665 Sailfish Dr ACC21-00654 TurfOWNER:ADDRESS:CITY:STATE:ZIP:
BRYCE BROWNING 665 SAILFISH DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171225 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
665 SAILFISH DR ACCESSORY SINGLE OR TWO
FAMILY ACCESSORY ARTIFICIAL TURF $1000.00
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 EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247-
5814) to request an Erosion and Sediment Control Inspection prior to start of construction.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
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: 12/27/2021
PERMIT NUMBER
ACC21-0064
ISSUED: 12/27/2021
EXPIRES: 6/25/2022
ACCESSORY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $129.00
3 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.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
2 of 2Issued Date: 12/27/2021
PERMIT NUMBER
ACC21-0064
ISSUED: 12/27/2021
EXPIRES: 6/25/2022
ACCESSORY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $129.00
ACC21-0064 Address: 665 SAILFISH DR APN: 171225 0000 $129.00
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING PLAN REVIEW $100.00
ZONING REVIEW SINGLE AND TWO FAMILY
USES 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R18362 $129.00
Printed: Monday, December 27, 2021 1:52 PM
Date Paid: Monday, December 27, 2021
Paid By: BRYCE BROWNING
Pay Method: CREDIT CARD 566362152
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18362
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 Updated 10/9/18
i; City of Atlantic Beach Building Department ALL INFORMATION
J
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247`-5 826 Email::Building- Dept@coab.us
Job Address: i b L)S Su i I r I V1 C `c1154
i
Permit Number:
C 0000LegalDescriptionSO-6 0 17 -k..) ---)161 E RE# 111 ' J
1 c2
Valuation of Work(Replacement Cost)$ 00<)
Komi - Si L.of7 . t(<
Heated/Cooled SF Non-Heated/Cooled
Class of Work: E New Addition DAlteration Repair Move Demo Pool VE
Use of existing/proposed structure(s): Commercial Residential
UEL 5 2 2
If an existing structure,is a fire sprinkler system installed?: Yes Levo
Will tree(s)be removed in association with proposed project? Yes(must submit separate 1- Removal Permit) o
Describe in detail the type of work to be performed:
NP luci'k a. awl +Lirkoitc,J/, yid 1 opt. S5f
Florida Product Approval# for multiple products use product approval form
Property 9wner Information
EName 'J -( U ln n 1 Address 6S SG1(l S11. rvc e-S'r
City ,4-+Icifk$i(, 1\eCA L.., State Zip Phone qo 'S11 0,.6 P-1
E-Mail b r` b ry(,t/n;1r.) 1 0rAni: La's&
Owner or Agent(If Agent, Power of Atto(ney or Agcy Letter Required)
Contractor Information
Name of Company Qualifyi : gent
Address Ci State Zip
Office Phone Job Sit- •ntact Number
State Certification/Registration# E-i•.11
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt D Expiration Date
Application is hereby made to obtain a per ' to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a pe it 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
REC• ' c 'G •U ' 'OTI E OF COMMENCEMENT.
gnature o % ner or Agent)Signature of C ractor)
Signed and sworn to(or affirmed)before meghis IS day of Signed and sworn to(or affi ed)before me this day of
DEC , 2 Q? i , by 6 t-v ce I.Srcgguk Y
Signature of Notary) Signature of Notary)
a ir. r u
Personally Known ORM . "'•CHRISTIAN dIrsonally"ICnown OR
Wroduced Identificat'9+ I* .;MYCOMMISSIONi[H}Pr' 99ed lentification
Type of Identification: r L- u`L- 1,' ..(7.! EXPIRES:April J40292 (dent fication:
NZ.„,,, Bonded Thru Notary Pubic Underwriters
Ia-I
ACC21-0064
Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
a n City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
n9 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 ISA 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: 65 Sa.l Lf h Dc-'v dS4
l ,
Owner Name: rV!L O Yd' { Phone Number: q b4 0. 1b/ 4
Mailing Address: rq S S6 ,Itt Sk \r\L City: A State: fL-Zip: c..a-3
Notarized Signature of Owner
The foregoing instrument was ackn I- ::-. i e - .' __--....•rI C,.. , 202), in the State of Florida, County
of P LJ VIAL
Signature of Notary Public
Personally Known OR [Produced Identification
M CHRISTIAN GILES
h L.5* MY COMMISSION#HH 117153 Type of Identification: 1 f/
P EXPIRGS:AprI113,2025
R;ts'.'f Bonded Tin Notary Pubic Underwriters
dir Updated 10/24/18
ACC21-0064
PLOT PLAN OF
LOT 7, BLOCK 6, ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30, PAGES 60 AND 60A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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1 LOT 6 ACC21-003611 I
I LOT COVERAGE
LOT AREA = 7,500 SQUARE FEET
EXISTING BUILDING AREA = 1,088 SQUARE FEET
EXISTING CONCRETE AREA = 481 SQUARE FEET
NOTES: DETACHED GARAGE AREA = 308 SQUARE FEET
1. THIS IS A PLOT PLAN ONLY. COVERED PORCH =176 SQUARE FEET
2. BOUNDARY DATA PER BOATWRIGHT LAND SURVEYORS NEW CONCRETE DRIVEWAY = 591 SQUARE FEET NI
FILE NUMBER 2020-380, DATED APRIL 8, 2021. NEW SCREENED PORCH =234 SQUARE FEET
3. BEARINGS BASED ON THE NORTHERLY LINE OF LOT 7, II
BEING NORTH 82'43'58" EAST, AS PER PLAT. TOTAL IMPERVIOUS AREA = 2,878 SQUARE FEET
4. BENCHMARK SHOWN HEREON WAS ESTABLISHED BY A
CLOSED LEVEL LOOP FROM CONCRETE MONUMENT PROPOSED LOT COVERAGE = 38.4% L
DESIGNATED "P 688" (ELEVATION = 12.59' NAVD
1988 DATUM). THIS PLOT PLAN IS CERTIFIED TO: U
5. 25' BUILDING RESTRICTION LINE AS PER PLAT. JEFFREY A. KERR CONSTRUCTION, INC.tn
6. 5' EASEMENT AS PER PLAT.
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD
ZONE "X" (AREA OF MINIMAL FLOOD HAZARD) AS
DETERMINED FROM THE FLOOD INSURANCE RATE
MAP NUMBER 12031C0408J, REVISED NOVEMBER 2,
4iing --
if-
762018FORDUVAL COUNTY, FLORIDA.
JASON D. BOATWRIGHT, P. S.M.
NOT VAUD WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA UCENSED FLORIDA UCENSED SURVEYOR AND MAPPER No. LS 7292
SURVEYOR AND NAPPER.' FLORIDA UCENSED SURVEYING & MAPPING BUSINESS No. LB 3672
CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC.
DRAWN BY: JDB 1500 ROBERTS DRIVE
DATE: APRIL 8, 2021
FILE fit; 2021-0380-2 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET OF 1
REF; 2004-0390
ACC21-0064
XXXXXXXXX