items 1 - 13 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 2. lk I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. 3. I understand that, as an owner-builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on permits and contracts. - 4. �_'' I understand that I may build or improve a one-family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease, unless I am completing the requirements of a building permit where the contractor listed on the permit substantially completed the project. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. 5.7 I understand that, as the owner-builder, I must provide direct, onsite supervision of the construction. 6. +vk\ I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by county or municipal ordinance. 7. 100 I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner-builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 8. ` =�}' I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Owner Builder Affidavit 11.12.2024 9. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner-builders as well as employers. I also understand that the construction must comply with all applicable laws,ordinances, building codes, and zoning regulations. 10..1N I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at (850) 487-1395 or the DBPR for more information about licensed contractors. 11 I am aware of,and consent to, an owner-builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at job address listed on this document. 12 \I agree to notify the Atlantic Beach Building Department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. 13 Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers'compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT (904- 247-5826 OR BUILDING-DEPTt COAB.US ) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ii Job Address: Co4 V at`� ‘..,..-Ci C. I RE# 1 EAS— S2 Owner Name: l L, r o p t-- Ho QS C\ Phone Number: Mailing Address: C_S� t �j QC� City: (-2--) State: F( Zip3 2Z3:5 ------(704,(191 --x-)025 (Signature of 0 r or Agent) A—gent) (Date) r ;.7 Sig efore me this v day cid l." n P ZCD .?_.._ ---D't` TONI GINDLESPERGER ) MY COMMISSION 407122 ,... the County of Duval,State of Florida,has personally appeared , -- EXPIRES:October 6.2027 L----- --•- .22;n6Q-.-----ki-C)--C2S%---(= ---..'----'-- [ I Personally Known ORproduced Identification My commission ex•'r•s: 4. III Owner Builder Affidavit 11.12.2024 Notary Signature:_ o 'Pri, REVOCABLE ENCROACHMENT AGREEMENT iko City of Atlantic Beach Building Department 15 t **ALL information required to process 800 Seminole Road, Atlantic Beach, FL 32233 "--1. ! ' Phone: (904) 247-5826 Email: Building-Dept@coab.us REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and ( (1 r r p c— I-400 S 4--e) of Atlantic Beach, Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as e-L`0. �. Any facility maintained, repaired, erected, and/ar installed in the exercise of the privilege granted remains.subject to relocation or removal on thirty(30) days' notice by CITY to USER, said notice to USER sh be given by certified mail, return receipt requested,to the following address Co 4 E �.0-+L Q_ • In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. • The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." • The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach Public Works Department,for said change within 30 days after the day of completion. • This permit shall inure to the benefit of, and be binding upon,the USER and their respective successors and assigns. • USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of easements, public right- of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. I )11N t�"Y'•"�'' TONT GINDLESPERGER i Mv M k-L`202 c r°• �i, .� : :•: MY COMMISSION#HH 407122 (Signature of Owner or.Agen ) (Date) =;,��• EXPIRES:October 6,2027 /^ —7 FOFF`o, Signed before me this (.J day of �(�� c_0 in the County of Duval,State of Florida,has personally appeared [ ]Personally Known OR Onagduced Identification `J My commission expires: Notary Signature: 1 Department Approval: Revocable Encroachment Agreement 12.11.2024 Public Works Department Date LEGAL DESCRIPTION � r °' S ;,3 LOT 14D,AQUATIC GARDENS,ACCORDING TO THE PLAT THEREOF AS ATLANTIC RECORDED IN PLAT BOOK 38,PAGES 71 AND 71A,OF THE CURRENT FLOOD ZONE:AE y '? REACHES PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. :-, , COMMUNITY NUMBER 120075 PANEL 12031C0408 au'^ xn p SUFFIX:J u1. N BASE FLOOD ELEVATION:7 -pant.Pet M FIRM DATE:11/022018 'I`9IU.,' '` r, o_ w Z E-, I VICINITY MAPQUo� - NOT TO SCALE � L' FOUND 112• T y¢W Q'.>~ 1 IRON ROD a CO w g I ca"Q M N0 I.D. Q LEGEND =01 rU N gNg�C AIR CCCONDITIONER EEN7�� m¢P 1 SET 11Y Nat°43'58"E 98.88' ' C.BS. CONCFR�* MLOCK STRUCTURE f.- ,t, 1 j IRON ROD 36.3'PARTYW NC I_ EL. ELEVA TION qp t I.D.#7483 .0 L, rA F.F. FINISHED FLOOR I.D. IDENTIFICATION \....______!_50.‘rte: 28� >5.I' Ilm Fence L.B. LICENSED BUSINESS j 4 feet ' v M MEASURED ` li: r., N.A.V.D.NORTH AMERICAN VERTICAL DATUM �� ONE STORY rn o N -n ril N.G.V.D.NATIONAL GEODETIC VERTICAL DATUM I fP---------11----- i.0' RESIDENCE 41 I 5.6' Ill T- O.R.B. OFFICIAL LFFFI IAL RECORDS BOOK 'o #648 CONC.;` = t11 PSM P.R.M. PERMANENT SURVEYOR PER AT ° PG. PAGE p CONC. _ _ p 124.T p P.B. PLAT BOOK o 6� DRIVE 8.0 w p 571500 `� G I j i i o i PK PARKER KYLON NAIL i 1\T., N 28.g 10' 45.3' Gat R RADIUS otrztrzozs v{ ! R1 Y___ ` I RNV RIGHT OF WAY i > Fence D.E. DRAINAGE EASEMENT °F U.E. UTILITY EASEMENT 1�-15' / ©I j �; _ LOT 14-D CENTERLINE p AND ds'S te 7i7 i•' O_ ? NUMBER A eeb -Z.1--' I i i - FOUND 112" IRON ROD DELTA OR CENTRAL ANGLE m I y:.".,i CONCRETE 1'SR Nat 9a•aa' Fence 6 feet NOID. CHAIN LINK FENCE >, ' 0' .o I °43'58"E WOOD FENCE NU= o 25.0' MISCELLANEOUS FENCE aa o FOUND 112 unless noted d W E. I i IRON ROD j O.� t3 INO I.D. L�} z $ cn F O O° • N I m\ C/DW I 0 I FOUND 112" SURVEYORS CERTIFICATE o I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY IRON ROD IS A TRUE AND CORRECT REPRESENTATION OF A Z SURVEY PREPARED UNDER MY DIRECTION. I NO L0. NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC k•-1C) 2 NOTES: SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, i r a. 1.LEGAL DESCRIPTION PROVIDE BY CLIENT OR pgAD I BOSSED S tfl�R,§IT*Fd by -;