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1518 Richardson Ln RES21-0300 Add Screen to Porch RESIDENTIAL PERMIT PERMIT NUMBER r - A RES21-0300 CITY OF ATLANTIC BEACH ISSUED: 11/1/2021 J� 800 SEMINOLE ROAD s'tt ii9P ATLANTIC BEACH. FL 32233 EXPIRES: 4/30/2022 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1518 RICHARDSON LN RESIDENTIAL ALTERATION ADD SCREEN TO PORCH $150.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: , NUMBER: GROUP: 172180 0000 DONNERS R/P COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: BLAIR CHARLIE MAE 1518 RICHARDSON LN ATLANTIC BEACH FL 32233-4331 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II` YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $55.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$86.50 Issued Date: 11/1/2021 1 of 1 JOB COPY REVIEWED FOR CODE COMPLIANCE or-' Building Permit Application rr City of Atlantic Beach Building Department REVIEWED �f ') 800 Seminole Road, Atlantic Beach, FL 32233 By Mike Jones at 2:55 pm, Oct 25, 2021 Phone: (904) 247-5826 Email: Building-Dept@coab.us " + /stk./Limn,.tr zk.tt, «,. Job Address: /5irr OR ctue4 "c/. f? /_1 AT/anIIc Arm Permit Number: K�-S cZ (/y O3 )C)1 Legal Description V r1,`1�r 'i r<fr P.4 L0 Z P4V( 'Ib L04 D RE# l7L I 2- Uoc,C) 1 ;., Valuation of Work(Replacement Cost)$ 150 • vU Heated/Cooled SF L K Non-Heated/Cooled • Class of Work: /New [Addition DAlteration ❑Repair ❑Move []Demo OPool LWindow/Door • Use of existing/proposed structure(s): []Commercial L?esidential • If an existing structure,is a fire sprinkler system installed?: []Yes ONo • Will tree(s)be removed in association with proposed project?Oyes(must submit separate Tree Removal Permit) ONo Describe in detail the type of work to be performed: 4 tic/7N/ SC r c-s'i 7c) cie r/ Honda Product Approval# for multiple products use product approval form Property Owner Information Name C"k'/lrelZ - C ne4 r'/,c fYL7e Bkl),Z Address City 47ta obe zjetleCi, State Fill Zip 3'72-33 Phone 96 z/- „Sgi E-Mail C.,410'-i /3/41-X SO yahoo , Cc't>r7 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 R Exempt 0 Expiration Date Application is hereby made to obtain a permit to do the work and installs • ns as indicated.I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be rformed 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 RECORDING YOUR NOTICE OF COMMENCEMENT. EC (Signature of Owner or Agent) (Signature of Contractor) Signed anid sworn to or aff :d)before me his?'•ay of Signed and sworn to(or affirmed)befor= e this_-,day of -' G •b,►' '4 Atli !ir l • I/ - ,by - - _MUM `7�•nat ' ��: . • ignature of Notary) ( ]Personally Known OR MY COMMIS *ti G tr son: y Known OR PIRES.Octobet I [ j Produced Identification ?;.%3- ��c�Lc: Identification Type of Identification: ?e�! ' BandedTtwNotaryFu-li I tification:. JOB COPY Owner Builder Affidavit **ALL INFORMATION HIGHLIGHTED IN a� City of Atlantic Beach Building Department GRAY IS REQUIRED. '� ____ p 800 Seminole Rd, Atlantic Beach, FL 32233 r�,�/� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RES21-0300 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$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US)IF IN DOUBT. V. ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: /5/f fZ/CharAce? Gam' 4r/e I/C eeereh Owner Name:C firl%/ mar Alarg Phone Number: qi,y-5ei/- g-743 Mailing Address: ,140/-71e- City: 41i - V M State: 1C/4 Zip: 3-2 .3 Notarized Signature of Owner LLQ ./V,Zu4 The oing instillment was acknowledged before me this C-�3 / 2$ , , in day o•im. D , the State of Florida, County of 0 JCL-\ • cii Signature of Notary Public _CJ . ' _ ,c_j_Th [ ] Personally Known OR[ [ Produced Identification Type of Identification: . L. Updated 10/24/18 ;pirr. �,,• TONIGINDLESPERGER i►; ,•, MY COMMISSION k GO 353178 -es... EXPIRES:Ochber 6.2023 t ...".:C.&,'i P�' Bonded Thru Notary Puh�ic Underwritass t __ JOB COPY I HH ' + , REVIEWED E i S��e�� g n A Q I I j i5►g R‘cl4*ar.Asof, ex). By Mike Jones at 2:57 pm, Oct 25, 2021 1 1 i ' I i , I I 1- 5creE'1 ( - Sc rcc�t' l l -----------T..................._.______.4 1 I ! t I 5c(e'en 1 1 III aCJot*. I 1 Knee\Aict Li____�j� - -• [ I IIo+-�en'1 I p tai-e-1 ( , , 1 /1. ft/)cho� Ir / o� ICe'�Fc� �, Fey 4- Knae �ta�.t- ' ,. 1 , r I cv ; , 1 OFFICE COPY RECEIVED By Toni Gindlesperger at 3:21 pm,Oct 18,2021 Revision Request/Correction to Comments HIGHLIGHTED IN J 1 City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 x:319, Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RES 21-0300 ElRevision to Issued Permit OR X Corrections to Comments Date: 10/13/2021 Project Address: 1518 Richardson Lane Contractor/Contact Name: Calvin Blair Contact Contact Phone: (904) 591-8743 Email: Calvinblair50@yahoo.com Description of Proposed Revision/Corrections: Adding screen to an existing covered front porch. Also framing for and adding a screen door This is not a sunroom. The correction request is to fill out a sunroom enclosure affidavit affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? ®No ❑ Yes(additional s.f.to be added: • Will proposed revision/corrections add additional increase in building value to original submittal? ®No ❑*yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) ® Approved E Denied ❑ Not Applicable to Department Permit Fee Due$ 0.00 Revision/Plan Review Comments Department Review Required: Building Planning&Zoning REVIEWED Tree Administrator Public Works By Mike Jones at 2:53 pm, Oct 25, 2021 Public Utilities Public Safety Date Fire Services Updated 10/17/18 REVIEWED JOB COPY RECEIVED . By Toni Gindlesperger at 3:57 pm,Oct 18,2021 By Mike Jones at 2:53 pm, Oct 25, 2021 nvmmv.irvu—r gUNROOM ENCLOSURE AFFIDAVIT The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted.at your residence. The table below,Sunroom and Screen Enclosure Requirements provide e a brief description of•the'various sunroom category requirements. There may be restrictions on the use of your present home depending on the category . of sunroom you are installing. The property owner is hereby notified that should they make changes to the sunroom which could include,but not be limited to,addition of any form of temperature control system or removal of the doors/windows separating the sunroom from the host structure,the room may become non-compliant with the requirements as mandated by the Florida Building Code,the Florida Model Energy Code and State Statutes. . OWNER�rp �] . I have read this complete form and understand I am receiving a Category I S`SiriSroearnn.Clcfch PrintedNameCalvin.Blair 1518 Richardson Lane Address Signed: Date: 10 i 14 / 2021 Before me this day of in the County of Duval,Stole of Florida,hes personally appeared herein by himself/herself and affirms all statements and declarations herein am true and accurate. Notary Public al Large,State of County of Personally Known❑or Produced Identification❑ ID Type Sunroom and Screen Enclosure Requirements Category I X II iII iV ; V Habitable Space No No No Yes Yes Foundation Walls<200pif Walls<200plf Walls<200pif can Walls<200pif Walls<200plf can can have 8"W can have 8'W have 8"W x12"D can have have 8"Wx12"D x12"D ftg or 3- x12"D fig or 3- ftg or 3-1/2"slab if 8"Wx12"D ftg ftg OR have site 1/2"slab if no 1/2"slab if no no concentrated OR have site specific concentrated concentrated load>750Ib OR specific engineering load>750lb OR load>760Ib OR have site specific engineering have site specific have site specific engineering engineering- engineering Existing exterior GFCI outlet Relocate or add additional outlet to exterior if enclosed Exit Lighting Not Required Required Required Required Required interior Electric Not Required Not Required Required Required Required Outlets Emergency Egress from Egress and Exit Egress and Exit Egress and Egress and Exit Escape exist. structure must meet code must meet code. Exit must meet must meet code. Openings allowed if open to , code. atmosphere and has screen door leading away ' from residence. ' Misc.Window Host structure Windowsmust Windows may be Host structure Host structure and Door windows/doors be removable fixed or removable. windows& windows&doors Requirements shall not be Host structure Host structure doors shall not may be removed. removed. windows/doors windows and be removed. Forced entry, air shall not be doors shall not be Forced entry, leakage and water removed. removed.Forced air leakage penetration i entry,air leakage and water requirements and water penetration apply. penetration requirements requirements apply. I apply. 's Wind Borne Required,can be on host structure, if built under existing Debris Opening Not Required Not Required roof Protection Energy Sheets i Not Required Not Required Not Required Required Required i1