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2335 W OCEANWALK DR ACC21-0052 Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY `if We IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: SSS C2CL c1 v( (,,) /i( l) !. (,,). )90 Permit Number: /'"1 ' CA.}`��.2_ Legal Description 2.G.71' .32 -t,'74 3 RE# /C-C''4,3 —A06 Valuation of Work(Replacement Cost)$ /g©.O. Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration l‘epair ❑Move [Memo OPool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes IV(o • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) IMQo Describe in detail the type of work to be performed: •74-ie £ t�i�„n (-3a it ._.- Florida Product Approval# for multiple products use product approval form Property Owner Information Name .J f'- rv- � V� 1��-( � Address .-7J. .S— ace .t LJ City }+ / 7 .1Ij, State 1'2_ Zip 322L? Phone �fi ( may'-�( y 7 E-Mail 'e�,?'eitoA -)iso 61-Chnr-f- Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Qualifying Agent Address City State Zip Office Phone Job Site Contact Numb- State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt 0 Expiration Date Application is hereby made to obtain a permit to dot.- work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and at all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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. 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 REC= 'DING YOUR NOTI E OF COMMENCEMENT. • (Signature of Owner or Ag ) (Signature ontractor) Aide 1- t ed an sworn to(or ffi O:.d) •efor- me iZ _ day of Signed and sworn to(or of' med)before me this day of ,2OZ1by1g ?� I! ,by jam• . .f .,. (Signature of Notary) ONI GID SPERG R [ ]Personally Known OR ,r .ak MYCOMMIS 5Ib ow i OR [ ]Produced Identification '. •;.; EXPIRES: gScg �entiPcation 'Fo'n=,roc, atiirc Type of Identification: Bood2d 7hru NotTaYy�u� �1ne S Owner Builder Affidavit **ALL INFORMATION HIGHLIGHTED IN "' City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 —oft Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: 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 SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. 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. 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-DEPT@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: 0133S- Oc ai ni,)ag DE,, td 4f/e 'ice ,eft j Owner Name: J C4-fty Phone Number: �4 63;-:7 Vf, Mailing Address: _jCkM. ' City: State: Zip: Notarized Signature of Owner ' L The fpregoing instrument was ack wle, ged b ore me this 2- ( day o Qf , 20? , in the State of Florida, County of 3 v" Signature of Notary Public [ ] Personally Known OR [ ] Produced Identification Type of Identification: Updated 10/24/18 v r� TONI G',NGlc.:z cRGER p MYonCOMMISSION#GG 353178 EXPIRES:October 6,2023 ,! Pu��i�Undenvrilers dadTh _.ka� z rvtnt ....)11‘../vviriv L3vUIVUi-\r I JUR VC T ury 1�� � -)0611 v� LOT 11 LOT 32, OCEANwALK UNIT THREE, AS RECORDED IN PLAT R) ! J BOOK 42, PAGE 74, 74-A, 74-B & 74-B, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. / 7S 17. 507.30.1 --.1� is•O��/•3 (it; e 9. CERTIFIED TO - (C44,-,,P'3� ) JEFFREY K. BELL & PATRICIA R. BELL P�"" ALARION BANK `v •q•S AMERICA'S CHOICE TITLE COMPANY / r•-.. Op LOT 34 / / / --..o / / 3 Q', // a ..I 3- MU a • / ^ Q Y-,:1.-. \\, 20'EASENDIT FOR DR...ACE. A.-:1_• / �/ N UNITIES t SEWERS P.,/V / Y a_? Ey M u C.J 0r �ci�� LOT 32 O 0`\ �t LOb ,� ��l" ` ,o�,y° \f 4.4 0 1. 171f ? %. 3. E a . i. 66 25 TO' ' qQo �y�0 9 5p9 6 2�25 REO, ti, Q •., s 6 MEPSv �° A?s 0 00 LOT 32 � °o,w \ LOT 31 / . =6. msPAD • .4�� @s v A 1 ... Z -A co,... A 0 •iTT� 4 0S, 6 `ST' 0.2' y s k0 �>> MOW ID ,°•r J Q., O ? ' ` e X23 7.1' -3(A U7 stn n > �O (Sk �:. °e• IS e W w y -S-IS, was `Al',.. �o• ^v lc. • 13m SW N (� 4, 1. 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FENCE t\ REVISIONS Ray Thompson _ - DATE DESCRIPTIONSURVEYING, Inc. -" 'Going the DISTANCE(or You, 4merica's Cho e 4613 Philps Highway,Suite 210 Jacksonville,Florida 32207 TITLE C O M PA N Y (Phone)904-448-5125 (Fax) 904-4465176 JOB q 18736 I DATE OF FIELD SURVEY: 1-19-2011 I SCALE: 1" = 40' CERTIFICATE NOTES: I HEREBY CERTIFY INAI !Hi' '• IFN3A' •j,�HOER Nr RESPONSIBLE CHARGE I: BEAPoNGS ARE BASED ON NE _PIAT__BEARING OF --i56.•25:25_E___ ;f'AL STAND SET FORTH BY THE FLORIDA AND NESTS RHE SSIGN t'" ALONG THE NORPLOTEFTLr BOUNDARY UNC OF SUBJECT PARCEL BOARD OF PROFESSON ' "vEYORTi HMH4 MAPP.�T:1 CHAPTER 61617-6.FLORIDA 2: BY GRAPHIC PlOTi1NG ONLY THE CAPnONEO 1AN05 UE M1IHw R000 ZONE AORNISTRATIVE •• •'•I. ANT TO SECTION 07 100 ORIDA STANTES _ -...y.....: ..___AS SHORN ON THE NATIONAL FLOOD INAIRANCE NAP. . iti CATEO: AUGUST T5, TU9.COMMUNITY NUMBER: 120077 PANEL 11261.E. 7 03: THIS SURVEY REFLECTS ALL EASEMENTS t RICHT OF WAY AS PER RECORDED _ , PLAT k/OR TITLE COMMITMENT IF SUPPLIED UNLESS OTHEAVASE STATED.NO B' $,-gY1,IgH(1E CHOMPa jr OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. REGISTERED SURD lVD MAPPPE' X61 a6 STATE OF FLORIDA 4: THIS SURVEY IS NOT VALID TMTHWT AN AUTHENTICATED ELECTRONIC 9CNAfURE NT. . . 7469 AND AUTHENTICATED ELECTRONIC SEAL j•''✓-'y LAND SURVEYS 0 CONSTRUCTION SURVEYS O SUBDIVISIONS , '-',-- lip-Na„, Pit.fp..jr v '-4 4. --. . ^ �� . , i . 0fats 4 ,. .,... . _,,,,,,_ a ., ,., ,...... . , , , , . , i ,. s. ,,......,, ,. , ,..r,4,4„... ..: -,, ,,,a.,,,:,,,,r,„.. , i _ _ ,„._ , , ,. ,t''7r .1 r 1.-- r' t ` K I `D'1 >.�1,.\ - #110.-...,.....,:,,...„, '�- •' J3J ,.:'_3- Y 's.� t:1 1 t4 ,e1i '�tl , . .._, \i\t1/4 '► r� • S r a.X.H 3 a . -. 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