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1952 SEVILLA BLVD W RESO21-0085 WOOD DECK 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 IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: % .:s-Z SSV/ 4 ,6evz etl. Aji , 'c N(4c . FL Permit Number: ��r1 2 ' - v g p ,L 36.5'Er°____B__ vlT" RE# /6I V6.2 6y35 Legal Description � IN PL.?-r �5 "7 •��°� Valuation of Work(Replacement Cost)$ •20; 000 Heated/Cooled SF 3,300 Non- Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration gRepair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Ptesidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No t'-jA • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) , No Describe in detail the type of work to be performed: 7' 4!n(E 60006 it cyv. I5 OAt/ /JELJ 7-1:.4,7/C ear/205,7 So/9,05. Florida Product Approval# for multiple products use product approval form Property Owner Information Name 1itJ7 ,O aJ Address /7.5j- iv/ta 2941/4 id City L41AIr7/C IQC%' State Zip :907, 33 Phone 904/-- 740 " 65T E-Mail Ez-YR757 cf. 6--"fm_., 0.0/f4 -Thix/og7 60//n 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 Number State Certification/Registration# E-Mail Architect Name& Phone# Engineer's Name& Phone# Workers Compensation Insurer OR Exempt ❑ Expiration Date 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 a ork will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separat ermit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, and AIR NDITIONERS, etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this prop y that may be found in the public records of this county, and there may be additional permits required from other governmental en ' ies 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 R,ECORDI U11 TI E OF COMMENCEMENT. (Signature of Owner or Agent) (Sign- ure of Contractor) dip eddnd sworn to dor .ffi .efore me th.s- ida/y of Signed and sworn to (or affirm_d) before me this day of by:.AAi' -_;� 2/7'CTE , by T(gna 'of N! (Signate of Notary) [ ] Personally Known OR [ )Personally Know"OR [ ] Produced Identification Jrad�C�t9JI�I�Rtif ation Type of Identification: j XPIREVk 'bf �Tc�ti J Tnru ry ni � lb ensTi^rs Owner Builder Affidavit **ALL INFORMATION s rt'--L'1 4 HIGHLIGHTED IN "' City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 c °j;}'r v Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RE�C)ZI - OO 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$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: /1-5A .5.61//a/1 B446 11 i7 . 477-#/4/7/C C 1G, 32-253,' Owner Name: V741/674/ 2? QQ,-3f/'/v-T� Phone Number:90JJ76a�26$? Mailing Address,;/ SFV/‘C OL�� 57' *ty/1711.40taie 6&i State: Zip: 3-1A.3.3 � T � Owner Notarized Signature of �/ Th. for oing instrument was acknowledged befg e me this' day o AK _ ' , 20Z(, in the State of Florida, County of C. Cil Signature of Notary Public ./- c ___...- j____ [ ] Personally Known OR [ ] Produced)Identification Type of Identification: "�-� • C.-- tPa'vPGe•., TONI GINDLESPERGER Updated 10/24/18 y°•. `, MY COMMISSION#GG 353178 14 w-:. , EXPIRES:October 6,2023 ,,ok F'? Bonded Thru Notary Public Underwriters 1 :1: ;moi MAP 7HOWING SURVPY OF: LOT 36, SEVILLA GARDENS UNIT TWO, AS RECORDED IN PLAT BOOK 45, PAGES 7 AND 7A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. S 50 PRIVATE RICHT gRD ryEST o POINT OF f.5' CONCRETE PRIVATE RICff7_OF-WAY REVERSE CURB & GUTTER "` CURVATURE ` i 4 ":26 Lfr LPL %°� � • ABLE co. AILBOXERISER ��!' w. .35.4.. \ DELT =42'Q43.1: \\ \ 2" IRON \ ,,RADl.S S(j O0', PIPE (NFOUND O CAP) 6 7. WATER ... .... \ jMETERoSq.5 N\ A; q .5 j�R '4 ��c \ ~ ca LOT 35 ,9 i.I'. ° "3 \ \ A 22s' a \ ,� \oATT4CN \ LOT 37 GARAG£D cno, c.1 \ �V ° 1 •\ 0 CONCRETE 0, Di?, -° \-a 'IN A/C PAD °j PE - . Y o °� CONCRETE TILE q 4 \ ii, \ S ,co 3 0' TOOP WITH STEP \� o A/C UNIT 111111ftor \ 'ZSa Cove ir 12j' TT `AA^fRyEB 6,• o \• t.f I� m • >09 '\ . \ * \ . ON BLOCKS CAS TANKS s Res, CE R1B zTUCCp \1 01 CONCRETEn•• o t PAD—' —+Q 1:4—• \, 2 5' k ivc-) co \ \ N.;;;, + 2s s SCR \ W \ '$'' C .6-$7.-,576). Cif \ 4 \7.5 y OpD s\y �, Mpl v9 9� 000., �£Ck ) w 0. oti9 y�.1, 7� po w o t. leP + \ . 1G -9 \ 6' 26. 4Q¢ol �c4`C 6 a + la" S P°e 0`04 4 w LEGEND: 2.5' e w o DENOTES FOUND 1/2"� REBAR LB. #6702 `� / 0w� POND • DENOTES FOUND1/2" IRONPIPE LB. #1048 + I TRACT "A" UNLESS NON—RESIDENTIAL NOTES: -- / - /20Z - -1ca,/ n c 7 7 ----- JE '1V;' 5•'70'711Y •?J Qli Yen 09 ,' /T Ne /2J 1;1 ro7P9C1 ',1 5v-id -)1_92411 tl 00126040(2 P94;r7d9) 5101,21t/4 _ s",t1r i 1 0/ 1: l'°A e �,$lo,. ex Q y o a/v4 of ryo!W 19 79 a ') �o 43 :9G ON 199Q 400.1S J _9 11? -- _— 19 4 , 1 _ „ 1 -102 ____Nc_ , , , , , . , ��a � rvj w C, t/1')-7 ' Q ?1Lc /r74 71 72 4 7X176 kiln" ?b q N\ ©C�0er) 9X2 N19111d Rv •'5Lofil o C7 r! 4' ! �, i8 1 tl . �171- 57 � ,Lsad y 7) 92 t/ 1x /s U 1-l1irv-) S4-0-Hog-7»? Ct 9xZ �' d'y 41 5 N/l Sr�c 7 '50 :7;777 o- ,0'o 01 i-'24149 e?z— S;1s/or -Z\ �— - )5 r o j'1 ,j YY 1i Spc=? 1.2101 S 0 P/2 .7.19a -21-941ld 'e