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94 13th Street West ACC21-0026 ShedOWNER:ADDRESS:CITY:STATE:ZIP: HAVENS PETER 94 W 13TH ST ATLANTIC BEACH FL 32233-3418 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170805 0070 ATLANTIC BEACH SEC H JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 94 W 13TH ST ACCESSORY SINGLE OR TWO FAMILY ACCESSORY SHED $2000.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container cannot be placed on City right-of-way. 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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. 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. 1 of 2Issued Date: 11/24/2021 PERMIT NUMBER ACC21-0026 ISSUED: 11/24/2021 EXPIRES: 5/23/2022 ACCESSORY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00 BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.84 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.23 WORK WITHOUT PERMIT 455-0000-322-1000 0 $175.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $455.57 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 4 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Owner. 6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Owner. 2 of 2Issued Date: 11/24/2021 PERMIT NUMBER ACC21-0026 ISSUED: 11/24/2021 EXPIRES: 5/23/2022 ACCESSORY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $455.57 ACC21-0026 Address: 94 W 13TH ST APN: 170805 0070 $455.57 BLDG SUBSEQUENT PLAN REVIEW FEES $50.00 BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00 BUILDING $65.00 BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN REVIEW $32.50 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 PUBLIC WORKS PLAN REVIEW $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE SURCHARGES $8.07 STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.84 STATE DCA SURCHARGE 455-0000-208-0600 0 $3.23 WORK WITHOUT PERMIT $175.00 WORK WITHOUT PERMIT 455-0000-322-1000 0 $175.00 ZONING PLAN REVIEW $100.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL FEES PAID BY RECEIPT: R18126 $455.57 Printed: Wednesday, November 24, 2021 3:54 PM Date Paid: Wednesday, November 24, 2021 Paid By: HAVENS PETER Pay Method: CREDIT CARD 550641943 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R18126 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Building Permit Application Updated10/9/ 18 ri, 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: CT (/i ,6'( c2-,E. !" I e n7 A - Permit Number: C Legal Description 5 1 V - ( q VjY(7s RT1` Ac RE# /70g0J`0v 70 Valuation of Work(Replacement Cost)$ '2-7000 Heated/Cooled SF Non-Heated/C E Class of Work: ©New Addition EAlteration Repair Move Demo Pool Window/Do APR 1 2 2021x•_ Use of existing/proposed structure(s): Commercial (residential// If an existing structure,is a fire sprinkler system installed?: Yes IJNo CY: Will tree(s)be removed in association with proposed project? DYes(must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed:Con54-cc-tuft-0 r\ O I541‘Aci SciTtAChtfe. Florida Product Approval# for multiple products use product approval form Property Owner Information FF Name `k-7" -.-0Y-e--e- ( Address C 4 W4 341 S.fre+ City Lr Gt,t1 ' • State f--L, Zip 3 .l-3 Phone QO L- 4Sl -`' t 5 E-Mail PP+e411 1Yyu.( •UJ M Owner or Agent(If Agent, Power d#'Attorney or Agency Letter Required) Contractor Information Name of Company se, t -Cil3; cA C=+ r Qualifying Agent \ _ • 7 Address `IL-f' Li ('-- ` t" City / 1c3..4-Cc. State t Zip 37-2-3 3 Office Phone cl'O {`6F,S( ' ' ".A5 Job Site Contact Number 'O4'- State Certification/Registration# E-Mail c7 -'X b(r<c,t/efi .- C3 rVl& { , CO Architect Name&Phone# t J Engineer's Name&Phone# Workers Compensation Insurer OR Exempt r'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 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 RECO5DING YO R NOTICE OF COMMENCEMENT. Signature of Owner or Agent) Signature of Contractor) Signed and sworn to(or affirme before me this 8 day of Signed and sworn to(or affirmeddbefore me this R day of F26 , ac»-1 ,by e+e 1-1-oiL'evs F ba1 by eke \gv€k,s t e.f o .1 Signature of Notary) SMITH ctar.7u:,ic-State c'7Icrida jr KARLA SMITH ersonally Known OR `C$r4 Commission=HH°IEEE Personally Known OR . `: Notary Public•State of Florida rti; +ny C^.mm.cx.ires Jai C.20.24 Commission K HH 018840 Produced Identificati Produced Identification My Comm.Expires Jul 8,2024Bort:EC tirraugk aticca Notary rssr. Type of Identification: Type of Identification: Bonded through National Notary Assn. ACC21-0026 ALL Owner Builder Affidavit HIGHLI HIED I ON HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233y` D 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 I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: cm- GJe.64" )3 11 5tr e&f Owner Name: ye,f rQ// e,4L5 + _ L Phone Number: (04-—451— $4.S Mailing Address: 1 tie ,4 ( 3 J XRT City: /4.v.'L 1;/kirAG,h State: FL... Zip: 31233 Notarized Signature of Owner ,: ::--c--44---' The fore oing inn sstrument was acknowledged before me this 1 day of V.bf ill , 20‘, in the State of Florida, County of O,„,,dct Signature of Notary Public i, t, S.:.=::s---- 1 e""JENNIFER JOHNSTON 1 [ ] Personally Known OR [f roducIdentification I • = 14YCOAM93SI0N 81.40575791 cs` EXPIRE&°ci ben27.2°21 I Type of Identification: F L t 4 Q\ J `:Lt O4..„.'... Banded Tins Notary Palk UnduwMn 1 Updated 10/24/18 ACC21-0026 MAP SHOWING BOUNDARY SURVEY OF F,LOT ti, ULOCK 58, E:XCEP1 THE. NORTH 52.70 FELT TALI.([( TOGETHER WITH THE WESTERLY 10 FEET OF LOT 5, BLOCK 58, EXCEPT THE NORTH 52 70 FEET THERE.OF SECTION "H" ATLANTIC BEACH ACCORDING TO THEPLATTHEREOF AS RECORDED IN PLAT BOOK 18, PAGE 34 OF TI-4E CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERTIFIED T0: ROBERT J. FEGAN, STEWART TITLE GUARANTY COMPANY, WATSON & OSBORNE TITLE SERVICES, INC. AND RANK OF AMERICA, N.A. ORCHID STREET 50' AVW) 19.3(' (RI I 49._10•(U9 1OC, SLAV. ' `4 • ! DEcCVE 3/ a' T/2.LB. 4803 LB. 6085 LB. 2772 LB. 5485 . . • . 10- "' --le p T J 52.70•(R) 201.53(R) 52,72-(U) 4 GOND IA.- 12.v a.9• 16.7' i FL I Q i.0. 1: 4.e IO.R' v; VI1 i23. b I. i-STORY FRAME 2.5, Y 1 Y'•- cDu.} 0 A COOUINA i2; `` p 'n 1ul ti LOT 6 RE9! MCF.. iu 2 O x A ti w/t3'EAVES ^ o :.,.. 1, y o_Jtr1oqm• O BLOCS( 56 v N0. 94 j ¢,,,rd Of- a m o"CDNC.--~ 7.7,Z•". • u co h ITS A/C RPO 4.3' , ; • x44, j 41 W i COV•D., , CONC. 4 3 t6 263 - 4'..?pp-,....j I! c' ____ M r NOR TM 52.70' _ 1 11VV//e~ it 111 4 J t 2. 9 g.n .- sail q a7 EXCEPTION Or— 0 1 J LB. 4003` , - ' 1 1.3/1 DECLIVE . 1-Li 18. 460! a.-.Gout. C d, 49 28' (A/ L WAU( II .F ' 49.30' (R) i Clien1.6.4) LOT 5 BLOCK 58 1— ROVER*ENt3AL ROVER* p N , ,.' ''' , I.ANGLES ARE SHOOT ON MS STOW), y 2.SIFAICIU2f NO _.4i_.1T00YN fAFIIN UE5 O .NIICLOW,'.CNC_.i AS HIST fKtrRuit4:1)/RUN fEM.A.fUXTO 9..k5 PANEL.n_ '.. 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ARC ItNGIN ANC )l CENFIRI0K:R LE 1 - ENA, IA CNARI ES L. :3T.AJHL.NG iLOFst EaiWr1CAtE NO.4579 ORB -OFflGLLRamoRO woe; op .."mi.:, NCTtJN 'HN.- „,„4„,I'pj RAt'W0NO 3 SCL Akiti4 FLOPIIOA CF JT,f1CATL NO.6132 O R v.-0`”*tlw_RLY'Ok0 WrUNE 1•1-0 -I'M CWw[+,I Cu. wrisyr I PR Y -Ptli vFXt wnlltiNCL IINUl7R -09--C440,4EAO UIYLRMcs CN . CLQ1K, I JLH NU _ 47146 :_- DATE AI l,1 1CA< an L._eiCt i itAr rAO w-lrr ow,TENCEEuct.0-0-kr,* VE, 67. iCAL.E t- Q_,,,,,,,,. DRAFTER__111,ftmi.,44 14. J E.& .406(P1R.if=RC TOMMY t.A R . ( MAMIS RCS/8KT04S KGT %TWO WITHOUT int SIGNAW/it AND It.E O RfOit4AL. RAISED SEAL. OF A FLORIDA LJCENSEO SURVFTOR AND MAPPER ACC21-0026