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Permit 725 Amberjack Lane
CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 J 1 - INSPECTION EMAIL REQUEST: Building-dept2coab.us Application Number . . . . . 07-00001025 Date 7/18/07 Property Address . . . . . . 725 AMBERJACK LN Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL CU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CASTNER, JENNA TRU-TEMP A/C SERVICES INC 725 AMBERJACK LANE 1554 CRABAPPLE COVE COURT N ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 59. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/14/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59 . 00 59. 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 .00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION + I Date: Property Address: 72 Scy1 b r J �� Owner: Telephone#: -a 3 Contractor:I�U-r11tA �e rul es Zv\G . Telephone#: `f 6S - 75 Contractor Address: 15 S 4 Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the abo statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: _LP _Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor dential Air Conditioning: Room entral ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfin El Refrigeration ❑ New Building ❑ Cooling Tower:Capacity Qpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency f E - t l3 See HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. A ency 800 Seminole Road.Atlantic Beach,Florida 32233=5445 Phone: (904)247-5800• Fax: (904)247-5845 9 http://www.ci.atiantic-beacii.fl.us Revised 1/04 1\j> lr S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026363 Date 7/22/03 Property Address . . . . . . 725 AMBERJACK LN Tenant nbr, name . . . . . . W/W/O SHED Application description . . . SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------ -------- ---------- AVILES, NICOLAS OWNER 725 AMBERJACK LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . 6/30/03 Valuation . . . . 0 Expiration Date 12/27/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX: (904)247-5845 http://ci.atlantic-beach.fl.us June 12 2003 �L Mr. Nicolas M. Aviles 725 Amberjack Lane Atlantic Beach, Florida 32233 Dear Mr. Aviles, Our records indicate that you are owner of the above property in the City of Atlantic Beach. Investigation of this property discloses that a permit for a shed has not been issued. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. Thank you for your prompt attention to this matter. Regards, Lk Larry Higgins Deputy Building Official Cc: Don Ford, Building Official Alex Sherrer, Code Enforcement Official file J CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026363 Date 6/30/03 Property Address . . . . . . 725 AMBERJACK LN Tenant nbr, name . . . . . W/W/O SHED Application description . . . SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ AVILES, NICOLAS OWNER 725 AMBERJACK LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- ---------- ---------- Permit- T~A- 70 . 00 70 . 00 . 00 . 00 35 . 00 35 . 00 . 00 . 00 105 . 00 105 . 00 . 00 . 00 Cityy��o0�f Atlantic Beach ee♦t (315TWER RECEIPT � Ope r C10KW Type: OC n Drawer 1 Date: 6/38/83 81 Receipt Description 26363 Qty Asount BP Z8BUIILDING PERMITS 1 $185.88 Teennder detail 995 $185.88 DECK Total tendered $186.88 Total paysent $185.88 Trans date: 6/38/83 Tize: 16.28:21 THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED AVN I RACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,.i BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX: (904)247-5805 t. SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us 3 PLAN REVIEW COMMENTS Permit Application # X13 Z_?_p3co 3 Applicant: n/�Cn Jc�c AV, Le i -- Address: iS — Project: 61' Your application is approved o Your permit application has been reviewed and the following items need attention: C'(+1 Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date . K :t rLy.. gs1 CITY OF A'T'LANTIC BEACH `191 -DING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: Job Address: Owner of Property: 1� �- 6` S Address: — ,s Telephone: CLW,—,?y7_76 Legal Description: Block Numb'e : !j Lot Number: 149 Zoning District: Contractor: _ ��YXI±,r State License Number: Contractor's Address: Telephone: Fax: Describe proposed use and work to be done: 's �1 Present use of land or building(s): , Valuation of proposed construction: -O What are the dimensions of the added space: eet x feet Will the added area be heated and cooled? New electrical or increase in service? ,UPJ New plumbing fixtures? 4,0 New fireplace? 1-)b New heating/air conditioning? X10 Is approval of Homeowner's Association or other private entity required? "Z) If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? RNO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 y In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all informati rovided with this applicati s ect. f � Signature of owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: c�Q M C Mailing Address: `]a-� C}r �-t✓�— �C �j / G ± Telephone: (IZl,LFZ-:Z L 3 3 Fax:gUV_3 707 / E-Mail: 1JCF ��7✓�� C=0 -7'7 AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Revised 1/14/03 � 3 - i99a f 6 PG.7,3 ING BOUNDARY SURVEY OF LOT 10 BLOCK 5, ROYAL PALMS UNIT ONE , AS / /AL D IN PLAT BOOK 30 , PAGES 60 AND 60A, OF THE CURRENT PUBLIC RECORDS / COUNTY , FLORIDA. � f CERTIFIED TO NICOLAS & ZAIDA AVELIES PROFESSIONAL LAND TITLE SERVICES GILBERT-KRESTUL MORTGAGE COMPANY City Of Atlantic Beach Planning and Zoning Department This approval redoes compllanva with applicable zoning, subdivision and other local land development regulations, but does not constitute approval for the Issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by nature of'As City of Atlantic Beach Building 1 prior t0 suanq of a Building Permit. Approved By: 2 ,- LZ ommuRn n tq� 4-' LoT ZG �lr p Y 2/ Go r ZZ i(/8j�20 o.i o. I — — I i i 2777' Z .a Cri' i i o x x 11` ' gG C�R�'r:��:• cV o No- 795 Q n IN � � Z7�I � .a � �4G j��a., _„,• •428 _ �v v �•B..4L. Po gt1�'r' ,}- � s 8520 oZ�. 80.x• x,0.,9 -roc. 1 HEREBY CERTIFY THE INFORMATION DEPICTED HEREON AS MEETING LEGEND INE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING, CHAPTER 916141_k 'fit mune en&A1n111ZT0n2'wr Anna wun Jno rUA-,-® 11 -, ......I-- ----- .. } !v1►�/ n CITY OFATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM: 852-5800 � - http://ci.atlantic-beach.fI.us 3 PLAN REVIEW COMMENTS Permit Application # zZ.r 3c c Applicant: r�r'�C� Jc��. y, �-c s Address: 7a�� AM-17 e k L,I . Project: our application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date a6�, " O3 Contractor Notified Date ^ � Vii!.=�`•�� jj � "'",. s s2 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: ''ca:�-W:3 Job Address: -] s ewc Owner of Property: 4 - c Address: ,s Telephone: ''" ?fa Legal Description: Block Numbdr: .j Lot Number: Zoning District: Contractor: IM-7-1 IA t State License Number: Contractor's Address: Telephone: Fax: Describe proposed use and work to be done: S e;,)!1 Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space: Ci feet x feet Will the added area be heated and cooled? New electrical or increase in service? .16y New plumbing fixtures? XID _ New fireplace? A.Lb New heating/air conditioning? /60 Is approval of Homeowner's Association or other private entity required? � If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ONO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •bttp://www.ci.atlantic-beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all informati rovided with this applicati is ect. f , Signature of owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: K)I C.Qb t C_K� " /�() i l e�S Mailing Address: �a-s nr'lVl �-e�it'Q-�[� CaAJ�F� �/&' _ 171 C � Telephone: QOV-�-`f7-?1r 33 Fax: qgV-3 7.2—5f/.,g.E-Mail: t')CFL Co/� AS TO OWNER: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 NOTICE OF COMMENCEMENT State of0/Lr` Tax Folio No. County of O U Ua 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. Legal description of property being improved: s Address of property being improved: 2 -e r Com. General description of improvements: Owner: / co tq c, ;I e Address: ' Owner's interest in site of the impr ement: c,L C� CeJ r CJ P� Fee Simple Titleholder(if other than owner): Name: Address: Contractor: Address: Phone No: Fax No: 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 maybe served: Name: 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 Statues. (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 OWNER Signed: Date: Before me this day of in the County of Duval, State of Florida,has personally appeared Notary Public at Large, State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: C " CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION Alla Iications must be submitted with seven 7 co ies and received b 5 PM on the Frid Ir 10 days prior to the scheduled meeting in order to be Placed on the aizenda a ten *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL BE PROCESSED. NST 1. APPLICANT NAME ADDRESS TELEPHONE 2. ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NO NOT SURE 5. PROPERTY ZONING: RESIDENTIAL .COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER MTTIGATION EXT. OFFICE USE ONLY INT.. 'Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. ** See attached diagram for determination of interior and exterior zones a 7. SITE PL-4N/TREE SURVEY indicating: F7 Location of topography features such as hills and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height of six inches or more d) . Tree species and sizes. ` e) :Trees to be removed should be clearly marked with an •;�" fl. Trees to be preserved on-site for mitigation must be marked with brackets,,[ .g) Location, size and cies of an "• y proposed new replacement trees marked circle'"O" with a h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. 8. ON-SITE REQUIREMENTS: . -a) All trees identified for.rernwal MUST be marked on-site b RED fla paint or tape. Y gging, b) All trees to be preserved on-site for mitigation MUST be marked flagging,Paint or tape. v,ith BLUE C) The front property corners must be-marked by stakes or paint indicating the b Lot 9 ' II�ICOMPLET APPLICATIONS ORINTAGCURATELY hZ4RKED SI WILL NOT BE PROCESSED. TES I HEREBY AGREE TOCOMPLY WITH ALL PROVISIONS OF CHAPTER 2 TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND O 3' ZTICLE II, ,A.NTIC THE CODE OF ORDINANCES OF ATLBEACH ORD .Applicant's Signature Date Owner's Signature Datc CITY USE ONLY: Tree Conservation Board Chairperson Date TREE PROTECTION \ PRIVATE PROPERTY LINE rn PROTECTED c-TREE 20.00' -- 0 B H F 6 OR MORE I —F -----5,c — .I PRIVATE 1 PROTECTED.. 1 TREE I I PRIVATE PROTECTED TREE I • I to (� PROPERTY 1 I LINE o 10 fl8HOF20" OR MORE .WD 1 PROPERTY I I m o LINE o 1 (D B H OF 10" OR,MDRE IN I o = W I ER COMMERCIAL b INDUSTRIAL m¢ I ) I PRIVATE o I ' PROTECTED . 1 TREE I _ __ _ __ ---I 7.50• PRIVATE PROTECTED TREE — L D B H OF'6" OR MORE PROPERTY 20.00' LINE PROPERTY LINE L SIDEwALK SIDEWALK PUBLIC PROTECTED TREE t D B H .OF 6' OR MORE (PUBLIC STREET) (PUBLIC STREET) A. PRIVATE PROTECTED TREE 7. ANY TREE WITH A D B H OF: - SIX (6) INCHES OR MORE LOCATED ON ANY L07 WITHIN 7WEN7Y (20) FEET OF A SIRE RIGHT-OF-WAY OR REAR PROPERTY UNE. ET SIX (6) INCHES OR MORE WITHIN SEVEN AND HALF LF (7.5) FEET OF ANY OTHER PRl' PROPERTY .LINE AND TE ' TWENTY (20) INCHES WITHIN ANY OTHER PORTION CIAL INDUSTRIAL PROPERTY) .OF THE LOT. (EXCEPT 10" FOR COMMER_ 2. .ANY CHAMPION TREE SO DESIGNATED BY THE FLORIDA DIVISION .OF FORESTRY, �ARTM N OF AGRICULTURE. E T B. PUBLIC PROTECTED ,TREE SAME AS PRIVATE PROTECTED TREE PLUS ANY TREE SIX (6) INCHES DR LARGER ,WiT}i1N CITY RIGHT-OF-WAY. C. EXCEPTIONAL SPECJmE1� TREE ANY TREE ON PRIVATE OR PUBLIC LAND DESIGNATED BY THE CITY COUNCIL AS A, SPECIMEN TREE. I C�A f- cco,F-,c. i ING BOUNDARY SURVEY OF LOT 10 , BLOCK 5 ROYA E3./3/ PG 7,-1 D IN PLAT BOOK 30, PAGES 60 AND 60A, OF THE CURRENTS PUBLICO RECAS ORDS AL COUNTY, FLORIDA. CERTIFIED TO NICOLAS & ZAIDA AVELIES PROFESSIONAL LAND TITLE SERVICES GILBERT-KRESTUL MORTGAGE COMPANY jtt� A-A-- (T,-^ A " 2-- City of Atlantic BeachCI Planning and toning Department Planning and Zoning D 0 tic ep�rtmeM S� This zoning, verifies compliance with applicable This approval verifies oompNence With applicable f - g, 'subdivision and other local land zoning, subdivision and other local land development regulations, but does not constitute development regulations, but does not constitute approval for the issuance of permits. Compliance approval for the Issuance of permits. Compliance with Florida Building Code and all other applicable with Florida Building Code and all other applicable local, State and Federal permitting requirements local, Stele and Federal permitting requlremenls must be verified by nature of the City of Atlantic must be verified by nature of 10.e City of Atlantic Beach Building Off 1 prior to th • uance of a Beach Building I prior to suance of a Building Permit. BuIldin0.Permit. Approved By: Approved BY." ommun y evelopment {rector - ommu t ve men rector `` D me: - - ,{Tate: �- �0 r Z/ G 0 T ZZ �(/.8520 OZ'Gf/. BU.��• o �� �o•E��M�tir:. o.� o. M z77� o J i X04 rt1 M .e li •� c r' W Po—1`1 n �,yo I •>at: �l� N � � {�gd� .�1- s 85`20OZ 80.x• - „0.,9 -T FT HEREBY CERTIFY THE INFORMATION DEPICTED HEREON AS MEETING LEGEND HE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING, CHAPTER 1uu_L�. C•I f101nA All..,lu���.—. ----- --'- •- . . ; tit ��+eCITY OF ATLANTIC BEACH BUILDING AND PLANNING R. 1 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 ew TELEPHONE (904)247-5800 FAX:(904)247-5845 http://ci.atlantic-beach.fl.us June 12, 2003 Mr. Nicolas M. Aviles 25 Amberjack Lane Atlantic Beach, Florida 32233 Dear Mr. Aviles, Our records indicate that you are owner of the above property in the City of Atlantic Beach. Investigation of this property discloses that a permit for a shed has not been issued. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. Thank you for your prompt attention to this matter. Regards, Larry Higgins Deputy Building Official Cc: Don Ford, Building Official Alex Sherrer, Code Enforcement Official file "ItY rlUPeiTy Appraiser-Parcel Summary Page 1 of 2 Parcel Summa -Current Ownershm and Sale Information - Updated Weekl RE No.: 171195 0000 Owner's Name: AVILES , NICOLAS M Pro er Address: 725 AMBERJACK LA Unit No. _ ATLANTIC BEACH 32233 Mailin Address: 725 AMBERJA LA A ATLANTIC BEACH, FL 32233-4204 -1 Property Use: 0100 SINGLE FAMILY Le al descri tion: 30-060 38-2S-29E ROYAL PALMS UNIT I LOT 10 BLOCK 5 ZAIDA N O/R BK 6930-1142 Neighborhood: 943807 ROYAL PALMS Sec-Twn-Range: 17-2S-29E OR BK& Page: 06930-1142 Map Panel: 556A1 -� Sale Date: 7/3/1990 No. Buildin s: 1 Sale Price: �0$42,900.00 Heated Area: 1014 Exterior Wall: CONCRETE BLOCK Parcel Summary- Values & Taxes from the 2002 Certified Tax Roll Land Value: $16,800.00 Class Value: $0.00 Improvements��$38,092.00 Taxing Authori : USD3 Market Value: 1$54,892.00 County Tax: $96.80 AssessedValue: $39,082.00 School Tax: $117.71 Exempt Value: $25,000.00 District Tax: $44.67 Taxable Value: $14,082.00 Other Tax: $7.05 Sr. Exempt: $0.00Voted Tax: $x.17 Sr. Taxable: $0.00 Total Tax: �$274.40 This page displays values from the 2002 Certified Tax Roll with weekly updates of ownership & sales. Map-It maps & data are not updated as frequently as the Tax Roll data and may not reflect matching information. Please direct inquiries regarding the maps & data to Map-It Feedback (below). Map-It Feedback E3 Home4 PRC. New Ma -IT Taxes PaY-ment Feedback Appraisal__Feedback http://pawww.coj.net/pub/property/RENO.asp?RENUM=171195+0000 6/12/2003 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 -P 'E, " Permit Number: 23768 ' "° ..w `a LOCATION INFORMATION =, Permit Type: PORCH Address: 725 AMBERJACK LANE Class of Work: NEW ATLANTIC BEACH, FLORIDA 32233 Proposed Use: Township: 0 Range: 0 Book: Square Feet: Lot(s): 10 Block: Section:0 Est. Value: Subdivision: ROYAL PALMS .Improv. Cost: 3,638.00 Parcel Number: Date Issued: 4/0112002. °: z '> _,,..: QWNER°INFORMATION _, .. Total Fees: Name: NICOLOS AVILES 45.00 Address: 725 AMBERJACK LANE Amount Paid: 45.00 Date Paid 3/29!2002 ATLANTIC BEACH, FLORIDA 32233 Phone: (904)247-7633 Work Desc: ADD A 6' X 35' PORCH TO FRONT OF HOME PROPERTY OWNER APPI ICA QN.fEES �e;• �_.- R)1 45.00 Is. d W_ xAw. 'M fY ,mkTG..,. '�'''�;a,y+'"+ y�a+.'aa .r t r,�^ r 1•, e �f "'isvc..".> asi...' h _?..,gyp". i,�'M— btu t• a 'r�. n'4ti:'"r'�3Y ° �. ,' a l NOTICE i BST wD "CASTfi24 Rb'P # INSp TION BUILDING MATERIA!, IC.SPACE, AND MUST BE CLEARED ' EUtt P ' x � I "FAILURE TO COMP PROPERTY OWNER P = � I X1M� ► R IN THE .. � - C1II�b�NO:.IM ISSUED ACCORDING TO APPRO p FOR VIOLATION OF APPLICABLE P A T D SUBJECT TO REVOCATION Oper: CHERYLE Type: OC Drawers 1 Date: 4/81/82 61 Receipt no: 46432 14 PERMITS-BUILDING .1 $45.88 ATLANTIC BEA C BUIL G DEPT. Trans nuirber: 88889E CK CHECKS 573 $45.88 date;Irang 4/01/62 Tiee: 16:54:29 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address�,� /t M EgF r{Sk� •.0 � N �PO iQ t(-,F Date ADO� Io� Heated Square Footage @ $ ________per sq f t = $ Garage/Shed @ $ _______per sq ft = $ Carpo t/Porch _@ $ . _per sq ft Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 3 6 3 3 (� 3 / J-- Total Val ation 1st $ Do CD $— �J Remaining Value $ — per thousand portion thereof TOTAL BUILDING FEE $ O + 1/2 Filing Fee $- ( ) Fireplaces @ $15 . 00 $_ p BUILDING PERMIT FEE $ e{,r- WATER IMPACT FEE $ CLi SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Electric New .Plumbing / Electric/Temp ; SwimmingPool Septic Tank_; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: RECEIVED r City Of Atlantic Beach Building and Zoning City of Atlantic Beach - 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805• http://www/ei.atlantic-beach.n.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION APPLICANT /�-/O�� ,C/J DATE ADDRESS _ �a2s �.G/yi` ''� � CI��, PHONE: 76. 3 �2 ADDRESS WHERE WORK IS TO BE PERFORMED / �r� y2Z LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER CONTRACTOR ZONING DISTRICT �j_ �,�'�/�� STATE LICENSE NUMBER ADDRESS PHONE CITY STATE ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE_ A��� /�- 1r'011 ,E'� PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION / Is this an addition? ,(,la If yes,what are the dimensions of the added space: feet b Y feet Will the added area be heated and cooled? XIDNew el4� electrical or increase in service? New plumbing fixtures? /00 New fireplace? /J;) New heating/air conditioning? X Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being perfoimed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDE THIS APPLICATION IS CORRECT. SIGNATURE OF OWNERCe�� n DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATUREIce �.-- AS TO OWNER: ersonally known ❑ Produced identification Type of identification produced. bio M�onetDe :� eoa�or 27,2�b4 AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced X1/02/02 a Book 10367 Pa Vii 1630 S MIN. RETURN r� ae1630 oR1e9s _..-.Z4 01-815122 PN MIN CUIT COWT Va cii CW� _ 1 pppp NQTlCc OF CQMMEt4CF.MFNT R.Mo ii.. •. 5.00' TO WHOM IT MAY CONCE RN: ' The undyed fiery b real Prape Y informs all COnCeiTled that improvements witj be made t0 certain informations stated in thus rtQaTjC� OF SeCtion 713.t 3 COMMENC of the Florida Statutes, the fallowing nl � - EMENT. Mescriptian of Property 40, / r3 Genera! 0esaipdon of , d Wtprov-meats p Owner Address .. moi e r rJ Owners i nterest in site of ngrovements: CP . Fee Sim Pie T itte Holder(If otter than awne •t`lame rj . Address Contractor `�- Address Surety(if artY1�! Address / t .�..__Amaunt of Hand S Name en s rsgn within the S"te of Florida desi la documents may a served:, ted by a*nef upon wham nadces or other Name Mfy/be In addition to Nabca ahimself owner d,:signates the Following s PrOvided in Secttan 713.13 1 g Persart to receive a COPY of the l.einces t ( }{F}. Florida Statutes. (Frit hi at Ow ages c an). Name ti/ � ' Address: W co►Aus 0+ p calm . C)vmer Swam to aescffdWv%#Q,,r1Ae August s�, t this a Y CITY OF 800 S.Filvf"rOLE ROAD ATLANMC BEACH,FLORIDA 32233-544s TELEPHONE(904)247-5800 FA.Y(904)247.3805 SUNICObf 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I 'CONSTRUCTION CONTRACTING' REQUIRES OWNLR/BUILCCR TO ACrC!(OWt—EDGI: THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(71, FLORIDA STATUT>=5; STATE LAW T O THR T CONSTRUCTION TO BC DONE BY UCCNSED COKMAAZr ORS. YOU HAVE APPL{CD FOR A P£R1NIT . WN C AN ED=MPrtON TO THAT LAW, THE EXL�r•IPTlON ALLOWS YOU, AS THE OWNER Or. YOUR Pr9OPE,4rY, TO ACT AS YOUR OWN CONTRACTOR E`!FN THOUGH YOU DO NOT HAVE A UCENSL. YOU MUST SUPCRVISE THE CO NSTRUGTION YOURSELF. YOU MAY GUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMI•IERCIAL BUILDING AT A COST OF $25,030,0O OR ,!^ THE BUILDING MUST BE FOR YOUR USE AMC OCCUPANCf, MAY Nm• BE BUILT POR SALg OR L.EABE, IF YOU SELL, OR LEASE A BUILDING YOU HAVE BUILT yCUR5EL.F WITHIN ONC YEAR ApTgR THE' CONST79UCTICH IS COMPts-TC. THE LAW WILL PRE LFAgE, WHICH IS IN SUME THAT 70U BUILT R FOR SAL—W OR V1pL.ATON OF THIS E�.MPT1pN YOU MAY NOT HIRE AN UNLICENS YOUR CONSTRUCTION MUST BE DONE ACED PCRSON AS YOUR CONTRACTOR_ CORQlNG TO DI RESPONSIBILITY TO THE BUILDING CODES AMC ZONING REGULATIONS. IT 15 YOUR MAKE SURE THAT PCOPLE MPt-OYER — YOU _AVC -. GENSar.S REQUIRED 8Y STATE COW AND BY �.OUM'f OR E MUNICIPAL CCN9lNG ORDINANCC:S. 09LYNANCE3 ALSO At l/'1W AN QtKMER TO IMPROVE THEIR SWM P!4O-PtrRTY WHEN T 15 FOR PERSONAL OR FAMILY ALL 'NOORMR AL UKEWrSSPR1=T70UIRL ALL WORK (M(CI=PT'�N 7.4ANCB'UNDER $2,OCC) HE UNDER A BUILDING PERMIT AND PASS INSCC0NS, T}iE ORDINANCE Sr OWNERS MAY PKMJCALLY 170 WORK THEMSELOR=y.rylR� UNLICENSED WORKERS PROVIDED SUCH WORKEVCS;RS HC UNDER "pIRLrGT SUPCRVISION Of THE OWNCR, wpqo MU$T HC ON TME JOB AT`T/M� WHILE WORK IS IN PRQGRE,S.a AY UNUCCN5ED TRADES PCOPLC. TY•!ts DOCS NOT ALLOW UNUCENSAM CONTRAC-TORS, USE Of SINCE OWNt7?"-MAY BE LL►CLC I�RKCR'S COMFOR INJURIES TO WORD THEY HIRE. THE BUILDING OEPARTMCW SUGGESTSPFSI-gATQH 1?/57IRANCC BE PURC}1AgED UNOCR THE HOMEOW14MRS INSURANCE POLICY CLXAARLY PROTECTS THE OWNER- OWNERS HIRING WCRKERS BECOME tt,VIPt.Qy=AZ AMC SHOULC ALSO OBSERVE FORM WiTHHOLDiNO TAX AND/O GI FORM i 099 RECUIRCMET(T$ ON THE WORKERS THEY EMPLOY ON THEIR IMPROVCMCNT TRADES, UNLICENSED CON'TFZACTO Rg f•�NNOT BE "PLOYED UNDER ANY TO IRCUN S OWNERS BEING SUBJECTIIS-CCC) P7Y UNDER FLORIDA STATLT: N9, 4$5-229(1 7. AM 'O�CUPaAT10NA �r- �,.� THE OWNER SHOULD P"Y51 E„#r Ill NOT ADEQUATE, CALLY SEL• THE COUNTY ,cp-FmfnCATC OF COMPSTCNCY" R`II CEFICATE' TO ASCSIiTAIA IF A PERSON IS A LICENSED CONTRACTOROR THC FLORIDA 'CONTRACTORS- Tt'1E }y pONE THE BUILDING OEPARTMCNT (247 582®1 IF IN 00tier•, I HCREBY Acx?40vvLM=THxr I HAVE Rre THE A60VC DISCLOSURE STATEP'1ETft•.AND THAT I CQMPL7 WITH AU. THE RCQUIRCMCYTg FOR THE ISSUANCE* OF AN OWNCA-BUILDER PERMIT, = PtI fft 'y �wT AIMS PROPll 7 CWNIEi:J ILD '�'• _ Mvcor,mi� � �1�il E�vlR -�rI• SO"IIDINRM�g �,�� �S -.;?A/'7- 7A6 X16 33 ADDRESS pTELEPHONE SWORN TO AND SUBSCRIBED BEFORE'ME THIS . AY A , be O C N40TARY PUBLIC NOTE. PHRASES UNDERUNIM AEOVE ARE EMPHASLZED Ur THE BUILDING -MY COMMISSION EXPIRES: ❑EPARTry VT. BRUNING 76774 FORM M 7956 F.B./3/ PG.7.3 MAP SHOWING BOUNDARY SURVEY OF LOT 10, BLOCK 5 , ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30 , PAGES 60 AND 60A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA. CERTIFIED TO NICOLAS & ZAIDA AVELIES PROFESSIONAL LAND TITLE SERVICES GILBERT-KRESTUL MORTGAGE COMPANY City of Atlantic Plennifte ww This approval mi in FilmnI apple" zoning, subdivision and other Wool land development regulatbns, but daps not oonsl#ule approval for the issuanos of pwwdis. Compliorwe with Florida Building Code and all a0w applicable local, State and Fed" penrAft re"b ments must be verified by,4ftnatura of tkeCiti►of Aftr& Beach Build Building Porndl. ing Prior M d a Approved v 6 LOT Zo adv4V_n G o T Zi G�0 r ZZ �� /o'EA�x`MENT I t g� gig' o vXA �oa4h OL N I HEREBY CERTIFY THE INFORMATION DEPICTED HEREON AS MEETING LEGEND THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING, CHAPTER Z:?- d-7—CI AMIne wnuisno' A71b% - ^^n ...n 1— ...... ...,. ..-. — -...-- --_-_ i� 4 r t2 c- 'PR E'Ssr Pop. -sh 119 s m9s ire 34PC�r �P ~ �Z. APPROVE^ CIN. OF ATLANTIC E .CN BUILDING OFFICE ft - 2_14. S' 0 0 N N il.o ' 3S. to r r .o 11' , 1i I � ,i 1 �o / I1 f J� I — '�� n^ '�.� �� ten►- '� �� �� 1 �1 ..� �� r�r ) f � r r ✓ � ��. �.► ter.. ".rte �'� �,i .--r'�' �.� �� 1 PM "*43 c � - vi ............ - .W.VW ..r .� �_ �- .`.�... ....� .... .r _,,,�> �.-_ .r►* �....._-..�- .�.- tee„-_.'�"__..__ .,,.,R sr..r �.."" --� awn �+„"_�...�� •`--��^_. �+- ..._ 4 v 1 • • ^^/'y' � � {� �� �� � ..`� • \ +-�� �I .sl-- M _ ' v� `, ti 7 •. �) CITY OF r c Veaa - 9Qa,4& 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904)247-5800 FAX (904)247-5805 SUNCOM 852-5800 DATE �" /8 ' 0 JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie , Re: R gh Electrical Inspections Dear Connie: Ro Inspections on the following locations have been completed and approve PERMIT NO. ADDRESS - Please call me at 904-247-5826 if you have ny questions. SEnc rely, c^ ATLAN C BEA H BUILDING DEPARTMENT �� ' �' CfTY OF ATLANTfG BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax:247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22084 Address: 725 AMBERJACK LANE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): 10 Block: Section:0 Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 6/04/2001 Name: NICOLOS AVILES Total Fees: 25.00 Address: 725 AMBERJACK LANE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/04/2001 Phone: (904)247-7633 Work Desc: RELOCATE SERVICE CONTRACTORS . APPLICATION FEES P& L ELECTRIC SERVICE PERM 25.00 W w ire. ROUGH ROUGH ELECT IC �4 f All M tic r NOTICE- INSPECTIONS BE REQUESTED AT LEAST 24 HOURS P§6R TO II PECTION BUILDING MATERIAL,`RUBBISH A C�EbRIS FROM THIS WORK MUST NOT BE P (CED IN PLIC SPACE,AND MUST BE CLEARED UP"AND HAUL-M AWAY BY EITHER CONTRACTOR OR O R "FAILURE TO COMPLYWITH Tt STRUCTION LIEN 64WfAN RESt*t IN THE PROPERTY OWNER f!AYiW E POA ISSUED ACCORDING TO APPROVES wSA/H H . E�P/ T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVI 0 4 ATLAPttIC BEAH BUILDING DEPT. Date: 6/87/01 81 125.00 14 Receipt: 0063170 CHFUR 88100883221888 00180003221000 319 05/31/2001 14:54 9047710109 P&L ELECTRIC SERVICE PAGE 01 1� CITY OF ATLANTIC BEACH, FLORIDA A116;4-d i APPLICATION FOR iLICTRICAL-PERMIT 70 714E CIIIEF 1141CT111CA1 Inks tCtOR: DAs[:.,, — IMMRTANT Notice: IN CONSIUEAAIIU14 OF PERMIT MEN FOR DORIC 111E WORK AS bESCRl6E0 NI TIIE FOUOWINC.WE 1it.. . IIERINY AGREE 70 PERFORM SAM WORK IN ACCORbANCE WITII T►IE AiTACIIED PLANS AND SPECIFICATIONS, WIIICII ARE A PART IIEREOF,AND IN ACCORDANCE Willi INE ELECTRICAL f1EAULATNNIS,CODES AND CETT OF �' r t ATLANTIC OCACII ORDINANCES. IftIMICAL MINI NAME, t _A-d 6lOO.tILE _ �� T /rr 6tTlNEEN .�i '' fi ' i i AEt.1}{ MT.1 1 COMM.1 1 fiNt1C1 1 MANK.1 1 NEW 1 OLOM" NEW.I 1 RIS �r A001T1DN 1 1 TRAILER 1 1 TEMF,4 MANS( 1 s0.ft. iERVICE: NEW 1 1 NN:pEAs[t i p[tA1R IV M pis • CCa.:vc un ti:: CONDUM" AMPS ER If IMI[,{'M6R[AK[11 WOV&APS Q� c sxln,t[qV.tllE INM -^%%I-L c WAY FEEDERS NO. pii Cb I NO. SIZE NO, site - -- - �. LlCNtINO OUTLETS OONCEALEO OPEN TOTAL t1ECEiRACIEt OONCEAL[O OFEN IOTA •N win.. "`��at too ANi RICANOEtCCNT FLUORESCENT(V M.V. APPLIANCES _ - SELL TRAFItF�� Affk N.Y.RATING N.►.RATING CONOITIONfNC cow*'MOTOR OTHER MOTORS AWS e1111EA1: NW-NEAT 6.1 ev MoTok 11•P. VOLTAGE FITS NO. NEF VOLTAO! MIS -' SCE LANEOUS TRANSFORMEpt: uMDfil i40 V. OVER00 tlV. NO. RVA NO. VA - . .. EACH SIGN RANSF. NO. VA. _ MA. MOTWI SI;E for to FLASNE F• f��j �� c �f FORNAROEO /�.G/LL',"ri�A�' c�JCr�i✓/CTC:. �sY //oLty'd7'<f'.. • - - - -.. ._.�. totnEFEES may' .l�G ��n .IrC.»�ter�' �► -.. .. .._.._.. .. _�� C SUD ��yy pp PSH-3844 a ,, _' V G7 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACFI ....... PZRMI T I106R"T ICI0 -_--_- ..--. ..-".. LC3CAT I 4N INFORMATION --_-... Permit Number 'g6-S6 Addzeeec 725 AI`+ ZRJAC>R LANE Permit` `"' BUILDING ATL TIC 139ACH, 'FLORIDA 32233 Clew DD -. Of Work: AITl0# � _-- LEGAL O,ESCRIPIT 1O1f- --------- Cons t r., TFPe: D "RA L Lot: , 10 160 : 5 S60t'ion Pre,l os d, Losse- ,SCREEN, OCLOSURE '��wnehip RNa* 0 Title 1 Cade: t? Su}adivi 4n: ROYAL PALMS 'Ee.t mast d "Value- �4216.00 rv, Cost:, $0 'C10 ro Aman a . 50 r 10 low F APPLICATIOlt 'FEES AID w�P a , A' AVILRS PERMIT $5,2 . 50 Adder pL t A'i 1S f``�k a F t ' 00" 1 03,V--ACALANE : 1 Al J 'i ai+ 2 76 3 ' WATER MZTZR/TAP $0.00 �. " RA�OI C7A R • SO e V 4 1i17" TO It i0 ' I!� RADON CAS, 6 so„ 00 Address". twIR CROSS CONNECTION "nee. Type• 1 131�C". H IMPACT PER, 00 SCAtCl / NC3TES"": NCYPIClr`-=ALL.CONIPRET'E-PbAMS AND FOOTINGS MUST 4E INSPECTE0,86FORE POURING PERMI"f V040 SIX MONTHS AFTER LATE OF ISSUE A' BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACE©IN'PURL#C SPACE AND MUST BE CLEARED UP AND HAULED,AWAY BY EITHER CONTRACTOR OR OWNER "FAILURETQ, 00 SLY 1NI. HE NIECHA�I VS, LiE"N. Lel` CAN RESULT l'd y `HE PROP RtY 0111!'1 I R 4VINGTWICE FORTHEtI O1N f APROUEMENTS" ISSUED ACCORDIING70 APPRC)U>~b PL AN$WHICH ARE PART OF THIS PERMIT AND SUBJECT TO,REVOCATION F08 VIOLATION OF.APPLICABLE;PROVISIONS OF LAW. A"CLANTIC BEACH,BUILDING,©EPAJIME,T QIIII� I> x.54 Imo. 1511 " k OF ATLANTIC BEACH PERMIT APPLICATIONYREMODEL, ADDITIONS OR ALTERATIONS TIONS Owner(s) : l J¢2 Address : � �, —Phone:,��_- (a 3 3 Lot Block or Unit r Subdivision: )�'uyW Contractor• 06&4)e �. State License # Address: Phone No: Describe work to be done: P� 2 Present use of building: Valuation of Proposed Construction: Proposed use: axq $ Is this an addition? \M-"-s _ If yes, what are the dimensions of the added space: _at), G '1 .ft . X ` W ft . Will the added area be heated and cooled? "`� New electrical (or increase)? ')L6 New plumbing fixtures?_,X&L New fireplace? New Heat/AC? yt_�) � SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signore OWNER: LL-L— Date:_/- Signature CONTRACTOR: Date: - %- 0 V ate:pV License Supplied• Q��`��,\�'o5;4 TIP T o� Liability Insurance: CRP �, j co $ '3 1995 ' FF- Worker's Compensation Insurance: -'}`�'� �� Building and Zoning CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carp t/Porch @ $ 6",per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ c 1 " `_ SZ , I (I Total V a,13ation 1st $ '' Remaining Value $< . per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $�7 C0 GRAND TOTAL DUE $ '� ADDITIONAL PERMITS OR FEES: Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: Y2,AWL CIt (P)F"A R OfV TIC Q llUlL-OING opr,8�CH �- EB 0 3 15- 99 By ZZ 1. &:14 CD � N � ��� 3 01995 Building and Zoning r t6n 4 Li a wAv i • Yt � p 1 CT 1t I s �aA7"yn 1 o APPROVEn CITY OF ATLANTIC BEACH BUILDING OFFICE:' FEB 03 199 ` l'1 111-AN, 3 o 1995 q 1,3xilding ,and Zoning OWNER/BUILDER Owners/Builders of one or two-family unit dwellings, oc commercial buildings under $25, 000.00 in value, are exempt from the regulations as set forth in Florida Statute 489 when building for their own use and occupancy. The sale or lease cc offering for sale or lease, of said structure is a criminal violation punishable as a misdemeanor of the 2nd degree. In addition, the owner becomes liable and responsible for the employ- ees he hires to assist in the cons tcuc-_icn project. This responsibil- ity includes, buy may not be limited to the following : a. :docker ' s Compensation: for workers injured on the job b. Social Security Tax: must be deducted from employees wages and matched with owners funds C. Unemployment Compensation: may cc may not be required d. Public Liability e. Federal Withholding I acknowledge that as a Homeowner/Builder, according to Florida Stat- utes Chapter 489, Part I, I am oblicated to actually physically build the one or two-family dwelling which I have permitted. I further un- derstand that I must only hire sub-contractors that are properly li- censed , to work in Duval County, and assume full responsibility as a contractor, and will personally supervise all work on such dwellings. According to Florida law, consumers who hire unlicensed construction contractors could face a fine of up to $5,000. y Chapter 455. 228 of the Florida Statutes allows the Florida Department of Professional Regulation (DPR) to request the Circuit Court to im- pose a civil penalty of $500 to $5,000 on individuals who aid and abet unlicensed construction contractors. They may also be liable for court costs. Aiding and abetting is defined by the statute as anyone who employs an unlicensed contractor .or company. Consumers who hire such a contractor face not only victimization by shoddy workmanship, no followup service, and inferior products, they face potential difficiklties with the law. To check as to a contractor ' s license, DPR has a toll-free hotline which consumers can call. In addition to verifying a contractor 's li- cense, information can be obtained as to whether any complaints have ever been filed on .a state level. The hotline number is 1-800-851- 1204. I hereby acknowledge that I have read and understand the above notice on this '' day of 19�f OWNER/BUILDER Revised 3/04/88, WRS CITY OF r�a�stic ��ac`i - �wtid�t 800 SEMINOLE ROAD - ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-SM FAX(904)247-5805 Chapter 489.Florida Statutes,Part 1"CONSTRUCTION CONTRACTING" requires Owner/Bulders to acknowledge the taw. DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you as the owner of your property,to act as your own contractor even though you do not have a license. You must supervism the censt[UrAlm=r if You may build or im- prove a one-famlly or two-famly residence or a fame outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be fix your own use and occupance. it may not be bulk for sate or lease. If you sell or tease more than one building you have built yourself within 1 yoar after the con- structlon is complete,the law will presume that you built it for sale or lease.which Is a violation of this exemption. You t>]Ey not hire an uBliCensed Dm=as your contractor Your construction must be done according to build- Ing codes and zoning regulations. it is your responsibility to make sure that people employed by y u have Mses required by state law and by cmLnW or municipal licensing ordinances. Ordinances also allow an Owner to Improve their own property when it is for personal or family use,and likewise require all work(except maintenance under$2,000)be under a building permit and pass all nor- mal Inspections. The ordinance states owners may physically do work themselves;or may hire unticenfied Mmrkers provided such workers be under"direct supervIsIon of the owner,who must be on the fob site at all times while work iS in progress by unlicensed trades people." This does not allow use of unlicensed contractors. Since owners maybe liable for Irljudo to workers they hire,the Building Department suggests Worker's Compen- sation Insurance be purchased unless the homeowners insurance policy clearly protects the Owner. Owners hiring workers become employers and should also observe iRS witholding tax and/or Form 1099 requirements on the workers they employ on their improvement work Unl.ensed Calgraclors cannot be pm IQyad under ame clmucDgAnces Owners being subject to$5.000 penalty under Florida statute#455.228(1)kwtWatedvkrSuidkKrDbpadmentvkatRxw An Mccupational UcenW Is not ad- ficiLmM The owner should physically see the county•Certificate of Competency'or the Florida"Contractors WWI- cats"to ascertain a person is a licensed contractor. paitnto :{823 2425HHn4oubt` I hereby acknowledge that I have read and understand all the above on this: day of 19 ...�.� Witness.Building Dept. Employee Owner/BuIlder CSL NOTE. Phrases underlined above are emphasized by the Building Department. 90 7 7 Phone 7 OWNER BUILDER PERMIT AFFIDAVIT �;' S tits of Florida ) City of Atlantic Beach ) BEFORE E, the undersigned authority, P"00nsllY a `Veered -- ----- ------ who who upon fisdt bWAhV duly &worn, d e po/sew and s/ya yes& (� �• __--•�__YL rl.iFv a'." V"/ -- -------------0 and the 1e901 owner of the�flPl� prop* tyg Subdivision / y Block . ..r /!��g j AKA �j�. Lot „rte .-2 _. . I ae applying for a building permit pursuant Lo . %he Owner Builder exemption set forth in Florida Statute, Section 469. 100. Florida lav requires that I have been provided with thr following DISCLOSURE STATEMENTt DISCLOSURE STATEMENT •State lav requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that lay. The exemption allows you, as the owner of your property, to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence car a -farm outbuilding. You way also build or improve a commercial building at a cost of 023,000.00 or less. The building rust be tar your use and occupancy. It way not be built for sale or lease. Is you sell or leave more than one building you have built yourself within one year atter the construction is complete, the lav will presume that you built it for sale or lease, whioh is a violation of this exemption. Your construction must be done according to building codes and Boning regulationso it is yowr responsibility to make sure that people employed by you have licenses required by state lav and by county or municipal licensing ordinances. I hereby acknowledge that Z have read the above DISCLOSURE STATEMENT and that Z Comply with all the requirements for the issuance of an Owner-wilder permit. Further, affiant sayeth not. Property Owner - Sworn to and subscribed beforis of ` `e- �.�-_--� _ -• 19x1 YATAOV 016th •o- ©RUNING 76771 FORM N 1356 F.B./3� P G 4511 MAP SHOWING BOUNDARY SURVEY OF LOT 10 , BLOCK 5 , ROYAL PALMS UNIT ONE , AS RECORDED IN PLAT BOOK 30 , PAGES 60 AND 60A , OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA. CERTIFIED TO NICOLAS & ZAIDA AVELIES PROFESSIONAL LAND TITLE SERVICES GILBERT-KRESTUL MORTGAGE COMPANY 1' j ref 3 01995 Building and Zoning 4OrZo PNSrJo20 OZ �i(� 80.(0,,x- ' o �P /o'E�iS`MEwr:. o. o•� I i I j z7-77 Z G m 0 /0.4. N � �' �.��• v Ia Z�f.G" .m. ' ,5• `28 � v t5'B.RL. c M A ONG A l.JG pQNF 1 C P •a . �..- 85'20 OZ�. &�•�5' o Ow- ,4/yB�444- /7& P$f�3844 8278 f o 01EPARTMENT©F OUILOING CITY OF ATLANTIC-StACH. i PE�,�T ;Y HPbRxillibs, LflCAT I QN INFORMATION Pt mltum y 827,8" Ad,dr6S6:` '725 AHBERJACK LANE ' Prm ryyRBti3NtyClt1 'ATLANTIC BEAM FLORIDA 323 OLEGALUSCRIPLAON ---------- - P'0 — I t z peg .:Wfi�CI! Lat 1D $ + Section: #P+ 3a e: PATI-C 3 Ca Township,: RNC-: 0 Cry .k subdivision: Ab A.L PALMS Est 1Ai''I~ 00.90 08 00, TCr' ei': ` : .' A "rC7 05100 DECK .AROUND POOL P'BR PLASS to Pts t Ar0f PERMi -C TIONL FEES y r A � *i0 IMPA "h 0-0.00 j 3 'S N 'A FEE'Alp : '. YTh � bfwr b . i t H t+4e; Y HSR O+A,P�WpA�LI IMPROVE. 9.A0.t��0ry .,tdti ' HYDRAULIC SHARE $0.00 p : CH 3S 8 .CONNECTION, 0 0 SEC,H 'IMPACT PEE t ": 10 % N reed 0 ,:N�TESri NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE IN$PECTE0 BEFORE POURING t PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILi�IN<a,MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT:BE PLACED 1N PUBLIC SPACE,AND MUST BE CLEAR b UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER a'FAILURE,TO COMPLY WITH THE MECHANICS' LIEN' LAW CAN RESULT IN � THE #PROPERTY OWNER PAYING TWICE FOR SU11��1i�+IC' IMRRC�VEMENTS:" 'PSUEI; ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECFr TO REVOCATION FOR VIOLATION OPAPPLICABLE PROVISIONS OF LAW, f ATLANTIC BEACH BUILfliNG DEPAR MENT 0000000 V00000000 t�^5.00 14 Dde: t+94 01 :om 0049834 7 r CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : F , Address: Phone: Q01-1- '7-'7f �3 Lot �O _.lock or Unit # r _ Subdivision: Contractor• Address : hone No: Describe work to be done: Present use of building: Valuation of Proposed Construction: Proposed use• Is this an addition? If yes, what are the dimensions of the added space: ft . X ft. Will the added area be heated and cooled? New electrical (or increase) . New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date:�_ r� Signature CONTRACTOR: Date: BRAVING 767,4 FORM N 1356 E' F' F.B./N PG 73 MAP SHOWING BOUNDARY SURVEY OF LOT 10, BLOCK 5 , ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30, PAGES 60 AND 60A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA. CERTIFIED TO NICOLAS & ZAIDA AVELIES PROFESSIONAL LAND TITLE SERVICES GILBERT—KRESTUL MORTGAGE COMPANY LnT Zo �plvnGSo r ZZ P/vP.�J�� Zf�l/• BO•r'o5- o �� /o'EAS`MEwT IS i . M z71 ;g! D.VE 57UR�'Gc•�:. X -277' -2 -a m t+6'B.IPG. j y s I HEREBY CERTIFY THE INFORMATION DEPICTFn HFRFnN ec � h T l- • a ff N 4 t f✓ a i OWNER BUILDER PERMIT AFFIDAVIT �;-' Stbta of Florida ) Clty of Atlantic Beach ) BEFORE ME, the undersigned authority, personally ipr&arwd - --------- who upon fix"t b.rinv duly worn, depoQes��-and says I• 15J - � ..-.,. and the legal owner of the tollowin �propertys Subdivision Lots AKA -------- ----- �.. •- - - - I am applying for a building permit pursuant Lo %Ise Owner Builder exemption not forth in Florida Statute, Section 469. 100. Florida lav requires that i have been provided with the following DISCLOSURE STATEM6NTi DISCLOSURE STATEMENT Mate lav requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that lay. The exemption allows you, as the owner of your property# to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence Qr a farm outbuilding. You may also build or imprc.ve a commercial building at a cost of 025,000.00 or less. The building must be for your use and occupancy, it may not be built for sale or lease. If you sell or leaks more than one building you have built yourself vithin one year after the construction is complete# the lav will presume that you built it for sale or leans, which is a violation of this exemption. Your construction aunt be done according to building codes and zoning regulationir, It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that Z have read the above DISCLOSURE STATEMENT and that T comply with all the requirements for the Issuance of an Owner-Builder permit. Further, affiant sayeth not. Property Ownwr Sworn to and sub �ribed before this day DEPARTMENT OF BUILDING FOR OFFICE US ONLY CITY OF ATLANTIC BEACH, FLORA Date,�1�� a Permit 4t�aFee $ Valuation S Application for Permit for Miscellaneous Alterations, HOUSE # and Repairs _ rDECRIBg: ." (State if to r.eparir, alter, add to or move building, erect ngs, signa� etc.) Building on; Toot No: Blk No. Sub.Div. Zze Valuation $ !bb do Owner BUILDINGS AM OCCUPANCY Building Use -- `Resi deotial or Business What Plumbing work to be done? Size of Present Bldg. , Size of Extension. Lot 6ize, No. of stories now after,,altere�t., , _Xa,lteria Material of Present Building ,Material of Extenvk, n NECESSARY P S Ta BE SYWLTEDHEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil. Burner 'or Gasoline Pumper Type or Model Name and Address of Manufacturer Is e9nection herewith, application is also made to install.: gal. capacity tank(s) made by of- gacge metal } ground. (Name of Manufacturer) t Gnd:�r or Above),- (Under tender ar Above of building. For _(15F;136 or u s a (Name of P57rchaser-) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE 4F THIS BRAN ; SIGNS Size Claasificatian (State whether ground, root, wall, pro ec ng, er) Material of Construction Illuminated? , 7ype ng illumination (State whether amps or eon Will sign be over public property? SU RAW Nt3 SHOMNG CONST UCTIQN OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) COMPLETFM IMPORTANT NOTICE: In consideration of permit given for doing the wo as described in the above statement, we hereby. agree to perform said work in accordance with the; attached plans and specifications, which are a part hereof, and in, accordance with the building regulations of the City of Atlantis Beach. (Southern Starard Bld g code) . Signature of Builder or Owner Addres '7a ' Phone No 2!L 4 Z